Friday, April 18, 2008

111 - nervous system mcqs - part 5

17 . a woman complains of headache associated with paresthesias of the right upper and lower limb : likely diagnosis ?

a- trigeminal neuralgia
b- glossopharyngeal neuralgia
c- migraine
d- cluster headache

answer is c .

18 . opthalmoplegic migraine means :

a- when headache is followed by complete paralysis of the third and sixth nerve on the same side as the hemicrania
b- when the headache is followed by partial paralysis of the third nerve on the same side as the hemicrania without any scotoma .
c- headache associated with third ,fourth and sixth nerve paralysis
d- headache associated with optic neuritis

answer is b .

19 . a woman has bilateral headache that worsens with emotional stress, she has two children , both doing badly in school, diagnosis is ?

a- migraine
b- cluster headache
c- tension headache
d- trigeminal neuralgia

answer is c . tension headache .

20 . a 64 year old lady kamla complains of severe unilateral headache on the right side and blindness for 2 days . on examination there is a thick cord like structure on the lateral side of the head . the ESR is 80 mm/hr in the first hour . the most likely diagnosis is ?

a- temporal arteritis
b- migraine
c- cluster headache
d- sinusitis

answer is a . temporal arteritis .

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