NEUROLOGY

1. A 25 year old lady presented with sudden weakness of

right hand and impaired speech and deviation of angle of
mouth to left. O/E patient is conscious, oriented in time
and person. Pupils are equal and normally reacting to
light. Pulse 126/min irregularly irregular apex beat in 5th
intercostal space inside mid clavicular line. On
auscultation there is variable intensity of first heart sound
and mid diastolic rumbling murmur best heard at apex
with bell and patient tilted to the left holding breath in
expiration.
a. Give Dx? (thromboembolic or ischemic stroke)
b. What are underlying causes and events leading to
this condition.
c. Make a plan for long term management of this
patient.
2. A young women presented with history of ptosis,
diplopia and difficulty in swallowing which are worsen
towards end day there is no sensory loss.(2016,17,18)
a. Give Dx? (Myasthenia gravis)
b. Give investigations.
c. What drugs are to be used?
3. A 18 year old girl present in emergency department with
02 days history of fever, headache and drowsiness on
examination she has neck stiffness with no other focal
neurologic sign CSF shows raised proteins raised WBCs
with predominant neutrophils and low CSF glucose.
(2016,17,19
a. Give DX?(pyogenic meningitits)
b. Give four steps of treatment
 c. Give two complications.
4. List the complications of meningitis
5. Give classification of epilepsy and how will you manage
case of status epilepticus
6. An 85 year old man has presented with Hx of
deteriorating short term memory and increasing
confusion he is having self neglected he is diagnosed to
have dementia by medical team.
a. What are the common causes of dementia in elders.
b. What are the features to access dementia
7. A 55 year old man known diabetic sleep well during
night he was woke up in working was move his right side
of body along with slurred speech O/E he was conscious
with 180/110 neurologic examination revealed dense
hemiplegia (RT)with right plantar upgoing
a. Give Dx?
b. Risk factors?
c. Investigations
8. 65 year old man presented with hand tremor and
difficulty in walking. His son also noticed that his
response become slow from last 2 months he also
complain of constipation O/E he has expressionless face
with reduce voice. Tone of muscle was increased
a. Give dx
b. What are causes of this condition
c. List 5 drugs use in treatment
Farhan-59