Question 1
A 72-year-old man develops sudden right facial droop, right arm weakness, and expressive aphasia 90 minutes after he was last known well. Blood pressure is 176/98 mm Hg, glucose is 104 mg/dL, platelet count is normal, and he takes no anticoagulants. Noncontrast head CT shows no hemorrhage. What is the next best step?
Correct Answer:
Administer intravenous alteplase
Question 2
A 66-year-old woman is found with left hemiplegia and neglect 8 hours after she was last seen normal. CT shows no hemorrhage. CT angiography shows a right M1 middle cerebral artery occlusion, and perfusion imaging shows a small infarct core with a large penumbra. What is the best treatment?
Correct Answer:
Mechanical thrombectomy
Question 3
A 58-year-old man with long-standing hypertension develops severe occipital headache, vomiting, ataxia, and decreasing consciousness. CT shows a 4-cm cerebellar hemorrhage compressing the fourth ventricle with acute hydrocephalus. What is the next best step?
Correct Answer:
Urgent neurosurgical decompression with ventricular drainage
Question 4
A 69-year-old man has 12 minutes of right hand weakness and difficulty speaking that resolves before arrival. MRI shows no infarct. Carotid duplex shows 82% stenosis of the left internal carotid artery. What intervention most reduces future stroke risk?
Correct Answer:
Left carotid endarterectomy within the next 2 weeks
Question 5
A 63-year-old woman with diabetes and hypertension awakens with pure right face, arm, and leg weakness. Sensation, language, visual fields, and cortical function are intact. MRI shows a small infarct in the left posterior limb of the internal capsule. What is the most likely mechanism?
Correct Answer:
Lipohyalinosis of penetrating arteries
Question 1
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Prepare with the Neurology Shelf Practice Questions - NBME Clinical Science Subject Exam Clinical Neurology Exam practice quiz. This question bank includes 100 questions covering year-old, shows, woman, diagnosis, and weakness. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Neurology Shelf Practice Questions - NBME Clinical Science Subject Exam Clinical Neurology Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, shows, woman, diagnosis, and weakness. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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