TEN Neurologia Practice Questions - TEN - Título de Especialista em Neurologia (Academia Brasileira de Neurologia AMB) Exam - TEN Neurologia Practice Questions - TEN - Título de Especialista em Neurologia (Academia Brasileira de Neurologia AMB) Exam

Question 1

A 62-year-old man presents to the emergency department 75 minutes after the sudden onset of right hemiparesis and global aphasia. His baseline modified Rankin Scale (mRS) is 0. Non-contrast cranial computed tomography (CT) reveals an ASPECTS score of 9 with no acute hemorrhage or early ischemic changes. His blood pressure is 172/96 mmHg, blood glucose is 134 mg/dL, and international normalized ratio (INR) is 1.0. According to current Brazilian and international acute ischemic stroke guidelines, what is the most appropriate immediate medical intervention?

Initiate intravenous thrombolysis with recombinant tissue plasminogen activator (Alteplase 0.9 mg/kg or Tenecteplase 0.25 mg/kg) without waiting for further imaging. Administer oral aspirin 300 mg immediately and order urgent brain magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI). Reduce blood pressure with intravenous nitroprusside until systolic blood pressure is below 130 mmHg before considering thrombolytic therapy. Initiate therapeutic intravenous unfractionated heparin with a targeted activated partial thromboplastin time (aPTT) of 1.5–2.5 times control.

Correct Answer:

Initiate intravenous thrombolysis with recombinant tissue plasminogen activator (Alteplase 0.9 mg/kg or Tenecteplase 0.25 mg/kg) without waiting for further imaging.

Question 2

A 68-year-old woman was last seen well at 10:00 PM when going to bed. At 7:00 AM the next morning (9 hours later), her family finds her with dense left-sided hemiplegia and neglect (NIHSS score of 17). Non-contrast cranial CT reveals no intracranial hemorrhage and an ASPECTS score of 8. CT angiography confirms an occlusion of the M1 segment of the right middle cerebral artery. Perfusion CT demonstrates an ischemic core volume of 18 mL and a total hypoperfused penumbral volume of 94 mL (mismatch volume of 76 mL; mismatch ratio > 5.0). Based on the DAWN and DEFUSE-3 clinical trial criteria, what is the indicated management?

Immediate mechanical thrombectomy with a stent retriever and/or contact aspiration. Intravenous thrombolysis with alteplase 0.9 mg/kg followed by conservative observation. Immediate administration of dual antiplatelet therapy with aspirin and clopidogrel with blood pressure lowering. Observation in the stroke unit without endovascular intervention because symptom onset exceeded the 6-hour window.

Correct Answer:

Immediate mechanical thrombectomy with a stent retriever and/or contact aspiration.

Question 3

A 55-year-old man with uncontrolled hypertension presents with sudden severe headache, vomiting, and right hemiplegia. Cranial CT reveals a 35 mL spontaneous intracerebral hemorrhage (ICH) centered in the left putamen with mild surrounding edema and intraventricular extension into the left lateral ventricle. His initial Glasgow Coma Scale (GCS) score is 11, and he is 55 years old (age < 80). His initial blood pressure is 210/115 mmHg. According to the original ICH Score (Hemphill et al.) and acute ICH management guidelines, what is his calculated ICH score and recommended acute target systolic blood pressure?

ICH score of 2; target systolic blood pressure rapidly lowered and maintained between 130 and 140 mmHg. ICH score of 4; target systolic blood pressure lowered strictly below 110 mmHg. ICH score of 1; blood pressure should not be lowered to avoid compromising cerebral perfusion pressure. ICH score of 3; target systolic blood pressure maintained between 160 and 180 mmHg.

Correct Answer:

ICH score of 2; target systolic blood pressure rapidly lowered and maintained between 130 and 140 mmHg.

Question 4

A 48-year-old woman presents to the emergency department after experiencing the sudden onset of the 'worst headache of her life' accompanied by neck stiffness and photophobia. Non-contrast cranial CT reveals diffuse hyperdensity in the basal cisterns and Sylvian fissures consistent with acute aneurysmal subarachnoid hemorrhage (aSAH). Digital subtraction angiography identifies a 7 mm saccular aneurysm of the anterior communicating artery. To prevent delayed cerebral ischemia (DCI) and secondary neurological deterioration, which pharmacologic intervention is recommended as Class I evidence?

Oral Nimodipine 60 mg every 4 hours for 21 consecutive days. Intravenous magnesium sulfate infusion titrated to achieve serum levels of 2.5–3.0 mmol/L. Prophylactic hypervolemic-hypertensive-hemodilution ('Triple-H') therapy initiated immediately upon admission. High-dose intravenous methylprednisolone 1 g daily for 5 days to reduce sterile meningeal inflammation.

Correct Answer:

Oral Nimodipine 60 mg every 4 hours for 21 consecutive days.

Question 5

A 29-year-old woman on oral combined contraceptives presents with a 5-day history of progressive headache, nausea, and recent onset of left-sided focal motor seizures with secondary generalization. Cranial MRI and MR venography demonstrate extensive thrombosis of the superior sagittal sinus and right transverse sinus with a small cortical venous hemorrhagic infarction in the right parietal lobe. What is the first-line therapeutic management?

Full therapeutic anticoagulation with low-molecular-weight heparin (LMWH) or unfractionated heparin, despite the presence of intracranial hemorrhage. Immediate surgical decompressive craniectomy combined with direct sinus thrombectomy. Intravenous dexamethasone to control vasogenic edema and antiepileptic therapy alone without anticoagulation. Dual antiplatelet therapy with aspirin and clopidogrel while avoiding systemic anticoagulation due to hemorrhagic transformation.

Correct Answer:

Full therapeutic anticoagulation with low-molecular-weight heparin (LMWH) or unfractionated heparin, despite the presence of intracranial hemorrhage.

Question 1

Exam overview

About this Exam

Prepare with the TEN Neurologia Practice Questions - TEN - Título de Especialista em Neurologia (Academia Brasileira de Neurologia AMB) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, right, reveals, and brain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

TEN Neurologia Practice Questions - TEN - Título de Especialista em Neurologia (Academia Brasileira de Neurologia AMB) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, right, reveals, and brain. 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.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.

No fixed duration is currently configured for this quiz.

Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.

Yes. You can retake the practice test again as you continue studying during your available access period.

After your access is confirmed, you can continue into the complete practice exam from this quiz flow.

Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.

Keep studying

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

About this Exam

Additional Information

TEN Neurologia Practice Questions - TEN - Título de Especialista em Neurologia (Academia Brasileira de Neurologia AMB) Exam

Frequently Asked Questions

Related Questions

ABIN Agente de Inteligência Practice Questions - Agência Brasileira de Inteligência (ABIN) - Agente de Inteligência Exam

ABIN Oficial de Inteligência Practice Questions - Agência Brasileira de Inteligência (ABIN) - Oficial de Inteligência Exam

ABTER Proteção Radiológica Practice Questions - ABTER Prova de Título de Especialista em Supervisão de Proteção Radiológica no Radiodiagnóstico Exam

AFA Practice Questions - AFA Concurso de Admissão (Academia da Força Aérea) Exam

Angola Air Force Academy Entrance Exam Practice Questions - Concurso de Admissão à Academia da Força Aérea Nacional (AFAN - FAA) Exam

Angola Army Military Academy Entrance Exam Practice Questions - Concurso de Admissão à Academia Militar do Exército (AMEX - FAA) Exam