MCQs

Question #1: A 64 year old man with Multiple System Atrophy suffers from postural hypotension. What is the most appropriate first-line drug therapy?

Question #2: A 26 year old man with no past medical history presents with a 5 day history of funny sensations in his legs. He describes an initially painful tingling in both feet which was followed by weakness and numbness of his feet, his legs, and now his hands. On examination he has a flaccid paraparesis with impaired sensation to pinprick and light touch throughout the lower limbs. What is the most likely diagnosis?

Question #3: A 24 year old woman with no past medical history presents to her GP with a 2 day history of worsening vision in her left eye. She describes pain on moving the eye. On examination you note a relative afferent pupillary defect on the left. On ishihara testing you notice impaired colour perception on the left as well. Her visual fields are intact to confrontation and examination of the arms and legs is normal. What is the most likely diagnosis?

Question #4: A 56 year old man with poorly-controlled Type II Diabetes Mellitus presents with difficulty reading. On examining his eyes you notice that his right eye is deviated inferolaterally. You suspect a 3rd nerve palsy secondary to diabetes. When you test his pupillary reflexes, which of the following findings would be most consistent with a diagnosis of a diabetic 3rd nerve palsy?

Question #5: A 24 year old woman comes to neurology clinic because of a troublesome headaches. A diagnosis is made of migraine with aura. It is decided that she should be started on prophylaxis to reduce the frequency and severity of attacks. Her past medical history is unremarkable except for asthma. Which of the following is the most appropriate anti-migraine prophylaxis?