MSFinals-3151

During a Neurology rotation, a Foundation Year 1 (FY1) witnessed a physical examination where the neurologist conducted palpation on the pterion of the skull to check for a pulse. What is the name of the blood vessel that the neurologist was palpating for?

MSFinals-3153

A 68-year-old man comes to the clinic with a 3-year history of postural instability, frequent falls and cognitive decline. He exhibits hypomania, bradykinesia of the right upper limb, brisk reflexes, especially on the right-hand side, occasional myoclonus and a shuffling gait. He is unable to imitate basic hand gestures with his right hand. During the examination, the patient displays some sensory loss and apraxia.
What is the probable diagnosis?

MSFinals-3154

A 30-year-old man comes to the clinic complaining of urinary symptoms such as hesitancy and incomplete emptying. He lives independently and has primary progressive multiple sclerosis. He recently recovered from a UTI and upon investigation, it was found that he has heavy colonisation of Proteus. An ultrasound bladder scan reveals 400 ml of residual volume. What is the most suitable long-term management for this patient?

MSFinals-3155

A 51-year-old woman sustained a deep posterolateral laceration in her right neck during a car crash. Her right shoulder is now lower than the left and she is unable to lift it against resistance. When attempting to shrug her shoulders, there is no rise in muscle tone under the medial upper border of the right shoulder. Which nerve was affected by the injury?

MSFinals-3156

A 67-year-old man comes to the Emergency Department complaining of cough, blood in his sputum, and a 3- to 4-cm right-sided supraclavicular lymph node. During the examination, you observe that the right side of his face is dry, and his right eyelid is drooping. What is the most probable location of the patient’s pathology?

MSFinals-3157

A 16-year-old girl was stabbed with a knife during a robbery attempt and taken to the Emergency Department of a local hospital. Physical examination revealed a single horizontal stab wound located on the skin 4 mm to the right of the umbilicus.
In which dermatome was the stab wound located?

MSFinals-3159

A lesion in which lobe can result in a change in personality of the individual?

MSFinals-3160

A 75-year-old female patient comes in with a two-month history of apathy, withdrawal, urinary and faecal incontinence, and anosmia. What is the most probable location of the neurological lesion?