Neurology Question Set 1

A 70-years-old man, chronic smoker for 5 decades, presents to the emergency department with the sudden loss of movement on the left side of his body. On examination, his vitals are blood pressure of 165/110 mmHg, pulse rate of 78 beats/min, respiratory rate of 18 breaths/min and afebrile. A cerebral angiogram reveals an occlusion of a branch of the middle cerebral artery. He has Hb A1C of 10%. Which of the following blood lipid components is the most important contributing factor in his disease?

A 45 year old male presents with fever and headache. He recently had a middle ear infection. On examination, when the head is passively flexed toward the chest, flexion of the knee is observed. There is also an increased headache when the patient horizontally rotates his head. Lumbar puncture and CSF analysis was done. Which of the following lab findings would represent your suspected diagnose the best?

A 45-year-old man is brought to the hospital by his daughter with complaints of wide-based gait. His daughter reveals that he was sitting silently in examination chair with a blank face and in between he was frequently talking to the empty chairs and told that his friends are sitting there. He has been forgetting many small things recently. On examination, fine movements are seen at resting condition which disappears when he is asked to drink water; a stepwise slowness in movement is seen in his upper limb. Which of the following is most likely to be observed in the histological specimen of this patient?

A 75-year-old male was brought by his daughter as he was having increased incidences of forgetting things. Her daughter said that he becomes increasingly frustrated searching for his glasses and keys most of the time. He was helped out a couple of times in the supermarket for forgetting the way out. He recently lost his driving license when he was spotted by the cops driving in the wrong direction on the interstate. Which of the following is most likely pathology for this presentation?