B-type: For each numbered item, select the heading most closely associated with it. Each heading may be selected once, more than once, or not all

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1 B-type: For each numbered item, select the heading most closely associated with it. Each heading may be selected once, more than once, or not all Part 1 (1-4) Regarding adverse effects of corresponding antiepileptic drugs ( ) 1. Verbal fluency impairment ( ) 2. Polycystic ovary syndrome ( ) 3. SIADH ( ) 4. Psychosis A. Carbamazepine B. Levetiracetam C. Topiramate D. Gabapentin E. Valproic acid 解答 :(C) (E) (A) (B) 題目之出處 : Neurology in Clinical Practice, 5 th Edition, p Part 2 (5-8) Correlation between epileptic aura and lesion locations ( ) 5. Auditory ( ) 6. Olflactory ( ) 7. Gustatory ( ) 8. Somatosensory A. Heschl s gyri B. Superior temporal lobe C. Mesial temporal lobe D. Insula E. Contralateral postrolandic 解答 :(A) (C) (D) (E) 題目之出處 :Principles of Neurology. 7 th P.336 1

2 Part 3 (9-12) Please choose the characteristic epileptiform abnormality for corresponding epilepsy syndrome. ( ) 9. Juvenile myoclonic epilepsy ( ) 10. Childhood absence epilepsy ( ) 11. Benign rolandic epilepsy ( ) 12. Lennox-Gastaut syndrome A. Focal centrotemporal spikes B. Slow generalized spike and wave C. Generalized 3-Hz spike and wave D. Abrupt attenuation and random high-voltage slow activity E. Generalized polyspike waves with normal background rhythm 解答 :(E) (C) (A) (B) 題目之出處 :Merrit s Neurology, 11 th edition P. 82 Part 4 (13-16) Which description is compatible with the following diseases? ( ) 13. Parkinson s Disease ( ) 14. Multiple system atrophy ( ) 15. Progressive Supranuclear Palsy ( ) 16. Corticobasal Degeneration A. Pathological findings include neuronal loss, gliosis, neurofibrillary tangles, and granulovacuolar degeneration in neurons of the brainstem. B. Severe sleep apnea, inspiratory stridor, or involuntary sighing C. Exposure to environmental metals or organic toxins may be associated with an increased risk D. They may also present with primary progressive aphasia and may evolve into global dementia E. The disorder most often begins in the fifties or sixties with personality and behavioral changes 解答 :(C) (B) (A) (D) 題目之出處 :Neurology in Clinical Practice 5 th edition P

3 Part 5 (17-20) Which is the most characteristic electrodiagnostic finding? ( ) 17. Polymyositis ( ) 18. Chronic inflammatory demyelinating polyneuropathy ( ) 19. Myasthenia gravies ( ) 20. Lumbosacral plexopathy A. Decremental responses on repetitive stimulation test of 10 Hz B. Fibrillations and polyphasic waves ( μv, 6-8 ms) in the rectus femoris muscle C. Motor conduction velocities (25 m/s) with conduction block in medial and ulnar nerves D. Fibrillations and polyphasic waves (2-4 mv, ms) in the rectus femoris muscle E. Increased jitters on single fiber electromyeography (SFEMG) 解答 :(B) (C) (E) (D) 題目之出處 :Merritt s Neurology, 11 th ed. 2005, p Part 6 (21-24) ( ) 21. Botulinum toxin ( ) 22. Black widow spider venom ( ) 23. Organophosphate ( ) 24. Parathion A. Causing a massive release of ACh B. Binding irreversibly to AChE C. Blocking quantal release of ACh D. Blinding to AChR E. Inhibiting AChE reversibly 解答 :(C) (A) (B) (D) 題目之出處 :Adams and Victor s principles of neurology ed. 8th p1260 3

4 Part 7 (25-28) ( ) 25. Central scotoma ( ) 26. Bitemporal hemianopia ( ) 27. Homonymous hemianopia ( ) 28. Bilateral homonymous hemianopia with opticokinetic nystagmus A. Pituitary tumor B. Hysterical blindness C. Posterior cerebral artery infarction D. Optic neuritis 解答 :(D) (A) (C) (B) 題目之出處 :Merritt s Neurology, 11th edition, p Part 8 (29-32) ( ) 29. One and a half syndrome ( ) 30. Vertical nystagmus ( ) 31. Downbeat nystagmus ( ) 32. Ocular bobbing A. Midbrain lesion B. Unilateral pontine lesion that involves both the medial longitudinal fasiculus and pontine paramedical reticular formation C. Pontine lesion D. Cervicomedullary junction 解答 :(B) (A) (D) (C) 題目之出處 :Merritt s Neurology, 11th edition, p

5 Part 9 (33-36) The individual artery syndromes help the clinician to localize a lesion and to determine its vascular origin. ( ) 33. Ipsilateral blindness, contralateral hemiparesis, hemianopsia and aphasia ( ) 34. Contralateral hemiparesis, sensory loss, hemianopsia and aphasia ( ) 35. Contalateral hemiparesis and sensory loss, affect leg more than arm, impaired responsiveness (abulia or akinetic mutism) if bilateral infarctions ( ) 36. Contralateral hemianopsia, alexia or color anomia A. Anterior cerebral artery occlusion B. Middle cerebral artery occlusion. C. Posterior cerebral artery occlusion D. Internal carotid artery occlusion E. Basilar artery occlusion 解答 :(D) (B) (A) (C) 題目之出處 :Merritt s Neurology 11 th edition, p.299 Part 10 (37-41) Match the brainstem syndrome with its eponym. ( ) 37. Weber s syndrome ( ) 38. Avellis syndrome ( ) 39. Millard-Gubler syndrome ( ) 40. Parinaud s syndrome ( ) 41. Benedikt s syndrome A. Occulomotor palsy and crossed hemiplegia B. Palsy of cranial nerves VI and VII and contralateral hemiplegia C. Paralysis of upward gaze and accommodation D. Occulomotor palsy with contralateral ataxia, tremor, and corticospinal signs E. Paralysis of soft palate and vocal cord with contralateral hemianesthesia 解答 :(A) (E) (B) (C) (D) 出處 :Adams and Victor's, Principles of Neurology, 8 th edition, Chapter 34 5

6 Part 11 (42-46) Temporal change in MRI features of intracerebral hemorrhage ( ) 42. First hours (Oxyhemoglobin) ( ) 43. Hours to days (Deoxyhemoglobin) ( ) 44. First hours (Methemoglobin, intracellular) ( ) 45. Several days to months (Methemoglobin, extracellular) ( ) 46. Several days to indefinitely (Ferritin/hemosiderin) T1-weighted T2-weighted A. Same or hypointesity Hyperintense B. Same or hypointesity Marked hypointensity C. Marked hyperintensty Marked hyperintensty D. Hyperintensity Hypointensity 解答 :(A) (B) (D) (C) (B) 出處 :NICP 5 th, p1233 table 55B-3 Part 12 (47-50) Choose the related adverse events of the following medications used for migraine prevention. ( ) 47. Bradykinesia ( ) 48. Word finding difficulty ( ) 49. Hyperammoninemia ( ) 50. Urine retention A. Topiramine B. Flunarizine C. Amitryptyline D. Divalproex sodium 解答 :(B) (A) (D) (C) 題目之出處 :Acta Neurologica Taiwanica Vol 17. No.2, Treatment Guidelines for Preventive Treatment of Migraine, Treatment Guideline Subcommittee of the Taiwan Headache Society (Special article)

7 Part 13 (51-54) What is the most frequent location damaged by viral infection? ( ) 51. Poliovirus ( ) 52. Enterovirus 71 (severe form) ( ) 53. Herpes simplex virus ( ) 54. Japanese encephalitis virus A. Brainstem B. Occipital lobe C. Motor neurons in spinal cord D. Frontal and temporal lobes E. Thalamus and basal ganglion 解答 :(C) (A) (D) (E) 題目之出處 :Merritt s Neurology, 11 Et, p Part 14 (55-58) What is the main pathologic finding in the following neurodegenerative diseases? ( ) 55. Alzheimer s disease ( ) 56. Parkinson s disease ( ) 57. Frontotemporal dementia ( ) 58. Huntington s disease A. Nuclear inclusion B. Senile plaque C. Spongioform changes in cortex D. Neurofibrillary tangle E. Lewy body 解答 :(B) (E) (D) (A) 題目之出處 :Neurology in Clinical Practice (5th Edition) p

8 Part 15 (59-62) What is the accurate site of different kinds of facial pain? ( ) 59. Trigeminal neuralgia ( ) 60. Post-herpetic neuralgia in face ( ) 61. Costen syndrome ( ) 62. Tolosa-Hunt syndrome A. 1 st division of trigeminal nerve B. 2nd & 3rd divisions of trigeminal nerve C. external ear canal D. Temporomandibular joint E. Retro-orbital 解答 :(B) (A) (D) (E) 題目之出處 : Principles of Neurology 8th 2005 McGraw-Hill, p. 162, Table 10-2 Part 16 (63-66) Treatment of choice: ( ) 63. Migraine ( ) 64. Hypnic headache ( ) 65. Primary exertional headache ( ) 66. Headache attributed to sexual activities A. Indomethacin B. Sumatriptan C. Lithium carbonate D. Carbamazepine 解答 :(B) (C) (A) (A) 題目之出處 :Adams and Victor s Principles of Neurology, 8 th edition. p. 154, 158, 160.

9 Part 17 (67-70) Neurotoxic syndrome ( ) 67. Nitrous oxide ( ) 68. Tin ( ) 69. Ciguatera ( ) 70. Carbon disulfide A. Neuropathy+parkinsonism B. Delerium+encephalomyelopathy C. Sensory neuropathy with temperature inversion D. Ataxia E. B12-deficient myelopathy 解答 :(E ) (B) (C ) (A ) 題目之出處 :Merritt s neurology 10 th edition, p941 Part 18 (71-74) Muscle weakness caused by a herniated intervertebral disc is ( ) 71. L2-3 ( ) 72. L3-4 ( ) 73. L4-5 ( ) 74. L5-S1 A. Quadriceps femoris B. Extensor hallucis longus C. Biceps femoris D. No definite muscle weakness E. Gastrocnemius 解答 :(D) (A) (B) (E) 題目之出處 :Principle of neurosurgery, p 758 9

10 Part 19 (75-78) Muscle biopsy ( ) 75. Carnitine deficiency ( ) 76. Facioscapulohumeral muscular dystrophy ( ) 77. Kearns-Sayre syndrome ( ) 78. Oculopharyngeal muscular dystrophy A B C D 解答 :(D) (A) (B) (C) 題目之出處 :Neurology in Clinical Practice, 5th ed, p.2420, 2422, 2433, 2435

11 Part 20 (79-82) ( ) 79. Broca s aphasia ( ) 80. Wernicke s aphasia ( ) 81. Pure-word blindness ( ) 82. Anomic aphasia A. Greatly impaired comprehension B. Non-fluent speech C. Problem with naming D. Preserved repetition 解答 :(B) (A) (D) (C) 題目之出處 :Adams and Victor 8 th edition P

Initial symptom or syndrome: (1) FOCAL WEAKNESS OR NUMBNESS

Initial symptom or syndrome: (1) FOCAL WEAKNESS OR NUMBNESS View the referenced DVD patient cases, especially if few hospital or clinic patients are encountered for any one symptom or syndrome. The DVD patient cases are referenced by initial symptom or syndrome