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USMLE Step3 Neurology

Instructions:
  • Answer 50 questions in 15 minutes.
  • If you are not ready to take this test, you can study here.
  • Match each statement with the correct term.
  • Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. What bp med to be given in a patient with high bp and signs of opioid withdrawal






2. When to use dopamine agonist pramipexol in parkinson






3. impaired vibration and increased DTR






4. How to tx acute exacerbation of MS






5. How to manage stroke patient came within 4 hours






6. drags leg forward in every steps - no knee flexion; hip flexion and straight legs






7. phenytoin and OCP






8. How to differentiate medial and lateral pontine syndrome






9. headache - non reactive pupil - fall on both sides during walking - impaired upward gaze






10. How to confirm braindeath?






11. How to differentiate medial and lateral medullary syndrome






12. When to give aspirin when patient on tPA after stroke






13. impaired perception of complex sounds






14. When headache is presenting complaint of brain tumor






15. contraindication of sumatripta






16. lesion in dominant parietal lobe






17. dominant parietal lobe on the left side






18. MMSE score of less than 24






19. When to suspect traumatic LP






20. How to diffrentiate tick borne paralysis from GBS and spinal cord tumor






21. acoustic neuroma






22. Should we tx htn in acute ischemic stroke

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23. How to tx lewy body dementia






24. dementia plus urinary incontinence






25. construction worker works in squatting position; now develop decreased sensation over anterolateral thigh






26. at first tingling in toes and feet then weakness in extremities






27. benign essential tremor






28. get up and go test






29. cluster headache






30. When to use brain spect scintigraphy to confirm brain death






31. indication of plasmapheresis in GBS






32. What is pronator drift






33. Acute onset of left arm weakness






34. How to differentiate parkinson and benign essential tremor






35. severe headache and high BP






36. differentiate lewy body dementia and vascular dementia






37. How to tx stroke patient came after 6h






38. What mmse score suggest dementia






39. How to differentiate traumatic LP and SAH






40. impaired hepatic conjugation of billirubin






41. brain stem lesion






42. differentiate wenicke and korsakoff






43. craniopharyngioma






44. korsafoff psychosis






45. cortical lesion






46. How to differentiate botulism from tick born paralysis - GBS and MG






47. women with unilateral eye pain; neurlogic symptoms here there at different times






48. how donepezil - acetylecholinsterase inhibitor works in Alzheimers






49. 2 yr old child with developmental delay; crawing at 11m; scissoring gait






50. alcoholic p/w confusion - ataxia - tremor - nystamgus

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