20 Soal dan Jawaban TKA Bahasa Inggris In A Neurology Ward, A Patient Presents With Sudden Weakness

Answer: A

5. A 40-year-old man presents with sudden, severe, “thunderclap” headache described as the worst headache of his life. He has neck stiffness but no focal neurological deficits. A CT scan shows no abnormalities, but suspicion for subarachnoid hemorrhage remains high. What is the next best diagnostic step?

A. MRI of the brain
B. Lumbar puncture
C. Carotid Doppler ultrasound
D. Electroencephalogram
E. Cerebral angiography

Answer: B

6. A 65-year-old patient has difficulty understanding spoken language but can speak fluently, although the words often lack meaning. This condition is associated with damage to a specific cortical area involved in language comprehension. Which area is most likely affected?

A. Broca’s area
B. Wernicke’s area
C. Angular gyrus
D. Prefrontal cortex
E. Supplementary motor area

Answer: B

7. During a neurological examination, a patient exhibits spastic paralysis, hyperreflexia, and a positive Babinski sign on the right side of the body. These findings indicate an upper motor neuron lesion. Which of the following locations is most likely involved?

A. Anterior horn of spinal cord
B. Cerebral cortex
C. Neuromuscular junction
D. Peripheral nerves
E. Muscle fibers

Answer: B

8. A 22-year-old man develops sudden weakness in both legs after a viral infection. Neurological examination shows absent deep tendon reflexes, flaccid paralysis, and preserved sensation. Cerebrospinal fluid analysis reveals elevated protein with normal cell count (albuminocytologic dissociation). What is the most likely diagnosis?

A. Multiple sclerosis
B. Myasthenia gravis
C. Guillain-Barré syndrome
D. Amyotrophic lateral sclerosis
E. Poliomyelitis

Answer: C

9. A 50-year-old man presents with progressive weakness and muscle wasting in both upper and lower limbs, accompanied by fasciculations. Sensory functions remain intact. The disease eventually affects respiratory muscles, leading to death. Which motor neurons are affected in this condition?

A. Only upper motor neurons
B. Only lower motor neurons
C. Both upper and lower motor neurons
D. Cerebellar neurons
E. Sensory neurons