ATI RN
Pediatric Neurology Test Questions Questions
Question 1 of 5
Lower limbs injury in a child after car accident, lead to common peroneal nerve palsy, which results in gait abnormality due to weakness of ankle dorsiflexors. The gait that result from such injury is called
Correct Answer: C
Rationale: Steppage gait results from common peroneal nerve palsy, per neurology texts, with high stepping to clear the foot due to dorsiflexor weakness (foot drop). Shuffling is parkinsonian; tandem tests balance; toe walking spasticity. Steppagcompensation makes C the correct answer.
Question 2 of 5
The study of choice in any of the following conditions (focal neurological deficits, alteration in level of consciousness, or chronic progressive headache pattern) is
Correct Answer: B
Rationale: MRI is the study of choice for focal deficits, altered consciousness, or chronic headaches, per AAN, due to superior detail of brain parenchyma, ischemia, or masses. CT is faster for acute hemorrhage; X-ray skeletal; EEG seizures; LP infection. MRIs resolution make B the correct answer.
Question 3 of 5
The electroencephalographic (EEG) of an 8-year-old girl revealed generalized 3-Hz spike-and-wave activity. Of the following, the MOST likely diagnosis is
Correct Answer: D
Rationale: Generalized 3-Hz spike-and-wave on EEG indicatabsence seizure , per ILAE, common in childhood absence epilepsy, with brief staring spells. Atypical absence has slower (<2.5 Hz) waves; benign childhood focal spikes; aphasia language loss; West hypsarrhythmia. Classic EEG pattern makes D the correct answer.
Question 4 of 5
The duration of anticonvulsant treatment variaccording to seizure type and epilepsy syndrome. For most children, anticonvulsant medications can be weaned off after 2 years without seizures. Of the following, the condition that usually require treatment for life is
Correct Answer: C
Rationale: Juvenile myoclonic epilepsy (JME) often requirlifelong treatment, per ILAE, with high relapse (>80%) off medication due to genetic myoclonic susceptibility. Simple and complex partial may remit; spasms resolve; Landau-Kleffner variable. JMpersistence makes C the correct answer.
Question 5 of 5
Cranial nerve variant of Guillain-Barré syndrome is called Miller Fisher variant; it is manifested with
Correct Answer: A
Rationale: Miller Fisher variant of Guillain-Barré presents with ataxia, ophthalmoplegia, and areflexia, per neurology, from anti-GQ1b antibodies. Flaccidity (B-C), sensory loss (B, D-E), and urinary retention (C-D) are atypical. Triad specificity makes A the correct answer.