NMS Q&A Family Medicine

SECTION IVNeurology inPrimary Carechapter 11NeurologyExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 A 46-year-old Caucasian woman complains ofincreasingly severe fatigue that she believe emanatesfrom poor sleep quality. Her husband notes that shemoves frequently during her sleep, and the patientnotes that recently as she begins to ready herself forsleep she has discomfort in her legs that is momentarilyrelieved by moving them. Each of the followingmay be helpful in the treatment of this conditionexcept?(A) Two month trial of ferrous sulfate(B) Stretching exercises before bedtime(C) A glass of red wine before bedtime(D) Gabapentin(E) Oxycodone 5–10 before bedtime2 A 12-year-old boy has been brought to the familyphysician with the history that his parents discovereda tick on his body after his return from a Boy Scoutcamp in rural Wisconsin. Which of the followingstatements about the possibilities of Lyme disease istrue?(A) Erythema migrans (EM) always begins at thetick bite site.(B) Serological tests of Lyme disease will be positiveby the time of the onset of EM.(C) Neurologic features occur in a minority of cases.(D) The occurrence of carditis is most often in lateLyme disease.(E) Any of the macrolide antibiotics are as good asother antibiotics in effectiveness.3 In the treatment of epilepsy, defined as two documentedseizures of any type (e.g., partial, absence, generalized)without known cause, which of the followingantiepileptic drugs is the most broadly applicable?(A) Valproate (Depakene)(B) Phenytoin (Dilantin)(C) Gabapentin (Neurontin)(D) Oxycarbazepine (Trileptal)(E) Pregabalin (Lyrica)4 A 65-year-old white man complains that he has atremor in the right hand. It is best displayed when hereaches for a pen and is manifested easily in thefinger-to-nose test. In which of the following locationsis the lesion?73