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How Good at Neurology are you? – Questions
  1. Paul Goldsmith*,
  2. Graham Lennox*,
  3. Julian Ray
  1. *Departments of Neurology and
  2. Neurophysiology, Adden-brooke’s Hospital, Cambridge, UK. Email; paul.goldsmith{at}; drslennox{at}; j.l.ray{at}


  1. Please consider the following:

    You are asked to review the EEG of a confused patient. Which, out of the following diagnoses, would each EEG (1–3) be most in keeping with:

    1. Lennox–Gastaut syndrome

    2. variant CJD

    3. absence status

    4. sporadic CJD

    5. metabolic encephalopathy

    6. subdural haematoma

    7. hypsarrhythmia

  2. Please read the following passage.

    A 40-year-old man with a 2-year history of bulbar myasthenia treated with 90 mg pyridostigmine, 5 × daily, attends the emergency clinic in a panic because he is waking up in the morning finding difficulty in lifting his head off the pillow and with problems swallowing his morning medication.

    What would your management be?

    1. prescribe morning neostigmine

    2. increase nocturnal pyridostigime to 120 mg

    3. give course of IVIg or plasma exchange

    4. give course of iv methylprednisolone

    5. prescribe low dose prednisolone.

  3. Please study the figure below:


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