Organ System Disorders

Nervous and Senses Disorders Practice Questions

20 free Nervous and Senses Disorders practice questions for the USMLE Step 1, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Nervous and Senses Disorders questions

20 questions
  1. Q1. A 68-year-old man suddenly develops right-sided weakness and expressive aphasia. CT shows an infarct in the left frontal lobe. Which artery is most likely occl…
  2. Q2. A 22-year-old man presents with recurrent seizures preceded by a metallic taste. What is the most likely seizure type?
  3. Q3. A patient has sudden painless vision loss in one eye. Fundoscopy shows a pale retina with a cherry-red spot. Which condition is most likely?
  4. Q4. A 4-year-old child has recurrent staring spells lasting 10 seconds, followed by immediate resumption of activity. EEG shows 3 Hz spike-and-wave discharges. Whi…
  5. Q5. A woman experiences vertigo, tinnitus, and fluctuating hearing loss. Which condition is most likely?
  6. Q6. A man presents with right homonymous hemianopia with macular sparing. Which lesion best explains this finding?
  7. Q7. A 70-year-old man has a stroke resulting in pure motor hemiparesis. Which brain region is most likely affected?
  8. Q8. A patient hears ringing in the ears after loud music exposure. Which structure is most likely damaged?
  9. Q9. A 30-year-old woman presents with episodes of sudden loss of muscle tone triggered by laughter. Which diagnosis is most likely?
  10. Q10. A patient with a stroke loses pain and temperature sensation on the contralateral body and ipsilateral face. Which artery is most likely involved?
  11. Q11. A patient develops a lesion of the Meyer's loop. Which visual defect occurs?
  12. Q12. A man develops sudden severe vertigo, nystagmus, and nausea after a viral illness. Hearing is normal. Which condition is most likely?
  13. Q13. A woman with epilepsy is prescribed valproate. Which adverse effect requires monitoring?
  14. Q14. A 65-year-old man presents with progressive, painless central vision loss. Fundoscopy shows drusen deposits. What condition is this?
  15. Q15. A patient has right facial droop and cannot close the right eye, but forehead movement is intact. Where is the lesion?
  16. Q16. A patient develops bitemporal hemianopia (loss of both temporal visual fields). Which lesion is most likely?
  17. Q17. A 45-year-old woman experiences sudden, electric shock-like facial pain triggered by touch. Which condition is most likely?
  18. Q18. A man has difficulty hearing high-frequency sounds. Which age-related change explains this?
  19. Q19. A patient with epilepsy shows a focal seizure that spreads to become generalized. What is this type called?
  20. Q20. A patient develops diplopia when looking laterally with the right eye. Which nerve is most likely damaged?