Hardest CPC Certification Exam! Trivia Quiz
This is considered the hardest CPC certification exam, and it is perfect for those of us who love to be challenged. There are different ways that questions can be set out, and the question below is perfect to see if you have a proper understanding of your classwork. Do give it a try and keep on revising for your exams.
- 1.A 46-year-old woman has experienced severe headaches, worsening over the past two months. She has noted difficulty moving her left arm during the past day. On physical examination papilloedema is noted, worse on the right. Through which of the following mechanisms are these findings most likely to be produced?
- A.
Blockage of lymphatics by metastatic tumour
- B.
Overproduction of cerebrospinal fluid
- C.
A storage disease with neuronal loss
- D.
Hyperosmolar coma with diabetes mellitus
- E.
Oedema around a glioblastoma multiforme
- 2.
A 78-year-old man died following a vehicle accident. He was a known hypertensive for over 28 years on irregular treatment and was being treated for recent behavioral changes by a psychiatrist. The below image shows his brain removed at autopsy. What is the most likely diagnosis?- A.
Old hemorrhagic infarct
- B.
Glioblastoma multiforme
- C.
Astrocytoma
- D.
Meningioma
- E.
Old head injury
- 3.A 47-year-old man had an onset of headaches 4 months ago. The headaches are associated with dull pain and seem diffuse, but they are becoming more frequent and prolonged. On physical examination, he has no focal neurologic deficits. His memory is intact. MR imaging reveals moderate hydrocephalus with enlargement of the lateral ventricles. There is a 4 cm homogenous, well-circumscribed mass within the fourth ventricle. Which of the following is the most likely diagnosis?
- A.
Astrocytoma
- B.
Ependymoma
- C.
Meningioma
- D.
Metastastic carcinoma
- E.
Schwannoma
- 4.
A 68-year-old woman presents to you complaining of headaches and nausea over the last month. CT scan shows a temporal tumor with extensive edema consistent with glioma. Her past medical history is significant for hypertension, gastric ulcers, hysterectomy, and stomach surgery. The below image shows the CT guided biopsy of the mass. What is the most prominent pathological feature?
- A.
Rosette formation with central fibres
- B.
Necrosis and pseudopalisading
- C.
Glomeruloid bodies within blood vessels
- D.
Pleomorphic astrocytes
- E.
Necrosis with psammoma bodies
- 5.A 63-year-old man complains of trouble swallowing and hoarseness. On physical examination, he is noted to have ptosis and a constricted pupil on the left, and a diminished gag reflex. Neurological examination shows decreased pain and temperature sensation on the left side of his face and on the right side of his body. Which of the following vessels is most likely occluded?
- A.
Anterior inferior cerebellar artery (AICA)
- B.
Anterior spinal artery
- C.
Middle cerebral artery (MCA)
- D.
Posterior cerebral artery (PCA)
- E.
Posterior inferior cerebellar artery (PICA)
- 6.A 3-year-old child is brought to the Emergency Department by her concerned parents. She complains of a sore head. She is lethargic and listless and committed twice. On examination, she has a fever and bilateral papilloedema. Her GCS is 9. What is the most likely cause of her findings?
- A.
Bacteremia following tooth extraction
- B.
Bacterial meningitis
- C.
Lung abscess
- D.
Otitis media
- E.
Sinusitis
- 7.A 25-year-old man presents with bilateral hearing loss. MRI reveals bilateral tumors within the cerebellopontine angles. Surgery is performed, and the tumors are removed. Both are found to be neurilemomas ("schwannoma"). Which of the following is the most likely diagnosis?
- A.
Metastatic disease
- B.
Multiple sclerosis
- C.
Neurofibromatosis type 1
- D.
Neurofibromatosis type 2
- E.
Tuberous sclerosis
- 8.A 4-year-old boy presents with headaches and vomiting. On examination, he has papilloedema and loss of coordination. Biopsy reveals evidence of both neuronal and glial differentiation. Which of the following is the most likely diagnosis?
- A.
Astrocytoma
- B.
Glioblastoma multiforme
- C.
Medulloblastoma
- D.
Meningioma
- E.
Oligodendroglioma
- 9.A 62-year-old chronic smoker presents with persistent headaches. A CT scan of the head demonstrates a 2 cm spherical mass at the junction of the white and grey matter of the lateral aspect of the cerebral hemisphere. Which of the following would most likely produce this lesion?
- A.
Astrocytoma
- B.
Ependymoma
- C.
Glioblastoma multiforme
- D.
Meningioma
- E.
Metastatic carcinoma
- 10.A 34-year-old man with AIDS suddenly falls to the floor and has a tonic-clonic seizure. His concerned friends call paramedics, who take him to the hospital. On arrival at the hospital, he is conscious but confused. Physical examination is remarkable for cachexia and oral thrush. Neurological examination reveals the isolated weakness of lateral gaze on the right. MRI reveals multicentric mass lesions in the brain and meninges. One of the masses is biopsied and appropriate immunohistochemical stains are performed. From which of the following cell types did the masses most likely derive?
- A.
Astrocyte
- B.
B lymphocyte
- C.
Ependymal cell
- D.
Melanocyte
- E.
Oligodendrocyte
Questions: 25 | Attempts: 5558 | Last updated: Jun 28, 2022
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