Test Bank For Swaiman's Pediatric Neurology, 7th Edition
Principles and Practice
Authors: Stephen Ashwal,Phillip L. Pearl
, Swaiman’s Pediatric Neurology (7th Edition
Chapter 1: General Aspects of the Patient’s Neurologic History.
PEDIATRIC NEUROLOGY QUESTION BANK
PART I: MCQs (1–30)
CONCEPT-BASED MCQs (1–15)
Q1. Normal head control is expected at:
A. 1 month
B. 2 months
C. 4 months
D. 6 months
E. 9 months
Answer: C
Reasoning:
Head control develops by ~3–4 months due to maturation of cervical extensor
pathways.
Localization: Brainstem + cervical spinal motor pathways maturation.
Why others are wrong:
• A/B: too early
• D/E: delayed milestone
Q2. Babinski sign is normal in:
A. Adults only
B. Children >2 years
C. Infants <12–18 months
D. Neonates only
E. Any age with fever
, Answer: C
Reasoning:
Due to incomplete corticospinal myelination.
Localization: Corticospinal tract immaturity.
Wrong options:
• A/B: abnormal
• D: too restrictive (extends beyond neonates)
• E: irrelevant
Q3. First social smile occurs at:
A. Birth
B. 2 weeks
C. 2 months
D. 6 months
E. 12 months
Answer: C
Reasoning: Cortical-social pathway maturation.
Localization: Limbic + cortical integration.
Q4. Which reflex disappears last?
A. Moro
B. Palmar grasp
C. Plantar grasp
D. Babinski
E. Rooting
Answer: C
Reasoning: Plantar grasp persists longer than primitive reflexes.
Localization: Spinal cord reflex integration.
, Q5. Most reliable sign of CNS lesion in neonate:
A. Crying
B. Head circumference alone
C. Abnormal tone
D. Feeding pattern only
E. Sleep cycle
Answer: C
Reasoning: Tone reflects corticospinal integrity.
Localization: Upper motor neuron pathways.
Q6. Language delay first concern arises if no words by:
A. 6 months
B. 9 months
C. 12 months
D. 18 months
E. 24 months
Answer: D
Localization: Cortical language networks (Broca/Wernicke).
Q7. Hypotonia in infants most commonly indicates:
A. Cortical lesion
B. Cerebellar lesion
C. Lower motor neuron or neuromuscular disorder
D. Basal ganglia disorder
E. Visual pathway lesion
Answer: C
Q8. Which milestone is NOT expected at 6 months?
A. Rolls over
B. Sits with support
Principles and Practice
Authors: Stephen Ashwal,Phillip L. Pearl
, Swaiman’s Pediatric Neurology (7th Edition
Chapter 1: General Aspects of the Patient’s Neurologic History.
PEDIATRIC NEUROLOGY QUESTION BANK
PART I: MCQs (1–30)
CONCEPT-BASED MCQs (1–15)
Q1. Normal head control is expected at:
A. 1 month
B. 2 months
C. 4 months
D. 6 months
E. 9 months
Answer: C
Reasoning:
Head control develops by ~3–4 months due to maturation of cervical extensor
pathways.
Localization: Brainstem + cervical spinal motor pathways maturation.
Why others are wrong:
• A/B: too early
• D/E: delayed milestone
Q2. Babinski sign is normal in:
A. Adults only
B. Children >2 years
C. Infants <12–18 months
D. Neonates only
E. Any age with fever
, Answer: C
Reasoning:
Due to incomplete corticospinal myelination.
Localization: Corticospinal tract immaturity.
Wrong options:
• A/B: abnormal
• D: too restrictive (extends beyond neonates)
• E: irrelevant
Q3. First social smile occurs at:
A. Birth
B. 2 weeks
C. 2 months
D. 6 months
E. 12 months
Answer: C
Reasoning: Cortical-social pathway maturation.
Localization: Limbic + cortical integration.
Q4. Which reflex disappears last?
A. Moro
B. Palmar grasp
C. Plantar grasp
D. Babinski
E. Rooting
Answer: C
Reasoning: Plantar grasp persists longer than primitive reflexes.
Localization: Spinal cord reflex integration.
, Q5. Most reliable sign of CNS lesion in neonate:
A. Crying
B. Head circumference alone
C. Abnormal tone
D. Feeding pattern only
E. Sleep cycle
Answer: C
Reasoning: Tone reflects corticospinal integrity.
Localization: Upper motor neuron pathways.
Q6. Language delay first concern arises if no words by:
A. 6 months
B. 9 months
C. 12 months
D. 18 months
E. 24 months
Answer: D
Localization: Cortical language networks (Broca/Wernicke).
Q7. Hypotonia in infants most commonly indicates:
A. Cortical lesion
B. Cerebellar lesion
C. Lower motor neuron or neuromuscular disorder
D. Basal ganglia disorder
E. Visual pathway lesion
Answer: C
Q8. Which milestone is NOT expected at 6 months?
A. Rolls over
B. Sits with support
