Q- A middle-aged woman presents to the clinic complaining of visual difficulty. Examination is normal except one abnormal sign. When light is shined in the right eye, both pupils constrict while if it is shined in the left eye, both pupils dilate to the normal size.
Which one of the following nerves is affected in this patient?
A- Left oculomotor nerve
B- Left optic nerve
C- Right oculomotor nerve
D- Right optic nerve
Q- A crescendo-decrescendo murmur is heard during systole at the second right intercostal space and radiates to the carotid artery. Which one of the following findings is most likely seen on the chest X-ray?
A- Boot-shaped heart
B- Enlarged cardiac shadow in both directions
C- Left ventricular hypertrophy
D- Right ventricular hypertrophy
Q- A baby is born with a protruding saclike lesion on the lower back. Examination reveals decreased sensations and reduction of tone and strength of both lower extremities. Which of the following is the most appropriate next step in management?
A-Broad spectrum antibiotics to avoid meningitis
B-Manual compression of the lesion
C-Immediate lumber puncture
D-Urgent surgical interference