Neurology Neurosarcoidosis: Review Questions Bertrand C. Liang, MD Dr. Liang is Adjunct Associate Professor of Medicine and Neurology, University of Vermont College of Medicine, Burlington, VT, and a member of the Hospital Physician Editorial Board. Choose the single best answer for each question.
	1. Neurosarcoidosis most often involves which of the following structures of the nervous system? Muscle Meninges Cerebellum Cortex Peripheral nerve Click here to compare your answer. 2. A tissue sample positive for neurosarcoidosis exhibits nodules composed of all of the following cell types EXCEPT: Astrocytes Lymphocytes Endothelial cells Giant cells Click here to compare your answer. 3. The cranial nerve most frequently involved in neurosarcoidosis is: VII III II IV I Click here to compare your answer. 4. All of the following are neurosarcoid-associated syndromes EXCEPT: Aseptic meningitis Diffuse encephalopathy with vasculopathy Amyloidosis Seizures Hypothalamic syndrome Click here to compare your answer.		5. All of the following laboratory data are supportive of sarcoidosis EXCEPT: Increased serum globin levels Increased serum calcium levels Increased serum/cerebrospinal fluid angiotensin converting enzyme (ACE) levels Positive skin-tuberculin reaction Increased glycol-precipitable immunoglobulin levels Click here to compare your answer. 6. Which of the following choices best describes how the diagnosis of neurosarcoidosis is made? Clinically By a history of cranial neuropathy and an elevated ACE level in serum By confirmatory biopsy of a nodule and a history of neurologic signs or symptoms Only at autopsy Click here to compare your answer. 7. The differential diagnosis of neurosarcoidosis includes all of the following EXCEPT: Hodgkin’s lymphoma Non-Hodgkin’s lymphoma Syphilis Multiple sclerosis Click here to compare your answer.
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