100+ Free TEN Neurologia Practice Questions
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Key Facts: TEN Neurologia Exam
100 Items
Multiple-choice questions across theoretical and practical board evaluation stages
Edital TEN — ABN / AMB
7 Hours
Total examination duration covering theoretical and multimedia/practical sessions
Edital TEN — ABN / AMB
R$ 1.950,00
Registration fee for ABN / AMB affiliated members (R$ 3.900 for non-members)
Edital ABN / AMB
70%
Minimum overall passing score threshold (7.0 / 10.0 scale)
Regulamento Oficial ABN / AMB
RQE Neurologia
Specialist registration credential awarded with CFM
Conselho Federal de Medicina (CFM) / AMB
Annual
Official examination frequency conducted by ABN / AMB
Academia Brasileira de Neurologia (ABN)
The TEN (Título de Especialista em Neurologia) is the national neurology board certification examination administered annually by the ABN and AMB. It consists of theoretical and practical/multimedia stages evaluating diagnostic criteria (ILAE 2017, McDonald 2017, ICHD-3, DAWN/DEFUSE-3), neuroimaging, neurophysiology, and guideline-directed neurological therapeutics.
Sample TEN Neurologia Practice Questions
Try these sample questions to test your TEN Neurologia exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 62-year-old man presents to the emergency department 75 minutes after the sudden onset of right hemiparesis and global aphasia. His baseline modified Rankin Scale (mRS) is 0. Non-contrast cranial computed tomography (CT) reveals an ASPECTS score of 9 with no acute hemorrhage or early ischemic changes. His blood pressure is 172/96 mmHg, blood glucose is 134 mg/dL, and international normalized ratio (INR) is 1.0. According to current Brazilian and international acute ischemic stroke guidelines, what is the most appropriate immediate medical intervention?
2A 68-year-old woman was last seen well at 10:00 PM when going to bed. At 7:00 AM the next morning (9 hours later), her family finds her with dense left-sided hemiplegia and neglect (NIHSS score of 17). Non-contrast cranial CT reveals no intracranial hemorrhage and an ASPECTS score of 8. CT angiography confirms an occlusion of the M1 segment of the right middle cerebral artery. Perfusion CT demonstrates an ischemic core volume of 18 mL and a total hypoperfused penumbral volume of 94 mL (mismatch volume of 76 mL; mismatch ratio > 5.0). Based on the DAWN and DEFUSE-3 clinical trial criteria, what is the indicated management?
3A 55-year-old man with uncontrolled hypertension presents with sudden severe headache, vomiting, and right hemiplegia. Cranial CT reveals a 35 mL spontaneous intracerebral hemorrhage (ICH) centered in the left putamen with mild surrounding edema and intraventricular extension into the left lateral ventricle. His initial Glasgow Coma Scale (GCS) score is 11, and he is 55 years old (age < 80). His initial blood pressure is 210/115 mmHg. According to the original ICH Score (Hemphill et al.) and acute ICH management guidelines, what is his calculated ICH score and recommended acute target systolic blood pressure?
4A 48-year-old woman presents to the emergency department after experiencing the sudden onset of the 'worst headache of her life' accompanied by neck stiffness and photophobia. Non-contrast cranial CT reveals diffuse hyperdensity in the basal cisterns and Sylvian fissures consistent with acute aneurysmal subarachnoid hemorrhage (aSAH). Digital subtraction angiography identifies a 7 mm saccular aneurysm of the anterior communicating artery. To prevent delayed cerebral ischemia (DCI) and secondary neurological deterioration, which pharmacologic intervention is recommended as Class I evidence?
5A 29-year-old woman on oral combined contraceptives presents with a 5-day history of progressive headache, nausea, and recent onset of left-sided focal motor seizures with secondary generalization. Cranial MRI and MR venography demonstrate extensive thrombosis of the superior sagittal sinus and right transverse sinus with a small cortical venous hemorrhagic infarction in the right parietal lobe. What is the first-line therapeutic management?
6A 66-year-old man experiences a transient episode of sudden left arm and leg weakness lasting 25 minutes, with complete resolution of symptoms. Magnetic resonance imaging (MRI) of the brain reveals no acute restricted diffusion. Duplex ultrasound and CT angiography show 80% atherosclerotic stenosis of the right internal carotid artery according to NASCET measurement criteria. He has no significant surgical comorbidities. What is the guideline-recommended secondary prevention strategy?
7A 64-year-old woman presents to the emergency department 2 hours after the onset of mild dysarthria and right hand clumsiness. Her baseline mRS is 0, and her NIHSS score is 3. Non-contrast cranial CT rules out intracranial hemorrhage. Brain MRI shows a 7 mm punctate acute cortical infarct in the left precentral gyrus. Based on the CHANCE and POINT clinical trials, which antiplatelet strategy is recommended for early secondary prevention?
8A 74-year-old man with a history of permanent non-valvular atrial fibrillation (CHA2DS2-VASc score of 5) not taking anticoagulants experiences an acute moderate ischemic stroke (NIHSS 8). Head CT shows a 2.5 cm cortical-subcortical infarction in the right middle cerebral artery territory without hemorrhage. He undergoes successful supportive care in the stroke unit. According to current guidelines and the '1-3-6-12 day rule' (and ELAN trial evidence) for initiating direct oral anticoagulants (DOACs) post-stroke, when should DOAC therapy be introduced?
9A 46-year-old woman with a history of migraine presents with sudden-onset right Horner syndrome (ptosis and miosis), neck pain radiating to the jaw, and transient left hemiparesis after a chiropractic cervical manipulation. Magnetic resonance angiography (MRA) reveals a hyperintense crescent sign on T1 fat-saturated sequences with vessel narrowing of the right internal carotid artery. What is the definitive diagnosis and recommended initial antithrombotic management?
10A 52-year-old previously healthy man is admitted with a massive right middle cerebral artery (MCA) infarction. On day 2 of hospitalization, he demonstrates progressive drowsiness, worsening left flaccid hemiplegia, and a dilated, sluggishly reactive right pupil. Repeat cranial CT reveals complete MCA territory hypodensity with 8 mm midline shift and uncal herniation. What intervention has been demonstrated in randomized clinical trials (DECIMAL, DESTINY, HAMLET) to significantly reduce mortality in malignant MCA infarction?
About the TEN Neurologia Exam
The Título de Especialista em Neurologia (TEN) is the official board certification for neurologists in Brazil, conferred by the Academia Brasileira de Neurologia (ABN) in partnership with the Associação Médica Brasileira (AMB) and registered with the Conselho Federal de Medicina (CFM). The examination evaluates advanced clinical judgment across vascular neurology, neuroimmunology, epilepsy, movement disorders, cognitive neurology, neuromuscular disorders, headache, neurocritical care, and neurogenetics. Passing the TEN examination grants the specialist the formal Registro de Qualificação de Especialista (RQE) in Neurology.
Assessment
Multi-stage board examination administered annually by the Academia Brasileira de Neurologia (ABN) and AMB. Stage 1 (Prova Teórica): Multiple-choice questions on clinical neurology, neuroanatomy, pharmacology, and neurosciences. Stage 2 (Prova Multimídia / Prática): Multiple-choice clinical cases featuring neuroimaging (CT, MRI, angiography), electrophysiology (EEG, EMG/NCS), and video-recorded patient examinations. Stage 3 (Avaliação Curricular): Structured scoring of residency training, academic output, and scientific participation.
Time Limit
Approximately 7 hours total examination time across theoretical (4h) and multimedia/practical (3h) sessions
Passing Score
Final score of at least 70% (7.0 / 10.0 scale) across theoretical and practical/multimedia phases, plus curricular evaluation
Exam Fee
R$ 4.000,00 no total, pagos em duas parcelas: R$ 1.600,00 na inscrição e R$ 2.400,00 na convocação para a segunda etapa; associados da ABN ou da AMB adimplentes com a anuidade de 2026 têm 50% de desconto em cada parcela (Academia Brasileira de Neurologia (ABN) — Associação Médica Brasileira (AMB))
TEN Neurologia Exam Content Outline
Doenças Cerebrovasculares (AVC Isquêmico, Hemorrágico e TVC)
Acute ischemic stroke thrombolysis (IV rtPA/TNK up to 4.5h), extended-window mechanical thrombectomy (DAWN/DEFUSE-3 up to 24h), spontaneous intracerebral hemorrhage (ICH score, acute BP control, reversal of anticoagulants), aneurysmal subarachnoid hemorrhage (Hunt-Hess, Fisher, nimodipine, vasospasm management), cerebral venous thrombosis, arterial dissections, and secondary stroke prevention (antiplatelets, DOACs, carotid revascularization).
Epilepsia, Eletroencefalografia e Distúrbios do Sono
ILAE 2017 classification of seizures and epilepsies; electroencephalogram (EEG) interpretation; focal vs generalized epilepsy syndromes; antiseizure medication pharmacokinetics, teratogenicity, and drug interactions; status epilepticus treatment algorithms; surgical workup for refractory epilepsy; and sleep disorders including OSA, narcolepsy types 1 & 2, and REM sleep behavior disorder.
Doenças Desmielinizantes, Neuroimunologia e Encefalites Autoimunes
Multiple Sclerosis diagnostic criteria (2017 McDonald criteria, dissemination in space and time, CSF oligoclonal bands); disease-modifying therapies (DMTs); Neuromyelitis Optica Spectrum Disorder (NMOSD, anti-AQP4 antibodies, satralizumab, eculizumab, inebilizumab); MOGAD; autoimmune encephalitis (anti-NMDA, anti-LGI1, anti-CASPR2); and central nervous system vasculitis.
Transtornos do Movimento e Doenças dos Gânglios da Base
Parkinson's disease motor and non-motor features, MDS clinical diagnostic criteria, dopaminergic therapies, motor fluctuations/dyskinesias, DBS; atypical parkinsonian syndromes (Progressive Supranuclear Palsy, Multiple System Atrophy, Corticobasal Degeneration, Dementia with Lewy Bodies); hyperkinetic disorders (Huntington's chorea, dystonias, tremors, tics/Tourette); and Wilson's disease.
Demências, Neurologia Cognitiva e Comportamental
Alzheimer's disease clinical syndromes and ATN biomarker framework (CSF/PET Aβ42, p-tau, t-tau); Frontotemporal Dementia spectrum (behavioral variant, semantic PPA, nonfluent PPA); Vascular Cognitive Impairment; Normal Pressure Hydrocephalus; rapidly progressive dementias and Prion diseases (Creutzfeldt-Jakob disease, RT-QuIC).
Doenças Neuromusculares e do Neurônio Motor
Amyotrophic Lateral Sclerosis (ALS / ELA, El Escorial and Gold Coast criteria); Spinal Muscular Atrophy (SMA, SMN1 deletions, targeted genetic therapies); Guillain-Barré syndrome variants (AIDP, AMAN, Miller Fisher); Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP); Myasthenia Gravis and myasthenic crisis; Lambert-Eaton syndrome; muscular dystrophies; and inflammatory/metabolic myopathies.
Cefaleias, Dores Craniofaciais e Hipertensão Intracraniana
ICHD-3 diagnostic criteria for migraine, tension-type headache, trigeminal autonomic cephalalgias (cluster headache, paroxysmal hemicrania, SUNCT); acute and preventive migraine therapeutics (triptans, gepants, CGRP monoclonal antibodies, Botox); Trigeminal Neuralgia; Idiopathic Intracranial Hypertension; and Spontaneous Intracranial Hypotension.
Neuroinfecções, Neurointensivismo e Morte Encefálica
Acute bacterial and viral meningitis; Herpes simplex encephalitis; Neurocysticercosis; Neurotuberculosis; Neurosyphilis; HIV neurology and opportunistic CNS infections (toxoplasmosis, PML, cryptococcosis); intracranial pressure crisis management; and the official Brazilian Brain Death Determination protocol (Resolução CFM nº 2.173/2017).
Neuro-oftalmologia, Neurotologia e Neurogenética
Acute vestibular syndrome evaluation (HINTS protocol, differentiating peripheral vestibular neuritis from cerebellar/brainstem stroke); BPPV diagnosis and canalith repositioning maneuvers; Horner syndrome pupillary localization; cranial neuropathies; hereditary ataxias (SCA subtypes, Friedreich ataxia); and hereditary spastic paraplegias.
How to Pass the TEN Neurologia Exam
What You Need to Know
- Passing score: Final score of at least 70% (7.0 / 10.0 scale) across theoretical and practical/multimedia phases, plus curricular evaluation
- Assessment: Multi-stage board examination administered annually by the Academia Brasileira de Neurologia (ABN) and AMB. Stage 1 (Prova Teórica): Multiple-choice questions on clinical neurology, neuroanatomy, pharmacology, and neurosciences. Stage 2 (Prova Multimídia / Prática): Multiple-choice clinical cases featuring neuroimaging (CT, MRI, angiography), electrophysiology (EEG, EMG/NCS), and video-recorded patient examinations. Stage 3 (Avaliação Curricular): Structured scoring of residency training, academic output, and scientific participation.
- Time limit: Approximately 7 hours total examination time across theoretical (4h) and multimedia/practical (3h) sessions
- Exam fee: R$ 4.000,00 no total, pagos em duas parcelas: R$ 1.600,00 na inscrição e R$ 2.400,00 na convocação para a segunda etapa; associados da ABN ou da AMB adimplentes com a anuidade de 2026 têm 50% de desconto em cada parcela
Keys to Passing
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
TEN Neurologia Study Tips from Top Performers
Frequently Asked Questions
What is the TEN and why is it essential for neurologists in Brazil?
The Título de Especialista em Neurologia (TEN) is the official medical specialist certification conferred by the Academia Brasileira de Neurologia (ABN) and the Associação Médica Brasileira (AMB). Obtaining the TEN allows physicians to obtain their Registro de Qualificação de Especialista (RQE) in Neurology from their Regional Medical Council (CRM) and the Conselho Federal de Medicina (CFM), legally qualifying them as specialist neurologists in Brazil.
What are the eligibility requirements to sit for the TEN examination?
Candidates must be physicians with an active CRM registration in Brazil and meet one of three pathways: (1) Completion of an accredited Medical Residency Program (CNRM/MEC) in Neurology; (2) Completion of an ABN-accredited Neurology Specialization Course; or (3) Documented professional practice in Neurology for at least twice the residency duration (typically 6 years), along with satisfying minimum curricular requirements defined in the annual exam edital.
How is the TEN examination structured across its stages?
The TEN evaluation process consists of: (1) A Prova Teórica (Theoretical Exam) containing multiple-choice questions assessing foundational neurosciences, pathology, pharmacology, and clinical neurology guidelines; (2) A Prova Multimídia / Prática (Practical/Multimedia Exam) featuring clinical vignettes with video recordings of patient semiology, neuroimaging (CT, MRI, angiograms), and electrophysiology (EEG, EMG, evoked potentials); and (3) An Análise Curricular (Curriculum Analysis) evaluating academic, clinical, and scientific achievements.
What is the passing score and grading criteria for the TEN?
Candidates must achieve a minimum overall score of 70% (7.0 out of 10.0) across the theoretical and multimedia/practical components, in accordance with the specific weighting rules set in the annual ABN/AMB official edital.
Which clinical guidelines and diagnostic criteria are most heavily tested?
Key tested frameworks include: 2017 McDonald Criteria for Multiple Sclerosis, 2017 ILAE Classification of Seizures and Epilepsies, ICHD-3 Criteria for Headaches, DAWN and DEFUSE-3 criteria for extended-window mechanical thrombectomy in acute ischemic stroke, MDS Clinical Diagnostic Criteria for Parkinson's Disease, NIA-AA ATN biomarker framework for Alzheimer's disease, and the Brazilian Brain Death Determination protocol (Resolução CFM nº 2.173/2017).
Why is this OpenExamPrep practice bank presented in English?
This practice bank is an English-language MCQ study adaptation designed for board exam mastery, international neurology fellows, and Brazilian candidates who prefer studying in English. All authentic Brazilian neurology guidelines, statutory Brazilian laws (e.g., CFM resolutions), and terminology are preserved inline.