Free Practice Questions for Iran Specialty Board Neurology
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Key Facts: Iran Specialty Board Neurology Exam
152 MCQs
Written Exam Questions
Sanjesh Pezeshki Official Board Announcement
210 min
Written Exam Duration
Council for Medical and Specialized Education
70% (105/150)
Written Passing Score
Sanjesh Pezeshki Board Bylaws
No Negative Marking
Scoring Rule
Sanjesh Pezeshki Specialty Board Guidelines
100 MCQs
Practice Bank Study Items
OpenExamPrep
The Iranian Neurology Specialty Board (Sanjesh Pezeshki / MOHME) consists of a 152-question, 240-minute written examination with a strict 70% pass threshold (105/150) without negative marking, followed by multi-station clinical OSCE and oral viva assessments. This independent 100-question practice bank provides comprehensive English-language preparation for the written examination across all six core curriculum domains.
Sample Iran Specialty Board Neurology Practice Questions
Try these sample questions to review concepts for the Iran Specialty Board Neurology exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 64-year-old man presents with sudden-onset right hemiparesis and global aphasia. Symptoms began 110 minutes ago. Non-contrast head CT shows no acute hemorrhage or early ischemic changes (ASPECTS 10). Blood pressure is 172/96 mmHg, blood glucose is 138 mg/dL, and platelets are 210,000/mcL. What is the most appropriate next step in management?
2A 58-year-old woman presents 7 hours after acute right middle cerebral artery stroke onset (NIHSS 16). Non-contrast CT reveals an ASPECTS of 8. CT angiogram confirms an occlusion of the M1 segment of the right MCA. Perfusion CT demonstrates a small ischemic core of 18 mL and a penumbral perfusion delay (Tmax >6s) of 95 mL. What is the standard evidence-based management?
3A 71-year-old man presents with sudden-onset vertigo, dysphagia, hoarseness, right-sided facial numbness, right hemiataxia, and left body sensory loss to temperature. Motor power is 5/5 in all extremities. Which arterial vessel is most likely occluded?
4A 52-year-old woman develops the 'worst headache of her life' followed by brief loss of consciousness. A non-contrast head CT performed 4 hours after onset is entirely normal. What is the mandatory next diagnostic step to evaluate for suspected subarachnoid hemorrhage?
5A 48-year-old patient with an acute aneurysmal subarachnoid hemorrhage underwent successful surgical clipping on day 1. On post-bleed day 6, the patient develops progressive confusion, lethargy, and mild right hemiparesis. Serum sodium is 137 mEq/L, and CT head shows no hydrocephalus or rebleeding. Transcranial Doppler reveals mean flow velocities of 215 cm/s in the left middle cerebral artery. What is the primary pharmacologic prevention and treatment agent indicated?
6A 68-year-old man presents with acute right putaminal hemorrhage (volume 28 mL) on non-contrast CT. He is on warfarin for non-valvular atrial fibrillation. His INR is 3.4. What is the most rapid and effective therapy for urgent anticoagulation reversal?
7A 30-year-old woman on oral contraceptive pills presents with a 4-day history of progressively worsening headache, bilateral papilledema, and a new right focal motor seizure. Brain MRI reveals absent flow void in the superior sagittal and right transverse sinuses, with high signal on T1 and T2 weighted sequences. What is the first-line therapy?
8A 62-year-old woman experienced a minor ischemic stroke (NIHSS 3) 14 hours ago. Non-contrast CT excludes hemorrhage. Carotid duplex ultrasound reveals 25% non-stenotic carotid plaque. Which antithrombotic strategy is supported by the CHANCE and POINT clinical trials for early secondary stroke prevention?
9A 74-year-old hypertensive patient presents with pure motor hemiparesis involving the left face, arm, and leg equally, without aphasia, neglect, hemianopia, or sensory loss. Diffusion-weighted MRI reveals an 11 mm hyperintense focal infarct in the posterior limb of the right internal capsule. Which underlying microvascular pathology is most commonly responsible?
10A 56-year-old woman presents with sudden-onset expressive language impairment with intact comprehension and repetition. When asked to repeat complex phrases, she does so fluently and without error, but spontaneous speech is halting and non-fluent. Where is the causative ischemic lesion located?
About the Iran Specialty Board Neurology Exam
The Iranian Medical Specialty Board Examination in Neurology (آزمون دانشنامه تخصصی بیماریهای مغز و اعصاب / بورد تخصصی نورولوژی) is the definitive postgraduate professional qualification for clinical neurologists in the Islamic Republic of Iran, administered by the National Center for Health Assessment (Sanjesh Pezeshki) on behalf of the Ministry of Health and Medical Education (MOHME). Attaining this credential certifies advanced clinical acumen, mastery of diagnostic neuro-investigations, and evidence-based pharmacotherapy across the entire spectrum of neurological illness. Important disclosure: Attaining the official Daneshnameh credential requires accredited 4-year hospital residency training, formal thesis defense, verified procedure logbooks, and passing both the 152-question written examination and multi-station clinical OSCE/oral examinations. This 100-question practice bank is an independent English-language MCQ study adaptation authored by OpenExamPrep to facilitate focused revision of core neurological principles and board-level clinical vignettes. It is not an official Sanjesh Pezeshki examination, does not provide OSCE stations, and is not a substitute for formal accredited clinical residency training.
Exam sponsor: Secretariat of the Council for Medical and Specialized Education & Sanjesh Pezeshki (مرکز سنجش آموزش پزشکی). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The Iranian Medical Specialty Board Examination in Neurology (آزمون دانشنامه تخصصی بورد نورولوژی) is conducted annually in two distinct stages under the auspices of the Secretariat of the Council for Medical and Specialized Education and the National Center for Health Assessment (Sanjesh Pezeshki / مرکز سنجش آموزش پزشکی): 1) Written Examination (آزمون کتبی): A single-session examination of 152 four-option multiple-choice questions administered over 240 minutes (4 hours). A minimum score of 70% (105 out of 150 written points) with no negative scoring is strictly required to pass and qualify for the clinical phase. 2) Practical / Oral Examination (آزمون شفاهی و بالینی): Conducted over multiple structured Objective Structured Clinical Examination (OSCE) stations, Patient Management Problem (PMP) computerized simulations, neuroimaging and clinical electrophysiology (EEG, EMG/NCS) interpretation stations, and oral viva voce examinations before an academic board jury. Candidates passing both stages are awarded the Daneshnameh Takhasosi (National Board Certification) in Neurology.
Time Limit
240 minutes
Passing Score
70% of the written total (105 of 150 points)
Exam / Certification Fees
Prescribed by Sanjesh Pezeshki / Ministry of Health and Medical Education bylaws
Exam sponsor websiteReported exam pass rate: Approximately 70%. Candidates must achieve at least 105 of the 150 written points (70%) in the written examination without negative scoring in order to advance to the clinical OSCE and oral viva evaluation. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Cerebrovascular Diseases & Stroke
Ischemic stroke syndromes, vascular territories, IV thrombolytic therapy (alteplase, tenecteplase) and mechanical thrombectomy indications, blood pressure targets, intracerebral hemorrhage, aneurysmal subarachnoid hemorrhage, cerebral venous thrombosis, and secondary antithrombotic therapy.
Epilepsy & Paroxysmal Disorders
ILAE seizure classification, status epilepticus staged protocols, antiseizure drug pharmacology, drug-resistant epilepsy, electroencephalography (normal rhythms, epileptiform transients, encephalopathy patterns), and sleep-related paroxysmal disorders.
Movement Disorders
Parkinson's disease diagnosis, dopamine replacement therapy, motor complications, atypical parkinsonian syndromes (PSP, MSA, CBD, DLB), hyperkinetic movement disorders, dystonia, chorea, tremors, hereditary ataxias, and Wilson's disease.
Demyelinating & Autoimmune Diseases
2017 McDonald criteria for multiple sclerosis, disease-modifying therapies, neuromyelitis optica spectrum disorder (anti-AQP4), MOG antibody-associated disease (MOGAD), acute disseminated encephalomyelitis (ADEM), and autoimmune synaptic encephalitis.
Neuromuscular Disorders & Peripheral Neuropathies
Myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis, Guillain-Barré syndrome variants, CIDP, hereditary neuropathies, inflammatory myopathies, muscular dystrophies, and electromyography/nerve conduction studies.
Neuro-Oncology, Neuro-Infectious, Cognitive Impairment & Dementia
Primary and metastatic brain tumors, paraneoplastic syndromes, acute bacterial meningitis, viral encephalitis, neurotuberculosis, neurobrucellosis, prion disease, Alzheimer's disease, frontotemporal dementia, vascular dementia, and normal pressure hydrocephalus.
Preparing for the Iran Specialty Board Neurology Exam
What You Need to Know
- Passing score: 70% of the written total (105 of 150 points)
- Assessment: The Iranian Medical Specialty Board Examination in Neurology (آزمون دانشنامه تخصصی بورد نورولوژی) is conducted annually in two distinct stages under the auspices of the Secretariat of the Council for Medical and Specialized Education and the National Center for Health Assessment (Sanjesh Pezeshki / مرکز سنجش آموزش پزشکی): 1) Written Examination (آزمون کتبی): A single-session examination of 152 four-option multiple-choice questions administered over 240 minutes (4 hours). A minimum score of 70% (105 out of 150 written points) with no negative scoring is strictly required to pass and qualify for the clinical phase. 2) Practical / Oral Examination (آزمون شفاهی و بالینی): Conducted over multiple structured Objective Structured Clinical Examination (OSCE) stations, Patient Management Problem (PMP) computerized simulations, neuroimaging and clinical electrophysiology (EEG, EMG/NCS) interpretation stations, and oral viva voce examinations before an academic board jury. Candidates passing both stages are awarded the Daneshnameh Takhasosi (National Board Certification) in Neurology.
- Time limit: 240 minutes
- Exam / certification fees: Prescribed by Sanjesh Pezeshki / Ministry of Health and Medical Education bylaws Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Iran Specialty Board Neurology: Suggested Study Strategy
Frequently Asked Questions
What is the official structure of the Iranian Specialty Board Examination in Neurology?
The examination is conducted annually by Sanjesh Pezeshki in two consecutive stages: a written examination consisting of 152 four-option multiple-choice questions administered over 240 minutes (4 hours), followed by a structured clinical/oral examination for those who pass the written stage. The clinical phase incorporates Objective Structured Clinical Examination (OSCE) stations, Patient Management Problem (PMP) computerized scenarios, neuroimaging/electrophysiology review, and oral viva voce assessments.
What is the passing score for the written stage of the Iranian Neurology Board?
The passing cut-off for the written board examination is strictly 70% of the total available score, which corresponds to at least 105 points out of a written total of 150. Importantly, there is no negative marking (penalty for incorrect responses) in the Iranian specialty board examinations.
What is the difference between the Gonavahi (Pre-Board) and Daneshnameh (National Board)?
The Gonavahi (گواهینامه تخصصی) is the university exit certificate awarded upon completing 4 years of residency and passing the university exit examination; it permits general specialist practice. The Daneshnameh (دانشنامه تخصصی / بورد تخصصی) is the prestigious national board certification awarded by the Ministry of Health (Sanjesh Pezeshki); it is mandatory for academic faculty appointments, department leadership, and eligibility for subspecialty fellowship training.
What reference textbooks are used to formulate the Iranian Neurology Board questions?
The national examination board specifies premier international neurology reference works as the core curriculum source material, primarily Bradley's Neurology in Clinical Practice and Adams and Victor's Principles of Neurology, supplemented by contemporary international practice guidelines from the American Academy of Neurology (AAN) and European Academy of Neurology (EAN).
How are candidates evaluated during the clinical and oral stage?
Candidates who score 105 or higher on the written paper advance to the practical exam. This involves multi-station OSCE evaluations assessing focused history taking and physical examination techniques, computer-based clinical problem solving (PMP), rapid interpretation of brain and spine MRI/CT scans, EEG and EMG tracings, and an in-person clinical interview with a panel of university neurology professors.
Is this OpenExamPrep practice bank an official Sanjesh Pezeshki product?
No. This practice question bank is an independent educational resource created by OpenExamPrep. It adapts the theoretical curriculum and high-yield topics of the Iranian Neurology Board into 100 comprehensive English-language practice questions with detailed pedagogical rationales to aid residents in their written exam preparation. It does not replace accredited clinical residency training or official Sanjesh Pezeshki materials.