Neurology Home Internal Medicine 0% 24 votes, 0 avg 50 Neurology Welcome to Neurology Quiz. There are 50 shot-stemmed, single-best type Neurology questions. We have a collection of over 100 questions. Contact us and get a free link in case you are interested. 1 / 266 1. Which of the following does not produce pseudobulbar palsy? A. Neurosyphilis B. Chronic motor neuron disease C. Cerebral atrophy D. Lacunar infarction 2 / 266 2. Optic neuritis may be produced by all except: A. Leprosy B. Syphilis C. Multiple sclerosis D. Ethambutol 3 / 266 3. In monoplegia, usually, the site of lesion lies in: A. Pons B. Internal capsule C. Cortex D. Midbrain 4 / 266 4. Prophylaxis of migraine may be done by: A. Phenytoin B. Sumatriptan C. Atenolol D. Verapamil 5 / 266 5. Which is false regarding peripheral vertigo? A. Pendular nystagmus is present in majority B. May be precipitated by drug toxicity C. Accompanied by tinnitus and hearing loss D. Associated with diplopia and limb ataxia 6 / 266 6. Pseudobulbar palsy will have all except: A. Brisk jaw jerk B. Babinski's sign C. Small, spastic tongue D. Sudden onset 7 / 266 7. All of the following may produce papilloedema except: A. Cavernous sinus thrombosis B. Malignant hypertension C. Guillain-Barre syndrome D. Hypoxia 8 / 266 8. Argyll Robertson pupil is found in all except: A. Pinealomas B. Multiple sclerosis C. Wernicke's encephalopathy D. Cerebral haemorrhage 9 / 266 9. The commonest intracranial tumour is: A. Glioblastoma B. Astrocytoma C. Metastatic D. Meningioma 10 / 266 10. Which of the following is not included in the triad of tuberous sclerosis? A. Adenoma sebaceum B. Phakomatosis C. Mental retardation D. Seizures 11 / 266 11. All are features of pontine haemorrhage except: A. Disconjugate gaze B. Paralysis C. Pin-point pupil D. Hypothermia 12 / 266 12. Brain biopsy in rabies demonstrates? A. Negri bodies B. Asteroid bodies C. Schaumann bodies D. Lewy bodies 13 / 266 13. Which of the following is not a human ‘Prion’ disease? A. Gerstmann-Straussler-Scheinker disease B. Subacute sclerosing panencephalitis C. Creutzfeldt-Jakob disease D. Fatal familial insomnia 14 / 266 14. The reversible cause of dementia is: A. Alzheimer's disease B. Huntington's chorea C. Post-encephalitic D. Multi-infarct dementia 15 / 266 15. Monoplegia is due to lesions in: A. Thalamus B. Cerebral cortex C. Internal capsule D. Brainstem 16 / 266 16. Xanthopsia is found in: A. Lesion in visual cortex B. Aura phase of migraine C. Digitalis toxicity D. Cerebellar infarction 17 / 266 17. A cataract is not characteristic of: A. Galactosaemia B. Myotonic dystrophy C. Wilson's disease D. Haemochromatosis 18 / 266 18. Berry aneurysm may be associated with all except: A. Ehlers-Danlos syndrome B. Takayasu's disease C. Coarctation of aorta D. Polycystic kidney 19 / 266 19. Todd’s palsy is characteristic of: A. Epilepsy B. Head injury C. Subarachnoid haemorrhage D. Transient ischemic attack 20 / 266 20. Eaton-Lambert syndrome is characterized by all of the following except: A. Proximal muscle weakness B. Weakness tends to improve after a few minutes of muscular contractions C. Wasting of muscles D. Absent tendon reflexes 21 / 266 21. Xenophobia is the fear of: A. Strangers B. Pain C. Animals D. High places 22 / 266 22. Horner’s syndrome manifests as: A. Partial ptosis + miosis B. Complete ptosis + miosis C. Anhidrosis + mydriasis D. Hydrosis + miosis 23 / 266 23. All are ‘Calpain’ -associated. diseases except: A. Alzheimer's disease B. Cataract C. Cirrhosis of liver D. Multiple sclerosis 24 / 266 24. Internuclear ophthalmoplegia results from damage of: A. Sympathetic nervous system B. Oculomotor nerve C. Ciliary ganglion D. Medial longitudinal fasciculus 25 / 266 25. Atypical feature of Guillain-Barre syndrome is: A. Convulsions B. Pseudobulbar palsy C. SIADH D. Optic neuritis 26 / 266 26. Astasia·abasia is known as: A. Muscle contraction in myotonia B. Hysterical gait disorder C. Dementia in AIDS D. Asthenia in motor neuron disease 27 / 266 27. Which of the following occurs earliest in diphtheritic neuropathy? A. Polyneuropathy B. Paralysis of soft palate C. Abducens palsy D. Loss of accommodation 28 / 266 28. All of the following produce meningism except: A. Enteric fever B. Atypical pneumonia C. Cerebral malaria D. Weil's disease 29 / 266 29. Pronator sign, lizard tongue and hung-up deep reflex are found in: A. Myoclonus B. Chorea C. Dystonia D. Hemiballismus 30 / 266 30. The drug of choice in obsessive-compulsive psychosis is: A. Haloperidol B. Lithium C. Carbamazepine D. Clomipramine 31 / 266 31. Which of the following remains normal in leprosy? A. Cerebellar functions B. EMG C. Proprioception D. Sensory functions 32 / 266 32. Ptosis is absent in: A. Myasthenia gravis B. Periodic paralysis C. Myopathy of Duchenne type D. Botulism 33 / 266 33. Peripheral neuropathy associated with hypertension is found in: A. Pyridoxine deficiency B. Acute intermittent porphyria C. Amyloidosis D. TOCP poisoning 34 / 266 34. Which of the following produces wrist drop? A. Radial nerve palsy B. Poliomyelitis C. Carpal tunnel syndrome D. Syringomyelia 35 / 266 35. All are seen in Alzheimer’s disease except: A. Acalculia B. Agnosia C. Aphasia D. Apraxia 36 / 266 36. Characteristics of “rigidity’ are all except: A. Flexor plantar response B. Increased deep reflexes C. Indicates disorder of extrapyramidal tract D. Uniform affection of flexors and extensors 37 / 266 37. Which group of muscles are almost never affected in polymyositis? A. Proximal limb muscles B. Anterior neck muscles C. Ocular muscles D. Pharyngeal muscles 38 / 266 38. Multiple sclerosis is not associated with: A. Aphasia B. Nystagmus C. Temporal pallor of optic disc D. Papilloedema 39 / 266 39. EEG findings showing slow waves, spikes and ‘burst suppression’ are characteristic of: A. Tonic seizures B. Absence seizures C. Myoclonic seizures D. Infantile spasm 40 / 266 40. The most common psychological disorder in myxoedema is: A. Depression B. Phobia C. Paranoia D. Mania 41 / 266 41. Which of the following is false in cluster headache? A. Male dominance B. Propranolol is effective in prophylaxis C. Periorbital pain D. Absence of hereditary predisposition 42 / 266 42. Regarding acute transverse myelitis, which is false? A. Definite upper level of sensory loss B. Bladder involvement is very late C. Viral or post-vaccinal D. Absence of root pain 43 / 266 43. alpha-bungarotoxin is associated with neuroparalysis in: A. Elapidae group snake bite B. Periodic paralysis C. Botulinus poisoning D. Lathyrism 44 / 266 44. Oculomotor nerve palsy with a spared pupil is classically seen in: A. Tuberculous meningitis B. Brain tumor C. Multiple sclerosis D. Diabetes mellitus 45 / 266 45. Bromocriptine is used in all of the following except: A. Acromegaly B. Galactorrhoea C. Parkinsonism D. Gynaecomastia 46 / 266 46. Uncinate fits are characteristically seen in tumours of: A. Frontal lobe B. Temporal lobe C. Occipital lobe D. Parietal lobe 47 / 266 47. Neuroleptic malignant syndrome has all the following features except: A. Pseudoparkinsonism B. Haloperidol is the mainstay of treatment C. Autonomic dysfunction D. Hyperpyrexia 48 / 266 48. CNS involvement of SLE includes all except: A. Chorea B. Myodonus C. Psychosis D. Migraine 49 / 266 49. Among the following, which is the most common adult muscular dystrophy? A. Facioscapulohumeral dystrophy B. Becker muscular dystrophy C. Duchenne muscular dystrophy D. Myotonic dystrophy 50 / 266 50. Which of the following is false in Gerstmann’s syndrome? A. Acalculia B. Agraphia C. Lesion in dominant parietal lobe D. Aphasia 51 / 266 51. All are the complications of oral contraceptive pills except: A. Cerebral hemorrhage B. Cerebral infarction C. Venous thrombosis D. Acute myocardial infarction 52 / 266 52. ‘Railroad track’ calcification in X-ray skull is found in: A. von Recklinghausen's disease B. Sturge-Weber disease C. Tuberous sclerosis D. Ataxia-telangiectasia 53 / 266 53. “‘Bull’s eye maculopathy’ is characteristic toxicity of: A. Probenecid B. Chloroquine C. Amiodarone D. Ethambutol 54 / 266 54. Which is not a recognized feature of cerebellar dysfunction? A. Dysrhythmokinesis B. Hypermetria C. Titubation D. Hypertonia 55 / 266 55. Right middle cerebral artery territory infarction usually does not feature: A. Coma B. Facial weakness C. Hemiparesis D. Aphasia 56 / 266 56. Ocular bobbing is often diagnostic of bilateral damage of: A. Pons B. Internal capsule C. Cerebral cortex D. Midbrain 57 / 266 57. Which is not a PRION disease? A. Kuru B. Rubella panencephalitis C. Creutzfeldt-Jakob disease D. Gerstmann-straussler-Scheinker syndrome 58 / 266 58. Gilles de la Tourette syndrome encompasses all except: A. Relief by haloperidol B. Dementia C. Coprolalia D. Multiple tics 59 / 266 59. Flapping tremor is not found in: A. Raised intracranial pressure B. Hepatocellular failure C. Hypnotic poisoning D. Severe heart failure 60 / 266 60. Tropical spastic paraplegia is caused by: A. Bacteria B. Toxin C. Autoimmunity D. Virus 61 / 266 61. Which of the following is not an antiplatelet drug? A. Aspirin B. Pentoxifylline C. Ticlopidine D. Clopidogrel 62 / 266 62. Cause of bilateral facial nerve palsy does not include: A. Leprosy B. Sarcoidosis C. Guillain-Barre syndrome D. Myopathy 63 / 266 63. Chronic fatigue syndrome is fundamentally a: A. Neuroendocrine disorder B. Metabolic disorder C. Immune disorder D. Psychiatric disorder 64 / 266 64. Which is not characteristic of the lateral medullary syndrome (Wallenberg’s syndrome)? A. Hiccups B. Pyramidal lesion C. Ataxia D. Horner's syndrome 65 / 266 65. All of the following produce cerebellar degeneration except: A. Myxoedema B. Bronchogenic carcinoma C. Alcohol D. Valproic acid 66 / 266 66. All of the following are recognised lithium toxicity except: A. Nephrogenic diabetes insipidus B. Hypothyroidism C. Thrombocytopenia D. Ataxia 67 / 266 67. Which is a cause of reversible dementia? A. Creutzfeldt-Jakob disease B. Pick's disease C. Alzheimer's disease D. Subacute combined degeneration 68 / 266 68. In the setting of puerperium, which of the following is most common in producing neuro deficit? A. Accelerated atherosclerosis B. Cerebral embolism C. Venous sinus thrombosis D. Puerperal sepsis 69 / 266 69. Down-beating nystagmus is seen in: A. Posterior fossa lesion B. Midbrain lesion C. Vestibular lesion D. Labyrinthine lesion 70 / 266 70. Which of the following is not a part of Miller-Fisher syndrome? A. Ataxia B. Apraxia C. Areflexia D. External ophthalmoplegia 71 / 266 71. Spastic paraplegia is not produced by: A. Guillain-Barre syndrome B. Cord compression C. Lathyrism D. Acute transverse myelitis 72 / 266 72. Myopathy is best diagnosed by: A. Muscle enzyme study B. Electromyography C. Nerve conduction study D. Muscle biopsy 73 / 266 73. Albumino-cytological dissociation is not a feature of: A. Meningism B. Acoustic neurofibroma C. Guillain-Barre syndrome D. Froin's loculation syndrome 74 / 266 74. The earliest skin lesion in tuberous sclerosis is: A. Adenoma sebaceum B. Pompholyx C. Shagreen patch D. White spots over trunk and limbs 75 / 266 75. Drug-induced myopathy may result from all except: A. Zidovudine B. Febuxostat C. Lovastatin D. Emetine 76 / 266 76. Fine tremor is found in: A. Parkinsonism B. Alcoholism C. Cerebellar disorder D. Wilson's disease 77 / 266 77. Which drug is not used in parkinsonism? A. Rasagiline B. Tiagabine C. Ropinirole D. Pramipexole 78 / 266 78. Selective serotonin reuptake inhibitors (SSRI) are all except: A. Fluvoxamine B. Paroxetine C. Sertraline D. Fluoxetine 79 / 266 79. Which of the following is false in subacute combined degeneration? A. Glossitis B. Babinski's sign C. Ankle clonus D. Anemia 80 / 266 80. Which of the following is false regarding migraine? A. Common in women B. Hereditary predisposition C. Hemicranial headache D. Common migraine has aura 81 / 266 81. Amantadine does not produce: A. Seizures B. Ankle oedema C. Livedo reticularis D. Fatty liver 82 / 266 82. The commonest intracranial tumour in children is: A. Cerebellar haemangioblastoma B. Metastatic carcinoma C. Meningioma D. Medulloblastoma 83 / 266 83. Limb-girdle type myopathy inherits the disease as: A. X-linked dominant B. X-linked recessive C. Autosomal recessive D. Autosomal dominant 84 / 266 84. Ataxia-telangiectasia is not associated with: A. Retinitis pigmentosa B. Recurrent sinus and pulmonary infection C. Mental retardation D. Choreoathetosis 85 / 266 85. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of: A. Generalized tonic clonic B. Petit mal C. Complex partial D. Infantile spasm 86 / 266 86. Brushfield’s spots in iris are seen in: A. Noonan's syndrome B. Down's syndrome C. Turner's syndrome D. Klinefelter's syndrome 87 / 266 87. Pyramidal signs may be associated with: A. Punch-drunk syndrome B. Post-encephalitic parkinsonism C. Idiopathic parkinsonism D. Atherosclerotic parkinsonism 88 / 266 88. Which is not a manifestation of normal pressure hydrocephalus? A. Urinary incontinence B. Normal intellectual activity C. Dementia D. Ataxia 89 / 266 89. Serum creatine kinase (CK) level is not raised in: A. Hypothyroid myopathy B. Dermatomyositis C. Hyperthyroid myopathy D. Duchenne muscular dystrophy 90 / 266 90. Posterior column lesion will have: A. Sensory ataxia B. Increased tone C. Brisk deep reflexes D. Intact proprioception 91 / 266 91. Commonest visual difficulty in multiple sclerosis: A. Bitemporal hemianopi B. Tunnel vision C. Central scotoma D. Homonymous hemianopia 92 / 266 92. The presence of Babinski’s sign with loss of ankle jerk is found in all except: A. Subacute combined degeneration B. Taboparesis C. Hepatic precoma D. Friedreich' s ataxia 93 / 266 93. Neurofibromatosis leads to an increased risk of having all of the following except: A. Meningioma B. Ependymoma C. Phaeochromocytoma D. Acoustic neuroma 94 / 266 94. All of the following may develop into chorea except: A. Wilson's disease B. Thyrotoxicosis C. Rheumatic fever D. Hyponatraemia 95 / 266 95. Ptosis with a dilated pupil is observed in: A. Botulism B. Horner's syndrome C. Oculomotor palsy D. Myasthenia gravis 96 / 266 96. Which of the following does not produce pure motor paraplegia? A. Guillain-Barre syndrome B. Lathyrism C. Amyotrophic lateral sclerosis D. Acute transverse myelitis 97 / 266 97. Tensilon test improves the muscle weakness in: A. Myasthenia gravis B. Motor neuron disease C. Polymyositis D. Myopathy 98 / 266 98. Vibration sensation is lost early in: A. Alcoholic polyneuropathy B. Leprosy C. Diabetes mellitus D. Multiple sclerosis 99 / 266 99. Korsakoff’s psychosis does not have the feature like: A. Retrograde amnesia B. Confabulation C. Loss of immediate recall D. Defect in learning 100 / 266 100. Jaw claudication is not characteristic of: A. Temporomandibular joint dysfunction B. Trigeminal neuralgia C. Glossopharyngeal neuralgia D. Giant cell arteritis 101 / 266 101. Neck rigidity may be absent in the presence of: A. Hyperpyrexia B. Deep coma C. Hyperkalemia D. Hypokalemia 102 / 266 102. Lithium is not used in: A. SIADH B. Mania C. Polycythaemia vera D. Cluster headache 103 / 266 103. The commonest cause of aphasia is: A. Brain tumor B. Cerebral haemorrhage C. Hysteria D. Cerebral infarction 104 / 266 104. All of the following may cause peripheral neuropathy except: A. Nitrofurantoin B. INH C. Methotrexate D. Vincristine 105 / 266 105. Which is not parkinsonian plus syndrome? A. Shy-Drager syndrome B. Punch-drunk syndrome C. Huntington's chorea D. Normal-pressure hydrocephalus 106 / 266 106. Ptosis associated with diplopia and diminished movement of eyeball is due to: A. Elapidae snake bite B. Oculomotor palsy C. Myasthenia gravis D. Periodic paralysis 107 / 266 107. All of the following may develop into endocrine myopathy except: A. Hyperthyroidism B. Hypothyroidism C. Cushing's syndrome D. Diabetes mellitus 108 / 266 108. Neurological features of thyrotoxicosis do not include: A. Exaggerated deep reflex B. Pseudoclonus C. Distal muscle weakness D. Hypokalaemic periodic paralysis 109 / 266 109. The drug most beneficial in enuresis of a 10-year-old boy is: A. Benzodiazepine B. Trimipramine C. Chlorpromazine D. Haloperidol 110 / 266 110. Sarcoidosis commonly involves the cranial nerve: A. Vllth B. Xth C. Vth D. IIIrd 111 / 266 111. Meralgia paraesthetica is characterised by all except: A. Seen in tall, thin people B. Quite often remits spontaneously C. A peculiar numb, tingling sensation in upper lateral thigh D. May occur spontaneously 112 / 266 112. Anterior horn cell disease is: A. Tabes dorsalis B. Progressive muscular atrophy C. Botulism D. Myasthenia gravis 113 / 266 113. Intermittent bulbar palsy is seen in: A. Poliomyelitis B. Rabies C. Snakebite D. Myasthenia gravis 114 / 266 114. Increased jaw jerk is seen in: A. Chronic motor neuron disease B. Syringomyelia B. Bulbar palsy C. Hyperthyroidism B. Cushing's syndrome D. Diabetes mellitus D. Chronic motor neuron disease C. Hyperthyroidism D. Bulbar palsy 115 / 266 115. Hiccough occurs in all of the following except: A. Oesophagitis B. Wallenberg's syndrome C. Diaphragmatic pleurisy D. Acute renal failure 116 / 266 116. Internuclear ophthalmoplegia is commonly due to: A. Diabetes mellitus B. Myasthenia Gravis C. Ocular myopathy D. Multiple sclerosis 117 / 266 117. Migraine is not associated with: A. Seizures B. Paraesthesia C. Dysphasia D. Diplopia 118 / 266 118. The oculogyric crisis is found in all except: A. Metoclopramide-induced B. Millard-Gubler syndrome C. Petit mal epilepsy D. Post-encephalitic parkinsonism 119 / 266 119. Regarding dermatomyositis, which one is false? A. Childhood disease is associated with vascular damage B. Heliotrope rash over face is characteristic C. May be associated with malignancy D. Lilac colored knee and elbow is known as Gottron's sign 120 / 266 120. In trochlear nerve palsy, the patient complains of diplopia while: A. Reading a book B. Looking to the roof C. Looking in front D. Looking sideways by the affected eye 121 / 266 121. The commonest cause of abducent nerve palsy is: A. Gradenigo's syndrome B. Brain tumour C. Raised intracranial pressure D. Diabetes mellitus 122 / 266 122. ‘Hippus’ is: A. Synonymous with pin-point pupil B. Unequal pupil C. Spontaneous phasic constriction and dilatation of pupil D. Abnormal neurological movement disorder 123 / 266 123. Which of the following is not a test for cortical sensory function? A. Perceptual rivalry B. Graphesthesia C. Two-point localisation D. Vibration sensation 124 / 266 124. In cerebral malaria, which of the following should not be given? A. IV mannitol B. IV quinine C. Glucocorticoids D. 5% dextrose 125 / 266 125. Fear of relapse in cancer survivors is known as: A. Da Costa's syndrome B. Gillespie's syndrome C. Dandy-Walker syndrome D. Damocles syndrome 126 / 266 126. ‘Paraplegia in flexion’ may have all of the following except: A. Mass reflex B. Flexor spasm C. Flexor plantar response D. Increased tone in flexor groups 127 / 266 127. The presence of acanthocytosis of RBC, retinitis pigmentosa and ataxia is suggestive of: A. Abetalipoproteinaemia B. Swiss type agammaglobulinaemia C. Gaucher's disease D. Mucopolysaccharidoses 128 / 266 128. Babinski’s sign is not found in: A. Peripheral neuropathy B. Marathon runner C. Electroconvulsive therapy D. Hypoglycaemic coma 129 / 266 129. Atrophy in Duchenne myopathy is classically seen in: A. Infraspinatus B. Pectoralis major C. Calf muscles D. Deltoid 130 / 266 130. Muscle pain is not characteristic of: A. Guillain-Barre syndrome B. Steroid myopathy C. Amyotrophic lateral sclerosis D. McArdle's disease (muscle phosphorylase deficiency) 131 / 266 131. Reversible ischaemic neurological deficit (RIND) usually recovers within: A. 96 hours B. 2 weeks C. 24 hours D. 3 weeks 132 / 266 132. Hypersomnolence is found in all except: A. Pickwickian syndrome B. Encephalitis lethargica C. Subdural hematoma D. Trypanosomiasis 133 / 266 133. The lobe of the brain primarily affected in herpes simplex encephalitis is: A. Parietal B. Frontal C. Temporal D. Occipital 134 / 266 134. Which of the following is a homologue of Hoffman’s sign of upper extremity? A. Gonda sign B. Rossolimo's sign C. Babinski's sign D. Chaddock's sign 135 / 266 135. Which is not a symptom of raised intracranial tension? A. Headache B. Convulsions C. Altered consciousness D. Non-projectile vomiting 136 / 266 136. Myotonia dystrophica has all of the following morphological features except: A. Frontal baldness B. Brachycephaly C. Ptosis D. Testicular atrophy 137 / 266 137. Sensory involvement is not found in: A. Myelopathy B. Myopathy C. Neuropathy D. Encephalitis 138 / 266 138. Nimodipine used in subarachnoid haemorrhage: A. Prevents rebleeding B. Prevents excruciating nuchal headache C. Hastens absorption of blood from CSF D. Prevents vasospasm 139 / 266 139. Lymphocytic pleocytosis in CSF is not found in: A. Viral meningitis B. Neurosarcoidosis C. Multiple sclerosis D. Meningococcal meningitis 140 / 266 140. Congenital abnormality produced by lithium therapy is: A. Mental retardation B. Limb shortening C. Anencephaly D. Heart valve abnormalities 141 / 266 141. Which of the following is false regarding etiology of benign intracranial hypertension? A. Addison's disease B. Corticosteroid withdrawal C. Hypoparathyroidism D. Hypervitaminosis D 142 / 266 142. Oppenheim’s gait is characteristic of: A. Duchenne myopathy B. Multiple sclerosis C. Peripheral neuropathy D. Hysteria 143 / 266 143. Perforating ulcer in the sole of foot is found in all except: A. Tabes dorsalis B. Leprosy C. Raynaud's disease D. Diabetic neuropathy 144 / 266 144. Lasegue’s sign is present in: A. Duchenne myopathy B. Guillain-Barre syndrome C. Prolapsed intervertebral disc D. Cervical spondylosis 145 / 266 145. Crossed hemiplegia indicates that the site of lesion is in: A. Cervical spine B. Cortex C. Internal capsule D. Brainstem 146 / 266 146. Lhermitte’s sign is not found in: A. Motor neuron disease B. Multiple sclerosis C. Cervical spondylosis D. Syringomyelia 147 / 266 147. Which one is not a primitive reflex? A. Grasp reflex B. Snout reflex C. Anal reflex D. Sucking reflex 148 / 266 148. Froin’s loculation syndrome does not have: A. High protein content B. Positive Queckenstedt's test C. Xanthochromia D. Increased CSF pressure 149 / 266 149. Which of the following is not a feature of UMN palsy? A. Spasticity B. Clonus C. Fasciculations D. Babinski's sign 150 / 266 150. Regarding subacute sclerosing panencephalitis (SSPE), all are true except: A. Isoprinosine is the drug of choice B. MRI shows multifocal white matter lesion C. Affects at 5-15 yrs age D. CSF anti-mumps antibody level is high 151 / 266 151. Brain tumour disseminating through CSF is: A. Ependymoma B. Pinealomas C. Cerebral lymphoma D. Glioma 152 / 266 152. Which of the following does not produce wasting of small muscles of hands? A. Carpal tunnel syndrome B. Cervical rib C. Myopathy D. Rheumatoid arthritis 153 / 266 153. True hypertrophy of muscles is found in all except: A. Athletes B. Duchenne type muscular dystrophy C. Manual labourers D. Myotonia 154 / 266 154. Neck rigidity is not found in: A. Tetanus B. Hysteria C. After epileptic seizure D. Meningism 155 / 266 155. All of the following are antiepileptic drugs except: A. Lubeluzole B. Vigabatrin C. Felbamate D. Lamotrigine 156 / 266 156. Management of choice in Guillain-Barre syndrome is: A. Cyclophosphamide B. Immunoglobulin C. Interferon D. Corticosteroid 157 / 266 157. Narcolepsy is not associated with: A. Sleep paralysis B. Epilepsy C. Cataplexy D. Hypnagogic hallucination 158 / 266 158. The dermatome at the nipple is: A. T1 B. T4 C. C8 D. T2 159 / 266 159. Which of the following does not produce fasciculation? A. Chronic motor neuron disease B. Hereditary spastic paraplegia C. Recovery phase of poliomyelitis D. Organophosphorus poisoning 160 / 266 160. Which of the following is false in polymyositis? A. Wasting of small muscles of the hand is characteristic B. Myoglobinuria may be associated with C. Has a good prognosis in children D. A component of mixed connective tissue disease 161 / 266 161. The commonest type of neurofibroma is associated with: A. Meningioma B. Acoustic neuroma C. Scoliosis D. Optic glioma 162 / 266 162. Main d’ accoucheur is seen in: A. Hypocalcemia B. Hypercalcemia C. Hyperkaliemia D. Hyponatremia 163 / 266 163. In lathyrism.. the toxin responsible for the development of neuroparalysis is: A. Thiocyanates B. Aflatoxin C. Pyrrolizidine alkaloids D. Beta oxalyl amino alanine 164 / 266 164. In health, intracranial calcification may be seen in all except: A. Choroid plexus B. Pineal body C. Dura matter D. Basal ganglia 165 / 266 165. The root value of ‘Plantar response’ is: A. L5,S1 B. L5 C. S1,S2 D. S1 166 / 266 166. Which is not included under ‘craniovertebral anomaly’? A. Atlantoaxial dislocation B. Platybasia C. Klippel-Feil anomaly D. Dolichocephaly 167 / 266 167. The commonest cause of subarachnoid haemorrhage is: A. Emotional excitement B. Systemic hypertension C. Berry aneurysm rupture D. AV malformations 168 / 266 168. Disorder of language of cerebral origin is: A. Dysphonia B. Aphasia C. Dysarthria D. Monotonous speech 169 / 266 169. Which of the following is not included within ‘motor functions’? A. Nutrition of muscles B. Stereognosis C. Tone and power D. Involuntary movements 170 / 266 170. Collet-Siccard syndrome affects the following cranial nerves: A. 7th, 8th, 9th, 10th B. 7th, 10th, 11th, 12th C. 7th, 8th, 10th, 11th D. 9th, 10th, 11th, 12th 171 / 266 171. Slow virus CNS infections are all except: A. Progressive multifocal leukoencephalopathy B. Subacute sclerosing panencephalopathy (SSPE) C. Tropical spastic paraplegia D. Leukodystrophy 172 / 266 172. The use of which can lead to the development of paranoid psychosis? A. Flumazenil B. Amphetamines C. Carbamazepine D. Cocaine 173 / 266 173. All are true regarding Alzheimer’s disease except: A. Aluminium silicate is found in neuritic plaques B. Microscopically 'neurofibrillary tangles' are found C. Donazepril is used in treatment D. Biochemically cortical' choline acetyltransferase is increased 174 / 266 174. Lesion in athetosis lies in: A. Red nucleus B. Putamen C. Substantia nigra D. Caudate nucleus 175 / 266 175. Therapeutic range of phenytoin is: A. 30-40 μg/ml B. 10-20 μg/ml C. 20-30 μg/ml D. 5-10 μg/ml 176 / 266 176. Hypertonia is a feature of all except: A. Myotonia B. Chorea C. Tetany D. Athetosis 177 / 266 177. Myxoedema coma is not associated with: A. Hyponatremia B. Hypotension C. Hypocapnia D. Hypoxia 178 / 266 178. Maligant hyperthermia may be produced by all except: A. Succinylcholine B. Halothane C. Methoxyflurane D. Dantrolene 179 / 266 179. The site of lesion in Korsakoff’s psychosis is: A. Mamillary bodies B. Temporal lobe C. Corpus striatum D. Frontal lobe 180 / 266 180. Commonest cerebrovascular accident (CVA) is: A. Cerebral hemorrhage B. Cerebral embolism C. Cerebral thrombosis D. Subarachnoid hemorrhage 181 / 266 181. Trismus is seen in all of the following except: A. Tetanus B. Diphtheria C. Quinsy D. Hydrophidae group of snake bite 182 / 266 182. All are recognised side effects of lithium except: A. Onycholysis B. Ataxia C. Diarrhoea D. Hypothyroidism 183 / 266 183. Chromosomal anomaly associated with Alzheimer’s disease is: A. Trisomy-13 B. Trisomy-18 C. Turner's syndrome D. Trisomy-21 184 / 266 184. All of the following produces ‘cord compression’ except: A. Spinal epidural abscess B. Subacute combined degeneration C. Patchy arachnoiditis D. Neurofibroma 185 / 266 185. Which of the following does not produce wasting of small muscles of hands? A. Duchenne muscular dystrophy B. Thoracic inlet syndrome C. Amyotrophic lateral sclerosis D. Rheumatoid arthritis 186 / 266 186. The most common lacunar syndrome in clinical practice is: A. Pure motor hemiparesis B. Pure sensory stroke C. Dysarthria-clumsy hand syndrome D. Ataxic-hemiparesis 187 / 266 187. Titubation is classically seen in: A. Drug-induced dyskinesia B. Aortic incompetence C. Cerebellar disorder D. Parkinsonism 188 / 266 188. Pendular nystagmus is found in: A. Cerebellar disorder B. Phenytoin toxicity C. Amblyopia D. Pontine glioma 189 / 266 189. Café au lait spots are found in all except: A. Albright's disease B. Ataxia-telangiectasia C. Subacute bacterial endocarditis D. Multiple neurofibromatosis 190 / 266 190. Romberg’s sign is present in: A. Apraxia B. Sensory ataxia C. Cerebellar ataxia D. Labyrinthine ataxia 191 / 266 191. Which organism commonly produces meningitis in an adolescent? A. E. coli B. H. influenzae C. Pneumococcus D. Meningococcous 192 / 266 192. The commonest cause of convulsion in a child (2-12 yrs) is: A. Epilepsy B. Febrile C. Encephalitis D. Trauma 193 / 266 193. Proximal muscle weakness is not produced by: A. Polymyositis B. Guillain-Barre syndrome C. Diabetic amyotrophy D. Leprosy 194 / 266 194. Weber’s syndrome is crossed hemiplegia with the involvement of: A. Vagus nerve B. Oculomotor nerve C. Facial nerve D. Abducens nerve 195 / 266 195. The commonest cause of unilateral foot drop is: A. Peroneal muscular atrophy B. Motor neuron disease C. Peripheral neuropathy D. Common peroneal nerve palsy 196 / 266 196. Xanthochromia is not a feature of: A. Froin's loculation syndrome B. Old subarachnoid haemorrhage C. Deep Jaundice D. Recent intracerebral hemorrhage 197 / 266 197. Cerebral oedema induced by CVA should not be treated by: A. Dexamethasone B. IV frusemide C. IV mannitol D. Oral glycerol 198 / 266 198. Familial periodic paralysis may be seen in all except: A. Hyperkalemia B. Normokalaemia C. Hypercalcemia D. Hypokalemia 199 / 266 199. Corneal reflex tests the integrity of: A. Trochlear nerve B. Trigeminal nerve C. Facial nerve D. Optic nerv 200 / 266 200. Dementia pugilistica develops as a result of: A. 'Normal-pressure' hydrocephalus B. Huntington's disease C. Head trauma in professional boxers D. Alzheimer's disease 201 / 266 201. Carbamazepine is used in all of the following except: A. Schizophrenia B. Post-herpetic neuralgia C. Alcohol withdrawal D. Mania 202 / 266 202. Which of the following is not associated with pes cavus? A. Neurofibromatosis B. Poliomyelitis C. Friedreich's ataxia D. Syringomyelia 203 / 266 203. Which of the following is not a feature of ‘stage of neural shock’ in hemiplegia? A. Hypertonia B. Retention of urine C. Coma D. Absent deep reflexes 204 / 266 204. Chorea may develop from the consumption of: A. Pindolol B. Oral contraceptive pills C. Reserpine D. Ursodeoxycholic acid 205 / 266 205. Palatal myoclonus is seen in: A. Multiple sclerosis B. Cerebellar infarction C. Eaton-Lambert syndrome D. Epilepsy 206 / 266 206. Which of the following does not fit in ‘Ramsay Hunt’ syndrome? A. Loss of taste sensation of anterior tw0-thirds of tongue B. LMN type of Vllth nerve palsy C. Diminished auditory acuity D. Herpetic rash on tympanic membrane 207 / 266 207. Dermatoglyphics with obtuse ATD angle is characteristic of: A. Down's syndrome B. Turner's syndrome C. Noonan's syndrome D. Klinefelter's syndrome 208 / 266 208. Cerebral infarction can be detected earliest by: A. MRI scan B. Diffusion-weighted MRI C. CT scan D. PET scan 209 / 266 209. Which of the following does not produce phakomatosis? A. Tuberous sclerosis B. Weber-Christian disease C. van Hippel-Lindau syndrome D. Sturge-Weber disease 210 / 266 210. The best drug for photosensitive epilepsy is: A. Ethosuximide B. Topiramate C. Diazepam D. Valproate 211 / 266 211. Glasgow Coma Scale assesses all except: A. Autonomic response B. Verbal response C. Motor response D. Eye opening 212 / 266 212. Neurological feature of myxoedema may be: A. Restlessness B. Hung-up knee jerk C. Transverse myelitis D. Poliomyelitis 213 / 266 213. Which of the following is not a feature of parkinsonism? A. Hyperkinesia B. Normal reflexes C. Tremor D. Rigidity 214 / 266 214. Dilator pupillae is supplied by: A. Optic nerve B. Cholinergic fibres of oculomotor nerve C. Trochlear nerve D. Adrenergic fibres of oculomotor nerve 215 / 266 215. The commonest cause of anisocoria is: A. Horner's syndrome B. Hutchinson's pupil C. Application of mydriatic to one eye D. Oculomotor palsy 216 / 266 216. Heerfordt’s syndrome is uveo-parotid fever with cranial nerve palsy, and is seen in: A. Leprosy B. Tuberculosis C. Sarcoidosis D. Mikulicz's syndrome 217 / 266 217. Alcohol withdrawal is not associated with: A. Tremor B. Confabulation C. Visual hallucinations D. Perspiration 218 / 266 218. Transient ischaemic attack (TIA) stamps the process as: A. Hemorrhagic B. Inflammatory C. Embolic D. Demyelinating 219 / 266 219. Significant loss of vision in a hypertensive patient may be due to all except: A. Ischemic optic neuropathy B. Retinal hemorrhage C. Papilledema D. Infarction of occipital lobe 220 / 266 220. ‘Candle gutterings’ on the walls of the ventricles are seen in CT scan in: A. Tuberous sclerosis B. Cerebral palsy C. Leucodystrophy D. Alzheimer's disease 221 / 266 221. Characteristic of LMN lesion is: A. Equivocal plantar response B. Weakness and spasticity C. Absent superficial reflex D. Brisk deep reflexes 222 / 266 222. Tabes dorsalis presents with all except: A. Waddling gait B. Sensory dysfunction C. Argyll Robertson pupil D. Loss of ankle jerk 223 / 266 223. Phenytoin toxicity may result in all except: A. Megaloblastic anemia B. Pendular nystagmus C. Cerebellar syndrome D. Pseudolymphoma 224 / 266 224. In schizophrenia, a better prognosis is indicated by: A. Passivity feelings B. Early onset C. Visual hallucinations D. Depression 225 / 266 225. Inversion of supinator jerk indicates the lesion at: A. C6, 7 B. C5, 6 C. C3, 4 D. C4, 5 226 / 266 226. The common sites of meningioma are alt except: A. Over visual cortex B. Sylvian fissure C. Olfactory groove D. Cerebello-pontine angle 227 / 266 227. Internuclear ophthalmoplegia results from: A. Ocular myopathy B. Lesion in medial longitudinal bundle C. Malignant exophthalmos D. III, IV, Vlth nerve palsy 228 / 266 228. Which is abnormal regarding normal CSF findings? A. Pressure 60-150 mm of CSF in sitting position B. Sugar content 40-80 mg% C. Protein content 20-40 mg% D. Chloride content 720-750 mg% 229 / 266 229. The most consistent early physical sign evoked in a cerebellopontine angle tumour is: A. Facial nerve palsy B. Cerebellar signs C. Loss of corneal reflex D. Pyramidal signs 230 / 266 230. Which of the following is not a feature of syringobulbia? A. Dysphagia B. Nasal regurgitation C. Spastic tongue D. Dysarthria 231 / 266 231. Complication of phenytoin does not include? A. Megaloblastic anaemia B. Hyperglycaemia C. Osteomalacia D. Ataxia 232 / 266 232. All of the following produce mono neuritis multiplex except: A. Rheumatoid arthritis B. Infectious mononucleosis C. Polyarteritis nodosa D. Sarcoidosis 233 / 266 233. CSF is absorbed by arachnoid villi which are mainly present in: A. Fourth ventricle B. Inferior sagittal sinus C. Superior sagittal sinus D. Transverse sinus 234 / 266 234. The most common site of hypertensive intracranial bleeding is: A. Putamen B. Midbrain C. Cerebellum D. Thalamus 235 / 266 235. Carotid artery stenosis gives rise to: A. Drop attacks B. lpsilateral hemiplegia C. Diplopia D. Transient ipsilateral monocular blindness 236 / 266 236. All of the following are sources of cerebral embolism except: A. Tricuspid incompetence with occasional ectopic B. Left ventricular aneurysm C. Subacute bacterial endocarditis D. Left atrial myxoma 237 / 266 237. ‘Organic brain syndrome’ may be produced by: A. Cephalosporins B. Macrolides C. Aminoglycosides D. Quinolones 238 / 266 238. ‘On-off phenomenon’ is precipitated by: A. Amantadine B. Levodopa C. Trihexyphenidyl D. Selegiline 239 / 266 239. Which is not true in Korsakoff’s syndrome? A. Confabulation B. Presence of nystagmus C. Loss of recent memory D. Associated with lacunar infarction 240 / 266 240. Which of the following is false regarding Eaton-Lambert syndrome? A. Repeated efforts increase muscle strength B. Ocular muscles are commonly involved C. Guanidine hydrochloride is the treatment of choice D. Deep reflexes are depressed 241 / 266 241. Refsum’s disease is associated with all except: A. Acanthocytosis of RBC B. Tissue accumulation of phytanic acid C. Deafness D. Retinitis pigmentosa 242 / 266 242. Acoustic neuroma most likely leads to paralysis of: A. IVth cranial nerve B. VIIth cranial nerve C. Xth cranial nerve D. VIth cranial nerve 243 / 266 243. Abdominal reflex is usually retained in: A. Hysteria B. Multiparous woman C. Lax abdominal wall D. Obesity 244 / 266 244. Horner’s syndrome includes all of the following except: A. Anhidrosis B. Enophthalmos C. Complete ptosis D. Constricted pupil 245 / 266 245. Which does not produce hypoglycorrhachia (low CSF sugar)? A. Hypoglycaemia B. Viral meningitis C. Tuberculous meningitis D. Pyogenic meningitis 246 / 266 246. Thrombosis of left middle cerebral artery may give rise to: A. Right homonymous hemianopia B. Diplopia C. Hemiplegia of the right side where affection of leg is more than arm D. Paralysis of conjugate gaze towards left 247 / 266 247. Miosis is found in all except: A. Myotonic pupil B. Organophosphorus poisoning C. Old age D. Application of pilocarpine drops 248 / 266 248. Delayed relaxation of ankle jerk is seen in all except: A. Gross pedal oedema B. Tabes dorsalis C. Parkinsonism D. Myxoedema 249 / 266 249. ‘India ink preparation’ in CSF helps in the diagnosis of: A. Lymphocytic choriomeningitis B. Cryptococcal meningitis C. Herpes simplex virus meningitis D. Coxsackie virus meningitis 250 / 266 250. All of the following may produce syncope except: A. Stokes-Adams syndrome B. Tight aortic stenosis C. Cardiac tamponade D. Arrhythmia 251 / 266 251. Wrist drop is commonly seen in neuropathy induced by: A. Vincristine B. Alcohol C. Lead D. Arsenic 252 / 266 252. Bromocriptine is not useful in the treatment of: A. Acromegaly B. Infertility C. Alzheimer's disease D. Parkinsonism 253 / 266 253. Waddling gait is seen in alt except: A. Advanced pregnancy B. Duchenne muscular dystrophy C. Charcot-Marie-Tooth disease D. Huge ascites 254 / 266 254. Charcot (neuropathic) joint is a recognised complication of all except: A. Tabes dorsalis B. Friedreich's ataxia C. Diabetes mellitus D. Syringomyelia 255 / 266 255. “Locked-in syndrome’ occurs in lesions of: A. Ventral pons B. Cortex C. Thalamus D. Internal capsule 256 / 266 256. Patient with Down’s syndrome may be complicated by all except: A. Polymyositis B. Patent ductus arteriosus C. Early Alzheimer's disease D. Duodenal stenosis 257 / 266 257. Abdominal reflex is lost early in: A. Cerebral diplegia B. Motor neuron disease C. Multiple sclerosis D. Parkinsonism 258 / 266 258. Pseudobulbar palsy is not associated with: A. Masked facies B. Emotional incontinence C. Extensor plantar response D. Flaccid dysarthria 259 / 266 259. Which of the following does not produce thickened peripheral nerves? A. Alcoholic polyneuropathy B. Leprosy C. Chronic Guillain-Barre syndrome D. Refsum's disease 260 / 266 260. Apneustic breathing is seen in lesion of: A. Medulla B. Upper pons C. Midbrain D. Lower pons 261 / 266 261. Unilateral ptosis is characteristic of all except: A. Cavernous sinus thrombosis B. Cluster headache C. Bell's palsy D. Syringobulbia 262 / 266 262. The commonest presentation of neurocysticercosis is: A. Radioculomyelopathy B. Focal neuro deficit C. Convulsions D. Blindness 263 / 266 263. Cherry red spot in fundoscopy is characteristic of all except: A. Central retinal artery occlusion B. Niemann-Pick disease C. Retinitis pigmentosa D. Tay-Sachs disease 264 / 266 264. A patient with a history of diplopia, dysarthria, dizziness and ataxia suddenly becomes unconscious. The most probable diagnosis is: A. Basal ganglia infarction B. Carotid artery occlusion C. Subarachnoid haemorrhage D. Basilar artery thrombosis 265 / 266 265. Muscle sense is increased in all except: A. Tabes dorsalis B. Polyneuropathy C. Subacute combined degeneration D. Myositis 266 / 266 266. MRI is preferred over CT scan of brain in all except: A. Multiple sclerosis B. Posterior fossa tumors C. Calcification within a lesion D. Pituitary tumors LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Hematology Next Post Gastroenterology