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