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Neurology

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1. In trochlear nerve palsy, the patient complains of diplopia while:

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2. ‘Hippus’ is:

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3. All of the following are antiepileptic drugs except:

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4. Hypertonia is a feature of all except:

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5. Which is not a symptom of raised intracranial tension?

6 / 266

6. Romberg’s sign is present in:

7 / 266

7. All of the following produce cerebellar degeneration except:

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8. Ptosis associated with diplopia and diminished movement of eyeball is due to:

9 / 266

9. Down-beating nystagmus is seen in:

10 / 266

10. All are features of pontine haemorrhage except:

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11. Jaw claudication is not characteristic of:

12 / 266

12. “‘Bull’s eye maculopathy’ is characteristic toxicity of:

13 / 266

13. Ocular bobbing is often diagnostic of bilateral damage of:

14 / 266

14. Which of the following is false regarding migraine?

15 / 266

15. Titubation is classically seen in:

16 / 266

16. All of the following may produce papilloedema except:

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17. Nimodipine used in subarachnoid haemorrhage:

18 / 266

18. Bromocriptine is used in all of the following except:

19 / 266

19. Gilles de la Tourette syndrome encompasses all except:

20 / 266

20. Myotonia dystrophica has all of the following morphological features except:

21 / 266

21. The use of which can lead to the development of paranoid psychosis?

22 / 266

22. The site of lesion in Korsakoff’s psychosis is:

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23. In the setting of puerperium, which of the following is most common in producing neuro deficit?

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24. Pseudobulbar palsy will have all except:

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25. Reversible ischaemic neurological deficit (RIND) usually recovers within:

26 / 266

26. Which is a cause of reversible dementia?

27 / 266

27. Tensilon test improves the muscle weakness in:

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28. The commonest cause of abducent nerve palsy is:

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29. Cerebral oedema induced by CVA should not be treated by:

30 / 266

30. Heerfordt’s syndrome is uveo-parotid fever with cranial nerve palsy, and is seen in:

31 / 266

31. Flapping tremor is not found in:

32 / 266

32. Narcolepsy is not associated with:

33 / 266

33. Pendular nystagmus is found in:

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34. A patient with a history of diplopia, dysarthria, dizziness and ataxia suddenly becomes unconscious. The most probable diagnosis is:

35 / 266

35. Neurological feature of myxoedema may be:

36 / 266

36. Right middle cerebral artery territory infarction usually does not feature:

37 / 266

37. Argyll Robertson pupil is found in all except:

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38. Delayed relaxation of ankle jerk is seen in all except:

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39. Abdominal reflex is lost early in:

40 / 266

40. Waddling gait is seen in alt except:

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41. Which of the following is not a feature of syringobulbia?

42 / 266

42. Corneal reflex tests the integrity of:

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43. The presence of acanthocytosis of RBC, retinitis pigmentosa and ataxia is suggestive of:

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44. CNS involvement of SLE includes all except:

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45. Which of the following is false regarding etiology of benign intracranial hypertension?

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46. Muscle sense is increased in all except:

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47. Chromosomal anomaly associated with Alzheimer’s disease is:

48 / 266

48. Wrist drop is commonly seen in neuropathy induced by:

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49. Astasia·abasia is known as:

50 / 266

50. Collet-Siccard syndrome affects the following cranial nerves:

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51. MRI is preferred over CT scan of brain in all except:

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52. Horner’s syndrome manifests as:

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53. Ataxia-telangiectasia is not associated with:

54 / 266

54. Xanthochromia is not a feature of:

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55. Hypersomnolence is found in all except:

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56. The commonest cause of convulsion in a child (2-12 yrs) is:

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57. Brain tumour disseminating through CSF is:

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58. Atypical feature of Guillain-Barre syndrome is:

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59. Complication of phenytoin does not include?

60 / 266

60. Which of the following does not fit in ‘Ramsay Hunt’ syndrome?

61 / 266

61. The root value of ‘Plantar response’ is:

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62. Transient ischaemic attack (TIA) stamps the process as:

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63. Significant loss of vision in a hypertensive patient may be due to all except:

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64. Selective serotonin reuptake inhibitors (SSRI) are all except:

65 / 266

65. Monoplegia is due to lesions in:

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66. Cherry red spot in fundoscopy is characteristic of all except:

67 / 266

67. Which group of muscles are almost never affected in polymyositis?

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68. Which does not produce hypoglycorrhachia (low CSF sugar)?

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69. ‘India ink preparation’ in CSF helps in the diagnosis of:

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70. CSF is absorbed by arachnoid villi which are mainly present in:

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71. Dermatoglyphics with obtuse ATD angle is characteristic of:

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72. Which is not included under ‘craniovertebral anomaly’?

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73. Which of the following does not produce pseudobulbar palsy?

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74. Xanthopsia is found in:

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75. Which is not true in Korsakoff’s syndrome?

76 / 266

76. ‘Organic brain syndrome’ may be produced by:

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77. The most consistent early physical sign evoked in a cerebellopontine angle tumour is:

78 / 266

78. Vibration sensation is lost early in:

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79. Which of the following is false in Gerstmann’s syndrome?

80 / 266

80. Congenital abnormality produced by lithium therapy is:

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81. All of the following may develop into endocrine myopathy except:

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82. Slow virus CNS infections are all except:

83 / 266

83. The commonest intracranial tumour is:

84 / 266

84. Which of the following is not included within ‘motor functions’?

85 / 266

85. Abdominal reflex is usually retained in:

86 / 266

86. Palatal myoclonus is seen in:

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87. All of the following produces ‘cord compression’ except:

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88. Management of choice in Guillain-Barre syndrome is:

89 / 266

89. Among the following, which is the most common adult muscular dystrophy?

90 / 266

90. Anterior horn cell disease is:

91 / 266

91. In cerebral malaria, which of the following should not be given?

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92. Which of the following is a homologue of Hoffman’s sign of upper extremity?

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93. ‘Candle gutterings’ on the walls of the ventricles are seen in CT scan in:

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94. Weber’s syndrome is crossed hemiplegia with the involvement of:

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95. Lesion in athetosis lies in:

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96. The commonest intracranial tumour in children is:

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97. Amantadine does not produce:

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98. Which of the following remains normal in leprosy?

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99. All of the following produce meningism except:

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100. Internuclear ophthalmoplegia results from:

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101. Which drug is not used in parkinsonism?

102 / 266

102. All of the following produce mono neuritis multiplex except:

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103. Myopathy is best diagnosed by:

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104. Which of the following occurs earliest in diphtheritic neuropathy?

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105. Serum creatine kinase (CK) level is not raised in:

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106. Eaton-Lambert syndrome is characterized by all of the following except:

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107. Fine tremor is found in:

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108. Patient with Down’s syndrome may be complicated by all except:

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109. Neurological features of thyrotoxicosis do not include:

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110. Oppenheim’s gait is characteristic of:

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111. Peripheral neuropathy associated with hypertension is found in:

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112. ‘Railroad track’ calcification in X-ray skull is found in:

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113. Apneustic breathing is seen in lesion of:

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114. Neurofibromatosis leads to an increased risk of having all of the following except:

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115. Perforating ulcer in the sole of foot is found in all except:

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116. Which of the following is not a feature of UMN palsy?

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117. Lhermitte’s sign is not found in:

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118. All are recognised side effects of lithium except:

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119. In schizophrenia, a better prognosis is indicated by:

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120. Which of the following is not included in the triad of tuberous sclerosis?

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121. Multiple sclerosis is not associated with:

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122. All are seen in Alzheimer’s disease except:

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123. A cataract is not characteristic of:

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124. ‘Paraplegia in flexion’ may have all of the following except:

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125. Which is not characteristic of the lateral medullary syndrome (Wallenberg’s syndrome)?

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126. Phenytoin toxicity may result in all except:

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127. All of the following may cause peripheral neuropathy except:

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128. Which of the following is false in cluster headache?

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129. Which of the following is false in subacute combined degeneration?

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130. Proximal muscle weakness is not produced by:

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131. Pyramidal signs may be associated with:

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132. Intermittent bulbar palsy is seen in:

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133. Posterior column lesion will have:

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134. Optic neuritis may be produced by all except:

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135. Which of the following does not produce wasting of small muscles of hands?

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136. Chronic fatigue syndrome is fundamentally a:

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137. Oculomotor nerve palsy with a spared pupil is classically seen in:

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138. The drug most beneficial in enuresis of a 10-year-old boy is:

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139. Charcot (neuropathic) joint is a recognised complication of all except:

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140. EEG findings showing slow waves, spikes and ‘burst suppression’ are characteristic of:

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141. Sensory involvement is not found in:

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142. Which of the following is not an antiplatelet drug?

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143. Limb-girdle type myopathy inherits the disease as:

144 / 266

144. Which of the following produces wrist drop?

145 / 266

145. Which of the following is not a feature of ‘stage of neural shock’ in hemiplegia?

146 / 266

146. Berry aneurysm may be associated with all except:

147 / 266

147. The commonest type of neurofibroma is associated with:

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148. Regarding dermatomyositis, which one is false?

149 / 266

149. Maligant hyperthermia may be produced by all except:

150 / 266

150. Which is false regarding peripheral vertigo?

151 / 266

151. ‘On-off phenomenon’ is precipitated by:

152 / 266

152. The most common lacunar syndrome in clinical practice is:

153 / 266

153. Therapeutic range of phenytoin is:

154 / 266

154. Glasgow Coma Scale assesses all except:

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155. Which is not parkinsonian plus syndrome?

156 / 266

156. The earliest skin lesion in tuberous sclerosis is:

157 / 266

157. Trismus is seen in all of the following except:

158 / 266

158. Pronator sign, lizard tongue and hung-up deep reflex are found in:

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159. All of the following are sources of cerebral embolism except:

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160. Characteristic of LMN lesion is:

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161. Unilateral ptosis is characteristic of all except:

162 / 266

162. Which of the following is not a feature of parkinsonism?

163 / 266

163. Hiccough occurs in all of the following except:

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164. Albumino-cytological dissociation is not a feature of:

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165. The best drug for photosensitive epilepsy is:

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166. The commonest cause of subarachnoid haemorrhage is:

167 / 266

167. Chorea may develop from the consumption of:

168 / 266

168. Which organism commonly produces meningitis in an adolescent?

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169. Which one is not a primitive reflex?

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170. Which of the following is not a part of Miller-Fisher syndrome?

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171. Familial periodic paralysis may be seen in all except:

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172. Internuclear ophthalmoplegia results from damage of:

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173. The most common site of hypertensive intracranial bleeding is:

174 / 266

174. Atrophy in Duchenne myopathy is classically seen in:

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175. Regarding acute transverse myelitis, which is false?

176 / 266

176. The commonest cause of anisocoria is:

177 / 266

177. Disorder of language of cerebral origin is:

178 / 266

178. True hypertrophy of muscles is found in all except:

179 / 266

179. Acoustic neuroma most likely leads to paralysis of:

180 / 266

180. Characteristics of “rigidity’ are all except:

181 / 266

181. Xenophobia is the fear of:

182 / 266

182. Lasegue’s sign is present in:

183 / 266

183. Which of the following does not produce pure motor paraplegia?

184 / 266

184. Spastic paraplegia is not produced by:

185 / 266

185. Regarding subacute sclerosing panencephalitis (SSPE), all are true except:

186 / 266

186. Sarcoidosis commonly involves the cranial nerve:

187 / 266

187. In lathyrism.. the toxin responsible for the development of neuroparalysis is:

188 / 266

188. Korsakoff’s psychosis does not have the feature like:

189 / 266

189. Which is abnormal regarding normal CSF findings?

190 / 266

190. Fear of relapse in cancer survivors is known as:

191 / 266

191. Cerebral infarction can be detected earliest by:

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192. Dementia pugilistica develops as a result of:

193 / 266

193. Thrombosis of left middle cerebral artery may give rise to:

194 / 266

194. Myxoedema coma is not associated with:

195 / 266

195. Which of the following is false in polymyositis?

196 / 266

196. Carbamazepine is used in all of the following except:

197 / 266

197. Brain biopsy in rabies demonstrates?

198 / 266

198. The commonest presentation of neurocysticercosis is:

199 / 266

199. Neck rigidity may be absent in the presence of:

200 / 266

200. Increased jaw jerk is seen in:

201 / 266

201. Which of the following does not produce phakomatosis?

202 / 266

202. Which is not a PRION disease?

203 / 266

203. Uncinate fits are characteristically seen in tumours of:

204 / 266

204. Todd’s palsy is characteristic of:

205 / 266

205. Which is not a recognized feature of cerebellar dysfunction?

206 / 266

206. In health, intracranial calcification may be seen in all except:

207 / 266

207. Neck rigidity is not found in:

208 / 266

208. Neuroleptic malignant syndrome has all the following features except:

209 / 266

209. Brushfield’s spots in iris are seen in:

210 / 266

210. Bromocriptine is not useful in the treatment of:

211 / 266

211. Crossed hemiplegia indicates that the site of lesion is in:

212 / 266

212. Babinski’s sign is not found in:

213 / 266

213. Froin’s loculation syndrome does not have:

214 / 266

214. The lobe of the brain primarily affected in herpes simplex encephalitis is:

215 / 266

215. The commonest cause of unilateral foot drop is:

216 / 266

216. Which of the following is not associated with pes cavus?

217 / 266

217. Main d’ accoucheur is seen in:

218 / 266

218. Commonest visual difficulty in multiple sclerosis:

219 / 266

219. Cause of bilateral facial nerve palsy does not include:

220 / 266

220. Which of the following is false regarding Eaton-Lambert syndrome?

221 / 266

221. All of the following are recognised lithium toxicity except:

222 / 266

222. Horner’s syndrome includes all of the following except:

223 / 266

223. The reversible cause of dementia is:

224 / 266

224. Internuclear ophthalmoplegia is commonly due to:

225 / 266

225. Muscle pain is not characteristic of:

226 / 266

226. Which of the following is not a test for cortical sensory function?

227 / 266

227. Alcohol withdrawal is not associated with:

228 / 266

228. alpha-bungarotoxin is associated with neuroparalysis in:

229 / 266

229. The common sites of meningioma are alt except:

230 / 266

230. Migraine is not associated with:

231 / 266

231. In monoplegia, usually, the site of lesion lies in:

232 / 266

232. Which of the following does not produce thickened peripheral nerves?

233 / 266

233. Meralgia paraesthetica is characterised by all except:

234 / 266

234. Which of the following does not produce fasciculation?

235 / 266

235. Drug-induced myopathy may result from all except:

236 / 266

236. Ptosis with a dilated pupil is observed in:

237 / 266

237. All are true regarding Alzheimer’s disease except:

238 / 266

238. Ptosis is absent in:

239 / 266

239. The dermatome at the nipple is:

240 / 266

240. The drug of choice in obsessive-compulsive psychosis is:

241 / 266

241. All of the following may develop into chorea except:

242 / 266

242. The presence of Babinski’s sign with loss of ankle jerk is found in all except:

243 / 266

243. Lithium is not used in:

244 / 266

244. All of the following may produce syncope except:

245 / 266

245. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of:

246 / 266

246. Tabes dorsalis presents with all except:

247 / 266

247. Café au lait spots are found in all except:

248 / 266

248. Tropical spastic paraplegia is caused by:

249 / 266

249. “Locked-in syndrome’ occurs in lesions of:

250 / 266

250. Lymphocytic pleocytosis in CSF is not found in:

251 / 266

251. Which of the following does not produce wasting of small muscles of hands?

252 / 266

252. The commonest cause of aphasia is:

253 / 266

253. Carotid artery stenosis gives rise to:

254 / 266

254. Which is not a manifestation of normal pressure hydrocephalus?

255 / 266

255. Refsum’s disease is associated with all except:

256 / 266

256. Which of the following is not a human ‘Prion’ disease?

257 / 266

257. All are ‘Calpain’ -associated. diseases except:

258 / 266

258. Inversion of supinator jerk indicates the lesion at:

259 / 266

259. Miosis is found in all except:

260 / 266

260. All are the complications of oral contraceptive pills except:

261 / 266

261. Prophylaxis of migraine may be done by:

262 / 266

262. Commonest cerebrovascular accident (CVA) is:

263 / 266

263. Pseudobulbar palsy is not associated with:

264 / 266

264. The most common psychological disorder in myxoedema is:

265 / 266

265. Dilator pupillae is supplied by:

266 / 266

266. The oculogyric crisis is found in all except:

Dr Abu-Ahmed
Dr Abu-Ahmed

Dr Abu Ahmed, an Internist & Graphic Designer, has brought this website to help Medical Students in the subject of Internal Medicine.

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