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