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