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