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