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