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Neurology

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1. Inversion of supinator jerk indicates the lesion at:

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2. Nimodipine used in subarachnoid haemorrhage:

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3. ‘On-off phenomenon’ is precipitated by:

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4. Todd’s palsy is characteristic of:

5 / 266

5. Korsakoff’s psychosis does not have the feature like:

6 / 266

6. The use of which can lead to the development of paranoid psychosis?

7 / 266

7. Which of the following is not a feature of UMN palsy?

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8. A cataract is not characteristic of:

9 / 266

9. Pseudobulbar palsy is not associated with:

10 / 266

10. Myotonia dystrophica has all of the following morphological features except:

11 / 266

11. Main d’ accoucheur is seen in:

12 / 266

12. In lathyrism.. the toxin responsible for the development of neuroparalysis is:

13 / 266

13. Cerebral oedema induced by CVA should not be treated by:

14 / 266

14. Which of the following is false in cluster headache?

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15. The reversible cause of dementia is:

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16. All of the following are recognised lithium toxicity except:

17 / 266

17. Oppenheim’s gait is characteristic of:

18 / 266

18. The drug of choice in obsessive-compulsive psychosis is:

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19. Which of the following is not a part of Miller-Fisher syndrome?

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20. “‘Bull’s eye maculopathy’ is characteristic toxicity of:

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21. Optic neuritis may be produced by all except:

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22. Dermatoglyphics with obtuse ATD angle is characteristic of:

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23. Tensilon test improves the muscle weakness in:

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24. Which of the following is not a feature of syringobulbia?

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25. ‘Candle gutterings’ on the walls of the ventricles are seen in CT scan in:

26 / 266

26. Cause of bilateral facial nerve palsy does not include:

27 / 266

27. Atrophy in Duchenne myopathy is classically seen in:

28 / 266

28. Which does not produce hypoglycorrhachia (low CSF sugar)?

29 / 266

29. ‘Paraplegia in flexion’ may have all of the following except:

30 / 266

30. The site of lesion in Korsakoff’s psychosis is:

31 / 266

31. Albumino-cytological dissociation is not a feature of:

32 / 266

32. Uncinate fits are characteristically seen in tumours of:

33 / 266

33. All of the following produces ‘cord compression’ except:

34 / 266

34. Which of the following does not produce wasting of small muscles of hands?

35 / 266

35. Flapping tremor is not found in:

36 / 266

36. Neuroleptic malignant syndrome has all the following features except:

37 / 266

37. Babinski’s sign is not found in:

38 / 266

38. Miosis is found in all except:

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39. All are seen in Alzheimer’s disease except:

40 / 266

40. Corneal reflex tests the integrity of:

41 / 266

41. Characteristic of LMN lesion is:

42 / 266

42. Ocular bobbing is often diagnostic of bilateral damage of:

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43. Myxoedema coma is not associated with:

44 / 266

44. The lobe of the brain primarily affected in herpes simplex encephalitis is:

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45. All are the complications of oral contraceptive pills except:

46 / 266

46. Ataxia-telangiectasia is not associated with:

47 / 266

47. Which is not parkinsonian plus syndrome?

48 / 266

48. Neurological feature of myxoedema may be:

49 / 266

49. Which is not a PRION disease?

50 / 266

50. Titubation is classically seen in:

51 / 266

51. Xanthopsia is found in:

52 / 266

52. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of:

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53. The presence of Babinski’s sign with loss of ankle jerk is found in all except:

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54. Bromocriptine is not useful in the treatment of:

55 / 266

55. Abdominal reflex is lost early in:

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56. Heerfordt’s syndrome is uveo-parotid fever with cranial nerve palsy, and is seen in:

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57. Horner’s syndrome manifests as:

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58. Oculomotor nerve palsy with a spared pupil is classically seen in:

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59. Which of the following is not an antiplatelet drug?

60 / 266

60. The best drug for photosensitive epilepsy is:

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61. Regarding subacute sclerosing panencephalitis (SSPE), all are true except:

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62. Reversible ischaemic neurological deficit (RIND) usually recovers within:

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63. The most common lacunar syndrome in clinical practice is:

64 / 266

64. Which of the following does not produce wasting of small muscles of hands?

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65. Patient with Down’s syndrome may be complicated by all except:

66 / 266

66. Fear of relapse in cancer survivors is known as:

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67. Brain biopsy in rabies demonstrates?

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68. Jaw claudication is not characteristic of:

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69. Congenital abnormality produced by lithium therapy is:

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70. Management of choice in Guillain-Barre syndrome is:

71 / 266

71. Familial periodic paralysis may be seen in all except:

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72. Lymphocytic pleocytosis in CSF is not found in:

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73. Neurological features of thyrotoxicosis do not include:

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74. True hypertrophy of muscles is found in all except:

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75. The commonest intracranial tumour is:

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76. Lesion in athetosis lies in:

77 / 266

77. Neurofibromatosis leads to an increased risk of having all of the following except:

78 / 266

78. Which of the following is not associated with pes cavus?

79 / 266

79. MRI is preferred over CT scan of brain in all except:

80 / 266

80. Which of the following produces wrist drop?

81 / 266

81. All of the following may develop into endocrine myopathy except:

82 / 266

82. Tabes dorsalis presents with all except:

83 / 266

83. Increased jaw jerk is seen in:

84 / 266

84. Anterior horn cell disease is:

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85. Unilateral ptosis is characteristic of all except:

86 / 266

86. Chronic fatigue syndrome is fundamentally a:

87 / 266

87. Weber’s syndrome is crossed hemiplegia with the involvement of:

88 / 266

88. Which of the following is false regarding etiology of benign intracranial hypertension?

89 / 266

89. Therapeutic range of phenytoin is:

90 / 266

90. Peripheral neuropathy associated with hypertension is found in:

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91. Limb-girdle type myopathy inherits the disease as:

92 / 266

92. Froin’s loculation syndrome does not have:

93 / 266

93. Hypertonia is a feature of all except:

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94. Charcot (neuropathic) joint is a recognised complication of all except:

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95. Which of the following does not produce pseudobulbar palsy?

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96. Sensory involvement is not found in:

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97. All of the following produce cerebellar degeneration except:

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98. The commonest cause of anisocoria is:

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99. The most common site of hypertensive intracranial bleeding is:

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100. In monoplegia, usually, the site of lesion lies in:

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101. Monoplegia is due to lesions in:

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102. All are recognised side effects of lithium except:

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103. Which of the following is not a human ‘Prion’ disease?

104 / 266

104. Thrombosis of left middle cerebral artery may give rise to:

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105. Neck rigidity may be absent in the presence of:

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106. Which of the following does not produce thickened peripheral nerves?

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107. Ptosis with a dilated pupil is observed in:

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108. The commonest cause of aphasia is:

109 / 266

109. The commonest cause of abducent nerve palsy is:

110 / 266

110. Which of the following is false regarding Eaton-Lambert syndrome?

111 / 266

111. Internuclear ophthalmoplegia is commonly due to:

112 / 266

112. Internuclear ophthalmoplegia results from:

113 / 266

113. Which is not a symptom of raised intracranial tension?

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114. Slow virus CNS infections are all except:

115 / 266

115. Palatal myoclonus is seen in:

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116. Sarcoidosis commonly involves the cranial nerve:

117 / 266

117. Cerebral infarction can be detected earliest by:

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118. The oculogyric crisis is found in all except:

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119. Café au lait spots are found in all except:

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120. Romberg’s sign is present in:

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121. In health, intracranial calcification may be seen in all except:

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122. Significant loss of vision in a hypertensive patient may be due to all except:

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123. Pronator sign, lizard tongue and hung-up deep reflex are found in:

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124. In schizophrenia, a better prognosis is indicated by:

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125. Which of the following is false in Gerstmann’s syndrome?

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126. Eaton-Lambert syndrome is characterized by all of the following except:

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127. Which group of muscles are almost never affected in polymyositis?

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128. Multiple sclerosis is not associated with:

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129. Fine tremor is found in:

130 / 266

130. Which is a cause of reversible dementia?

131 / 266

131. Transient ischaemic attack (TIA) stamps the process as:

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132. Which of the following is not a feature of ‘stage of neural shock’ in hemiplegia?

133 / 266

133. Which of the following is a homologue of Hoffman’s sign of upper extremity?

134 / 266

134. EEG findings showing slow waves, spikes and ‘burst suppression’ are characteristic of:

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135. Right middle cerebral artery territory infarction usually does not feature:

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136. Which of the following does not produce pure motor paraplegia?

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137. Which of the following is not a test for cortical sensory function?

138 / 266

138. Which of the following is not included in the triad of tuberous sclerosis?

139 / 266

139. Xenophobia is the fear of:

140 / 266

140. Myopathy is best diagnosed by:

141 / 266

141. “Locked-in syndrome’ occurs in lesions of:

142 / 266

142. Astasia·abasia is known as:

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143. All of the following produce meningism except:

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144. Which one is not a primitive reflex?

145 / 266

145. Internuclear ophthalmoplegia results from damage of:

146 / 266

146. Pseudobulbar palsy will have all except:

147 / 266

147. Crossed hemiplegia indicates that the site of lesion is in:

148 / 266

148. In trochlear nerve palsy, the patient complains of diplopia while:

149 / 266

149. Waddling gait is seen in alt except:

150 / 266

150. ‘Hippus’ is:

151 / 266

151. Intermittent bulbar palsy is seen in:

152 / 266

152. Argyll Robertson pupil is found in all except:

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153. The earliest skin lesion in tuberous sclerosis is:

154 / 266

154. Among the following, which is the most common adult muscular dystrophy?

155 / 266

155. Brain tumour disseminating through CSF is:

156 / 266

156. Which of the following is false in polymyositis?

157 / 266

157. Which is abnormal regarding normal CSF findings?

158 / 266

158. Which drug is not used in parkinsonism?

159 / 266

159. Carbamazepine is used in all of the following except:

160 / 266

160. Amantadine does not produce:

161 / 266

161. Which organism commonly produces meningitis in an adolescent?

162 / 266

162. Glasgow Coma Scale assesses all except:

163 / 266

163. All of the following may cause peripheral neuropathy except:

164 / 266

164. Regarding dermatomyositis, which one is false?

165 / 266

165. Which is not a recognized feature of cerebellar dysfunction?

166 / 266

166. Which of the following is false regarding migraine?

167 / 266

167. ‘Railroad track’ calcification in X-ray skull is found in:

168 / 266

168. Muscle sense is increased in all except:

169 / 266

169. The common sites of meningioma are alt except:

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170. Disorder of language of cerebral origin is:

171 / 266

171. Which is false regarding peripheral vertigo?

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172. ‘India ink preparation’ in CSF helps in the diagnosis of:

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173. Phenytoin toxicity may result in all except:

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174. Xanthochromia is not a feature of:

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175. CNS involvement of SLE includes all except:

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176. Lithium is not used in:

177 / 266

177. Pyramidal signs may be associated with:

178 / 266

178. Bromocriptine is used in all of the following except:

179 / 266

179. All of the following may develop into chorea except:

180 / 266

180. Chorea may develop from the consumption of:

181 / 266

181. Migraine is not associated with:

182 / 266

182. The most consistent early physical sign evoked in a cerebellopontine angle tumour is:

183 / 266

183. Which of the following does not fit in ‘Ramsay Hunt’ syndrome?

184 / 266

184. The presence of acanthocytosis of RBC, retinitis pigmentosa and ataxia is suggestive of:

185 / 266

185. Dementia pugilistica develops as a result of:

186 / 266

186. Lhermitte’s sign is not found in:

187 / 266

187. Meralgia paraesthetica is characterised by all except:

188 / 266

188. The commonest cause of subarachnoid haemorrhage is:

189 / 266

189. Delayed relaxation of ankle jerk is seen in all except:

190 / 266

190. The commonest intracranial tumour in children is:

191 / 266

191. The drug most beneficial in enuresis of a 10-year-old boy is:

192 / 266

192. The commonest cause of unilateral foot drop is:

193 / 266

193. Cherry red spot in fundoscopy is characteristic of all except:

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194. Muscle pain is not characteristic of:

195 / 266

195. Proximal muscle weakness is not produced by:

196 / 266

196. Commonest visual difficulty in multiple sclerosis:

197 / 266

197. Acoustic neuroma most likely leads to paralysis of:

198 / 266

198. CSF is absorbed by arachnoid villi which are mainly present in:

199 / 266

199. All are features of pontine haemorrhage except:

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200. Which is not included under ‘craniovertebral anomaly’?

201 / 266

201. Characteristics of “rigidity’ are all except:

202 / 266

202. Dilator pupillae is supplied by:

203 / 266

203. Which of the following remains normal in leprosy?

204 / 266

204. Chromosomal anomaly associated with Alzheimer’s disease is:

205 / 266

205. Selective serotonin reuptake inhibitors (SSRI) are all except:

206 / 266

206. Prophylaxis of migraine may be done by:

207 / 266

207. All of the following are antiepileptic drugs except:

208 / 266

208. A patient with a history of diplopia, dysarthria, dizziness and ataxia suddenly becomes unconscious. The most probable diagnosis is:

209 / 266

209. The dermatome at the nipple is:

210 / 266

210. Serum creatine kinase (CK) level is not raised in:

211 / 266

211. Which of the following does not produce fasciculation?

212 / 266

212. Lasegue’s sign is present in:

213 / 266

213. All are ‘Calpain’ -associated. diseases except:

214 / 266

214. Which of the following does not produce phakomatosis?

215 / 266

215. Abdominal reflex is usually retained in:

216 / 266

216. Regarding acute transverse myelitis, which is false?

217 / 266

217. Which of the following is not a feature of parkinsonism?

218 / 266

218. Drug-induced myopathy may result from all except:

219 / 266

219. Tropical spastic paraplegia is caused by:

220 / 266

220. Which of the following occurs earliest in diphtheritic neuropathy?

221 / 266

221. Which is not a manifestation of normal pressure hydrocephalus?

222 / 266

222. Berry aneurysm may be associated with all except:

223 / 266

223. Refsum’s disease is associated with all except:

224 / 266

224. Wrist drop is commonly seen in neuropathy induced by:

225 / 266

225. All of the following produce mono neuritis multiplex except:

226 / 266

226. Apneustic breathing is seen in lesion of:

227 / 266

227. The root value of ‘Plantar response’ is:

228 / 266

228. In cerebral malaria, which of the following should not be given?

229 / 266

229. Horner’s syndrome includes all of the following except:

230 / 266

230. ‘Organic brain syndrome’ may be produced by:

231 / 266

231. Maligant hyperthermia may be produced by all except:

232 / 266

232. The commonest presentation of neurocysticercosis is:

233 / 266

233. Ptosis is absent in:

234 / 266

234. alpha-bungarotoxin is associated with neuroparalysis in:

235 / 266

235. Which of the following is false in subacute combined degeneration?

236 / 266

236. Hypersomnolence is found in all except:

237 / 266

237. Perforating ulcer in the sole of foot is found in all except:

238 / 266

238. In the setting of puerperium, which of the following is most common in producing neuro deficit?

239 / 266

239. All of the following may produce papilloedema except:

240 / 266

240. Collet-Siccard syndrome affects the following cranial nerves:

241 / 266

241. Commonest cerebrovascular accident (CVA) is:

242 / 266

242. Complication of phenytoin does not include?

243 / 266

243. Neck rigidity is not found in:

244 / 266

244. Carotid artery stenosis gives rise to:

245 / 266

245. Down-beating nystagmus is seen in:

246 / 266

246. The commonest cause of convulsion in a child (2-12 yrs) is:

247 / 266

247. Which is not true in Korsakoff’s syndrome?

248 / 266

248. Hiccough occurs in all of the following except:

249 / 266

249. Alcohol withdrawal is not associated with:

250 / 266

250. The most common psychological disorder in myxoedema is:

251 / 266

251. All are true regarding Alzheimer’s disease except:

252 / 266

252. Posterior column lesion will have:

253 / 266

253. All of the following are sources of cerebral embolism except:

254 / 266

254. Ptosis associated with diplopia and diminished movement of eyeball is due to:

255 / 266

255. Pendular nystagmus is found in:

256 / 266

256. Atypical feature of Guillain-Barre syndrome is:

257 / 266

257. Brushfield’s spots in iris are seen in:

258 / 266

258. Trismus is seen in all of the following except:

259 / 266

259. Which is not characteristic of the lateral medullary syndrome (Wallenberg’s syndrome)?

260 / 266

260. The commonest type of neurofibroma is associated with:

261 / 266

261. Spastic paraplegia is not produced by:

262 / 266

262. All of the following may produce syncope except:

263 / 266

263. Vibration sensation is lost early in:

264 / 266

264. Narcolepsy is not associated with:

265 / 266

265. Gilles de la Tourette syndrome encompasses all except:

266 / 266

266. Which of the following is not included within ‘motor functions’?