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Neurology

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1. Lymphocytic pleocytosis in CSF is not found in:

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2. Internuclear ophthalmoplegia results from damage of:

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3. alpha-bungarotoxin is associated with neuroparalysis in:

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4. Sarcoidosis commonly involves the cranial nerve:

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

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

7 / 266

7. Intermittent bulbar palsy is seen in:

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8. All of the following produce meningism except:

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9. Complication of phenytoin does not include?

10 / 266

10. Regarding dermatomyositis, which one is false?

11 / 266

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

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12. Glasgow Coma Scale assesses all except:

13 / 266

13. Pseudobulbar palsy is not associated with:

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

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15. Astasia·abasia is known as:

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

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17. Hypersomnolence is found in all except:

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

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

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20. Peripheral neuropathy associated with hypertension is found in:

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21. Commonest cerebrovascular accident (CVA) is:

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22. Down-beating nystagmus is seen in:

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23. Multiple sclerosis is not associated with:

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24. The oculogyric crisis is found in all except:

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25. Apneustic breathing is seen in lesion of:

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26. Romberg’s sign is present in:

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

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28. Slow virus CNS infections are all except:

29 / 266

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

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30. Myxoedema coma is not associated with:

31 / 266

31. Posterior column lesion will have:

32 / 266

32. Atrophy in Duchenne myopathy is classically seen in:

33 / 266

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

34 / 266

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

35 / 266

35. Gilles de la Tourette syndrome encompasses all except:

36 / 266

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

37 / 266

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

38 / 266

38. Brain biopsy in rabies demonstrates?

39 / 266

39. Which drug is not used in parkinsonism?

40 / 266

40. Pendular nystagmus is found in:

41 / 266

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

42 / 266

42. Chronic fatigue syndrome is fundamentally a:

43 / 266

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

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44. Muscle sense is increased in all except:

45 / 266

45. Therapeutic range of phenytoin is:

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

47 / 266

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

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

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49. Nimodipine used in subarachnoid haemorrhage:

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50. Which of the following does not produce phakomatosis?

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

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52. Regarding acute transverse myelitis, which is false?

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

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

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55. Oppenheim’s gait is characteristic of:

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56. Dermatoglyphics with obtuse ATD angle is characteristic of:

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

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

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

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60. The commonest intracranial tumour is:

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

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

63 / 266

63. Ptosis is absent in:

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

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65. Lithium is not used in:

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

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67. Optic neuritis may be produced by all except:

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

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

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

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71. All of the following may produce papilloedema except:

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72. Dilator pupillae is supplied by:

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

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74. Internuclear ophthalmoplegia is commonly due to:

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75. Which is not parkinsonian plus syndrome?

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

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77. All of the following may produce syncope except:

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78. Atypical feature of Guillain-Barre syndrome is:

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79. Bromocriptine is not useful in the treatment of:

80 / 266

80. Fine tremor is found in:

81 / 266

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

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

83 / 266

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

84 / 266

84. Titubation is classically seen in:

85 / 266

85. Anterior horn cell disease is:

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

87 / 266

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

88 / 266

88. Commonest visual difficulty in multiple sclerosis:

89 / 266

89. Which is a cause of reversible dementia?

90 / 266

90. The commonest cause of aphasia is:

91 / 266

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

92 / 266

92. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of:

93 / 266

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

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94. Maligant hyperthermia may be produced by all except:

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95. Dementia pugilistica develops as a result of:

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

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97. Carotid artery stenosis gives rise to:

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98. Ptosis with a dilated pupil is observed in:

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

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100. The commonest cause of subarachnoid haemorrhage is:

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101. Froin’s loculation syndrome does not have:

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102. Meralgia paraesthetica is characterised by all except:

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

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

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105. Which organism commonly produces meningitis in an adolescent?

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106. Xanthochromia is not a feature of:

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

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

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

110 / 266

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

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

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

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113. Which is false regarding peripheral vertigo?

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

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

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116. Babinski’s sign is not found in:

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117. All are features of pontine haemorrhage except:

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118. Argyll Robertson pupil is found in all except:

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

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

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

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122. All of the following produce cerebellar degeneration except:

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

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124. Which of the following is false in polymyositis?

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125. Neurological features of thyrotoxicosis do not include:

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126. Chorea may develop from the consumption of:

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

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128. Pseudobulbar palsy will have all except:

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129. Abdominal reflex is usually retained in:

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130. Flapping tremor is not found in:

131 / 266

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

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

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133. The reversible cause of dementia is:

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

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135. Amantadine does not produce:

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136. Which is not a PRION disease?

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

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138. All are recognised side effects of lithium except:

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

140 / 266

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

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

142 / 266

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

143 / 266

143. Migraine is not associated with:

144 / 266

144. Berry aneurysm may be associated with all except:

145 / 266

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

146 / 266

146. Horner’s syndrome manifests as:

147 / 266

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

148 / 266

148. Hiccough occurs in all of the following except:

149 / 266

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

150 / 266

150. Palatal myoclonus is seen in:

151 / 266

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

152 / 266

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

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153. The commonest cause of anisocoria is:

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154. Lasegue’s sign is present in:

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155. All of the following are antiepileptic drugs except:

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156. Waddling gait is seen in alt except:

157 / 266

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

158 / 266

158. Neurological feature of myxoedema may be:

159 / 266

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

160 / 266

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

161 / 266

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

162 / 266

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

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163. Myopathy is best diagnosed by:

164 / 266

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

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165. The commonest cause of unilateral foot drop is:

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166. Tensilon test improves the muscle weakness in:

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167. Characteristic of LMN lesion is:

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

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

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170. Acoustic neuroma most likely leads to paralysis of:

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171. Phenytoin toxicity may result in all except:

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

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

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

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175. Miosis is found in all except:

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

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177. Disorder of language of cerebral origin is:

178 / 266

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

179 / 266

179. A cataract is not characteristic of:

180 / 266

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

181 / 266

181. Increased jaw jerk is seen in:

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182. Unilateral ptosis is characteristic of all except:

183 / 266

183. Which of the following produces wrist drop?

184 / 266

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

185 / 266

185. Prophylaxis of migraine may be done by:

186 / 266

186. The commonest presentation of neurocysticercosis is:

187 / 266

187. Lhermitte’s sign is not found in:

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

189 / 266

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

190 / 266

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

191 / 266

191. Characteristics of “rigidity’ are all except:

192 / 266

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

193 / 266

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

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

195 / 266

195. Which is abnormal regarding normal CSF findings?

196 / 266

196. The earliest skin lesion in tuberous sclerosis is:

197 / 266

197. Xenophobia is the fear of:

198 / 266

198. Xanthopsia is found in:

199 / 266

199. Hypertonia is a feature of all except:

200 / 266

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

201 / 266

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

202 / 266

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

203 / 266

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

204 / 266

204. Which one is not a primitive reflex?

205 / 266

205. Inversion of supinator jerk indicates the lesion at:

206 / 266

206. Corneal reflex tests the integrity of:

207 / 266

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

208 / 266

208. Sensory involvement is not found in:

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209. Proximal muscle weakness is not produced by:

210 / 266

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

211 / 266

211. Brain tumour disseminating through CSF is:

212 / 266

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

213 / 266

213. The commonest type of neurofibroma is associated with:

214 / 266

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

215 / 266

215. Which of the following remains normal in leprosy?

216 / 266

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

217 / 266

217. Narcolepsy is not associated with:

218 / 266

218. Neck rigidity is not found in:

219 / 266

219. The common sites of meningioma are alt except:

220 / 266

220. Todd’s palsy is characteristic of:

221 / 266

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

222 / 266

222. Which of the following does not produce fasciculation?

223 / 266

223. The most common psychological disorder in myxoedema is:

224 / 266

224. Tropical spastic paraplegia is caused by:

225 / 266

225. Uncinate fits are characteristically seen in tumours of:

226 / 266

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

227 / 266

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

228 / 266

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

229 / 266

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

230 / 266

230. Muscle pain is not characteristic of:

231 / 266

231. The dermatome at the nipple is:

232 / 266

232. Pyramidal signs may be associated with:

233 / 266

233. Jaw claudication is not characteristic of:

234 / 266

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

235 / 266

235. CNS involvement of SLE includes all except:

236 / 266

236. Congenital abnormality produced by lithium therapy is:

237 / 266

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

238 / 266

238. The commonest cause of abducent nerve palsy is:

239 / 266

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

240 / 266

240. Lesion in athetosis lies in:

241 / 266

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

242 / 266

242. Which of the following is false regarding migraine?

243 / 266

243. Vibration sensation is lost early in:

244 / 266

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

245 / 266

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

246 / 266

246. Abdominal reflex is lost early in:

247 / 266

247. Main d’ accoucheur is seen in:

248 / 266

248. Tabes dorsalis presents with all except:

249 / 266

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

250 / 266

250. Monoplegia is due to lesions in:

251 / 266

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

252 / 266

252. Cerebral infarction can be detected earliest by:

253 / 266

253. The commonest intracranial tumour in children is:

254 / 266

254. Spastic paraplegia is not produced by:

255 / 266

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

256 / 266

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

257 / 266

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

258 / 266

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

259 / 266

259. ‘Hippus’ is:

260 / 266

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

261 / 266

261. Ataxia-telangiectasia is not associated with:

262 / 266

262. The best drug for photosensitive epilepsy is:

263 / 266

263. Internuclear ophthalmoplegia results from:

264 / 266

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

265 / 266

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

266 / 266

266. Alcohol withdrawal is not associated with: