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