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