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