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