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