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