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