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