Neurology Home Internal Medicine 0% 24 votes, 0 avg 50 Neurology Welcome to Neurology Quiz. There are 50 shot-stemmed, single-best type Neurology questions. We have a collection of over 100 questions. Contact us and get a free link in case you are interested. 1 / 266 1. The commonest cause of convulsion in a child (2-12 yrs) is: A. Trauma B. Febrile C. Encephalitis D. Epilepsy 2 / 266 2. Froin’s loculation syndrome does not have: A. Xanthochromia B. Increased CSF pressure C. High protein content D. Positive Queckenstedt's test 3 / 266 3. Migraine is not associated with: A. Paraesthesia B. Seizures C. Dysphasia D. Diplopia 4 / 266 4. 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 5 / 266 5. Neurofibromatosis leads to an increased risk of having all of the following except: A. Phaeochromocytoma B. Acoustic neuroma C. Meningioma D. Ependymoma 6 / 266 6. Which of the following is false regarding etiology of benign intracranial hypertension? A. Corticosteroid withdrawal B. Addison's disease C. Hypoparathyroidism D. Hypervitaminosis D 7 / 266 7. ‘India ink preparation’ in CSF helps in the diagnosis of: A. Coxsackie virus meningitis B. Herpes simplex virus meningitis C. Cryptococcal meningitis D. Lymphocytic choriomeningitis 8 / 266 8. The most consistent early physical sign evoked in a cerebellopontine angle tumour is: A. Loss of corneal reflex B. Facial nerve palsy C. Pyramidal signs D. Cerebellar signs 9 / 266 9. Oculomotor nerve palsy with a spared pupil is classically seen in: A. Brain tumor B. Tuberculous meningitis C. Multiple sclerosis D. Diabetes mellitus 10 / 266 10. Tabes dorsalis presents with all except: A. Waddling gait B. Argyll Robertson pupil C. Loss of ankle jerk D. Sensory dysfunction 11 / 266 11. Which of the following does not produce phakomatosis? A. Sturge-Weber disease B. Tuberous sclerosis C. van Hippel-Lindau syndrome D. Weber-Christian disease 12 / 266 12. Café au lait spots are found in all except: A. Subacute bacterial endocarditis B. Albright's disease C. Multiple neurofibromatosis D. Ataxia-telangiectasia 13 / 266 13. Neurological features of thyrotoxicosis do not include: A. Distal muscle weakness B. Exaggerated deep reflex C. Hypokalaemic periodic paralysis D. Pseudoclonus 14 / 266 14. Cherry red spot in fundoscopy is characteristic of all except: A. Retinitis pigmentosa B. Central retinal artery occlusion C. Tay-Sachs disease D. Niemann-Pick disease 15 / 266 15. Which of the following is false in cluster headache? A. Male dominance B. Periorbital pain C. Absence of hereditary predisposition D. Propranolol is effective in prophylaxis 16 / 266 16. The commonest cause of unilateral foot drop is: A. Common peroneal nerve palsy B. Peroneal muscular atrophy C. Peripheral neuropathy D. Motor neuron disease 17 / 266 17. All are ‘Calpain’ -associated. diseases except: A. Alzheimer's disease B. Cirrhosis of liver C. Multiple sclerosis D. Cataract 18 / 266 18. Muscle pain is not characteristic of: A. McArdle's disease (muscle phosphorylase deficiency) B. Guillain-Barre syndrome C. Amyotrophic lateral sclerosis D. Steroid myopathy 19 / 266 19. Selective serotonin reuptake inhibitors (SSRI) are all except: A. Sertraline B. Fluoxetine C. Paroxetine D. Fluvoxamine 20 / 266 20. The drug most beneficial in enuresis of a 10-year-old boy is: A. Haloperidol B. Trimipramine C. Benzodiazepine D. Chlorpromazine 21 / 266 21. Which of the following is not associated with pes cavus? A. Friedreich's ataxia B. Neurofibromatosis C. Poliomyelitis D. Syringomyelia 22 / 266 22. Which of the following is not a feature of parkinsonism? A. Normal reflexes B. Rigidity C. Hyperkinesia D. Tremor 23 / 266 23. Which of the following is not included in the triad of tuberous sclerosis? A. Seizures B. Mental retardation C. Phakomatosis D. Adenoma sebaceum 24 / 266 24. All of the following produce cerebellar degeneration except: A. Myxoedema B. Bronchogenic carcinoma C. Alcohol D. Valproic acid 25 / 266 25. Which of the following is a homologue of Hoffman’s sign of upper extremity? A. Rossolimo's sign B. Babinski's sign C. Chaddock's sign D. Gonda sign 26 / 266 26. Neuroleptic malignant syndrome has all the following features except: A. Autonomic dysfunction B. Pseudoparkinsonism C. Hyperpyrexia D. Haloperidol is the mainstay of treatment 27 / 266 27. Which is not a recognized feature of cerebellar dysfunction? A. Dysrhythmokinesis B. Hypertonia C. Hypermetria D. Titubation 28 / 266 28. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of: A. Complex partial B. Infantile spasm C. Generalized tonic clonic D. Petit mal 29 / 266 29. Wrist drop is commonly seen in neuropathy induced by: A. Vincristine B. Lead C. Alcohol D. Arsenic 30 / 266 30. The drug of choice in obsessive-compulsive psychosis is: A. Carbamazepine B. Lithium C. Haloperidol D. Clomipramine 31 / 266 31. Refsum’s disease is associated with all except: A. Retinitis pigmentosa B. Acanthocytosis of RBC C. Tissue accumulation of phytanic acid D. Deafness 32 / 266 32. The commonest cause of aphasia is: A. Cerebral haemorrhage B. Brain tumor C. Cerebral infarction D. Hysteria 33 / 266 33. Flapping tremor is not found in: A. Severe heart failure B. Hepatocellular failure C. Raised intracranial pressure D. Hypnotic poisoning 34 / 266 34. ‘Organic brain syndrome’ may be produced by: A. Aminoglycosides B. Macrolides C. Quinolones D. Cephalosporins 35 / 266 35. In trochlear nerve palsy, the patient complains of diplopia while: A. Looking sideways by the affected eye B. Looking in front C. Looking to the roof D. Reading a book 36 / 266 36. Limb-girdle type myopathy inherits the disease as: A. Autosomal recessive B. Autosomal dominant C. X-linked dominant D. X-linked recessive 37 / 266 37. ‘Hippus’ is: A. Unequal pupil B. Spontaneous phasic constriction and dilatation of pupil C. Synonymous with pin-point pupil D. Abnormal neurological movement disorder 38 / 266 38. Fine tremor is found in: A. Parkinsonism B. Alcoholism C. Cerebellar disorder D. Wilson's disease 39 / 266 39. Jaw claudication is not characteristic of: A. Giant cell arteritis B. Trigeminal neuralgia C. Temporomandibular joint dysfunction D. Glossopharyngeal neuralgia 40 / 266 40. In monoplegia, usually, the site of lesion lies in: A. Midbrain B. Cortex C. Internal capsule D. Pons 41 / 266 41. Which organism commonly produces meningitis in an adolescent? A. H. influenzae B. Pneumococcus C. Meningococcous D. E. coli 42 / 266 42. Which of the following is not a feature of syringobulbia? A. Spastic tongue B. Dysphagia C. Nasal regurgitation D. Dysarthria 43 / 266 43. The common sites of meningioma are alt except: A. Sylvian fissure B. Olfactory groove C. Over visual cortex D. Cerebello-pontine angle 44 / 266 44. Monoplegia is due to lesions in: A. Thalamus B. Cerebral cortex C. Internal capsule D. Brainstem 45 / 266 45. A patient with a history of diplopia, dysarthria, dizziness and ataxia suddenly becomes unconscious. The most probable diagnosis is: A. Subarachnoid haemorrhage B. Basal ganglia infarction C. Carotid artery occlusion D. Basilar artery thrombosis 46 / 266 46. The reversible cause of dementia is: A. Post-encephalitic B. Alzheimer's disease C. Huntington's chorea D. Multi-infarct dementia 47 / 266 47. Congenital abnormality produced by lithium therapy is: A. Mental retardation B. Heart valve abnormalities C. Anencephaly D. Limb shortening 48 / 266 48. In schizophrenia, a better prognosis is indicated by: A. Depression B. Early onset C. Visual hallucinations D. Passivity feelings 49 / 266 49. Dermatoglyphics with obtuse ATD angle is characteristic of: A. Klinefelter's syndrome B. Noonan's syndrome C. Down's syndrome D. Turner's syndrome 50 / 266 50. All of the following are antiepileptic drugs except: A. Lamotrigine B. Lubeluzole C. Felbamate D. Vigabatrin 51 / 266 51. Which of the following does not produce thickened peripheral nerves? A. Chronic Guillain-Barre syndrome B. Leprosy C. Refsum's disease D. Alcoholic polyneuropathy 52 / 266 52. Argyll Robertson pupil is found in all except: A. Cerebral haemorrhage B. Pinealomas C. Wernicke's encephalopathy D. Multiple sclerosis 53 / 266 53. The lobe of the brain primarily affected in herpes simplex encephalitis is: A. Temporal B. Parietal C. Occipital D. Frontal 54 / 266 54. Hypersomnolence is found in all except: A. Encephalitis lethargica B. Subdural hematoma C. Trypanosomiasis D. Pickwickian syndrome 55 / 266 55. Which is not a symptom of raised intracranial tension? A. Headache B. Altered consciousness C. Non-projectile vomiting D. Convulsions 56 / 266 56. Oppenheim’s gait is characteristic of: A. Peripheral neuropathy B. Duchenne myopathy C. Multiple sclerosis D. Hysteria 57 / 266 57. Which is a cause of reversible dementia? A. Pick's disease B. Subacute combined degeneration C. Creutzfeldt-Jakob disease D. Alzheimer's disease 58 / 266 58. In lathyrism.. the toxin responsible for the development of neuroparalysis is: A. Thiocyanates B. Pyrrolizidine alkaloids C. Aflatoxin D. Beta oxalyl amino alanine 59 / 266 59. Which is false regarding peripheral vertigo? A. Accompanied by tinnitus and hearing loss B. May be precipitated by drug toxicity C. Associated with diplopia and limb ataxia D. Pendular nystagmus is present in majority 60 / 266 60. Abdominal reflex is lost early in: A. Motor neuron disease B. Cerebral diplegia C. Parkinsonism D. Multiple sclerosis 61 / 266 61. Which of the following produces wrist drop? A. Carpal tunnel syndrome B. Syringomyelia C. Radial nerve palsy D. Poliomyelitis 62 / 266 62. Waddling gait is seen in alt except: A. Huge ascites B. Charcot-Marie-Tooth disease C. Advanced pregnancy D. Duchenne muscular dystrophy 63 / 266 63. Which of the following is false in polymyositis? A. Has a good prognosis in children B. Myoglobinuria may be associated with C. A component of mixed connective tissue disease D. Wasting of small muscles of the hand is characteristic 64 / 266 64. Carotid artery stenosis gives rise to: A. Drop attacks B. lpsilateral hemiplegia C. Diplopia D. Transient ipsilateral monocular blindness 65 / 266 65. Which drug is not used in parkinsonism? A. Rasagiline B. Ropinirole C. Tiagabine D. Pramipexole 66 / 266 66. Bromocriptine is not useful in the treatment of: A. Alzheimer's disease B. Acromegaly C. Infertility D. Parkinsonism 67 / 266 67. Which of the following does not produce wasting of small muscles of hands? A. Duchenne muscular dystrophy B. Thoracic inlet syndrome C. Amyotrophic lateral sclerosis D. Rheumatoid arthritis 68 / 266 68. Which of the following is not an antiplatelet drug? A. Ticlopidine B. Pentoxifylline C. Clopidogrel D. Aspirin 69 / 266 69. In cerebral malaria, which of the following should not be given? A. IV mannitol B. Glucocorticoids C. 5% dextrose D. IV quinine 70 / 266 70. The best drug for photosensitive epilepsy is: A. Topiramate B. Ethosuximide C. Diazepam D. Valproate 71 / 266 71. The earliest skin lesion in tuberous sclerosis is: A. Adenoma sebaceum B. Shagreen patch C. Pompholyx D. White spots over trunk and limbs 72 / 266 72. Regarding subacute sclerosing panencephalitis (SSPE), all are true except: A. MRI shows multifocal white matter lesion B. Affects at 5-15 yrs age C. CSF anti-mumps antibody level is high D. Isoprinosine is the drug of choice 73 / 266 73. Thrombosis of left middle cerebral artery may give rise to: A. Right homonymous hemianopia B. Hemiplegia of the right side where affection of leg is more than arm C. Paralysis of conjugate gaze towards left D. Diplopia 74 / 266 74. Cause of bilateral facial nerve palsy does not include: A. Sarcoidosis B. Myopathy C. Guillain-Barre syndrome D. Leprosy 75 / 266 75. The dermatome at the nipple is: A. T1 B. T2 C. C8 D. T4 76 / 266 76. Chromosomal anomaly associated with Alzheimer’s disease is: A. Trisomy-21 B. Trisomy-18 C. Turner's syndrome D. Trisomy-13 77 / 266 77. Heerfordt’s syndrome is uveo-parotid fever with cranial nerve palsy, and is seen in: A. Tuberculosis B. Leprosy C. Sarcoidosis D. Mikulicz's syndrome 78 / 266 78. Cerebral infarction can be detected earliest by: A. Diffusion-weighted MRI B. CT scan C. MRI scan D. PET scan 79 / 266 79. Alcohol withdrawal is not associated with: A. Perspiration B. Visual hallucinations C. Tremor D. Confabulation 80 / 266 80. Right middle cerebral artery territory infarction usually does not feature: A. Facial weakness B. Coma C. Hemiparesis D. Aphasia 81 / 266 81. Acoustic neuroma most likely leads to paralysis of: A. IVth cranial nerve B. VIIth cranial nerve C. VIth cranial nerve D. Xth cranial nerve 82 / 266 82. All are true regarding Alzheimer’s disease except: A. Donazepril is used in treatment B. Microscopically 'neurofibrillary tangles' are found C. Biochemically cortical' choline acetyltransferase is increased D. Aluminium silicate is found in neuritic plaques 83 / 266 83. Which of the following is not included within ‘motor functions’? A. Involuntary movements B. Nutrition of muscles C. Tone and power D. Stereognosis 84 / 266 84. Neck rigidity may be absent in the presence of: A. Hyperkalemia B. Hyperpyrexia C. Deep coma D. Hypokalemia 85 / 266 85. Which one is not a primitive reflex? A. Sucking reflex B. Grasp reflex C. Snout reflex D. Anal reflex 86 / 266 86. “Locked-in syndrome’ occurs in lesions of: A. Cortex B. Thalamus C. Ventral pons D. Internal capsule 87 / 266 87. Narcolepsy is not associated with: A. Sleep paralysis B. Epilepsy C. Hypnagogic hallucination D. Cataplexy 88 / 266 88. Pendular nystagmus is found in: A. Phenytoin toxicity B. Amblyopia C. Cerebellar disorder D. Pontine glioma 89 / 266 89. Lithium is not used in: A. Cluster headache B. SIADH C. Polycythaemia vera D. Mania 90 / 266 90. Muscle sense is increased in all except: A. Polyneuropathy B. Tabes dorsalis C. Subacute combined degeneration D. Myositis 91 / 266 91. Neck rigidity is not found in: A. Hysteria B. Meningism C. Tetanus D. After epileptic seizure 92 / 266 92. All of the following may develop into chorea except: A. Hyponatraemia B. Wilson's disease C. Thyrotoxicosis D. Rheumatic fever 93 / 266 93. Multiple sclerosis is not associated with: A. Papilloedema B. Temporal pallor of optic disc C. Nystagmus D. Aphasia 94 / 266 94. Apneustic breathing is seen in lesion of: A. Lower pons B. Medulla C. Midbrain D. Upper pons 95 / 266 95. Vibration sensation is lost early in: A. Multiple sclerosis B. Alcoholic polyneuropathy C. Diabetes mellitus D. Leprosy 96 / 266 96. Which group of muscles are almost never affected in polymyositis? A. Pharyngeal muscles B. Anterior neck muscles C. Ocular muscles D. Proximal limb muscles 97 / 266 97. ‘Railroad track’ calcification in X-ray skull is found in: A. Ataxia-telangiectasia B. von Recklinghausen's disease C. Sturge-Weber disease D. Tuberous sclerosis 98 / 266 98. Horner’s syndrome manifests as: A. Partial ptosis + miosis B. Anhidrosis + mydriasis C. Hydrosis + miosis D. Complete ptosis + miosis 99 / 266 99. Neurological feature of myxoedema may be: A. Hung-up knee jerk B. Poliomyelitis C. Transverse myelitis D. Restlessness 100 / 266 100. Optic neuritis may be produced by all except: A. Ethambutol B. Syphilis C. Leprosy D. Multiple sclerosis 101 / 266 101. Palatal myoclonus is seen in: A. Epilepsy B. Multiple sclerosis C. Eaton-Lambert syndrome D. Cerebellar infarction 102 / 266 102. Which is not a manifestation of normal pressure hydrocephalus? A. Dementia B. Ataxia C. Normal intellectual activity D. Urinary incontinence 103 / 266 103. Bromocriptine is used in all of the following except: A. Galactorrhoea B. Acromegaly C. Gynaecomastia D. Parkinsonism 104 / 266 104. Which of the following is not a part of Miller-Fisher syndrome? A. Areflexia B. External ophthalmoplegia C. Ataxia D. Apraxia 105 / 266 105. Phenytoin toxicity may result in all except: A. Cerebellar syndrome B. Megaloblastic anemia C. Pendular nystagmus D. Pseudolymphoma 106 / 266 106. Main d’ accoucheur is seen in: A. Hyponatremia B. Hyperkaliemia C. Hypercalcemia D. Hypocalcemia 107 / 266 107. Which of the following is false in Gerstmann’s syndrome? A. Lesion in dominant parietal lobe B. Acalculia C. Agraphia D. Aphasia 108 / 266 108. Internuclear ophthalmoplegia is commonly due to: A. Diabetes mellitus B. Ocular myopathy C. Multiple sclerosis D. Myasthenia Gravis 109 / 266 109. The root value of ‘Plantar response’ is: A. S1 B. L5 C. S1,S2 D. L5,S1 110 / 266 110. Pseudobulbar palsy will have all except: A. Brisk jaw jerk B. Babinski's sign C. Sudden onset D. Small, spastic tongue 111 / 266 111. Posterior column lesion will have: A. Intact proprioception B. Increased tone C. Sensory ataxia D. Brisk deep reflexes 112 / 266 112. Xanthochromia is not a feature of: A. Froin's loculation syndrome B. Old subarachnoid haemorrhage C. Deep Jaundice D. Recent intracerebral hemorrhage 113 / 266 113. Brain biopsy in rabies demonstrates? A. Negri bodies B. Asteroid bodies C. Lewy bodies D. Schaumann bodies 114 / 266 114. The presence of acanthocytosis of RBC, retinitis pigmentosa and ataxia is suggestive of: A. Swiss type agammaglobulinaemia B. Mucopolysaccharidoses C. Gaucher's disease D. Abetalipoproteinaemia 115 / 266 115. Which is not true in Korsakoff’s syndrome? A. Associated with lacunar infarction B. Loss of recent memory C. Confabulation D. Presence of nystagmus 116 / 266 116. Which of the following is not a feature of ‘stage of neural shock’ in hemiplegia? A. Absent deep reflexes B. Hypertonia C. Coma D. Retention of urine 117 / 266 117. Todd’s palsy is characteristic of: A. Head injury B. Transient ischemic attack C. Epilepsy D. Subarachnoid haemorrhage 118 / 266 118. Berry aneurysm may be associated with all except: A. Takayasu's disease B. Ehlers-Danlos syndrome C. Coarctation of aorta D. Polycystic kidney 119 / 266 119. Glasgow Coma Scale assesses all except: A. Autonomic response B. Verbal response C. Eye opening D. Motor response 120 / 266 120. Trismus is seen in all of the following except: A. Hydrophidae group of snake bite B. Tetanus C. Diphtheria D. Quinsy 121 / 266 121. Which of the following is false regarding Eaton-Lambert syndrome? A. Deep reflexes are depressed B. Repeated efforts increase muscle strength C. Guanidine hydrochloride is the treatment of choice D. Ocular muscles are commonly involved 122 / 266 122. Corneal reflex tests the integrity of: A. Trochlear nerve B. Facial nerve C. Optic nerv D. Trigeminal nerve 123 / 266 123. The commonest cause of subarachnoid haemorrhage is: A. Berry aneurysm rupture B. AV malformations C. Systemic hypertension D. Emotional excitement 124 / 266 124. Reversible ischaemic neurological deficit (RIND) usually recovers within: A. 2 weeks B. 24 hours C. 3 weeks D. 96 hours 125 / 266 125. The use of which can lead to the development of paranoid psychosis? A. Amphetamines B. Carbamazepine C. Flumazenil D. Cocaine 126 / 266 126. Horner’s syndrome includes all of the following except: A. Enophthalmos B. Anhidrosis C. Complete ptosis D. Constricted pupil 127 / 266 127. Babinski’s sign is not found in: A. Electroconvulsive therapy B. Marathon runner C. Peripheral neuropathy D. Hypoglycaemic coma 128 / 266 128. The site of lesion in Korsakoff’s psychosis is: A. Temporal lobe B. Corpus striatum C. Mamillary bodies D. Frontal lobe 129 / 266 129. Myotonia dystrophica has all of the following morphological features except: A. Brachycephaly B. Frontal baldness C. Testicular atrophy D. Ptosis 130 / 266 130. Romberg’s sign is present in: A. Labyrinthine ataxia B. Cerebellar ataxia C. Apraxia D. Sensory ataxia 131 / 266 131. Complication of phenytoin does not include? A. Ataxia B. Megaloblastic anaemia C. Hyperglycaemia D. Osteomalacia 132 / 266 132. Tropical spastic paraplegia is caused by: A. Bacteria B. Autoimmunity C. Toxin D. Virus 133 / 266 133. “‘Bull’s eye maculopathy’ is characteristic toxicity of: A. Probenecid B. Chloroquine C. Amiodarone D. Ethambutol 134 / 266 134. Hiccough occurs in all of the following except: A. Oesophagitis B. Wallenberg's syndrome C. Acute renal failure D. Diaphragmatic pleurisy 135 / 266 135. The commonest cause of abducent nerve palsy is: A. Brain tumour B. Diabetes mellitus C. Raised intracranial pressure D. Gradenigo's syndrome 136 / 266 136. All of the following may produce syncope except: A. Stokes-Adams syndrome B. Tight aortic stenosis C. Arrhythmia D. Cardiac tamponade 137 / 266 137. Which is not characteristic of the lateral medullary syndrome (Wallenberg’s syndrome)? A. Ataxia B. Pyramidal lesion C. Horner's syndrome D. Hiccups 138 / 266 138. CNS involvement of SLE includes all except: A. Migraine B. Myodonus C. Psychosis D. Chorea 139 / 266 139. Which of the following remains normal in leprosy? A. Proprioception B. EMG C. Sensory functions D. Cerebellar functions 140 / 266 140. Charcot (neuropathic) joint is a recognised complication of all except: A. Diabetes mellitus B. Syringomyelia C. Friedreich's ataxia D. Tabes dorsalis 141 / 266 141. Which of the following is false regarding migraine? A. Common in women B. Common migraine has aura C. Hereditary predisposition D. Hemicranial headache 142 / 266 142. The most common site of hypertensive intracranial bleeding is: A. Midbrain B. Putamen C. Thalamus D. Cerebellum 143 / 266 143. Which of the following is not a test for cortical sensory function? A. Perceptual rivalry B. Vibration sensation C. Two-point localisation D. Graphesthesia 144 / 266 144. Meralgia paraesthetica is characterised by all except: A. Quite often remits spontaneously B. Seen in tall, thin people C. A peculiar numb, tingling sensation in upper lateral thigh D. May occur spontaneously 145 / 266 145. Down-beating nystagmus is seen in: A. Posterior fossa lesion B. Labyrinthine lesion C. Vestibular lesion D. Midbrain lesion 146 / 266 146. Miosis is found in all except: A. Organophosphorus poisoning B. Myotonic pupil C. Old age D. Application of pilocarpine drops 147 / 266 147. Pronator sign, lizard tongue and hung-up deep reflex are found in: A. Myoclonus B. Dystonia C. Hemiballismus D. Chorea 148 / 266 148. Which of the following is not a human ‘Prion’ disease? A. Gerstmann-Straussler-Scheinker disease B. Fatal familial insomnia C. Subacute sclerosing panencephalitis D. Creutzfeldt-Jakob disease 149 / 266 149. Myopathy is best diagnosed by: A. Muscle enzyme study B. Nerve conduction study C. Muscle biopsy D. Electromyography 150 / 266 150. Which does not produce hypoglycorrhachia (low CSF sugar)? A. Viral meningitis B. Pyogenic meningitis C. Hypoglycaemia D. Tuberculous meningitis 151 / 266 151. Patient with Down’s syndrome may be complicated by all except: A. Duodenal stenosis B. Early Alzheimer's disease C. Polymyositis D. Patent ductus arteriosus 152 / 266 152. Unilateral ptosis is characteristic of all except: A. Syringobulbia B. Bell's palsy C. Cluster headache D. Cavernous sinus thrombosis 153 / 266 153. Which of the following does not produce pseudobulbar palsy? A. Lacunar infarction B. Cerebral atrophy C. Chronic motor neuron disease D. Neurosyphilis 154 / 266 154. Intermittent bulbar palsy is seen in: A. Poliomyelitis B. Snakebite C. Rabies D. Myasthenia gravis 155 / 266 155. Significant loss of vision in a hypertensive patient may be due to all except: A. Ischemic optic neuropathy B. Infarction of occipital lobe C. Retinal hemorrhage D. Papilledema 156 / 266 156. Proximal muscle weakness is not produced by: A. Polymyositis B. Guillain-Barre syndrome C. Diabetic amyotrophy D. Leprosy 157 / 266 157. MRI is preferred over CT scan of brain in all except: A. Calcification within a lesion B. Pituitary tumors C. Posterior fossa tumors D. Multiple sclerosis 158 / 266 158. All of the following may cause peripheral neuropathy except: A. Vincristine B. Methotrexate C. Nitrofurantoin D. INH 159 / 266 159. The commonest intracranial tumour in children is: A. Metastatic carcinoma B. Meningioma C. Medulloblastoma D. Cerebellar haemangioblastoma 160 / 266 160. Disorder of language of cerebral origin is: A. Dysarthria B. Aphasia C. Monotonous speech D. Dysphonia 161 / 266 161. Which of the following is not a feature of UMN palsy? A. Spasticity B. Fasciculations C. Clonus D. Babinski's sign 162 / 266 162. Prophylaxis of migraine may be done by: A. Phenytoin B. Verapamil C. Sumatriptan D. Atenolol 163 / 266 163. Atrophy in Duchenne myopathy is classically seen in: A. Deltoid B. Infraspinatus C. Pectoralis major D. Calf muscles 164 / 266 164. Lasegue’s sign is present in: A. Prolapsed intervertebral disc B. Cervical spondylosis C. Duchenne myopathy D. Guillain-Barre syndrome 165 / 266 165. Which is not a PRION disease? A. Kuru B. Gerstmann-straussler-Scheinker syndrome C. Creutzfeldt-Jakob disease D. Rubella panencephalitis 166 / 266 166. Brain tumour disseminating through CSF is: A. Cerebral lymphoma B. Pinealomas C. Ependymoma D. Glioma 167 / 266 167. Abdominal reflex is usually retained in: A. Obesity B. Multiparous woman C. Lax abdominal wall D. Hysteria 168 / 266 168. Commonest cerebrovascular accident (CVA) is: A. Cerebral embolism B. Subarachnoid hemorrhage C. Cerebral thrombosis D. Cerebral hemorrhage 169 / 266 169. The presence of Babinski’s sign with loss of ankle jerk is found in all except: A. Subacute combined degeneration B. Friedreich' s ataxia C. Hepatic precoma D. Taboparesis 170 / 266 170. Which of the following does not produce wasting of small muscles of hands? A. Cervical rib B. Myopathy C. Rheumatoid arthritis D. Carpal tunnel syndrome 171 / 266 171. All of the following are sources of cerebral embolism except: A. Tricuspid incompetence with occasional ectopic B. Left atrial myxoma C. Subacute bacterial endocarditis D. Left ventricular aneurysm 172 / 266 172. Internuclear ophthalmoplegia results from damage of: A. Oculomotor nerve B. Sympathetic nervous system C. Ciliary ganglion D. Medial longitudinal fasciculus 173 / 266 173. Atypical feature of Guillain-Barre syndrome is: A. Convulsions B. Pseudobulbar palsy C. Optic neuritis D. SIADH 174 / 266 174. The commonest cause of anisocoria is: A. Horner's syndrome B. Application of mydriatic to one eye C. Hutchinson's pupil D. Oculomotor palsy 175 / 266 175. Ataxia-telangiectasia is not associated with: A. Choreoathetosis B. Mental retardation C. Retinitis pigmentosa D. Recurrent sinus and pulmonary infection 176 / 266 176. Collet-Siccard syndrome affects the following cranial nerves: A. 7th, 8th, 10th, 11th B. 7th, 10th, 11th, 12th C. 7th, 8th, 9th, 10th D. 9th, 10th, 11th, 12th 177 / 266 177. alpha-bungarotoxin is associated with neuroparalysis in: A. Periodic paralysis B. Elapidae group snake bite C. Botulinus poisoning D. Lathyrism 178 / 266 178. Ptosis with a dilated pupil is observed in: A. Oculomotor palsy B. Myasthenia gravis C. Botulism D. Horner's syndrome 179 / 266 179. All are the complications of oral contraceptive pills except: A. Venous thrombosis B. Acute myocardial infarction C. Cerebral infarction D. Cerebral hemorrhage 180 / 266 180. Gilles de la Tourette syndrome encompasses all except: A. Relief by haloperidol B. Dementia C. Multiple tics D. Coprolalia 181 / 266 181. Uncinate fits are characteristically seen in tumours of: A. Parietal lobe B. Temporal lobe C. Occipital lobe D. Frontal lobe 182 / 266 182. All of the following may produce papilloedema except: A. Cavernous sinus thrombosis B. Malignant hypertension C. Guillain-Barre syndrome D. Hypoxia 183 / 266 183. All of the following produce mono neuritis multiplex except: A. Infectious mononucleosis B. Rheumatoid arthritis C. Polyarteritis nodosa D. Sarcoidosis 184 / 266 184. Fear of relapse in cancer survivors is known as: A. Da Costa's syndrome B. Dandy-Walker syndrome C. Damocles syndrome D. Gillespie's syndrome 185 / 266 185. Which of the following does not fit in ‘Ramsay Hunt’ syndrome? A. Diminished auditory acuity B. Herpetic rash on tympanic membrane C. Loss of taste sensation of anterior tw0-thirds of tongue D. LMN type of Vllth nerve palsy 186 / 266 186. Chronic fatigue syndrome is fundamentally a: A. Immune disorder B. Neuroendocrine disorder C. Metabolic disorder D. Psychiatric disorder 187 / 266 187. Therapeutic range of phenytoin is: A. 20-30 μg/ml B. 30-40 μg/ml C. 5-10 μg/ml D. 10-20 μg/ml 188 / 266 188. Pseudobulbar palsy is not associated with: A. Masked facies B. Extensor plantar response C. Emotional incontinence D. Flaccid dysarthria 189 / 266 189. Which of the following occurs earliest in diphtheritic neuropathy? A. Loss of accommodation B. Polyneuropathy C. Abducens palsy D. Paralysis of soft palate 190 / 266 190. Peripheral neuropathy associated with hypertension is found in: A. Pyridoxine deficiency B. Acute intermittent porphyria C. TOCP poisoning D. Amyloidosis 191 / 266 191. Increased jaw jerk is seen in: A. Chronic motor neuron disease B. Hyperthyroidism C. Syringomyelia B. Bulbar palsy C. Hyperthyroidism B. Cushing's syndrome D. Diabetes mellitus D. Chronic motor neuron disease D. Bulbar palsy 192 / 266 192. Slow virus CNS infections are all except: A. Tropical spastic paraplegia B. Leukodystrophy C. Subacute sclerosing panencephalopathy (SSPE) D. Progressive multifocal leukoencephalopathy 193 / 266 193. Titubation is classically seen in: A. Cerebellar disorder B. Aortic incompetence C. Parkinsonism D. Drug-induced dyskinesia 194 / 266 194. Xenophobia is the fear of: A. Strangers B. Animals C. High places D. Pain 195 / 266 195. Cerebral oedema induced by CVA should not be treated by: A. IV mannitol B. IV frusemide C. Dexamethasone D. Oral glycerol 196 / 266 196. Albumino-cytological dissociation is not a feature of: A. Acoustic neurofibroma B. Froin's loculation syndrome C. Meningism D. Guillain-Barre syndrome 197 / 266 197. All of the following produce meningism except: A. Cerebral malaria B. Weil's disease C. Enteric fever D. Atypical pneumonia 198 / 266 198. Crossed hemiplegia indicates that the site of lesion is in: A. Cortex B. Brainstem C. Cervical spine D. Internal capsule 199 / 266 199. EEG findings showing slow waves, spikes and ‘burst suppression’ are characteristic of: A. Myoclonic seizures B. Absence seizures C. Tonic seizures D. Infantile spasm 200 / 266 200. CSF is absorbed by arachnoid villi which are mainly present in: A. Fourth ventricle B. Superior sagittal sinus C. Transverse sinus D. Inferior sagittal sinus 201 / 266 201. Brushfield’s spots in iris are seen in: A. Down's syndrome B. Turner's syndrome C. Noonan's syndrome D. Klinefelter's syndrome 202 / 266 202. The most common psychological disorder in myxoedema is: A. Phobia B. Paranoia C. Depression D. Mania 203 / 266 203. In health, intracranial calcification may be seen in all except: A. Basal ganglia B. Pineal body C. Choroid plexus D. Dura matter 204 / 266 204. All of the following are recognised lithium toxicity except: A. Thrombocytopenia B. Hypothyroidism C. Nephrogenic diabetes insipidus D. Ataxia 205 / 266 205. Maligant hyperthermia may be produced by all except: A. Succinylcholine B. Halothane C. Methoxyflurane D. Dantrolene 206 / 266 206. Chorea may develop from the consumption of: A. Ursodeoxycholic acid B. Reserpine C. Pindolol D. Oral contraceptive pills 207 / 266 207. Which of the following does not produce fasciculation? A. Hereditary spastic paraplegia B. Recovery phase of poliomyelitis C. Chronic motor neuron disease D. Organophosphorus poisoning 208 / 266 208. The most common lacunar syndrome in clinical practice is: A. Pure motor hemiparesis B. Pure sensory stroke C. Ataxic-hemiparesis D. Dysarthria-clumsy hand syndrome 209 / 266 209. Lymphocytic pleocytosis in CSF is not found in: A. Multiple sclerosis B. Neurosarcoidosis C. Viral meningitis D. Meningococcal meningitis 210 / 266 210. Internuclear ophthalmoplegia results from: A. III, IV, Vlth nerve palsy B. Malignant exophthalmos C. Ocular myopathy D. Lesion in medial longitudinal bundle 211 / 266 211. Commonest visual difficulty in multiple sclerosis: A. Tunnel vision B. Central scotoma C. Bitemporal hemianopi D. Homonymous hemianopia 212 / 266 212. Perforating ulcer in the sole of foot is found in all except: A. Diabetic neuropathy B. Raynaud's disease C. Tabes dorsalis D. Leprosy 213 / 266 213. Characteristic of LMN lesion is: A. Absent superficial reflex B. Equivocal plantar response C. Weakness and spasticity D. Brisk deep reflexes 214 / 266 214. Nimodipine used in subarachnoid haemorrhage: A. Prevents excruciating nuchal headache B. Prevents rebleeding C. Hastens absorption of blood from CSF D. Prevents vasospasm 215 / 266 215. All of the following produces ‘cord compression’ except: A. Neurofibroma B. Spinal epidural abscess C. Patchy arachnoiditis D. Subacute combined degeneration 216 / 266 216. Ocular bobbing is often diagnostic of bilateral damage of: A. Cerebral cortex B. Internal capsule C. Midbrain D. Pons 217 / 266 217. Hypertonia is a feature of all except: A. Tetany B. Chorea C. Myotonia D. Athetosis 218 / 266 218. 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 219 / 266 219. Which is abnormal regarding normal CSF findings? A. Protein content 20-40 mg% B. Sugar content 40-80 mg% C. Chloride content 720-750 mg% D. Pressure 60-150 mm of CSF in sitting position 220 / 266 220. Which is not parkinsonian plus syndrome? A. Normal-pressure hydrocephalus B. Huntington's chorea C. Punch-drunk syndrome D. Shy-Drager syndrome 221 / 266 221. ‘On-off phenomenon’ is precipitated by: A. Amantadine B. Levodopa C. Trihexyphenidyl D. Selegiline 222 / 266 222. All are seen in Alzheimer’s disease except: A. Apraxia B. Acalculia C. Agnosia D. Aphasia 223 / 266 223. Delayed relaxation of ankle jerk is seen in all except: A. Tabes dorsalis B. Gross pedal oedema C. Parkinsonism D. Myxoedema 224 / 266 224. Characteristics of “rigidity’ are all except: A. Increased deep reflexes B. Indicates disorder of extrapyramidal tract C. Flexor plantar response D. Uniform affection of flexors and extensors 225 / 266 225. All are features of pontine haemorrhage except: A. Hypothermia B. Disconjugate gaze C. Paralysis D. Pin-point pupil 226 / 266 226. Korsakoff’s psychosis does not have the feature like: A. Confabulation B. Retrograde amnesia C. Defect in learning D. Loss of immediate recall 227 / 266 227. Tensilon test improves the muscle weakness in: A. Motor neuron disease B. Myasthenia gravis C. Polymyositis D. Myopathy 228 / 266 228. Dilator pupillae is supplied by: A. Adrenergic fibres of oculomotor nerve B. Trochlear nerve C. Optic nerve D. Cholinergic fibres of oculomotor nerve 229 / 266 229. The commonest type of neurofibroma is associated with: A. Scoliosis B. Acoustic neuroma C. Optic glioma D. Meningioma 230 / 266 230. Xanthopsia is found in: A. Lesion in visual cortex B. Cerebellar infarction C. Digitalis toxicity D. Aura phase of migraine 231 / 266 231. 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. Absent tendon reflexes D. Wasting of muscles 232 / 266 232. All are recognised side effects of lithium except: A. Diarrhoea B. Onycholysis C. Ataxia D. Hypothyroidism 233 / 266 233. 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 234 / 266 234. Regarding acute transverse myelitis, which is false? A. Bladder involvement is very late B. Viral or post-vaccinal C. Absence of root pain D. Definite upper level of sensory loss 235 / 266 235. Ptosis is absent in: A. Periodic paralysis B. Myopathy of Duchenne type C. Botulism D. Myasthenia gravis 236 / 266 236. Inversion of supinator jerk indicates the lesion at: A. C4, 5 B. C3, 4 C. C5, 6 D. C6, 7 237 / 266 237. A cataract is not characteristic of: A. Myotonic dystrophy B. Haemochromatosis C. Wilson's disease D. Galactosaemia 238 / 266 238. True hypertrophy of muscles is found in all except: A. Duchenne type muscular dystrophy B. Myotonia C. Athletes D. Manual labourers 239 / 266 239. Anterior horn cell disease is: A. Tabes dorsalis B. Botulism C. Progressive muscular atrophy D. Myasthenia gravis 240 / 266 240. All of the following may develop into endocrine myopathy except: A. Cushing's syndrome B. Diabetes mellitus C. Hyperthyroidism D. Hypothyroidism 241 / 266 241. Which of the following is false in subacute combined degeneration? A. Ankle clonus B. Babinski's sign C. Anemia D. Glossitis 242 / 266 242. Drug-induced myopathy may result from all except: A. Lovastatin B. Emetine C. Zidovudine D. Febuxostat 243 / 266 243. The oculogyric crisis is found in all except: A. Metoclopramide-induced B. Millard-Gubler syndrome C. Post-encephalitic parkinsonism D. Petit mal epilepsy 244 / 266 244. Myxoedema coma is not associated with: A. Hypoxia B. Hypocapnia C. Hypotension D. Hyponatremia 245 / 266 245. Weber’s syndrome is crossed hemiplegia with the involvement of: A. Oculomotor nerve B. Vagus nerve C. Facial nerve D. Abducens nerve 246 / 266 246. ‘Candle gutterings’ on the walls of the ventricles are seen in CT scan in: A. Leucodystrophy B. Cerebral palsy C. Alzheimer's disease D. Tuberous sclerosis 247 / 266 247. Which is not included under ‘craniovertebral anomaly’? A. Klippel-Feil anomaly B. Dolichocephaly C. Atlantoaxial dislocation D. Platybasia 248 / 266 248. Familial periodic paralysis may be seen in all except: A. Hypercalcemia B. Normokalaemia C. Hyperkalemia D. Hypokalemia 249 / 266 249. Lhermitte’s sign is not found in: A. Multiple sclerosis B. Syringomyelia C. Cervical spondylosis D. Motor neuron disease 250 / 266 250. Sarcoidosis commonly involves the cranial nerve: A. Vth B. Vllth C. Xth D. IIIrd 251 / 266 251. Amantadine does not produce: A. Ankle oedema B. Seizures C. Fatty liver D. Livedo reticularis 252 / 266 252. Transient ischaemic attack (TIA) stamps the process as: A. Demyelinating B. Hemorrhagic C. Inflammatory D. Embolic 253 / 266 253. Which of the following does not produce pure motor paraplegia? A. Acute transverse myelitis B. Lathyrism C. Guillain-Barre syndrome D. Amyotrophic lateral sclerosis 254 / 266 254. Lesion in athetosis lies in: A. Caudate nucleus B. Putamen C. Substantia nigra D. Red nucleus 255 / 266 255. Pyramidal signs may be associated with: A. Punch-drunk syndrome B. Post-encephalitic parkinsonism C. Idiopathic parkinsonism D. Atherosclerotic parkinsonism 256 / 266 256. Astasia·abasia is known as: A. Dementia in AIDS B. Muscle contraction in myotonia C. Hysterical gait disorder D. Asthenia in motor neuron disease 257 / 266 257. Serum creatine kinase (CK) level is not raised in: A. Dermatomyositis B. Hyperthyroid myopathy C. Hypothyroid myopathy D. Duchenne muscular dystrophy 258 / 266 258. Spastic paraplegia is not produced by: A. Cord compression B. Acute transverse myelitis C. Guillain-Barre syndrome D. Lathyrism 259 / 266 259. Carbamazepine is used in all of the following except: A. Mania B. Schizophrenia C. Alcohol withdrawal D. Post-herpetic neuralgia 260 / 266 260. Management of choice in Guillain-Barre syndrome is: A. Immunoglobulin B. Cyclophosphamide C. Corticosteroid D. Interferon 261 / 266 261. Sensory involvement is not found in: A. Myelopathy B. Myopathy C. Encephalitis D. Neuropathy 262 / 266 262. Regarding dermatomyositis, which one is false? A. May be associated with malignancy B. Heliotrope rash over face is characteristic C. Lilac colored knee and elbow is known as Gottron's sign D. Childhood disease is associated with vascular damage 263 / 266 263. Ptosis associated with diplopia and diminished movement of eyeball is due to: A. Periodic paralysis B. Oculomotor palsy C. Elapidae snake bite D. Myasthenia gravis 264 / 266 264. The commonest presentation of neurocysticercosis is: A. Radioculomyelopathy B. Blindness C. Focal neuro deficit D. Convulsions 265 / 266 265. ‘Paraplegia in flexion’ may have all of the following except: A. Flexor plantar response B. Mass reflex C. Increased tone in flexor groups D. Flexor spasm 266 / 266 266. The commonest intracranial tumour is: A. Astrocytoma B. Meningioma C. Metastatic D. Glioblastoma LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Hematology Next Post Gastroenterology