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