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