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