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