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