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