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Neurology

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1. Which of the following occurs earliest in diphtheritic neuropathy?

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2. Internuclear ophthalmoplegia is commonly due to:

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3. The lobe of the brain primarily affected in herpes simplex encephalitis is:

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4. Myotonia dystrophica has all of the following morphological features except:

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5. CSF is absorbed by arachnoid villi which are mainly present in:

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6. Which of the following is not a human ‘Prion’ disease?

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7. Which of the following does not produce phakomatosis?

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8. Which is false regarding peripheral vertigo?

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9. Neurological features of thyrotoxicosis do not include:

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10. Muscle pain is not characteristic of:

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11. All of the following may cause peripheral neuropathy except:

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12. The presence of Babinski’s sign with loss of ankle jerk is found in all except:

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13. Increased jaw jerk is seen in:

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14. Astasia·abasia is known as:

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15. 3-Hz spike-and-wave discharge in EEG during the seizure is diagnostic of:

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16. Thrombosis of left middle cerebral artery may give rise to:

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17. Internuclear ophthalmoplegia results from damage of:

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18. Regarding acute transverse myelitis, which is false?

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19. True hypertrophy of muscles is found in all except:

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20. The commonest intracranial tumour in children is:

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21. Narcolepsy is not associated with:

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22. Miosis is found in all except:

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23. Which is abnormal regarding normal CSF findings?

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24. Lithium is not used in:

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25. Brain biopsy in rabies demonstrates?

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26. The most consistent early physical sign evoked in a cerebellopontine angle tumour is:

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27. Froin’s loculation syndrome does not have:

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28. Which of the following remains normal in leprosy?

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29. Therapeutic range of phenytoin is:

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30. All are recognised side effects of lithium except:

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31. The drug of choice in obsessive-compulsive psychosis is:

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32. Multiple sclerosis is not associated with:

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33. “‘Bull’s eye maculopathy’ is characteristic toxicity of:

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34. Which of the following is false regarding Eaton-Lambert syndrome?

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35. Among the following, which is the most common adult muscular dystrophy?

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36. Which is not true in Korsakoff’s syndrome?

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37. Hiccough occurs in all of the following except:

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38. Which is not a recognized feature of cerebellar dysfunction?

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39. Carotid artery stenosis gives rise to:

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40. All of the following produces ‘cord compression’ except:

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41. Crossed hemiplegia indicates that the site of lesion is in:

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42. Carbamazepine is used in all of the following except:

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43. All of the following may develop into endocrine myopathy except:

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44. Jaw claudication is not characteristic of:

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45. Inversion of supinator jerk indicates the lesion at:

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46. The use of which can lead to the development of paranoid psychosis?

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47. All of the following are sources of cerebral embolism except:

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48. Slow virus CNS infections are all except:

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49. Delayed relaxation of ankle jerk is seen in all except:

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50. Fear of relapse in cancer survivors is known as:

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51. The most common psychological disorder in myxoedema is:

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52. CNS involvement of SLE includes all except:

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53. The commonest cause of subarachnoid haemorrhage is:

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54. Pendular nystagmus is found in:

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55. Which of the following is false in Gerstmann’s syndrome?

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56. ‘Organic brain syndrome’ may be produced by:

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57. All of the following may produce papilloedema except:

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58. alpha-bungarotoxin is associated with neuroparalysis in:

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59. Down-beating nystagmus is seen in:

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60. Xanthopsia is found in:

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61. All are seen in Alzheimer’s disease except:

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62. All are the complications of oral contraceptive pills except:

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63. Which of the following is not a part of Miller-Fisher syndrome?

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64. Chronic fatigue syndrome is fundamentally a:

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65. Which of the following is false regarding migraine?

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66. Gilles de la Tourette syndrome encompasses all except:

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67. Dementia pugilistica develops as a result of:

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68. All of the following produce meningism except:

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69. Weber’s syndrome is crossed hemiplegia with the involvement of:

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70. Refsum’s disease is associated with all except:

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71. Bromocriptine is not useful in the treatment of:

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72. Unilateral ptosis is characteristic of all except:

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73. Right middle cerebral artery territory infarction usually does not feature:

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74. In trochlear nerve palsy, the patient complains of diplopia while:

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75. Alcohol withdrawal is not associated with:

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76. Cerebral infarction can be detected earliest by:

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77. Familial periodic paralysis may be seen in all except:

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78. Lymphocytic pleocytosis in CSF is not found in:

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79. ‘Railroad track’ calcification in X-ray skull is found in:

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80. Oppenheim’s gait is characteristic of:

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81. The commonest cause of aphasia is:

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82. Which is not parkinsonian plus syndrome?

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83. Which of the following is not included in the triad of tuberous sclerosis?

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84. Pyramidal signs may be associated with:

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85. The commonest cause of abducent nerve palsy is:

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86. ‘On-off phenomenon’ is precipitated by:

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87. Dermatoglyphics with obtuse ATD angle is characteristic of:

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88. Hypertonia is a feature of all except:

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89. MRI is preferred over CT scan of brain in all except:

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90. The earliest skin lesion in tuberous sclerosis is:

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91. Ptosis with a dilated pupil is observed in:

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92. Complication of phenytoin does not include?

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93. Which is not included under ‘craniovertebral anomaly’?

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94. Neck rigidity is not found in:

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95. Serum creatine kinase (CK) level is not raised in:

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96. Anterior horn cell disease is:

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97. Which is not a manifestation of normal pressure hydrocephalus?

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98. The commonest cause of unilateral foot drop is:

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99. Cherry red spot in fundoscopy is characteristic of all except:

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100. Commonest cerebrovascular accident (CVA) is:

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101. Myxoedema coma is not associated with:

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102. Korsakoff’s psychosis does not have the feature like:

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103. Which of the following produces wrist drop?

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104. Spastic paraplegia is not produced by:

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105. The commonest type of neurofibroma is associated with:

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106. Acoustic neuroma most likely leads to paralysis of:

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107. ‘Candle gutterings’ on the walls of the ventricles are seen in CT scan in:

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108. Trismus is seen in all of the following except:

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109. Which drug is not used in parkinsonism?

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110. “Locked-in syndrome’ occurs in lesions of:

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111. The drug most beneficial in enuresis of a 10-year-old boy is:

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112. Eaton-Lambert syndrome is characterized by all of the following except:

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113. Which of the following is false in polymyositis?

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114. All of the following may produce syncope except:

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115. All of the following are antiepileptic drugs except:

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116. Intermittent bulbar palsy is seen in:

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117. All are true regarding Alzheimer’s disease except:

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118. The commonest cause of convulsion in a child (2-12 yrs) is:

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119. Maligant hyperthermia may be produced by all except:

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120. Posterior column lesion will have:

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121. Pseudobulbar palsy is not associated with:

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122. Transient ischaemic attack (TIA) stamps the process as:

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123. All are ‘Calpain’ -associated. diseases except:

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124. All of the following produce mono neuritis multiplex except:

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125. Cerebral oedema induced by CVA should not be treated by:

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126. Titubation is classically seen in:

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127. Which of the following is not a test for cortical sensory function?

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128. Amantadine does not produce:

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129. Characteristic of LMN lesion is:

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130. Which of the following is not a feature of ‘stage of neural shock’ in hemiplegia?

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131. Which is not a PRION disease?

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132. Flapping tremor is not found in:

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133. Cause of bilateral facial nerve palsy does not include:

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134. Wrist drop is commonly seen in neuropathy induced by:

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135. Which of the following does not produce wasting of small muscles of hands?

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136. Prophylaxis of migraine may be done by:

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137. Which is a cause of reversible dementia?

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138. Characteristics of “rigidity’ are all except:

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139. Waddling gait is seen in alt except:

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140. Atrophy in Duchenne myopathy is classically seen in:

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141. Which one is not a primitive reflex?

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142. Which of the following is not a feature of UMN palsy?

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143. Limb-girdle type myopathy inherits the disease as:

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144. EEG findings showing slow waves, spikes and ‘burst suppression’ are characteristic of:

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145. The most common lacunar syndrome in clinical practice is:

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146. The dermatome at the nipple is:

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147. Ptosis associated with diplopia and diminished movement of eyeball is due to:

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148. Neuroleptic malignant syndrome has all the following features except:

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149. The site of lesion in Korsakoff’s psychosis is:

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150. The reversible cause of dementia is:

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151. A cataract is not characteristic of:

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152. Which of the following is false regarding etiology of benign intracranial hypertension?

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153. Chorea may develop from the consumption of:

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154. The commonest intracranial tumour is:

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155. Hypersomnolence is found in all except:

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156. Heerfordt’s syndrome is uveo-parotid fever with cranial nerve palsy, and is seen in:

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157. Which of the following is not a feature of parkinsonism?

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158. Brain tumour disseminating through CSF is:

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159. All of the following are recognised lithium toxicity except:

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160. Lesion in athetosis lies in:

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161. Which of the following does not produce wasting of small muscles of hands?

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162. Collet-Siccard syndrome affects the following cranial nerves:

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163. Muscle sense is increased in all except:

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164. In cerebral malaria, which of the following should not be given?

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165. Apneustic breathing is seen in lesion of:

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166. Sensory involvement is not found in:

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167. Which of the following does not fit in ‘Ramsay Hunt’ syndrome?

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168. Lhermitte’s sign is not found in:

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169. Which of the following is false in cluster headache?

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170. Ocular bobbing is often diagnostic of bilateral damage of:

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171. Which of the following is a homologue of Hoffman’s sign of upper extremity?

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172. Perforating ulcer in the sole of foot is found in all except:

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173. Proximal muscle weakness is not produced by:

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174. All of the following may develop into chorea except:

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175. Nimodipine used in subarachnoid haemorrhage:

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176. Atypical feature of Guillain-Barre syndrome is:

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177. Ptosis is absent in:

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178. Main d’ accoucheur is seen in:

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179. Dilator pupillae is supplied by:

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180. Commonest visual difficulty in multiple sclerosis:

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181. Which of the following is not a feature of syringobulbia?

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182. Which does not produce hypoglycorrhachia (low CSF sugar)?

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183. Which of the following does not produce pseudobulbar palsy?

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184. Abdominal reflex is usually retained in:

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185. Fine tremor is found in:

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186. In lathyrism.. the toxin responsible for the development of neuroparalysis is:

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187. Significant loss of vision in a hypertensive patient may be due to all except:

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188. Patient with Down’s syndrome may be complicated by all except:

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189. The common sites of meningioma are alt except:

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190. Horner’s syndrome manifests as:

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191. Xenophobia is the fear of:

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192. The oculogyric crisis is found in all except:

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193. ‘India ink preparation’ in CSF helps in the diagnosis of:

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194. Which of the following does not produce fasciculation?

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195. The best drug for photosensitive epilepsy is:

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196. Which of the following is not an antiplatelet drug?

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197. Uncinate fits are characteristically seen in tumours of:

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198. Pseudobulbar palsy will have all except:

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199. Palatal myoclonus is seen in:

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200. The most common site of hypertensive intracranial bleeding is:

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201. Regarding subacute sclerosing panencephalitis (SSPE), all are true except:

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202. Romberg’s sign is present in:

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203. All of the following produce cerebellar degeneration except:

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204. In health, intracranial calcification may be seen in all except:

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205. Babinski’s sign is not found in:

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206. Neurofibromatosis leads to an increased risk of having all of the following except:

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207. Neurological feature of myxoedema may be:

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208. The presence of acanthocytosis of RBC, retinitis pigmentosa and ataxia is suggestive of:

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209. Ataxia-telangiectasia is not associated with:

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210. Optic neuritis may be produced by all except:

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211. Which organism commonly produces meningitis in an adolescent?

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212. Abdominal reflex is lost early in:

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213. Which of the following is not associated with pes cavus?

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214. Tabes dorsalis presents with all except:

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215. The root value of ‘Plantar response’ is:

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216. Charcot (neuropathic) joint is a recognised complication of all except:

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217. Which is not a symptom of raised intracranial tension?

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218. Café au lait spots are found in all except:

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219. Selective serotonin reuptake inhibitors (SSRI) are all except:

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220. All are features of pontine haemorrhage except:

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221. Which of the following is not included within ‘motor functions’?

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222. Internuclear ophthalmoplegia results from:

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223. In the setting of puerperium, which of the following is most common in producing neuro deficit?

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224. Congenital abnormality produced by lithium therapy is:

225 / 266

225. Berry aneurysm may be associated with all except:

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226. Drug-induced myopathy may result from all except:

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227. Oculomotor nerve palsy with a spared pupil is classically seen in:

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228. ‘Paraplegia in flexion’ may have all of the following except:

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229. Glasgow Coma Scale assesses all except:

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230. Horner’s syndrome includes all of the following except:

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231. In monoplegia, usually, the site of lesion lies in:

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232. Which is not characteristic of the lateral medullary syndrome (Wallenberg’s syndrome)?

233 / 266

233. The commonest cause of anisocoria is:

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234. Neck rigidity may be absent in the presence of:

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235. Monoplegia is due to lesions in:

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236. Corneal reflex tests the integrity of:

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237. Argyll Robertson pupil is found in all except:

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238. Phenytoin toxicity may result in all except:

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239. Xanthochromia is not a feature of:

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240. Bromocriptine is used in all of the following except:

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241. A patient with a history of diplopia, dysarthria, dizziness and ataxia suddenly becomes unconscious. The most probable diagnosis is:

242 / 266

242. Todd’s palsy is characteristic of:

243 / 266

243. Regarding dermatomyositis, which one is false?

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244. Reversible ischaemic neurological deficit (RIND) usually recovers within:

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245. The commonest presentation of neurocysticercosis is:

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246. Myopathy is best diagnosed by:

247 / 266

247. Which of the following is false in subacute combined degeneration?

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248. Tensilon test improves the muscle weakness in:

249 / 266

249. Tropical spastic paraplegia is caused by:

250 / 266

250. Disorder of language of cerebral origin is:

251 / 266

251. Which of the following does not produce thickened peripheral nerves?

252 / 266

252. Pronator sign, lizard tongue and hung-up deep reflex are found in:

253 / 266

253. ‘Hippus’ is:

254 / 266

254. Management of choice in Guillain-Barre syndrome is:

255 / 266

255. Vibration sensation is lost early in:

256 / 266

256. Lasegue’s sign is present in:

257 / 266

257. Brushfield’s spots in iris are seen in:

258 / 266

258. Which of the following does not produce pure motor paraplegia?

259 / 266

259. In schizophrenia, a better prognosis is indicated by:

260 / 266

260. Sarcoidosis commonly involves the cranial nerve:

261 / 266

261. Which group of muscles are almost never affected in polymyositis?

262 / 266

262. Chromosomal anomaly associated with Alzheimer’s disease is:

263 / 266

263. Meralgia paraesthetica is characterised by all except:

264 / 266

264. Albumino-cytological dissociation is not a feature of:

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265. Peripheral neuropathy associated with hypertension is found in:

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266. Migraine is not associated with: