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Neurology Final MCQs- 4th Year- PMU

Neurology Final MCQs- 4th Year- PMU

Question 1 of 44

2

The reflex arc of patellar (knee) reflex includes

Select one or more of the following:

  • Intercostal T1-T2 Nerves

  • Genitofemoral Nerve

  • Femoral Nerve

  • Tibial Nerve

  • Central part at level L3-L4

Explanation

Question 2 of 44

3

Lemniscal (dorsal column) system relays impulses concerning

Select one or more of the following:

  • Touch

  • Skin Temperature

  • Vibratory Sense

  • Pain

  • Joint Sensation

Explanation

Question 3 of 44

2

Upper motor neuron lesion includes

Select one or more of the following:

  • Muscle atrophy

  • Weakness

  • Fasciculations

  • Decreased tendon reflexes

  • Spastic tone

Explanation

Question 4 of 44

1

Rigidity results from

Select one of the following:

  • Upper motor neuron lesion

  • From disease of basal ganglia

  • Lower motor neuron lesion

  • Cerebellar lesion

  • Spinal cord lesion

Explanation

Question 5 of 44

3

Which of the following signs are signs of cerebellar dysfunction

Select one or more of the following:

  • Scanning speech

  • Ataxia

  • Hemisensory loss

  • Dysmetria

  • Muscular hypertonia

Explanation

Question 6 of 44

2

Injury of the radial nerve is characterized by

Select one or more of the following:

  • Loss of the biceps reflex

  • Wrist drop, paralysis of all extensor muscles

  • Loss of the triceps reflex

  • Atrophy of the muscles of hypothenar

Explanation

Question 7 of 44

1

Bitemporal heteronymous hemianopia is caused by

Select one of the following:

  • Lesions of the left or right optic tract

  • Lesions of the lateral portions of the chiasm

  • Lesions of the center of the chiasm

  • Damage of the upper lip of the calcarine fissure

  • Lesions of the optic radiation

Explanation

Question 8 of 44

1

Syndrome of the posterior tracts causes

Select one of the following:

  • Upper motor neuron lesion

  • Loss of sensation for position and vibration

  • Lancinating pain in corresponding dermatome

  • Bilateral dissociated sensory disorder

  • Spastic paraparesis

Explanation

Question 9 of 44

3

Syndrome of elevated intracranial pressure includes

Select one or more of the following:

  • Visual hallucinations

  • Headache

  • Deterioration in level of consciousness

  • Nausea

  • Tachycardia

Explanation

Question 10 of 44

3

Temporal Lobe Syndrome may include

Select one or more of the following:

  • Sensory (Wernicke) aphasia

  • Complex partial states

  • Moria syndrome

  • Cortical deafness

  • Motor aphasia

Explanation

Question 11 of 44

3

Which of the following reflexes are pathological

Select one or more of the following:

  • Sucking Reflex

  • Mandibular Reflex

  • Nasal labial Reflex

  • Pharyngeal Reflex

  • Babinski Reflex

Explanation

Question 12 of 44

1

The Spinothalamic tract consists of

Select one of the following:

  • Four Neurons

  • Five Neurons

  • Three Neurons

  • Two Neurons

  • Six Neurons

Explanation

Question 13 of 44

2

Lower motor neuron lesion includes

Select one or more of the following:

  • Rigidity

  • Weakness

  • Hyperkinesias

  • Decreased tendon reflexes

  • Muscle hypertonus

Explanation

Question 14 of 44

1

The striatum has a high concentration of

Select one of the following:

  • Dopamine

  • Serotonin

  • Acethylcholine

  • Norepinephrine

  • Enkephaline

Explanation

Question 15 of 44

1

Romberg’s test is a test for detection of

Select one of the following:

  • Locomotor ataxia

  • Latent hemiparesis

  • Asynergia

  • Dynamic ataxia

  • Static ataxia

Explanation

Question 16 of 44

3

Injury of ulnar nerve is characterized by

Select one or more of the following:

  • Atrophy of the interossei muscles

  • Wrist drop, paralysis of all extensor muscles

  • Ulnar claw

  • Loss of ability to pronate the forearm

  • Atrophy of the hypothenar muscles

Explanation

Question 17 of 44

1

Binasal heteronymous hemianopia is caused by

Select one of the following:

  • Lesions of the left or right optic tract

  • Lesions of the lateral portions of the chiasm

  • Lesions of the center of the chiasm

  • Damage of the upper lip of the calcarine fissure

  • Lesions of the optic radiation

Explanation

Question 18 of 44

3

Syndrome of complete transection of the spinal cord in the upper thoracic cord (Th1-Th6) produces

Select one or more of the following:

  • Quadriplegia

  • Anesthesia of all sensory modalities distally to the level of the lesion

  • Flaccid paralysis of the upper limbs

  • Spastic paralysis of the lower limbs

  • Retention of urine and feces

Explanation

Question 19 of 44

2

Syndrome of meningeal irritation includes

Select one or more of the following:

  • Cervical Rigidity (Neck stiffness)

  • Photophobia

  • Nausea

  • Tachycardia

Explanation

Question 20 of 44

2

Occipital Lobe Syndrome may include

Select one or more of the following:

  • Visual agnosia

  • Hemisensory loss

  • Motor Aphasia

  • Homonymous hemianopia

  • Jacksonian focal epilepsy

Explanation

Question 21 of 44

2

Which of the following reflexes are tendon

Select one or more of the following:

  • Plantar

  • Patellar (knee)

  • Pharyngeal

  • Abdominal

  • Mandibular

Explanation

Question 22 of 44

1

Th4 dermatome is situated

Select one of the following:

  • Laterally to the Xyphoid Process

  • In Groin

  • On the Nipple line

  • Laterally to the Umbilicus

  • On the axilla and over the clavicle

Explanation

Question 23 of 44

3

The main clinical findings of the Parkinson syndrome are

Select one or more of the following:

  • Intention tremor

  • Postural instability (abnormal gait and posture)

  • Rigidity

  • Hyperkinesia

  • Static tremor

Explanation

Question 24 of 44

1

If the patient is equally unstable with eyes open and closed, Romberg’s test:

Select one of the following:

  • Is positive

  • Absence of dynamic ataxia

  • Shows normal neurological condition

  • Is negative

  • Absence of static ataxia

Explanation

Question 25 of 44

3

Injury of the median nerve is characterized by

Select one or more of the following:

  • Weakness of flexion of the wrist

  • Wrist drop, paralysis of all extensor muscles

  • Development of the “benediction attitude”

  • Loss of the triceps reflex

  • Atrophy of the thenar muscles

Explanation

Question 26 of 44

2

A complete lesion of the oculomotor nerve produces

Select one or more of the following:

  • Convergent strabismus

  • Ptosis

  • Divergent strabismus

  • Miosis

  • Dilated pupil

Explanation

Question 27 of 44

4

Syndrome of complete transection of the spinal cord in the lower cervical cord (C5-C8) produces

Select one or more of the following:

  • Quadriplegia

  • Anesthesia of all sensory modalities distally of the level of the lesion

  • Flaccid paralysis of lower limbs

  • Flaccid paralysis of the upper limbs

  • Retention of urine and feces

Explanation

Question 28 of 44

2

Parietal Lobe Syndrome may include

Select one or more of the following:

  • Hemisensory loss

  • Motor Aphasia

  • Syndrome of apathy and abulia

  • Jacksonian sensory epilepsy

  • Moria Syndrome

Explanation

Question 29 of 44

3

Syndrome of elevated intracranial pressure includes

Select one or more of the following:

  • Visual hallucinations

  • Headache

  • Deterioration in level of consciousness

  • Nausea

  • Tachycardia

Explanation

Question 30 of 44

1

Which of the following disorder(s) represent qualitative reflex changes

Select one of the following:

  • Reflex asymmetry

  • Pathological reflexes

  • Areflexia

  • Enlargement of the reflexogenic zone

  • Increase of the reflex response

Explanation

Question 31 of 44

3

Which of the following sensory signs are positive

Select one or more of the following:

  • Hyperesthesia

  • Analgesia

  • Paresthesia

  • Thermoanesthesia

  • Pain

Explanation

Question 32 of 44

2

Internal capsule lesion can cause

Select one or more of the following:

  • Contralateral hemianopia

  • Ipsilateral spastic hemiplegia

  • Contralateral flaccid hemiplegia

  • Contralateral paralysis of facial muscles innervated by facial and hypoglossal nerves

  • Ipsilateral hemisensory loss

Explanation

Question 33 of 44

3

Which of the following signs are signs of cerebellar dysfunction

Select one or more of the following:

  • Hemiparesis

  • Ataxia

  • Hemisensory loss

  • Intention tremor

  • Muscular hypotonia

Explanation

Question 34 of 44

2

Which of the following tests are for detection of dynamic ataxia

Select one or more of the following:

  • Finger-nose test

  • Mingazzini- test

  • Heel-shin test

Explanation

Question 35 of 44

3

Injury of the median nerve is characterized by

Select one or more of the following:

  • Difficulty of adequate separation of the thumb and index finger

  • Wrist drop, paralysis of all extensor muscles

  • Loss of triceps reflex

  • Sensory loss in the characteristic distribution on palmar and dorsal surface of the hand

  • Atrophy of the thenar muscles

Explanation

Question 36 of 44

1

A complete lesion of the trochlear nerve causes

Select one of the following:

  • Convergent strabismus

  • Ptosis

  • Double vision

  • Miosis

  • Dilated pupil

Explanation

Question 37 of 44

3

Syndrome of complete transection of the spinal cord in the lower thoracic cord (Th7-Th12) produces

Select one or more of the following:

  • Quadriplegia

  • Anesthesia of all sensory modalities distally of the level of the lesion

  • Flaccid paralysis of the upper limbs

  • Spastic paralysis of lower limbs

  • Retention of urine and feces

Explanation

Question 38 of 44

2

Occipital Lobe Syndrome may include

Select one or more of the following:

  • Hemisensory loss

  • Motor Aphasia

  • Homonymous hemianopia

  • Jacksonian focal epilepsy

  • Visual agnosia

Explanation

Question 39 of 44

2

Syndrome of meningeal irritation includes

Select one or more of the following:

  • Cervical Rigidity (Neck stiffness)

  • Photophobia

  • Nausea

  • Tachycardia

Explanation

Question 40 of 44

2

The sensory syndrome of the posterior root combines

Select one or more of the following:

  • Dissociated sensory disorder

  • Painful reddening vesicules in the affected dermatome

  • Complete or partial sensory loss in the affected dermatomes

  • Weakness

  • Root pain

Explanation

Question 41 of 44

3

Internal capsule lesion can cause

Select one or more of the following:

  • Contralateral hemisensory loss

  • Contralateral spastic hemiplegia

  • Ipsilateral flaccid hemiplegia

  • Contralateral paralysis of facial muscles innervated by facial and hypoglossal nerves

  • Ipsilateral hemisensory loss

Explanation

Question 42 of 44

3

Which of the following signs are signs of cerebellar dysfunction

Select one or more of the following:

  • Hemiparesis

  • Ataxia

  • Hemisensory loss

  • Intention tremor

  • Muscular hypotonia

Explanation

Question 43 of 44

3

Injury of the femoral nerve is characterized by

Select one or more of the following:

  • Loss of ankle reflex

  • Weakness of flexion of the thigh

  • Loss of patellar (knee) reflex

  • Loss of ability to flex and extend the foot at the ankle

  • Paralysis (or paresis) of extension in knee joints, atrophy and hypotony of quadriceps muscles

Explanation

Question 44 of 44

2

A complete lesion of the abducens nerve causes

Select one or more of the following:

  • Convergent strabismus

  • Ptosis

  • Double vision

  • Dilated pupil

  • Miosis

Explanation

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