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Neurology Final MCQs- 4th Year- PMU
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Questions in this quiz (44)
1The reflex arc of patellar (knee) reflex includes
- AIntercostal T1-T2 Nerves
- BGenitofemoral Nerve
- CFemoral Nerve
- DTibial Nerve
- ECentral part at level L3-L4
2Lemniscal (dorsal column) system relays impulses concerning
- ATouch
- BSkin Temperature
- CVibratory Sense
- DPain
- EJoint Sensation
3Upper motor neuron lesion includes
- AMuscle atrophy
- BWeakness
- CFasciculations
- DDecreased tendon reflexes
- ESpastic tone
4Rigidity results from
- AUpper motor neuron lesion
- BFrom disease of basal ganglia
- CLower motor neuron lesion
- DCerebellar lesion
- ESpinal cord lesion
5Which of the following signs are signs of cerebellar dysfunction
- AScanning speech
- BAtaxia
- CHemisensory loss
- DDysmetria
- EMuscular hypertonia
6Injury of the radial nerve is characterized by
- ALoss of the biceps reflex
- BWrist drop, paralysis of all extensor muscles
- CLoss of the triceps reflex
- DAtrophy of the muscles of hypothenar
7Bitemporal heteronymous hemianopia is caused by
- ALesions of the left or right optic tract
- BLesions of the lateral portions of the chiasm
- CLesions of the center of the chiasm
- DDamage of the upper lip of the calcarine fissure
- ELesions of the optic radiation
8Syndrome of the posterior tracts causes
- AUpper motor neuron lesion
- BLoss of sensation for position and vibration
- CLancinating pain in corresponding dermatome
- DBilateral dissociated sensory disorder
- ESpastic paraparesis
9Syndrome of elevated intracranial pressure includes
- AVisual hallucinations
- BHeadache
- CDeterioration in level of consciousness
- DNausea
- ETachycardia
10Temporal Lobe Syndrome may include
- ASensory (Wernicke) aphasia
- BComplex partial states
- CMoria syndrome
- DCortical deafness
- EMotor aphasia
11Which of the following reflexes are pathological
- ASucking Reflex
- BMandibular Reflex
- CNasal labial Reflex
- DPharyngeal Reflex
- EBabinski Reflex
12The Spinothalamic tract consists of
- AFour Neurons
- BFive Neurons
- CThree Neurons
- DTwo Neurons
- ESix Neurons
13Lower motor neuron lesion includes
- ARigidity
- BWeakness
- CHyperkinesias
- DDecreased tendon reflexes
- EMuscle hypertonus
14The striatum has a high concentration of
- ADopamine
- BSerotonin
- CAcethylcholine
- DNorepinephrine
- EEnkephaline
15Romberg’s test is a test for detection of
- ALocomotor ataxia
- BLatent hemiparesis
- CAsynergia
- DDynamic ataxia
- EStatic ataxia
16Injury of ulnar nerve is characterized by
- AAtrophy of the interossei muscles
- BWrist drop, paralysis of all extensor muscles
- CUlnar claw
- DLoss of ability to pronate the forearm
- EAtrophy of the hypothenar muscles
17Binasal heteronymous hemianopia is caused by
- ALesions of the left or right optic tract
- BLesions of the lateral portions of the chiasm
- CLesions of the center of the chiasm
- DDamage of the upper lip of the calcarine fissure
- ELesions of the optic radiation
18Syndrome of complete transection of the spinal cord in the upper thoracic cord (Th1-Th6) produces
- AQuadriplegia
- BAnesthesia of all sensory modalities distally to the level of the lesion
- CFlaccid paralysis of the upper limbs
- DSpastic paralysis of the lower limbs
- ERetention of urine and feces
19Syndrome of meningeal irritation includes
- ACervical Rigidity (Neck stiffness)
- BPhotophobia
- CNausea
- DTachycardia
20Occipital Lobe Syndrome may include
- AVisual agnosia
- BHemisensory loss
- CMotor Aphasia
- DHomonymous hemianopia
- EJacksonian focal epilepsy
21Which of the following reflexes are tendon
- APlantar
- BPatellar (knee)
- CPharyngeal
- DAbdominal
- EMandibular
22Th4 dermatome is situated
- ALaterally to the Xyphoid Process
- BIn Groin
- COn the Nipple line
- DLaterally to the Umbilicus
- EOn the axilla and over the clavicle
23The main clinical findings of the Parkinson syndrome are
- AIntention tremor
- BPostural instability (abnormal gait and posture)
- CRigidity
- DHyperkinesia
- EStatic tremor
24If the patient is equally unstable with eyes open and closed, Romberg’s test:
- AIs positive
- BAbsence of dynamic ataxia
- CShows normal neurological condition
- DIs negative
- EAbsence of static ataxia
25Injury of the median nerve is characterized by
- AWeakness of flexion of the wrist
- BWrist drop, paralysis of all extensor muscles
- CDevelopment of the “benediction attitude”
- DLoss of the triceps reflex
- EAtrophy of the thenar muscles
26A complete lesion of the oculomotor nerve produces
- AConvergent strabismus
- BPtosis
- CDivergent strabismus
- DMiosis
- EDilated pupil
27Syndrome of complete transection of the spinal cord in the lower cervical cord (C5-C8) produces
- AQuadriplegia
- BAnesthesia of all sensory modalities distally of the level of the lesion
- CFlaccid paralysis of lower limbs
- DFlaccid paralysis of the upper limbs
- ERetention of urine and feces
28Parietal Lobe Syndrome may include
- AHemisensory loss
- BMotor Aphasia
- CSyndrome of apathy and abulia
- DJacksonian sensory epilepsy
- EMoria Syndrome
29Syndrome of elevated intracranial pressure includes
- AVisual hallucinations
- BHeadache
- CDeterioration in level of consciousness
- DNausea
- ETachycardia
30Which of the following disorder(s) represent qualitative reflex changes
- AReflex asymmetry
- BPathological reflexes
- CAreflexia
- DEnlargement of the reflexogenic zone
- EIncrease of the reflex response
31Which of the following sensory signs are positive
- AHyperesthesia
- BAnalgesia
- CParesthesia
- DThermoanesthesia
- EPain
32Internal capsule lesion can cause
- AContralateral hemianopia
- BIpsilateral spastic hemiplegia
- CContralateral flaccid hemiplegia
- DContralateral paralysis of facial muscles innervated by facial and hypoglossal nerves
- EIpsilateral hemisensory loss
33Which of the following signs are signs of cerebellar dysfunction
- AHemiparesis
- BAtaxia
- CHemisensory loss
- DIntention tremor
- EMuscular hypotonia
34Which of the following tests are for detection of dynamic ataxia
- AFinger-nose test
- BMingazzini- test
- CHeel-shin test
35Injury of the median nerve is characterized by
- ADifficulty of adequate separation of the thumb and index finger
- BWrist drop, paralysis of all extensor muscles
- CLoss of triceps reflex
- DSensory loss in the characteristic distribution on palmar and dorsal surface of the hand
- EAtrophy of the thenar muscles
36A complete lesion of the trochlear nerve causes
- AConvergent strabismus
- BPtosis
- CDouble vision
- DMiosis
- EDilated pupil
37Syndrome of complete transection of the spinal cord in the lower thoracic cord (Th7-Th12) produces
- AQuadriplegia
- BAnesthesia of all sensory modalities distally of the level of the lesion
- CFlaccid paralysis of the upper limbs
- DSpastic paralysis of lower limbs
- ERetention of urine and feces
38Occipital Lobe Syndrome may include
- AHemisensory loss
- BMotor Aphasia
- CHomonymous hemianopia
- DJacksonian focal epilepsy
- EVisual agnosia
39Syndrome of meningeal irritation includes
- ACervical Rigidity (Neck stiffness)
- BPhotophobia
- CNausea
- DTachycardia
40The sensory syndrome of the posterior root combines
- ADissociated sensory disorder
- BPainful reddening vesicules in the affected dermatome
- CComplete or partial sensory loss in the affected dermatomes
- DWeakness
- ERoot pain
41Internal capsule lesion can cause
- AContralateral hemisensory loss
- BContralateral spastic hemiplegia
- CIpsilateral flaccid hemiplegia
- DContralateral paralysis of facial muscles innervated by facial and hypoglossal nerves
- EIpsilateral hemisensory loss
42Which of the following signs are signs of cerebellar dysfunction
- AHemiparesis
- BAtaxia
- CHemisensory loss
- DIntention tremor
- EMuscular hypotonia
43Injury of the femoral nerve is characterized by
- ALoss of ankle reflex
- BWeakness of flexion of the thigh
- CLoss of patellar (knee) reflex
- DLoss of ability to flex and extend the foot at the ankle
- EParalysis (or paresis) of extension in knee joints, atrophy and hypotony of quadriceps muscles
44A complete lesion of the abducens nerve causes
- AConvergent strabismus
- BPtosis
- CDouble vision
- DDilated pupil
- EMiosis
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