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Neurology Final MCQs- 4th Year- PMU

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Neurology mcqs
Med Student
Created by Med Student
Med Student
Created by Med Student over 7 years ago
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Question 1

Question
The reflex arc of patellar (knee) reflex includes
Answer
  • Intercostal T1-T2 Nerves
  • Genitofemoral Nerve
  • Femoral Nerve
  • Tibial Nerve
  • Central part at level L3-L4

Question 2

Question
Lemniscal (dorsal column) system relays impulses concerning
Answer
  • Touch
  • Skin Temperature
  • Vibratory Sense
  • Pain
  • Joint Sensation

Question 3

Question
Upper motor neuron lesion includes
Answer
  • Muscle atrophy
  • Weakness
  • Fasciculations
  • Decreased tendon reflexes
  • Spastic tone

Question 4

Question
Rigidity results from
Answer
  • Upper motor neuron lesion
  • From disease of basal ganglia
  • Lower motor neuron lesion
  • Cerebellar lesion
  • Spinal cord lesion

Question 5

Question
Which of the following signs are signs of cerebellar dysfunction
Answer
  • Scanning speech
  • Ataxia
  • Hemisensory loss
  • Dysmetria
  • Muscular hypertonia

Question 6

Question
Injury of the radial nerve is characterized by
Answer
  • Loss of the biceps reflex
  • Wrist drop, paralysis of all extensor muscles
  • Loss of the triceps reflex
  • Atrophy of the muscles of hypothenar

Question 7

Question
Bitemporal heteronymous hemianopia is caused by
Answer
  • 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

Question 8

Question
Syndrome of the posterior tracts causes
Answer
  • Upper motor neuron lesion
  • Loss of sensation for position and vibration
  • Lancinating pain in corresponding dermatome
  • Bilateral dissociated sensory disorder
  • Spastic paraparesis

Question 9

Question
Syndrome of elevated intracranial pressure includes
Answer
  • Visual hallucinations
  • Headache
  • Deterioration in level of consciousness
  • Nausea
  • Tachycardia

Question 10

Question
Temporal Lobe Syndrome may include
Answer
  • Sensory (Wernicke) aphasia
  • Complex partial states
  • Moria syndrome
  • Cortical deafness
  • Motor aphasia

Question 11

Question
Which of the following reflexes are pathological
Answer
  • Sucking Reflex
  • Mandibular Reflex
  • Nasal labial Reflex
  • Pharyngeal Reflex
  • Babinski Reflex

Question 12

Question
The Spinothalamic tract consists of
Answer
  • Four Neurons
  • Five Neurons
  • Three Neurons
  • Two Neurons
  • Six Neurons

Question 13

Question
Lower motor neuron lesion includes
Answer
  • Rigidity
  • Weakness
  • Hyperkinesias
  • Decreased tendon reflexes
  • Muscle hypertonus

Question 14

Question
The striatum has a high concentration of
Answer
  • Dopamine
  • Serotonin
  • Acethylcholine
  • Norepinephrine
  • Enkephaline

Question 15

Question
Romberg’s test is a test for detection of
Answer
  • Locomotor ataxia
  • Latent hemiparesis
  • Asynergia
  • Dynamic ataxia
  • Static ataxia

Question 16

Question
Injury of ulnar nerve is characterized by
Answer
  • 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

Question 17

Question
Binasal heteronymous hemianopia is caused by
Answer
  • 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

Question 18

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

Question 19

Question
Syndrome of meningeal irritation includes
Answer
  • Cervical Rigidity (Neck stiffness)
  • Photophobia
  • Nausea
  • Tachycardia

Question 20

Question
Occipital Lobe Syndrome may include
Answer
  • Visual agnosia
  • Hemisensory loss
  • Motor Aphasia
  • Homonymous hemianopia
  • Jacksonian focal epilepsy

Question 21

Question
Which of the following reflexes are tendon
Answer
  • Plantar
  • Patellar (knee)
  • Pharyngeal
  • Abdominal
  • Mandibular

Question 22

Question
Th4 dermatome is situated
Answer
  • Laterally to the Xyphoid Process
  • In Groin
  • On the Nipple line
  • Laterally to the Umbilicus
  • On the axilla and over the clavicle

Question 23

Question
The main clinical findings of the Parkinson syndrome are
Answer
  • Intention tremor
  • Postural instability (abnormal gait and posture)
  • Rigidity
  • Hyperkinesia
  • Static tremor

Question 24

Question
If the patient is equally unstable with eyes open and closed, Romberg’s test:
Answer
  • Is positive
  • Absence of dynamic ataxia
  • Shows normal neurological condition
  • Is negative
  • Absence of static ataxia

Question 25

Question
Injury of the median nerve is characterized by
Answer
  • 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

Question 26

Question
A complete lesion of the oculomotor nerve produces
Answer
  • Convergent strabismus
  • Ptosis
  • Divergent strabismus
  • Miosis
  • Dilated pupil

Question 27

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

Question 28

Question
Parietal Lobe Syndrome may include
Answer
  • Hemisensory loss
  • Motor Aphasia
  • Syndrome of apathy and abulia
  • Jacksonian sensory epilepsy
  • Moria Syndrome

Question 29

Question
Syndrome of elevated intracranial pressure includes
Answer
  • Visual hallucinations
  • Headache
  • Deterioration in level of consciousness
  • Nausea
  • Tachycardia

Question 30

Question
Which of the following disorder(s) represent qualitative reflex changes
Answer
  • Reflex asymmetry
  • Pathological reflexes
  • Areflexia
  • Enlargement of the reflexogenic zone
  • Increase of the reflex response

Question 31

Question
Which of the following sensory signs are positive
Answer
  • Hyperesthesia
  • Analgesia
  • Paresthesia
  • Thermoanesthesia
  • Pain

Question 32

Question
Internal capsule lesion can cause
Answer
  • Contralateral hemianopia
  • Ipsilateral spastic hemiplegia
  • Contralateral flaccid hemiplegia
  • Contralateral paralysis of facial muscles innervated by facial and hypoglossal nerves
  • Ipsilateral hemisensory loss

Question 33

Question
Which of the following signs are signs of cerebellar dysfunction
Answer
  • Hemiparesis
  • Ataxia
  • Hemisensory loss
  • Intention tremor
  • Muscular hypotonia

Question 34

Question
Which of the following tests are for detection of dynamic ataxia
Answer
  • Finger-nose test
  • Mingazzini- test
  • Heel-shin test

Question 35

Question
Injury of the median nerve is characterized by
Answer
  • 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

Question 36

Question
A complete lesion of the trochlear nerve causes
Answer
  • Convergent strabismus
  • Ptosis
  • Double vision
  • Miosis
  • Dilated pupil

Question 37

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

Question 38

Question
Occipital Lobe Syndrome may include
Answer
  • Hemisensory loss
  • Motor Aphasia
  • Homonymous hemianopia
  • Jacksonian focal epilepsy
  • Visual agnosia

Question 39

Question
Syndrome of meningeal irritation includes
Answer
  • Cervical Rigidity (Neck stiffness)
  • Photophobia
  • Nausea
  • Tachycardia

Question 40

Question
The sensory syndrome of the posterior root combines
Answer
  • Dissociated sensory disorder
  • Painful reddening vesicules in the affected dermatome
  • Complete or partial sensory loss in the affected dermatomes
  • Weakness
  • Root pain

Question 41

Question
Internal capsule lesion can cause
Answer
  • Contralateral hemisensory loss
  • Contralateral spastic hemiplegia
  • Ipsilateral flaccid hemiplegia
  • Contralateral paralysis of facial muscles innervated by facial and hypoglossal nerves
  • Ipsilateral hemisensory loss

Question 42

Question
Which of the following signs are signs of cerebellar dysfunction
Answer
  • Hemiparesis
  • Ataxia
  • Hemisensory loss
  • Intention tremor
  • Muscular hypotonia

Question 43

Question
Injury of the femoral nerve is characterized by
Answer
  • 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

Question 44

Question
A complete lesion of the abducens nerve causes
Answer
  • Convergent strabismus
  • Ptosis
  • Double vision
  • Dilated pupil
  • Miosis
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