‚Û£]<
<æ < <Ò_<
]

NEUROLOGY MCQ
1. Patient complains of inability of formulation of speech & expression
a-motor aphasia
b-slurred speech
c-stacatto speech
d- scanning speech
2. In brown sequard syndrome all are true except
a-contralat UMNL
b-ipsilat UMNL
c-ipsilat deep sensory loss
d-contralat superf sensory loss
3. In parkinsonism, all are true except
a-clasp knife spasticity
b-cog wheel regidity
c-hypokinisia
d-tremors
4. In petite mal epilepsy there is
a- loss of conciousness for 30 sec
b-loss of awareness
c-prolonged loss of conciousness for 30 min
5. Congenital muscular dystrophy is
a-systemic ds
b-disseminated ds
c- focal ds
d-multifocal ds
6. 42 years old patient ,complained of Rt arm hypothasia ,2days later ,the
hypothesia progressed to Rt leg , 2days later , there was paralysis of Rt
arm &leg , it is due to
a- Inflammatory cerebral ds
b- degenerative
c-cerebral hemorrage
d-cerebral embolism
7. In chronic demyelinating ds ,the basic theraby is
a-steroids
b-azathioprine
c-INF
8. Patient presented with Lt complete ptosis and Rt hemiplegia ,Rt
hemihypothesia the lesion is in
‚Û£]<
<æ < <Ò_<
]

a-lt midbrain
b-rt ponrine
c-lt cortical
d-lt subcapsular
9. Female Pt complains of progressive ms weakness which is descending ,
prox <distal
a-myasthenia
10. Essentials tremors are:
a) static- b) kinetic- c) postural d)postural and kinetic
11. Tone in chorea is :
a) clasp knife spasticity
b) cogwheel rigidity
c) hypotonia
d) lead pipe rigidity
12. All in capsular lesion except:
a) contral lteral hemiplegia
b) contral lateral hemihypothesia
c) homonymus hemianopia
d) bulbar palsy
13. Diplopia with out squint occur with:
a) 3rd cranial nerve palsy
b) 4th cranial nerve palsy
c) 6th cranial nerve palsy
d) medial longitudinal bundle lesion
14. All in duchenne except:
a) x-linked dominant
b) weakness in proximal muscles of both limbs
c) elevated cpk
d) psudohypertrophy in calf muscles
15. All are sure signs of pyramidal lesion except:
a) weakness of pyramidal distribution
b) hoffman sign
c) adductor reflex
d) extensor planter reflex
16. Multiple sclerosis is usally presented by >>>optic neuritis
17. All in UMNL of facial N. except
a) lower part is more affected
b) not improved by emotion
c) exagerrated glabellar reflex
d) none of the above
‚Û£]<
<æ < <Ò_<
]

18. A 60 ys old male patient presented with sudden rt. Hemiplegia ,1st
investigation to be done is:
a) EEG
b) CT brain
c) MRA
d) CSF analysis
19. 5 y child developed difficulty in standing and going up stairs gradually..
now he is 15 y on wheel chair with serum creatinine kinase ......45‫ت ر‬89:;8< =>?‫آ‬
- becker
-dushenne
-limb girdle dystrophy
20. Localize the lesion: Rt sided hemiparesis Lt sided facial palsy
-brain stem
-cortex
21. Patient developed rapid weakness and hypothesia in all limbs and (urine
retension? ta2reeban)
- guianne bare
-tranverse myelitis
22. Patient can comprehend well but can't express himself
- dysarthia..
- slurred...stacatoo(?)
-motor aphasia
23. All are used in multiple sclerosis diagnosis except:
a)CSF examination b)MRI c)CT scan d)transcranial dupler
24. In the treatment of acut exacerbation multiple sclerosis we give:
a)pulse steroid therapy I.V. for 3-5 days.
b)azathioprine
c)flouxetine
25. Patient developed fever & then rapid onset paraparesis with loss of all
sensation modalities till xiphsternum probably due to :
a)transverse myelitis
b)ant. Spinal artery occlusion
c) guillan barre $
26. Patient with hypoalgesia due to palyneuropathy mostly takes distribution
of :
a)glove & stock
b)loss of sensation according to root distribution
c)one limb affection ….
‚Û£]<
<æ < <Ò_<
]

27. Left sisded hemiplegia with right sided LMNL in 7th. Nerve suggests the
lesion in :
a)cortex
b)capsule
c)brain stem
d)spinal cord
28. Male patient his mother noticed @ the age of 5 ys. That he has difficulty in
picking objects from ground , climbing stairs with clumsy gait …he’s now
14 ys. Old & he’s wheel chair seated . …..he’s mostly suffering from :
a)becker’s
b)duchenne
c)myotonia
d)MG
29. Patient who can’t express his ideas in spoken words although he’s
comprehensive …mostly suffers from:
a) slurred speech
b)motor aphasia
c) staccato speech
d)agraphia
30. All are features of pyramidal tract lesion except:
a)spacticity
b)exaggerated reflex
c)+ve babinski
d) atrophy
31. Teacher noticed that a student had sudden attacks of blinking , staring,
with absence of certain words in his dictation ..he’s mostly suffering from:
a)complex seizures
b) absence attacks
c) syncopal attacks …..
32. Myasthenia gravis is considered :
a) systemic ds.
B) focal
c)multifocal
d) dissiminated

Ans.: 1-transcranial dupler 2-pulse steroid I.V. 3-transverse myelitis 4-glove &
stock
5-br.stem 6-duchenne 7-motor aphasia 8-atrophy 9-absence attacks 10-
systemic
‚Û£]<
<æ < <Ò_<
]

33. Symptoms of increase in the intracranial tension at the onset of a stroke

occurs with:
Cerebral thrombosis.
Cerebral haemorrhage.
Cerebral embolism.
Sub-arachnoid haemorrhage.

34. The best treatment of trigeminal neuralgia:

Paracetamol.
Carbamezipin.
Sumatreptan.
Endomethacin.

35. All are treatments of Multiple Sclerosis except:

Corticosteroids.
Endoxan.
Interferon.
Valproic acid.

36. Duchenne is a:
Focal disease
Systemic disease.
Disseminated disease.
Multifocal disease.

37. 65 years old, static tremours, mask face, shuffling gait …

Idiopathic Parkinsonism.

38. 6 years old, teacher complains of periods of loss of attention, retarding

scholastic achievements.
Petit mal epilipsy
39. Peripheral neuritis:
Loss of motor and sensory, glove and stoking
Area of nerve distribution.
40. Dysdiadokokinesia:
Cerebellar.

41. Rapid loss of motor and sensory and sphincteric control with a level.
Transverse myelitis
Guillian Barre.