MCQs CLINICAL NEUROANATOMY

Dr Uzma

(1)Which of the following is true of tremors?

(a) Coordinated, repetitive movements involving one or more muscles
(b) Quick, jerky, non- repetitive, irregular movements
(c) Slow, sinus, writhing movements
(d) Alternating contraction of agonist and antagonists of a joint
(e) Sustained contraction of a portion of muscle

(2) All of the following are seen in Parkinson’s Disease EXCEPT:

(a) Loss of muscles of power
(b) Loss of sensibility
(c) Superficial abdominal reflexes
(d) Exaggerated deep tendon reflexes
(e) Babiniski’s response

(3) Choose the single most likely clinical sign to be seen in Wernick’s Encephalopathy
(a) Myoclonus
(b) Nystagmus
(c) Extensor plantars
(d) Fixed pupils
(e) Flapping Tremors

(4) Which of the following symptoms may be seen in a 56years old man who has been on
Depot Fluphenazine for 20 years?
(a) Cervical dystonia
(b) Orolingual dyskinesia
(c) Stereotypies
(d) Athetoid movements
(e) Intention tremors
(5) A 56 years old man is noted on MRI of his brain to have left sided parietal lobe
atrophy. He is right handed. Which symptom is the most likely
(a) Poor short term memory
(b) Sensory dysphasia
(c) Hemi anesthesia
(d)Right left disorientation
(e) Dysdiadokokinesia

(6) An inability to recognize faces

(a) Anosognosia
(b) Somatognosis
(c) Prosopagnosia
(d) Visual agnosia
(e) Agraphognosia

(7) Recognition of faces occurs in

(a) Fusiforn gyms
(b) Nucleus accumbens
(C) Superior Parietal cortex
(d) Left inferior frontal cortex
(e) Posterior superior temporal lobe

(8) Reward processing

(a) Amygdala
(b) Optic radiation
(c) Pons
(d) Nucleus accumbens
(e) Superior parietal cortex
(9) The following is chiefly a function of the non dominant hemisphere
(a) Prosody
(b) Constructional abilities
(c) Attention
(d) Personality
(e) Calculation

(10) All of the following are localized to the dominant hemisphere

(a) Complex visuo-perceptual skills
(b) Language
(c) Calculation
(d) Memory
(e) Praxis

(11) The corticospinal tracts are pathways concerned with

a) Voluntary skilled movements
b) Reflex activity
c) Reflex postural movements
d) Pupillodilation Reflex
e) Activity of antigravity muscles

(12) Which of the following is indicative of a cerebellar lesion?

a) Cogwheel rigidity
b) Hemiballismus
c) Chorea
d) Intention tremor
e) Athetosis

(13) Which of the following is a function of Cerebellum?

a) Action of muscle tendons
b) Voluntary movements
 c) Contraction of Antagonist muscles
d) Peristaltic waves in intestinal muscles
e) Sensory Innervation

(14) Lesions of the Thalamus result in all of the following EXCEPT:

a) Loss of pain sensations
b) Loss of light Touch
c) Loss of Tactile Localization
d) Loss of Appreciation of Joint Movements
e) Loss of Temperature Sensations

(15) Which of the Following statements are true?

a) Focal Lesions of precentral gyrus result in ipsilateral hemisensory loss
b) Lesions of the basal nuclei cause contralateral motor or sensory symptoms
c) Lesions of the anterior limb of internal capsule produce spastic paraplegia
d) Lesions of the posterior limb of internal capsule produce contralateral
impairment of sensation.
e) Lesions of the postcentral gyrus result in ipsilateral hemisensory loss.

(16) All of the following are true for Alzheimer’s Dementia EXCEPT:
a) Mutations in App, Presenilin 1, Presenilin 2 genes
b) Hippocampal and entorhinal cortex involvement
c) Senile plaques due to accumulation of beta amyloid
d) Neurofibrillary Tangles which are aggregates of microtubular tau protein
e) Increased synthesis of Choline Acetyltransferase

(17) Which of the following statements concerning the functions of the limbic system is
true?
a) It is not concerned with reactions of fear and anger
b) Concerned with visual experiences
c) Hippocampus ids concerned with recent memory
 d) Olfactory Function
e) Directly influences the activity of endocrine system.

(18) Lesion at the optic chiasma leads to

a) Nasal Hemianopia
b) Right contralateral homonymous Hemianopia
c) Total blindness of one eye
d) Bitemporal Hemianopia
e) Circumferential Blindness

(19) The cerebral cortex is necessary for which of the following visual reflexes?
a) Corneal reflex
b) Accommodation Reflex
c) Consensual Light Reflex
d) Pupillary Light Reflex
e) Visual Body Reflex

(20) The satiety center is located in which part of the hypothalamus?

a) Anterior Hypothalamic Nuclei
b) Paraventricular Nucleus
c) Medial Hypothalamic Nuclei
d) Lateral Hypothalamic Nuclei
e) Supraoptic Nucleus

References:
a) Snell Clinical Neuroanatomy. 6th edition
b) MCQs for MRCPsych Exam.
 KEY

(1)Which of the following is true of tremors?

(a) Coordinated, repetitive movements involving one or more muscles
(b) Quick, jerky, non- repetitive, irregular movements
(c) Slow, sinus, writhing movements
(d) Alternating contraction of agonist and antagonists of a joint
(e) Sustained contraction of a portion of muscle

(2) All of the following are seen in Parkinson’s Disease EXCEPT:

(f) Loss of muscles of power
(g) Loss of sensibility
(h) Superficial abdominal reflexes
(i) Exaggerated deep tendon reflexes
(j) Babiniski’s response

(3) Choose the single most likely clinical sign to be seen in Wernick’s Encephalopathy
(f) Myoclonus
(g) Nystagmus
(h) Extensor plantars
(i) Fixed pupils
(j) Flapping Tremors

(4) Which of the following symptoms may be seen in a 56years old man who has been on
Depot Fluphenazine for 20 years?
(f) Cervical dystonia
(g) Orolingual dyskinesia
(h) Stereotypies
(i) Athetoid movements
(j) Intention tremors
(5) A 56 years old man is noted on MRI of his brain to have left sided parietal lobe
atrophy. He is right handed. Which symptom is the most likely
(a) Poor short term memory
(b) Sensory dysphasia
(c) Hemi anesthesia
(d) Right left disorientation
(e) Dysdiadokokinesia

(6) An inability to recognize faces

a) Anosognosia
b) Somatognosis
c) Prosopagnosia
d) Visual agnosia
e) Agraphognosia

(7) Recognition of faces occurs in

(a) Fusiform gyrus
(b) Nucleus accumbens
(C) Superior Parietal cortex
(d) Left inferior frontal cortex
(e) Posterior superior temporal lobe

(8) Reward processing

(a) Amygdala
(b) Optic radiation
(c) Pons
(d) Nucleus accumbens
(e) Superior parietal cortex

(9) The following is chiefly a function of the non dominant hemisphere

a) Prosody
 b) Constructional abilities
c) Attention
d) Personality
e) Calculation

(10) All of the following are localized to the dominant hemisphere

(a) Complex visuo-perceptual skills
(b) Language
(c) Calculation
(d) Memory
(e) Praxis

(11) The corticospinal tracts are pathways concerned with

a) Voluntary skilled movements
b) Reflex activity
c) Reflex postural movements
d) Pupillodilation Reflex
e) Activity of antigravity muscles

(12) Which of the following is indicative of a cerebellar lesion?

a) Cogwheel rigidity
b) Hemiballismus
c) Chorea
d) Intention tremor
e) Athetosis

(13) Which of the following is a function of Cerebellum?

a) Action of muscle tendons
b) Voluntary movements
c) Contraction of Antagonist muscles
d) Peristaltic waves in intestinal muscles
 e) Sensory Innervation

(14) Lesions of the Thalamus result in all of the following EXCEPT:

a) Loss of pain sensations
b) Loss of light Touch
c) Loss of Tactile Localization
d) Loss of Appreciation of Joint Movements
e) Loss of Temperature Sensations

(15) Which of the Following statements are true?

a) Focal Lesions of precentral gyrus result in ipsilateral hemisensory loss
b) Lesions of the basal nuclei cause contralateral motor or sensory symptoms
c) Lesions of the anterior limb of internal capsule produce spastic paraplegia
d) Lesions of the posterior limb of internal capsule produce contralateral
impairment of sensation.
e) Lesions of the postcentral gyrus result in ipsilateral hemisensory loss.

(16) All of the following are true for Alzheimer’s Dementia EXCEPT:
a) Mutations in App, Presenilin 1, Presenilin 2 genes
b) Hippocampal and entorhinal cortex involvement
c) Senile plaques due to accumulation of beta amyloid
d) Neurofibrillary Tangles which are aggregates of microtubular tau protein
e) Increased synthesis of Choline Acetyltransferase

(17) Which of the following statements concerning the functions of the limbic system is
true?
a) It is not concerned with reactions of fear and anger
b) Concerned with visual experiences
c) Hippocampus is concerned with recent memory
d) Olfactory Function
e) Directly influences the activity of endocrine system.
(18) Lesion at the optic chiasma leads to
a) Nasal Hemianopia
b) Right contralateral homonymous Hemianopia
c) Total blindness of one eye
d) Bitemporal Hemianopia
e) Circumferential Blindness

(19) The cerebral cortex is necessary for which of the following visual reflexes?
a) Corneal reflex
b) Accommodation Reflex
c) Consensual Light Reflex
d) Pupillary Light Reflex
e) Visual Body Reflex

(20) The satiety center is located in which part of the hypothalamus?

a) Anterior Hypothalamic Nuclei
b) Paraventricular Nucleus
c) Medial Hypothalamic Nuclei
d) Lateral Hypothalamic Nuclei
e) Supraoptic Nucleus