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Neurology OXF.
I. CNS Anatomy.
1. Anatomy.
***) One of the following is the twelfth cranial nerve: Q2012
A. Accessory nerve
B. Trigeminal nerve
C. Glossopharyngeal nerve
D. Hypoglossal nerve
E. Vagus nerve
***) All the following muscles are supplied by the trigeminal nerve except:
A. Tensor veli palatini
B. Tensor tympani
C. Masseter
D. Posterior belly of digastric
E. Mylohyoid
2. Marfan syndrome.
***) 22 years old male has feature of arm span greater than height, subluxed lenses, flattened
corneas, and dilation of the aortic ring. The most likely diagnosis is: Q2012
A. Ehlers-Danlos syndrome
B. Marfan syndrome
C. Werner's syndrome
D. Laurence-Moon-Biedl syndrome
E. Hunter's syndrome
3. Aphasia.
***) 65 years old male with DM and HTN, develops acute right sided hemiplegia, on
examination he has intact comprehension, can obey commands but unable to speak or repeat
phrases. His language disturbance represents one of the following: Q2012
A. Receptive aphasia
B. Expressive aphasia
C. Global aphasia
D. Anomic aphasia
E. Cerebellar aphasia
4. Tremor.
***) All of the following are causes of tremor, except:
A. Parkinsonism
B. Familial
C. Hypoglycemia
D. Anxiety
E. Hyperparathyroidism
Answer: E* Hyperparathyroidism
6. Pupillary Abnormalities.
***) Pinpoint pupils are seen in all the following, except: Q2012
A. Organophosphorus poisoning
B. Opiates overdose
C. Pontine hemorrhage
D. Subarachnoid hemorrhage
E. Insecticide intoxication
7. Papilledema.
***) False statement about papilledema:
A. It takes usually 24-48 hours to develop but can occur as early as 6 hours
B. Caused by axoplasmic stasis
C. Does not affect visual acuity unless the macula area is affected by hemorrhage
D. Never seen unilaterally
E. Papillitis gives similar findings on clinical examination
Answer: B* Fasciculation
***) Upper motor neuron lesion can produce all the following except:
A. Increased deep tendon reflexes
B. Extensor plantar response
C. Muscle weakness
D. Fasciculation
E. Spasticity
Answer: D* Fasciculation
***) All of the following are signs of upper motor neuron lesion, except:
A. Increase in tone
B. Hyperreflexia
C. Fasciculation
D. An extensor plantar reflex
E. Pyramidal weakness
Answer: C* Fasciculation
***) Signs of upper motor neuron lesion include all of the following, except:
A. Hypertonia
B. Clonus
C. Pyramidal weakness
D. Hyperreflexia
E. Marked fasciculation
Answer: D* Clonus
***) The following are signs of lower motor neuron lesion, except:
A. Weakness
B. Wasting
C. Fasciculation
D. Hypertonia
E. Decreased reflexes
Answer: D* Hypertonia
***) All of the following are signs of a lower motor neuron lesion, except:
A. Hypotonia
B. Reflex loss
C. Muscle wasting
D. Extensor plantar reflex
E. Fibrillation
***) All of the following are signs of a lower motor neuron lesion, except:
A. Fibrillation
B. Fasciculation
C. Spasticity
D. Muscle wasting
E. Hyporeflexia
Answer: C* Spasticity
10. Headaches.
***) All the followings regarding headache is true, except:
A. It may be caused by temporal arteritis
B. It may be secondary to benign intracranial hypertension
C. Tension headache is common
D. It occurs usually in the evening when it is due to brain tumor
E. It may be secondary to hypertension
***) The following statements regarding cluster headache are true, except:
A. Affects approximately 0.1% of the population
B. More common in females
C. Similar to migraine, may have a familial predisposition
D. The attack is often associated with autonomic features
E. It has two forms, episodic and chronic
***) High steppage gait can be seen in all of the following, except:
A. Guillain-Barre syndrome
B. Hereditary motor sensory neuropathy
C. Lead poisoning
D. Vitamin B12 deficiency
E. Folic acid deficiency
Answer: D* Anemia
2. Epilepsy.
***) Causes of epileptic fits include all of the following, except:
A. Head injury
B. Brain tumor
C. Hypoglycemia
D. Hypercalcemia
E. Systemic lupus erythematosus
Answer: D* Hypercalcemia
Answer: E* Dipyridamole
Answer: B* Diazepam
***) Side effects of phenytoin (Epanutin) include all of the following, except:
A. Hypertrophy of the gums
B. Anemia
C. Ataxia
D. Pseudolymphoma
E. Benign intracranial hypertension
***) Weight gain is a known complication of one for the following drugs:
A. Sodium valproate
B. Tetracycline
C. Topiramate
D. Neurontin
E. Penicillamine
Answer: A* Sodium valproate
3. Parkinson's disease.
***) All of the following are clinical features of Parkinson's disease, except:
A. Causes tremor
B. Hypokinesis
C. Mask face
D. Respond to bromocriptine
E. Bilateral extensor plantar reflex
***) All of the following are clinical features of Parkinson's disease, except:
A. Pill-rolling tremor
B. Lead-pipe rigidity
C. Aphasia
D. Bradykinesia
E. Shuffling gait
Answer: C* Aphasia
***) All of the following are clinical features of Parkinson's disease, except:
A. Rigidity
B. Tremor
C. Hypokinesis
D. Extensive sensory loss
E. Expressionless face
4. Multiple Sclerosis.
***) The following about multiple sclerosis are true, except:
A. Causes paresthesia
B. Diplopia is a feature
C. Is a remitting and relapsing disease
D. Causes urinary symptoms
E. More common in elderly
***) One of the followings is a good prognostic factor for multiple sclerosis:
A. Male gender
B. Presence of motor and cerebellar symptoms
C. Severe disability after the first attack
D. Presentation with optic neuritis and sensory symptoms
E. Numerous relapses within the first year negatively influence the clinical
5. Peripheral Neuropathies.
***) All of the following can cause peripheral neuropathy, except:
A. Lead poisoning
B. Diphtheria
C. Guillain-Barr syndrome
D. Vitamin B12 deficiency
E. Vitamin C deficiency
Answer: C* Median
Answer: C* Median
***) Causes of carpal tunnel syndrome occur in all of the following, except:
A. Primary amyloidosis
B. Myxedema
C. Rheumatoid arthritis
D. May be idiopathic
E. Ankylosing spondylitis
***) Causes of carpal tunnel syndrome include all of the following, except:
A. Pregnancy
B. Myxedema
C. Multiple sclerosis
D. Acromegaly
E. Rheumatoid arthritis
***) The skin overlying the hypothenar muscle of the palm is supplied by the:
A. Radial nerve
B. Median nerve
C. Ulnar nerve
D. Anterior interosseous nerve
E. Superficial radial nerve
***) Partial clawing of the hand is the manifestation of injury one of the following:
A. Ulnar nerve
B. Radial nerve
C. Median nerve
D. Anterior interosseous nerve
E. Musculocutaneous nerve
Answer: A* Ulnar nerve
***) A patient presents with wasting of small muscles of hand with thenar sprain. What is the
most probable nerve could be affected:
A. Ulnar nerve
B. Median nerve
C. Axillary nerve
D. Musculocutaneous nerve
E. Thenar nerve
6. Myasthenia Gravis.
***) The lesion of myasthenia gravis is in the:
A. Anterior horn cell
B. Neuromuscular junction
C. Sensory ganglia
D. Parasympathetic ganglia
E. Sympathetic chain
***) All of the following about myasthenia gravis are true, except:
A. Causes ptosis
B. Weakness is usually proximal
C. Recognized cause of respiratory failure
D. Anticholinesterase therapy is harmful
E. Can cause bulbar muscle weakness
***) All of the following features of myasthenia gravis are true, except:
A. Asymmetrical weakness
B. Associated with thyrotoxicosis
C. Dysphagia
D. Absence reflexes
E. Natural remission
Answer: C* Thymectomy
7. Horner's Syndrome.
***) Findings in Horner's syndrome include:
A. Miosis
B. Anhidrosis of half of face
C. Enophthalmos
D. Ptosis
E. All of the above
***) Which one of the following tumors may be associated with Horner's syndrome:
A. Pancoast tumor
B. Main bronchus carcinoma
C. Carcinoma of the lower third of the esophagus
D. Carcinoid tumor
E. Hepatoma
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Rheumatology OXF.
I. Immunology & Investigations.