MULTIPLE CHOICE QUESTIONS: INTRODUCTION TO BASICS OF NEUROLOGY

 MULTIPLE CHOICE QUESTIONS

INTRODUCTION TO BASICS OF NEUROLOGY—PART IV

Q No 1	Coordination can be effectively assessed if the muscle power is more than _______
	a)      5	b)      4
	c)       3	d)      2
Q No 2	During coordination test, eye close test tries to identiy_________ column lesion
	a)      Posterior column	b)      Medial column
	c)       Lateral column	d)      Anterior column
Q No 3	Involuntary movements with wild, rapid hinging movements or side radius is
	a)      Athetosis	b)      Hemiballismus
	c)       Chorea	d)      Tremor
Q No 4	The lesion in the caudate nucleus results in ___________
	a)      Athetosis	b)      Hemiballismus
	c)       Chorea	d)      Tremor
Q No 5	Involuntary sustained muscle contraction, frequently twisting and repetitive movements without associated neurological features.
	a)      Dystonia	b)      Hemiballismus
	c)       Tremor	d)      Chorea
Q No 6	Resting tremor seen in all the following conditions, Except_________
	a)      Drug induced parkinsonism	b)      Thyrotoxicosis
	c)       Extrapyramidal diseases	d) Post encephalitic parkinsonism
Q No 7	When the limb is approached its target, the tremor occurs is _____________
	a)      Postural tremor	b)      Action tremor
	c)       Rest tremor	d)      Intention tremor
Q No 8	Fasciculation is most commonly noted in _______
	a)      Deltoid	b)      Biceps
	c)       Triceps	d)      Quadriceps
Q No 9	Bundle of muscle fascicles because involuntary movement is called as _______
	a)      Fibrillation	b)      Tics
	c)       Fasciculations	d)      Myokymia
Q No 10	Common muscles involved in myokymia are ________
	a)      Flexor carpi radialis	b)      Orbicularis oris
	c)       Extensor indices	d)      Flexor digitorum profunds
Q No 11	Bipyramidal lesions lead to UMN lesions possessing ______ Gait
	a)      High stepping	b)      Ataxic gait
	c)       Shuffling gait	d)      Spastic gait
Q No 12	Cerebellar lesions cause ________ gait
	a)      High stepping gait	b)      Circumduction gait
	c)       Ataxic gait	d)      Foot drop gait
Q No 13	Waddling gait is commonly seen _______________
	a)      Common peroneal nerve lesion	b)      Muscular dystrophy
	c)       Hemiplegia	d)      Femoral nerve injury
Q No 14	Stroking over the upper/inner part of the thigh will produce _________ reflex
	a)      Cremastic reflex	b)      Plantar reflex
	c)       Abdominal reflex	d)      Scapular reflex
Q No 15	Absence of abdominal reflex seen in all the following, Except____________
	a)      Repeated pregnancy	b)      Multiple sclerosis
	c)       Extrapyramidal tract lesion	d)      Infantile hemiplegia
Q No 16	All the statement is true about the Pseudo-Babinski reflex, Except_______
	a)      Voluntary withdrawal in over sensitive individuals	b) Athetosis of big toe extension due to dystonic posture
	c)       Paralysis of short toe flexors	d) Contraction of hamstring muscles can be felt

Q No 17	Deep tendon jerk can be graded as Brisk in ____________ grade
	a)      Grade 0	b)      Grade 1
	c)       Grade 2	d)      Grade 3
Q No 18	Ankle jerk is to identify the __________ peripheral nerve
	a)      S1	b)      S2
	c)       S3	d)      S4
Q No 19	C6,7, 8, & T1 are the nerves tested in ______ DTR
	a)      Triceps Jerk	b)      Biceps Jerk
	c)       Finger flexion	d)      Pectoral Jerk
Q No 20	Paradoxical elbow flexion occurs when attempted to elicit triceps jerk is called __________
	a)      Primitive reflex	b)      Inverted reflex
	c)       Avoiding reflex	d)      Pseudo myotonic reflex
Q No 21	Sudden stroking over the ball of the Foot leads to contraction of all Toes is __________
	a)      Rossolimo’s Reflex	b)      Pendular Reflex
	c)       Chaddock Reflex	d)      Gordon Reflex
Q No 22	Examiner stokes over the skin on the thenar eminence of the hand, puckering of the skin over the chin on the same side is called as_____________
	a)      Sucking reflex	b)      Avoiding reflex
	c)       Snout reflex	d)      Palmomental reflex
Q No 23	Keep the finger on the upper lip & tap lightly over it. Puckering and protrusion of lips is seen is called as ____________-
	a)      Sucking reflex	b)      Snout reflex
	c)       Glabellar reflex	d)      Palmomental reflex
Q No 24	When the examiner taps over the glabella repeatedly using the index finger ______ reflex is noted
	a)      Glabellar reflex	b)      Snout reflex
	c)       Groping reflex	d)      Grasp reflex
Q No 25	__________ cerebellum part is made of the anterior lobe of the cerebellum and the pyramid and Uvula of the inferior vermis.
	a)      Neo cerebellum	b)      Cortico cerebellum
	c)       Paleo cerebellum	d)      Archi cerebellum
Q No 26	_________ parts of the cerebellum responsible for fine movements of the body
	a)      Neo cerebellum	b)      Spino cerebellum
	c)       Paleo cerebellum	d)      Archi cerebellum
Q No 27	Annal reflex segment is _______-
	a)      S1,2, 3	b)      S 2, 3
	c)       S4, 5, C1	d)      S,3, 4,5
Q No 28	Difficulty in carrying out complex movements is ___________
	a)      Dysmetria	b)      Dysarthria
	c)       Dysdiadochokinesia	d)      Dyssynergia
Q No 29	Loss of ability to perform the alternate movement is __________
	a)      Dysmetria	b)      Dysdiadochokinesia
	c)       Rebound phenomenon	d)      Dyssynergia
Q No 30	Rhythmic oscillation of the head on the trunk is called ______________
	a)      Dysmetria	b)      Nystagmus
	c)       Titubation	d)      Hypotonia
Q No 31	Vestibular symptoms are noted due to lesion in ________
	a)      Vermis	b)      Flocculonodular lobe
	c)       Neo cerebellum	d)      Paleo cerebellum

Q No 32	All the following lesions are gradual onset of Cerebellar lesions, Except_____
	a)      Pontine tumour	b) Congenital craniovertebral anomaly
	c)       Cerebellar tumour	d)      Encephalitis
Q No 33	Reduction of cutaneous sensation to a specific type of testing such as pressure, warm or cold is _______________
	a)      Paraesthesia	b)      Hypoesthesia
	c)       Anaesthesia	d)      Dysthesia
Q No 34	Complete absence of skin sensation is __________
	a)      Anaesthesia	b)      Dysthesia
	c)       Paraesthesia	d)      Hyperesthesia
Q No 35	Referring to the sensation of the opposite side of the body is __________
	a)      Hypoesthesia	b)      Paraesthesia
	c)       Hyperesthesia	d)      Allochiria
Q No 36	Exaggerated perception of pain is __________________
	a)      Hypoesthesia	b)      Hyperalgesia
	c)       Allochiria	d)      Aesthesia
Q No 37	Spontaneous sensation into the insensitive areas due to a lesion in caudaequina is _______________
	a)      Phantom sensation	b)      Paresthetica
	c)       Causalgia	d)      Acro- paraesthesia
Q No 38	Isolated neuritis of the dorsal digital nerve of one finger is _____________
	a)      Acro-paraesthesia	b)      Digitalgia paraesthetica
	c)       Causalgia	d)      Phantom limb
Q No 39	The sensory dermatome over the radial half of the forearm, including thenar eminence and thumb, is _____________
	a)      C4	b)      C5
	c)       C6	d)      C7
Q No 40	The sensory dermatome of T3 lies in __________________
	a)      Axilla	b)      Ulnar aspect of arm
	c)       Ulnar aspect of forearm	d)      Little finger
Q No 41	C3 sensory dermatome is _____________
	a)      Axilla	b)      Knee
	c)       Nape of the neck	d)      Perineal
Q No 42	The ability to recognize letters or numbers written on the skin is ___________
	a)      Stereognosis	b)      Graphesthesia
	c)       Paraesthesia	d)      Anaesthesia
Q No 43	Contralateral hyperalgesia is due to ____________
	a)      Partial lesion on the thalamus	b)      Parietal lobe lesions
	c)       Upper brain stem	d)      PICA
Q No 44	In Two-Point discrimination, distance in the palm is _____________
	a)      4—5 cms	b)      5 cms and Above
	c)       2—3 cms	d)      3—5 cms
Q No 45	In Two-Point discrimination, distance in the Back is _____________
	a)      4—5 cms	b)      5 cms and Above
	c)       2—3 cms	d)      3—5 cms

 

ANSWERS

 

Question No	Answers
1.	C
2.	A
3.	B
4.	C
5.	A
6.	B
7.	D
8.	A
9.	D
10.	B
11.	D
12.	C
13.	B
14.	A
15.	C
16.	D
17.	C
18.	A
19.	C
20.	B
21.	A
22.	D
23.	B
24.	A
25.	C
26.	A
27.	B
28.	D
29.	B
30.	C
31.	B
32.	D
33.	B
34.	A
35.	D
36.	B
37.	A
38.	B
39.	C
40.	A
41.	C
42.	B
43.	A
44.	C
45.	B