Free download in PDF Neurology Multiple Choice Questions and Answers for competitive exams. These short objective type questions with answers are very important for competitive exams. These short solved questions or quizzes are provided by Gkseries.
1
A 45-year-old man presents with an insidious onset of binocular horizontal diplopia and left sided facial pain. On examination ha has a left abducens nerve palsy and numbness over the maxillary division of the left trigeminal nerve. The most likely anatomical site of his neurological lesion is:
2
A 75 year-old woman with acute monocular visual loss. Fundoscopy reveals a swollen pale optic disc in the affected eye. What is the mose likely diagnosis?
3
A female patient aged 30 has a 5 years history of difficulty getting upstairs and out of a low chair and mild upper limb weakness but no pain. There is no family history. She presented with severe type 2 respiratory failure. EMG showed evidence of myopathy. The most likely diagnosis is:
4
A 19 year old girl presents at the antenatal clinic. She is approximately six weeks pregnant and the pregnancy was unplanned. She has a two year history of grand mal epilepsy for which she takes carbamazepine. She has had no fits for approximately six months. She wants to continue with her pregnancy if it is safe to do so. She is worried about her anticonvulsant therapy and the effects on the baby and enquires how she should be managed?
5
A 33 year old epileptic female presents with visual problems. Examination reveals a constriction of visual fields to confrontation. Which of the following may be responsible for her visual deterioration?
10
A 75-year-old man presents with 12 months history of cognitive impairment, parkinsonism, intermittent confusion and generalised myoclonus. He was started on 62.5 tds of sinemet. In the following 2 months he was started experiencing visual hallucinations. The most likely diagnosis is:
11
A 23-year-old man presents with visual loss in the right eye, diagnosed as optic neuritis.Which one of the following statements would be seen in an afferent pupillary defect?
A
accommodation response is unaffected
B
hypersensitive response to pilocarpine in the affected eye
C
irregular pupil of the affected eye
D
pupil of affected eye larger than the unaffected eye
13
A previously well 27-year-old woman presents with a history of transient ischaemic attack affecting her right side and speech. She had returned to the United Kingdom from a holiday in New Zealand two days previously. On examination there was nothing abnormal to find. An ECG, chest X-ray, CT brain scan and routine haematology and biochemistry were all normal. What is the most likely underlying abnormality?
14
A 24-year-old man presents with a five month history of low back pain, radiating to his buttocks, and back stiffness worse in the morning and worse after periods of inactivity. Which of the following signs is the most likely to be present?
16
A 62-year-old man presented with difficult walking. He had a past history of diabetes mellitus and cervical spondylosis, which had required surgical decompression eight years previously. He drank 40 units of alcohol weekly. On examination there was fasciculation, wasting and weakness in the left deltoid and biceps, with weakness in the shoulder girdle muscles bilaterally. There was fasciculation in the glutei and quadriceps bilaterally, weakness of hip flexion and foot dorsiflexion,
brisk reflexes in upper and lower limbs, and extensor plantar responses. There was no sensory impairment.What is the diagnosis?
18
A 72 year old female presents with general slowness. Examination reveals a tremor of the hands. What frequency of tremor would you suspect in Parkinson's disease?
