Free download in PDF Neurology Objective Type 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.
21
A 34 year old male presents with back-pain and weakness. Which of the following would support a diagnosis of prolapsed intervertebral disc?
A
bilateral symmetrical nerve involvement
B
Loss of sensation over the left outer upper thigh
23
A 24 year old female presents with vague frontal headaches and visual disturbance. She has a past history of acne for which she is receiving treatment. Examination reveals her to be obese with a blood pressure of 110/70 mmHg. There is absence of the central retinal vein pulsation on fundoscopic examination. Which of the following drugs account for these findings?
24
A 15 year old boy presents with tremor of both hands. Over the previous months he has eveloped a mild dysarthria. He has a history of behavioural problems, of a depressive/psychotic nature. The most likely diagnosis is:
25
A 48-year-old female patient develops an acute, severe and isolated right C6 radiculopathy affecting both the motor and sensory roots. She is examined in an EMG clinic 3 weeks after the onset of symptoms. Which of the following statements is true?
A
Absent sensory nerve potentials would be expected on examination of the thumb and index finger on the right.
B
A repeat examination 12 months later is likely to reveal rapidly recruited low amplitude short duration motor units in the clinically involved muscle on EMG.
C
Fibrillation potentials would be expected in the right brachioradialis and abductor pollicus brevis.
D
Triceps tendon jerk is likely to be depressed or absent.
28
A 20-year-old female presents with acute onset of left foot drop. Examination reveals weakness of ankle dorsiflexion and eversion. There is a small area of sensory loss in the first web space. Reflexes were all present and plantars flexor. Which of the following nerves is likely to be involved?
35
A 65-year-old man presents with 4 months history of swallowing difficulties (worse with liquids than solids). He also complains of nasal regurgitation, coughing and choking episodes during meals and slight dysarthria. He lost 1 stone over the last 8 weeks. Which of the following investigations is the most appropriate for this case?
36
A 60-year-old man presents with an episode of memory loss. Three days earlier he had become confused. His wife led him into the house - he apparently sat down at her request, and had a cup of tea. He then wandered around the house, confused, but remained conscious and able to have some conversation with his wife, though continuing to ask similar questions repeatedly. After three hours, he abruptly returned to normal and had no recollection of the events. What is the most likely
diagnosis?
37
A 40-year-old man has had decreased mentation with confusion as well as increasing incoordination and loss of movement in his right arm over the past 6 weeks. An MRI scan shows 0.5 to 1.5 cm lesions in cerebral hemispheres in white matter and at the grey-white junction that suggest demyelination. A stereotatic biopsy is performed, and immunohistochemical staining of the tissue reveals JC papovavirus in oligodendrocytes. Which of the following laboratory test findings is most
likely to be associated with these findings?
38
A 21 year old female with epilepsy is well controlled on sodium valproate 600mg bd and had been taking oral contraceptives for three years. She presented to her general practitioner 12 weeks pregnant. Which of the following is correct?
A
An alternative anticonvulsant should be used in place of sodium valproate
B
Interaction of sodium valproate with the oral contraceptive increased the risk of pregnancy
C
The dose of sodium valproate should be increased
D
There is an increased risk of a neural tube defect in her fetus
Answer: There is an increased risk of a neural tube defect in her fetus
39
A 68-year-old man presents with progressive visual impairment. On examination there is an incongruous homonymous hemianopia. The most likely anatomical site of the neurological lesion is at:
