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Basics of Neurology MCQ Question with Answer

Basics of Neurology MCQ with detailed explanation for interview, entrance and competitive exams. Explanation are given for understanding.

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Question No : 36
Topic: Horner's Syndrome
Subject: Medicine
A 70-year-old man presented with ptosis, myosis and anhydrosis on the left side. Which one of the following is the most likely cause of this condition?

Tumour induced exophthalmos
Fourth cranial nerve palsy
Apical pulmonary carcinoma
Enlarged thyroid gland

Question No : 37
Topic: Tension headache.
Subject: Medicine
A woman presents with chief complaint of tightening, band-like headaches that usually occur upon rising in the morning. What is the most likely diagnosis?

Migraine headache
Premenstrual headache
Tension headache
Cluster headache

Question No : 38
Topic: Organophosphate poisoning
Subject: Medicine
What is the mechanism of action in organophosphate poisoning?

Cholinesterase inhibition
Cholinesterase activation
Catecholamine inhibition
Catecholamine activation

Question No : 39
Topic: Benign Positional Vertigo
Subject: Medicine
Which one of the following is characteristic of benign positional vertigo?

A duration of 10-15 minutes
Associated hearing loss and tinnitus
Associated diplopia and facial numbness
Being triggered by turning the head

Question No : 40
Topic: Subarachnoid Hemorrhage
Subject: Medicine
A 25-year-old male presents 5 hours after the onset of the worst headache of my life. His temperature is 37.0°C (98.6°F), blood pressure 140/90 mm Hg, respiratory rate 20/min, and pulse rate 90 beats/min. The patient is lethargic but oriented; there are no focal neurologic findings, but neck stiffness is present. Unenhanced CT of the head is negative. You elect to perform a lumbar puncture. At this time, which one of the following findings in bloody spinal fluid would indicate a diagnosis of subarachnoid hemorrhage?

Yellow-orange cerebrospinal fluid supernatant
A WBC:RBC ratio of 1/1000
A protein (g/L) to RBC (count/L) of 1/1000
A glucose level below 2.2 mmol/L

Question No : 41
Topic: Seizure
Subject: Medicine
A 52-year-old male with a history of seizure attacks suffered from loss of consciousness and tonic and clonic muscular contractions. His tongue fell back into the throat and he choked. What is the most likely diagnosis of this presentation?

Petit mal seizure
Grand mal seizure
Myoclonic seizure
Atonic seizure

Question No : 42
Topic: Fragile X Syndrome
Subject: Medicine
You are asked to see a mentally challenged 45-yearold male from a nearby group home who has groin pain. On examination you notice that he has large ears, a prominent jaw, and large symmetric testicles.
These findings are consistent with:

A variant form of Down syndrome
Aspergers syndrome
Klinefelters syndrome
Fragile X syndrome