Neurology MCQ 130+

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• In subarachnoid hemorrhage
  ক

  CT scan is better than MRI

  খ

  The site of bleeding can be diagnosed by MRI

  গ

  Blood is found in CSF within 24hours

  ঘ

  Fundoscopy may reveal haemorrhage

  ঙ

  Negative CT excludes subarachnoid Haemorrhage
• Anterior circulation stroke is characterized by
  ক

  Global aphasia

  খ

  Hemiplegia

  গ

  Crossed paralyisis

  ঘ

  Horner's syndrome

  ঙ

  Dysdiadochokinesia
• Causes of transient cerebral ischemic attack includes
  ক

  Atrial fibrillation

  খ

  Carotid artery stenosis

  গ

  Intracerebellar haemorrhage

  ঘ

  Hypotension

  ঙ

  Intracerebral tumor
• Reversible dementia may be present in
  ক

  Hypothyroidism

  খ

  Vitamin B12 deficiency

  গ

  Wilson disease

  ঘ

  Alzheimer's disease

  ঙ

  Huntington's chorea
• Non-metastatic neurological complications of malignancy includes
  ক

  Meralgia paresthetica

  খ

  Progressive dementia

  গ

  Carpal tunnel syndrome

  ঘ

  Cerebellar ataxia

  ঙ

  Myasthenic syndrome
• Sudden loss of vision may occur in
  ক

  Central retinal artery occlusion

  খ

  Ischemic central retinal vein occlusion

  গ

  Papilloedema

  ঘ

  Retinitis pigmentosa

  ঙ

  Retinitis caused by cytomegalo virus
• Metabolic cause/s of acquired ataxia include/
  ক

  Vitamin E deficiency

  খ

  Hypoparathyroidism

  গ

  Hyperthyroidism

  ঘ

  Multiple sclerosis

  ঙ

  Lead poisoning
• Clinical manifestations of myasthenia gravis include
  ক

  Dysphagia

  খ

  Double vision

  গ

  Fluctuating symptoms

  ঘ

  Wasting of proximal muscles

  ঙ

  Peripheral sensory loss
• Myasthenia gravis
  ক

  The disease is the result of an IgG antibody against acetylcholine receptor protein

  খ

  There may be increased incidence of thyroid disease

  গ

  Myasthenia gravis confined to ocular muscles bas no chance of emission

  ঘ

  There is muscle wasting and fasciculation

  ঙ

  May be self-remitting
• Myasthenia gravis is associated with
  ক

  Unilateral ptosis

  খ

  Double vision

  গ

  Anti-MuSK antibody

  ঘ

  Malignancy

  ঙ

  Brisk deep tendon reflexes
• Features of pseudobulbar palsy includes
  ক

  Presence of jaw jerk

  খ

  Dysphagia

  গ

  Emotional disability

  ঘ

  Diplopia

  ঙ

  Dysphasia
• Causes of bulbar palsy are
  ক

  Meningitis

  খ

  Motor neuron disease

  গ

  Lyme disease

  ঘ

  Poliomyelitis

  ঙ

  Multiple sclerosis
• Cause/s of bulbar palsy is/are
  ক

  Myasthenia gravis

  খ

  Guillain Barre syndrome

  গ

  Poliomyelitis

  ঘ

  High brain stem tumor

  ঙ

  Multiple sclerosis
• Causes of pseudo bulbar palsy are
  ক

  Bilateral stroke

  খ

  Parasagittal meningioma

  গ

  Multiple sclerosis

  ঘ

  Myasthenia gravis

  ঙ

  Syringobulbia
• Causes of pseudobulbar palsy are
  ক

  Motor neuron disease

  খ

  Cerebral vasculitis

  গ

  Gullain-Barre syndrome

  ঘ

  Myasthenia gravis

  ঙ

  Lyme disease
• Causes of pseudo-bulbar palsy include
  ক

  Bilateral stroke

  খ

  Motor neuron disease

  গ

  Multiple sclerosis

  ঘ

  Myasthenia gravis

  ঙ

  Syringobulbia ;
• Cause(s) of bulbar palsy is (are)
  ক

  Myasthenia gravis

  খ

  Poliomyelitis

  গ

  Guillain Barre syndrome

  ঘ

  Multiple sclerosis

  ঙ

  Cerebral vasculitis
• The major risks for cerebral embolism
  ক

  Atrial fibrillation

  খ

  Atrial myxoma

  গ

  Infective endocarditis

  ঘ

  Calf vein thrombosis

  ঙ

  Acute rheumatic fever
• Diseases associated with spasticity
  ক

  Multiple sclerosis

  খ

  Stroke

  গ

  Cerebral palsy

  ঘ

  Spinal muscular atrophy

  ঙ

  Cerebellar syndrome
• Spastic paraplegia may be produced by
  ক

  Syringomyelia

  খ

  Multiple Sclerosis

  গ

  Prolapsed intervertebral disc.

  ঘ

  Tabes dorsalis

  ঙ

  Guillain Barre syndrome (GB
• Following disease
  ক

  Hyperkalemic periodic paralysis

  খ

  Malignant hyperthermia

  গ

  Myasthenia gravis

  ঘ

  Lambert-Eaton syndrome

  ঙ

  Renal tubular acidosis
• Following enzymes are expected to rise in muscular dystrophy
  ক

  Creatine kinase

  খ

  Aspartate aminotransferase

  গ

  Lactate dehydrogenase

  ঘ

  Alanine aminotransferase

  ঙ

  Aldolase
• Metabolic myopathy is found in
  ক

  Osteomalacia

  খ

  Hypothyroidism

  গ

  Addison s disease

  ঘ

  Pseudo – hypoparathyroidism

  ঙ

  Insulinoma
• Causes of inflammatory myopathies are
  ক

  Polymyositis

  খ

  Inclusion body myositis

  গ

  Acromegaly

  ঘ

  Limb girdle muscular dystrophy

  ঙ

  Osteomalacia
• CSF Findings in Guillainbarre syndrome
  ক

  Pressure 50-150mm of water

  খ

  Red blood cell 0-4/mm3

  গ

  Glucose -50-65% of blood level

  ঘ

  Whiter blood cell > 15cells /mm3

  ঙ

  Protein -25-45mg/dl
• Guillain Barre syndrome
  ক

  Causes motor neuropathy

  খ

  Is a autoimmune condition

  গ

  Causes spastic paralysis

  ঘ

  Is a disease of central nervous system

  ঙ

  Usually involves the spinal cord
• Gullain-Barre syndrome is
  ক

  A cause of acute type II respiratory failure

  খ

  An autoimmune disease

  গ

  Supported by albumino-cytological dissociation in CSF study

  ঘ

  A cause of acute retention of urine

  ঙ

  Characterized by definite level of sensory loss
• Sub-acute combined degeneration of spinal cord is characterized by
  ক

  Bilateral plantar extensor

  খ

  Multilobed polymorphonuclear cells in peripheral blood film

  গ

  Loss of bilateral knee jerk

  ঘ

  Low serum concentration of methylmelanic

  ঙ

  Low serum concentration of Homocystine
• Causes of toxic peripheral neuropathy are
  ক

  Phenytoin

  খ

  Vincristine

  গ

  Paraproteinaemia

  ঘ

  Amyloidosis

  ঙ

  Cryoglobulinaemia
• Drugs causing peripheral neuropathy
  ক

  Metronidazole

  খ

  Nitrofurantoin

  গ

  Isoniazid

  ঘ

  Tricyclic antidepressants

  ঙ

  Amoxycillin