Neurology Quiz | Neurology Multiple Choice Questions with Answers
Questions
61
A 27 year-old male presents with 3 months of difficulty walking. Examination reveals motor weakness of left leg in a pyramidal distribution with increase in tone. Impaired pinprick sensation of right leg extending into the groin. What is the cause of these signs?
Answer: A left sided thoracic spinal cord lesion.
62
Psychiatric illness rather than an organic brain disorder is suggested by:
Answer: A family history of major psychiatric illness
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63
Which of the following would be the result of a spinal lesion at the level of C8?
Answer: weakness of finger flexion
64
A 50-year-old man presented with 18 months history of parasthesiae of his feet and hands. On examination there is numbness of glove and stocking distribution with generalised hyporeflexia. Nerve conduction studies revealed demyelinative sensory polyneuropathy. Which of the following conditions is the most likely diagnosis?
Answer: Chronic inflammatory demyelinating polyneuropathy
65
Which of the following statements about the spinal cord is true?
Answer: The spinothalamic tracts are supplied principally by the anterior spinal artery
68
A 45-year-old man has a history of progressive weakness for 5 weeks. He had particular difficulty getting out of the bath. On examination there was severe truncal and proximal limb weakness, without wasting or fasciculation. Tendon reflexes, plantar and sensation were all normal. The vital capacity was 1.8L. What is the most likely diagnosis?
Answer: polymyositis
69
An 18 year old man presented with a history of a sudden onset of a frontal headache and photophobia. He had neck stiffness and a temperature of 38°C.
Which one of the following findings would suggest a diagnosis of subarachnoid haemorrhage rather than bacterial meningitis?
Answer: a family history of polycystic renal disease
70
54 year old female is admitted with progressive weakness following a trivial flu-like illness. Which of the following would exclude Guillain-Barre Syndrome as the diagnosis?
Answer: Sensory level below D1
71
A 30-year-old female presents to the eye clinic with an acute history of pain and blurring in the right eye. Examination reveals a visual acuity of 6/36 in the right eye but 6/6 in the left eye, a central scotoma in the right eye, with a right swollen optic disc.
What is the most likely diagnosis?
Answer: Optic neuritis
72
Which ONE of the following is associated with Parkinsonian features?
Answer: Wilson's disease
73
A broad-based ataxic gait occurs characteristically with:
Answer: phenytoin toxicity
74
Chronic subdural haematoma in a 75-year-old man is NOT associated with the presence of:
Answer: internuclear ophthalmoplegia
76
A 22 year old female presents with a month history of episodic, brief visual loss affecting the right eye. Over the last one year she had gained a considerable amount of weight. Examination reveals a BMI of 35, with bilateral optic disc swelling, worse on the right and small retinal haemorrhages on the right.
What is the most likely diagnosis?
Answer: benign intracranial hypertension
77
A patient presented with a quadrantic hemianopia. Which of the following conditions is most likeley to cause such a presentation?
Answer: a lesion of the occipital cortex
78
A 21 year old man recovered from the immediate effects of a head injury sustained in a motor cycle accident three months previously. Which one of the following is the most likely delayed consequence of severe traumatic brain injury?
Answer: Persistent anxiety
79
A 70-year-old female patient presents with 2 months history of apathy, withdrawal, urinary and faecal incontinence and anosmia. The most likely anatomical site of the neurological lesion is at the:
Answer: frontal lobe
