CENTRAL NERVOUS SYSTEM
1.Spinal cord in children
ends at L3
2.Spinal cord in adults ends
at L1
3.middle meningeal artery
arises from
maxillary artery
4.csf is obtained from space
b/w Arachnoid
and piamater
5.3rd CN nuclei is Fiber for constrictor pupillae originate from edinger
6.Arterial supply to dura matter is frm all
of the following Except basilary artery
7.artery supplying major part
of superolateral surface of brain is middle cerebral artery
8.hypoglassal nerve is -12th CN
9.eye ball movements are
controlled by all
of the following CN’s Except optic nerve
10.largest CN is trigenimal nerve.
11.not a tributary of
cavernous sinous
superior petrosal sinus
12.nuclei deep with in the
medial temporal
lobes of the brain amygdala
13.raphe nuclei are a modrate
–size cluster
nuclei found in
the brain
stem
14.cross section of midbrain
at the level of
superior colliculus
shows red
nucleus
and occulomotor nerve nuleus
15.trochlear nerve
nucleus @inferior
colliculus
16.spinal part of accessory
nerve supply
sternocleidomastoid muscle
17.primary auditory area is superior
temporal gyrus
18.primary visual area
is occipital
lobe
19.visual area[primary] is
supplied by
posterior cerebral artery
20.a lesion involving UMN of
facial nerve
manifest as (upper half of
the face
normal,lower half
affected UMN above the
facial nucleus in the pons)
21.nuleus ambigus is not
ass/with which CN 7th
22.not involved in damage
to cerebellum
athenia *asthenia
(weakness/lack of energy
&strength/loss of
strength.
*it is prominent part of myasthenia gravis
23.loss of tactile localization &2point
discrimination occurs
in damage to somato
sensory area 1
24.functions of limbic
system
emotions,memory&higher
functions.
25.source of bleeding in
extradural
hemorrhage middle meningeal artery .
26.adductor pollicis is supplied by ulnar nerve.
27.teres minor &deltoid
muscle is supplied
by axillary nerve
28.nerve supply to gluteus
maximus inferior
gluteal nerve.
29.nerve supply hypothenar
muscle is from
ulnar nerve .
30.nerve passing deep to flexor retinaculum
at wrist median nerve.
31.nerve related to spiral groove of
humerus radial nerve .
32.nerve involved m/c ly in#of shaft of
humerus is median nerve.
33.nerve involved # of medial epicondyle of
humerus is ulner nerve.
34.hansens disease ulnar nerve
35.cubital tunnel syndrome ulnar nerve.
36.nerve compressed in guyon’s canal
is ulnar nerve.
37.ulnar nerve injury results in clawing of
fingers
38.#of fibular neck may
involve common
peroneal nerve.
39.nerve supply to the nail
bed of middle
finger median nerve.
40.tardy ulnar nerve palsy is
commonly
seen in cubitus valgus deformity.
41.palmar &dorsal interossei are supplied
by ulnar nerve .
42.thenar eminence is supplied by median
nerve .
43.lunate dislocation may
injury to median
nerve.
44.ape thumb/pointing
index/carpal tunnel
syndrome(median nerve injury.
45.parasympthetic
secretomotor fibers to
submandibular gland is
through(facial
nerve.
46.nerve supply to platysma(facial nerve.
47.nerve supply to superior
oblique
muscle(trochlear(so4).
48.nerve supply to lateral
rectus muscle
is(abducens (LR6).
49.right phernic nerve passes
through (vena
caval opening.
50.vagus nerve pass through (esophageal
opening
51.pain of CA base of tongue
is refered to
the ear through (glossopharyngeal nerve .
52.circumvallate papillae of
tongue are
supplied by(9th.(glossopharyngeal nerve).
53.forment’sign/book
test/card test is done
for(ulnar nerve injury.
54.nerve of medial /adductor
compartment
of thigh(obturator nerve.
55.gluteus medius ,gluteus
minimus &tensor
fascia lata is supplied
by (superior
gluteal
nerve.
56.root value of pudendal
nerve is(s2
s3
s4.
57.root value of obturator
nerve is ( L2
L3 L4.
58.root value of radial
nerve (c5-t1.
59.artery crossing optic
nerve is(opthalmic
artery.
60.CN having longest intracranial
cows(trochlear.
61.CN 3rd &4th have their nulei in (midbrain .
62.CN-9,10,11,12, have their
nuclei
in (medulla.
63.CN emerging frm dorsal ascept of
brain (trochlear.
64.glands supplied by facial nerve
are(submandibular,lacrimal,nasal glands.
65.facial nerve dose not
supply(
parotid
gland.
66.arterial supply to facial
nerve (ascending
pharyngeal artery.
67.all palatal muscles
(except-tensor palati)
supplied by( cranial part of accessory nerve.
68.right hypoglossal nerve
palsy deviate the
tongue to (right side.
69.paralysis of 3,4&6
CN’s indicates lesion
of ( cavernous sinus.
70.afferent pathway of
corneal
reflex(trigeminal nerve.
71.erbs palsy root value(c5c6.
72.partial claw hand(ulnar nerve .
73.total/true/complete claw
hand (ulnar
&median nerve.
74.Labourers nerve (median nerve.
75.nerve supply to adductor
magnus is
through(tibial part to sciatic nerve
&obturator.
76.pudendal nerve is related
to (ischial
spine .
77.special somatic afferent
nuclei (CN8.
78.4th&6th CN’s passes
through (
superior
orbital fissurea.
79.muscle supplied by
glossopharyngeal
nerve(stylopharyngeus.
80.stadedius is supplied by(facial nerve.
81.motor supply to the
muscles of the
tongue is by (hypoglossal nerve.
82.the nerve that may get
injured during
the removal of 3rd molar is(lingual nerve.
83.Sensory nerve supply to
angle of jaw is
through (great auricular nerve.
84.the the muscle which is
not supplied by
recurrent laryngeal nerve is(cricothyroid.
*cricothyroid is supplied by (
external laryngeal nerve.
85.all the intrinsic muscles
are supplied
by (*recurrent laryngeal nerve .
86.auriculotemporal nerve
does not
supply (submandibular gland.
87.sensory nerve supply of
the palatine
tonsile is by(*glossopharyngeal nerve.
88.scala tympani is supplied
by(*vestibulocochlear nerve.
89.occulomotor nerve supplies
all muscles of
the eye Except(LR&SO.
90.following spinal tracts
are ipsilateral
Except(anterior corticospinal.
91.synaptic transmission in
autonomic
ganglia is d/t(brain sten &scaral spinal cord.
92.sympathetic chain is(passes frm skull to
coccys.
93.great vein of galen is
formed by union
of (two internal cerebral veins.
94.not a branch of basilar
artery(posterior
inferior cerebellar artery.
95.posterior cerebral artery
is not a branch
of(interal carotid artery.
96.true abt conus syndrome
are all
Except(knee&ankle jerk are abscent.
97.the papillary light reflex
can be
eliminated by cutting which
of the following
nerve (occulomotor ,short cilliry &optic
nerve .
98.the taste pathway from
palate goes
through (greater petrosal nerve branch of
facial nerve
99.post superior alveolar
nerve is a branch
of( maxillary nerve.
100.left phernic nerve runs
through
(anterior to scalenus anterior.
101.rupture of the internal
vertebral venous
plexus results in an accumulation of blood inWhich of the following
space (space
b/w
duramater &periosteum of
vertebra.
102.the nerve innvoting
the four muscles
in the suboccipital tringle
emerges frm or
b/w Which of the following (b/w the
occipital bone &the
atals(C1).
103.primary curvature of
vertebral column
are(thoracic &sacral.
104.branch frm the trunk of
brachial
plexus (suprascapular nerve.
105.function of basal ganglia(programming
of muscle movements.
106.intention tremers are
seen
in (cerebellar lesion .
107.main excitatory
neurotransmitter in
cns(glutamate.
108.hypothalamic nuclei
controlling thrist
&water balance (supra optic.
109.broaca’s area is present
in (inferior
frontal gyrus.
110.impaired comprehension of
spokes
&written language is
known as(wernickes Aphasia.
111.nightmares are seen in(REM sleep.
112.pneumotoxic centre is
present in (dorsal
pons.
113.temperature regulation is
done
by(hypothalamus.
114.dreaming is common in
which phase of
sleep(REM .
115.neurotransmiter depleted
in parkinson’s
disease (dopamine.
116.law explaning phantom
limb(law
of
projection.
117.tract involved in
parkinson’s
disease (nigro-striatal pathway.
118.Shivering is controlled
by(posterior/lateral hypothalamus.
119.true for alpha waves are
all
Except(predominantly recorded frm
temporal region .
120.preganglionic
neurotransmitter in
sympathetic division of
autonomic nervous
system Is (actylcholine.
121.poaterior part of
hypothalamus is
concerned with (regulation of response to
smell.
122.bipolar cells are seen in(retina.
123.all are carried through
anterolateral
system Except(propricoception .
124.propricoception is
carried through(dorsal
column medial lemniscal system
.
125.all or non law is obeyed
by (action
potential.
126.sensory fiber with least
conduction
velocity (c-fiber (0.5-2m/sec).
*fast conduction velocity (alpha fiber (70-
120m/sec).
127.all are primary colours Except (white.
128.true abt colour blindness(defect in one or more prime colour .
129.true abt semicircular
canals is(arranged
at 8angles to each other .
130.stretch reflex of urinary
bladder is intergrated at (sacral portion of spinal cord.
131.function of neocerebellum is(planing &programming of voluntary
movements.
132.all of the following are
concerned with spatial orientation (vistibular receptors,
Eyes,proprioceptors in joint capsule.
133.A cut/leasion above the
pyramidal tract decussation results in (paralysis of opp.half Of the
body.
134.which lies in the dorsal
column of spinal cord (fasicular gracilis.
135.clasp knife rigidity is
also known as (inverse stretch reflex < lengthening reaction .
136.neurotransmitter depleted
in parkinson’s disease(dopamine.
137.function of flocunodular
lobe of cerebellum is( equilibrium.
138.alpha wave in EEG are
seen in (awake
state .
139.delta wave are seen
in (deep
sleep.
140.features of occipital lobe of brain are all
Except(it’s
the only area in the brain
Activated by visual
stimuli.
141.neuroglial cells in the CNS (oligodendrocytes
.microglia
.astrocytes.
142.max no.of sodium channels per square
micrometeris present in(nodes of ranvir.
143.sweating is mediated by(cholinergic mediated sympathetic activity. *sympathetic postganglionic neurons innervating (sweat glands.
144.functionof muscle spindle is(maintain muscle length.
145.sensory organ for
responding to texture is (meirsmer corpuscles.
146.acetylcholine receptors are decreased
in (myasthenia
gravies.
147.all of the following are
cholinergic effects Except(tachycardia.
148.properties of alpha waves
are seen in all Except(seen in rem sleep.
149.melatonin is ass/with all
of the following Except(vomitings
150.all of the following
effects can occur if vagus is stimulated Except(bronchial
Musculature relaxation.
151.when both vagal
cut,respiration becomes (deep &slow.
152.influx of which of the following ion is
responsible for IPSP(chloride ions.
(inhibitory postsynaptic potential).
153.vomitting centre is situated in the (medulla.
154.optic nerve is (2nd order neuron .
155.which of the following is not carried in
dorsal column of spinal cord (heat sensation
156.not ass/with temporal lobe(spatial relationship.
157.vagal stimulation
causes (decreased
depth of respiration .
158.complete apneusis will
result if transaction is done at (lower pons.
159.intrafusal fibers of the
striated skeletal muscles are inverted by one of the following
Type of motor neuron (gamma.*extrafusal fibers(alpha.
160.synaptic potential can be
recorded by(microelectrode.
161.example of
neurohormone (oxytocin
(released frm –hypothalamus).
162.muscle weakness is seen
in all Except(physostigmine
therapy.
163.which ions helps in
resting membrane potential in neurons(pottasium(k+).
164.magnitude of action potential is mainly
affects by(sodium(Na+).
165.type of exercise done to
increase the muscle strength is(isotonic
166.nicotinic receptors are
seen in all Except(bronchial
smooth muscle..
167.size of the action
potential decreased as a result of( lower extra cellular sodium.
168.fibrillation of skeletal muscle is ass/with
all Except(strong
stimulus.
169.most serous complication of measles is (mengio-encephalitis.
170.the absolute C/I to lithium is(renal failure.
171.lithium toxicity is
treated by following methods Except(acidification of urine.
172.antipsycotic drugs act
through (dopamine
2 receptor blocked.
173.not used in bipolar disorder (phenytoin.
174.DOC for
drug(phenothiazine)induced parkinsonism(benzhexol.
175.which anti-epileptic drug
will cause hirsutism in a 30 years old women(phenytoin.
176.false statement regarding
phenytoin is(follows
zero order kinetics at lower doses.
177.true abt impramine is(anti depressant .
178.short acting neuromuscular blocking
agent (mivacurium.
179.DOC for petitmal /absence seizures (valporate.
180.malignant neuroleptic
syndrome is caused by (antagonist.
181.true regarding buspropion is(nicotinic receptor antagonist .
182.antidote for
restyl/alprazolam is(flumazenil.
183.phenobarbitone and
warfarin interaction results in(increased metabolism of
Warfarin .
184.an anxiolytic benzodiazepine which is also anti depressant(alprazolam.
185.drug C/I in the pt of myasthenia
gravis (tubocurare.
186.antidepressant drug that
can cause neuroleptic malignant syndrome &tardive
Dyskinesia (amoxapine.
187.which of the following
drug not given in acute maina (lamotrigine.
188.DOC for acute migraine is(sumatriptan.
189.TOC in attention deficit hyperactivity
disorder (ADHD)(methylphenidate.
190.baclofen is used in(spasticity.
191.DOC for status epilepticus(lorazepam .
192.false statement regarding
phenobarbitone (no significant interaction with warfarin.
193. site of action of
vecuronium(myoneurol
junction.
194.when the sympathetic
nervous system is activated (norepinephrine is released Frm
axon onto the anterior wall.
195.regarding suckling reflex
,which of the following is true (triggers the release of
Oxytocin by stimulating the
supraoptic nuclei
196.negri body is most
commonly found in(hippocampus.
197.most frequent site of
brain abscessis(frontall
lobe.
198.glioma of optic nerve is
usually pilocytic
astrocytoma.
199.phagocytes in cns(microglia.
200.mcc of IC bleed (HTN.
201.celebellar ataxia is caused by(cytosine arabinoside.
202.wrong abt antiepileptics(valproate reduces t1/2 of lamotrigine.
203.m/c cause of acute pyogenic/bacterial
meningitis in adolescents and young adults(N.meningitidis.
*adults(streptococcus pneumonia.
*neonates (E.coli and group B streptococci.
204.lisch nodules are seen in(
neurofibromatosis.(NF1)*not found in NF2.
205.pathological changes
/findings in rabies is (negri bodies.
206.parkinson’s traid(rigidity ,risting tremors,bradykinesia.
207.in myasthenia gravis antibodies are +nt against (nicotinic receotor proteins.
208.mcc of viral
encephalitis(herpes simplex.(m/c entro virus).
*m/c complication after mumps.
209.m/c site of hypertensive intraparenchymal
hemorrhage in brain (putamen.
210.in GBS( asending flaccid symmetrical paralysis is seen and histological Inflammation .
211.pathology of alzehimers disease is (accumulation of beta amyloid protein .
212.which of the following
cancer metastasize to brain leastly(prostate cancer.
213.m/c cause of meningitis
in aids (cryptococcus.
214.negri bodies are seen
in (nerve
cells.
215.carpal tunnel syndrome
involves(median
nerve.
216.trendenlenburg’s sign seen
in(superior gluteal nerve
injury.
217.m/c muscle complete
paralysed in polio(tibialis
anterior.
218.the commenest of spinal
discprolapse occurs in lumberspine at the level(L4-L5.
219.neuropathic joints are
seen in (syphillis,DM,myelomeningocele.
220.fasciculation are most
commonly seen with(motor
neuron disease.
221.mcc of stroke in elderly is (embolic.
222.anti-actylcholine receptor antibodies are
found in (myasthenia gravis.
223.wernicke’s encephalopathy
is d/t deficiency of vit B1(thiamine).
224.winging of scapula is
d/t (long
thoracic nerve palsy.
225.mcc of dementia seen in
elderly pt’s is (alzheimers disease.
226.feature of alpha rhythm
in EEG (disapper when a pt opens eyes.
227.shivering is caused by(stimulation of fibers coming frm posterior
hypothalamus.
228.in primary syphilis
primary treatment used(inj.of benzathine pencilline 2.4
Million unit I/M single dose.
229.DOC for GTCS(sodium valporate.
230.in pathogenesis of Parkinson which play an important role(dopamine.
231.IOC in acute subarachnoid
hemorrhage (CT-scan.
232.intracranial
calcification are best diagnosed by(CT.
232.nesseria meningitis
contain following virulent factors Except(beta-lactamase.
233.in cavernous sinus
thrombosis 1st CN to be affected is (6th CN.
234.contre-coup injury to brain is more common
in(moving
head.
235.a pt with sinus infection
develops chemosis B/L proptosis and fever most likely
Diagnosis( cavernous sinus thrombosis.
236.neck stiffness and
kernig’s sign are seen in(meningitis.
237.target fibers are not seen in(dermatomyositis.
238.a pt P/with h/o 2
episods of left eye blindness ,right hemiplegia&transient speech Difficulty
,which lasted 20mins each ,which is the most possible site of obstruction (left niddle cereberal artery.
239.tinel sign is suggestive
of (nerve
regeneration .
240.in anterior shoulder dislocation m/commonly involved nerve is (axillary nerve.
241.radial nerve mostly
injured in fracture of(shaft of humurus.
242.cock-up splint is used in(radial nerve injury.
243.wrist drop is by(radial nerve injury.
244.foot drop is by(common peroneal nerve injury.
245.loss of conduction of
nerve fiber or physiological paralysis of nerve fiber in (neuropraxia.
246.poliomyelitis(paralysis is asymmetrical,
m/c muscle
affected is quadricepis femoris.
Where as
complete paralysis is seen with tibialis anterior.
247.increased neuromuscular
irritability is a feature of (hypocalcemia.
248.paradoxical breathing is seen in (diaphragmatic palsy.
249.pseudohypertrophy of
muscle is a feature of(duchnne muscular dystrophy.(DMD).
250.sxcal procedure done in
myasthenia gravis(thymectomy.
251.CSF findings in a pt with
TB mengitis is( increased protein Decreased glucose,Increased lymphocytes
252.all are true abt cluster
head ache Except (seen B/L.
253.presence of hemiplegia with diminution of
vision in the C/L eye suggests Occulussion of (internal carotid artery.
254.B/L facial palsy is seen in (GBS.
255.CN most commonly
involved in posterior communting artery aneurysmIs(occulomotor.
256.fasiculations are seen in
lesions of (LMN
type of lesion.
257.parkinson’s disease and
parkinsonism differs in all of the following
Except(symptomatology.
258.upper motor neuron lesion
is characterized by(weakness &spasticity.
259.not seen in a case of
hemorrhage in MCA territory(urinary incontinence.
260.brain death is defined as(loss of brain stem function .
261.characterstic of GBS is(loss of limb reflex.
262.spike and dome pattern is
seen in (petitmal
seizures.
263.an upper motor neuron
lesion of facial will cause (Paralysis of half of the face on opposite side.
264.argyll Robertson pupil is
seen in (neurosyphilis.
265.mcc of SAH(saccular aneurysm repture/berry aneurysm.
266.initial IOC in SAH(CT-scan .
267.antibodies against actylcholine receptors
are seen in (myasthenia grvis.
268.Flapping tremors seen in
all Except(thyrotoxicosis.
269.B/L pin point pupil
,hyperpyrexia&loss of consciousness is suggestive of(pontine hemorrhage.
279.in dominated parietal lobe head injury all of the following are
seen Except(Urinary incontinence.
280.m/c cause of intracranial
bleed is(HTN.
281.which of the following
sensation is preserved on the side of the lesion inbrownSequard syndrome(temperature.
282.CN commonly involved in GBS(facial.
283.m/c causative agent for
meningitis in the immonocompromised pt is(cryptococcus.
284.Not a component of thalamic syndrome(sexual alteration.
285.nissl substance is found in(neuron.
286.ragged red fibers is
ass/with (MERRF
syndrome .
287.correct statement
regarding von reklinghausen disease (NF1)are all Except
(neuron turns malignant.
288.a pt with head injury
opens eyeson painful stimulus,uses inappropriate words and
Localizes pain .what is his GCS(10.
289.a pt sustained RTA and
endotracheal intubation was done most likely GCS of such aPt be(8.
290.what is not seen in head
injury (GCS
score 0.
291.minimum GCS (3 (max-15).
292.GCS in a case of mild head injury(14/15 with LOC
Moderate(9-13.
Sever(3-8.
293.which of the following is
not a feature ofnormal pressure hydrocephalus(
Lesion is blockage of csf pathology for the
lateral to fourth ventricle.
294.raised intracranial
pressure will cause(papilloedema.
295.lucid interval is ass/with(extradural hematoma.
296.source of chronic
subdural hematoma is (venous.
297.epidural hemorrhage commonly
occur from tearing of (middle meningeal artery.
298.feature of diffuse axonal injury(prolonged unconsciousness.
299.GCS(3.
300.ECG is least useful for diagnosing ischemic
disease d/t which of the following (Left circumflex artery.
301.diseases involving misfolded protein defect
include the following Except(Multiple sclerosis.
302.features of wernike’s encephalopathy are all Except(parapresis.
303.most sensitive test for the diagnosis of
myasthenia gravis is( elevated serumAch-receptor binding antibodies.
304.the hyperkinetic features
of the huntington’s disease are d/t the loss of( Intrastrisatal GABAergic and cholinergic system.
305.EEG is abnormal in the
following Except(locked-in
state
306.characteristic EEG
pattern in absence seizures(3-Hz spike-and-waves.
307.all of the following are neurologic
channelopathies Except(spinocerebellar ataxia
308.livedo reticularis is an
adverse effect of which of the following anti-parkinsonismDrug(amantadine.
309.p-100 response in
neurodiagnostics refers to (visual evoked potential .
310.defective proteins
involved in the pathogenesis of parkinsons disease are( Alpha synuclein,dardarin,parkin etc..
311.correct definition of
myoclonus(sudden
,brief {<100 ms},shocklike arrhythmic Muscle twitches.
312.the scaralspinal segments
lie at what vertebral body levels(D12-L1
313.m/c clinical type of
multiple sclerosis(RRMS(relapsing/remitting
multiple sclerosis
314.treatment of Tic
Douloureux (trigeminal nerve neurolagia) includes(Carbamazepine,baclofen,radiofrequency thermal rhizotomy.
315.vit-B12 deficiency can
give rise to all of the following ,Except(myopathy.
316.which of the following is
false regarding progressive multifocal leukoencephalopathy(indolent course.
317.the following are
supplied by posterior cereberal artery(PCA)Except(pons.
318.CN involved when the posterior laterocondylar space is compromised(9,10,11,12.
319.true abt pneumococcal
meningitis include all Except(has it peak age incidenceIn childhood.
320.20yrs/girl c/o headache
while studying .her vision is found tobe normal.
Which of the
following you need not enquire to evaluate her headache.(menstural history.
321.a young 29yrs/m in
casualty with sudden onset “thunderclap” headache and
Unconsciousness .he
has u/l dilated pupil.what is the most probable cause(acute SAH.
322.horner’s syndrome can be
caused by following Except(medial medullary syndrome.
323.60yrs/man with c/o progressive dementia for
the past 6months P/with suddenly
Developed diffuse jitterness of whole body .EEG showed sharp bipolar spikes In temporal lobes .diagnosis is(creutzfeld jackob disease.
324. ‘onion bulb” changes in
nerve are seen in (chronic inflammatory demyelinatingPolyneuropathy
325.left abducent nerve palsy
causes(diplopia
in left lateral gaze.
326.antidepressant also useful intreatment of
Enuresis,ADHD,&chronc pain(imipramin
327.correct regarding the treatment of a pt
suffering frm amyotophic lateral Sclerosis(ASL)(riluzole was FDA approved for ALS because it
improves Survival rate.
328.most common complication
of mumps is(orchitis.(inchildhood-meningoencephlitis)
329.causes of “dying back neuropathy” include
all Except(GBS.
330.drugs used for prophylaxis of migraine are
following Except(levetriacetam.
331.the classic presentation of proximal arm/leg
weakness with preservation of Distal strength ,the so-called “man in barrel”is
feature of(ACA
occlusion
332.54yrs/man developed
sudden monocular blindness with mild right sided hemiparesis
Most likely culprit vessel responsible for this is( left internal carotid artery.
333.craniovertebral junction
is likely to be affected in all the following Except OA.