NEURO MCQ 1

1.       All are seen in Horner’s syndrome except:

a.       Miosis

b.       Ptosis

c.       Anhydrosis

d.      Exophthalmos

2.       Ptosis and mydriasis are seen in:

a.       Facial palsy

b.       Peripheral neuritis

c.     Oculomotor palsy

d.       Sympathetic palsy

e.       5th nerve palsy

3.       Small pupil are seen in

a.       Argyl Robertson pupiL

b.       Adie  pupil

c.       3rd nerve palsy

d.       Mydriatic eye drops

e.       Cycloplegic eye drops

4.       A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On  examination, visual acuity was 6/6 in the right eye and 6/60 in the left eye. Fundus examination showed blurred edges of the left optic disc. The most probable diagnosis is:

a.       Raised intra cranial pressure

b.       Raised ocular tension

c.       Central retinal artery occlusion

d.     Optic neuritis

e.       Glaucomatous optic atrophy

5.       All of the following statements regarding the oculomotor nerve are true except:

a.       It accommodates the eve

b.       It raises the upper eyelid

c.       It innervates lateral rectus

d.       It constricts the pupil

e.       It innervates medial rectus

6.       MARKED Elevation of the disc margin is seen in:

a.       Optic atrophy

b.       Papillitis

c.     Papilloedema

d.       Retrobulbar neuritis

e.       None of the above

7.       Optic disc diameter is:

a.       1 mm

b.     1.5 mm

c.       2 mm

d.       3 mm

e.       4 mm

8.       Optic nerve is best studied by:

a.     Ophthalmoscope

b.       Retinoscope

c.       Perimetry

d.       Goniometry

e.       Pachymetery

9.       In optic neuritis, following are seen except:

a.     Headache and vomiting

b.       Pain on movement of eye

c.       Sudden loss of vision

d.       Afferent of pupillary reflex lost

e.       None of above

10.       A 25 year old lady suddenly develops unilateral loss of vision decreasing from 6/6 to 4/60 with ill-sustained reaction of the pupil. She  complains of slight headache and some pain in the orbit when looking upward. The most likely diagnosis is:

a.        Acute frontal sinusitis

b.        Acute iritis

c.       Brain tumour

d.     Retrobulbar neuritis

e.       Acute congestive glaucoma