Clinical Examination & Investigations (Neuro) MCQ Quiz | Neurology

Welcome to this specialized quiz on Neurological Clinical Examination and Investigations, designed for MBBS students. This comprehensive assessment will test your understanding of core clinical skills, from performing and interpreting cranial nerve exams to recognizing signs of upper and lower motor neuron lesions. You’ll also be quizzed on the appropriate use and interpretation of key neuro-investigative tools like CT, MRI, EEG, and lumbar puncture. This quiz features 25 multiple-choice questions to sharpen your diagnostic acumen. After completing the quiz, you can submit your answers to see your score, review the correct responses, and identify areas for further study. You can also download a PDF of all questions with their correct answers for offline revision. Good luck!

1. A patient presents with a ‘down and out’ position of the left eye and a dilated, non-reactive pupil. Which cranial nerve is most likely affected?

2. The Romberg’s test is primarily used to assess the function of which neurological pathway?

3. Which of the following clinical signs is most characteristic of an upper motor neuron (UMN) lesion?

4. A 65-year-old male has a shuffling gait, resting tremor, and bradykinesia. Which part of the brain is primarily affected?

5. For an acute head trauma patient, what is the initial imaging modality of choice to rule out an intracranial hemorrhage?

6. In a lumbar puncture, xanthochromia (yellowish CSF) is most indicative of:

7. The finger-to-nose test and heel-to-shin test are used to assess for:

8. Which of the following is the primary investigation for diagnosing epilepsy?

9. A patient is unable to adduct and depress the eyeball when it is in the adducted position. This indicates a palsy of which cranial nerve?

10. What does the Glasgow Coma Scale (GCS) assess?

11. A “clasp-knife” rigidity is a characteristic feature of:

12. Which sensory modality is tested using a 128 Hz tuning fork?

13. In Broca’s aphasia, a patient typically exhibits:

14. Brudzinski’s sign, where passive flexion of the neck causes flexion of the hips and knees, is a sign of:

15. Electromyography (EMG) and Nerve Conduction Studies (NCS) are most useful in diagnosing which type of disorder?

16. The gag reflex is mediated by which two cranial nerves?

17. A bitemporal hemianopia is most commonly caused by a lesion at the:

18. On examination, a patient has weakness of the deltoid and biceps muscles and a decreased biceps reflex. Which spinal nerve root is most likely compressed?

19. Which of the following findings in CSF analysis is most consistent with bacterial meningitis?

20. Graphesthesia refers to the ability to:

21. A patient’s tongue deviates to the right upon protrusion. This suggests a lesion of the:

22. MRI is superior to CT for visualizing which of the following?

23. In a patient with left-sided Bell’s palsy, which finding would be expected?

24. A positive pronator drift test is a sensitive sign for:

25. During fundoscopy, papilledema (swelling of the optic disc) is a critical sign of: