| Post Name | Assistant Professor in Neurosurgery - Medical Education |
|---|---|
| Question Paper Code | 116/2025/OL |
| Category Code | 092/2025 |
| Date of Test | 14 October 2025 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Nerve of third pharyngeal arch is
Answer
C. Glossopharyngeal Nerve
2
Vein of Labbe drains into
Answer
D. Transverse sinus
3
From which part of Brachial plexus, the Axillary Nerve arises
Answer
B. Posterior cord
4
From which segment of ICA does the Anterior choroidal artery arise
Answer
D. Communicating
5
Horner's Syndrome is characterized by all of the following except
Answer
A. Cycloplegia
6
Through which part of the Internal Capsule, the corticospinal tract passes
Answer
C. Posterior limb
7
The two lumbricals on the radial side are innervated by
Answer
A. Median nerve
8
Which of the following is not a primary Neurulation defect?
Answer
C. Terminal lipoma
9
Ash leaf macules are seen in
Answer
A. Tuberous sclerosis
10
Through which compartment in the internal acoustic meatus the facial nerve passes
Answer
A. Anterosuperior
11
Which of the following is not a component of Gerstman?
Answer
B. Aphasia
12
Intact Repetition is seen in
Answer
D. Transcortical aphasia
13
Wave V in Auditory Brainstem Response is generated from
Answer
C. Inferior colliculus
14
Which of the following is not seen in Parinaud syndrome?
Answer
D. Down gaze paralysis
15
Which of the following is not a component of Blood Brain Barrier
Answer
D. Meninges
16
Millard Gubler syndrome is caused by a lesion in
Answer
C. Pons
17
Right superior quadrantanopia may be caused by a lesion in the
Answer
C. Left temporal lobe
18
The outcome of NPH following a VP shunt is better in all of the following EXCEPT
Answer
B. Patients with dementia as the primary symptom
19
Which of the following statements is FALSE regarding Multiple sclerosis?
Answer
A. The peak age is between 45-65 years
20
Which of the following statement regarding Trigeminal Neuralgia is FALSE?
Answer
A. Commonly occurs in V1 distribution of Trigeminal nerve
21
All of the following are TRUE EXCEPT
Answer
A. Split cord malformations are thought to develop during gastrulation in embryologic week 6
22
Which of the following is FALSE regarding the management of CHIARI-1 malformation?
Answer
C. If associated hydrocephalus is present with tonsillar descent, it has to be addressed after foramen magnum decompression only
23
Dandy Walker Malformation is characterised by all EXCEPT
Answer
C. Low-lying torcula
24
The ETV Success Score of a 7-month-old patient with myelomeningocele and hydrocephalus undergoing the first hydrocephalus operation
Answer
C. 60%
25
Which of the following is NOT a diagnostic criterion for N F 1?
Answer
B. Retinal angiomas
26
MAJOR Diagnostic Criteria for Tuberous Sclerosis are ALL EXCEPT
Answer
A. Cerebral white matter radial migration lines
27
Developmentally, the Atlas vertebra is derived from
Answer
C. 1st cervical sclerotome
28
Which of the following is not included under neuronal migration disorders?
Answer
D. Porencephaly
29
All the following are true of moyamoya disease EXCEPT
Answer
A. Majority of adults with this disease presents with ischemia
30
Which of the following combinations is NOT CORRECT?
Answer
C. Wackenheim's line-dorsum sellae to opisthion
31
Which of the following is a major advantage of DSA over non-invasive vascular imaging (CTA/MRA) in stroke patients?
Answer
C. DSA provides real-time dynamic imaging and allows simultaneous therapeutic intervention
32
A 62-year-old man presents with a sudden onset of right-sided weakness and aphasia. He arrives at the emergency department 3 hours after symptom onset. CT brain shows no hemorrhage. CT angiography reveals left M1 middle cerebral artery occlusion. What is the best next step?
Answer
C. Intravenous thrombolysis and Mechanical thrombectomy
33
A 70-year-old woman is brought to the hospital 8 hours after her last known well with left hemiplegia and neglect. CT shows early ischemic changes involving less than one-third of the MCA territory. CT perfusion demonstrates a large penumbra with a small infarct core. CTA shows the right ICA terminus occlusion. What is the most appropriate management?
Answer
B. Mechanical thrombectomy guided by advanced imaging
34
A 35-year-old woman presents with an intracerebral hemorrhage due to a ruptured AVM. Angiography shows a Spetzler - Martin grade IV AVM. Which of the following is the most appropriate role of embolization in this patient?
Answer
B. Adjunctive treatment to reduce nidus size or flow before surgery/radiosurgery
35
fMRI image acquisition based on paramagnetic property of which of the following?
Answer
A. Deoxyhemoglobin
36
Hounsfield unit (HU) of grey matter is?
Answer
C. +35 to +45 HU
37
CT cisternography is indicated in all the following except?
Answer
B. Colloid cyst
38
Signal intensities of hyperacute bleed in MRI are?
Answer
D. Isointense in T1W, Hyperintense in T2W
39
Platybasia is diagnosed when the basilar angle in the lateral view of the skull is ?
Answer
C. More than 143 degree
40
In hepatic encephalopathy, MR spectroscopy may show?
Answer
B. Reduced myoinositol
41
Everolimus is an FDA approved drug used as an alternative to surgery for which of the following conditions
Answer
B. SEGA associated with Tuberous Sclerosis complex
42
The risk of stroke during pregnancy is highest
Answer
C. Two days before and one day after delivery
43
The monoclonal antibody currently used as a first line medical treatment for Giant cell tumour of the spine or as a preoperative adjunct to surgical resection is
Answer
A. Denosumab
44
Orbital apex syndrome spares
Answer
D. Maxillary Nerve
45
According to 2021 WHO classification of CNS tumours, Myxopapillary Ependymoma belongs to
Answer
B. Grade 2
46
Best results in differentiating between recurrence of high grade glioma and radiation necrosis of brain is obtained by
Answer
C. Radionuclide studies
47
Drug approved by FDA for treatment of Plexiform Neurofibroma in NF 1 is
Answer
A. Selumitinib
48
Regarding Air embolism (AE) occuring during a neurosurgical procedure, the following statement is true
Answer
C. TEE (Trans-oesophageal Echocardiography) is considered the most sensitive monitoring modality
49
In Spinal cord lipomas, faulty secondary neurulation is considered to be the cause of
Answer
C. Terminal Lipomas
50
A major radiological differential diagnosis of Classic medulloblastoma in children which shows high Myoinositol peak on MR spectroscopy is
Answer
B. Choroid Plexus Papilloma
51
Which of the following is not a contraindication for Skull traction?
Answer
A. Atlanto-axial subluxation
52
To avoid painful neuroma formation after Sural Nerve harvesting, care is to be taken to
Answer
C. Limit upper extent of incision to below transverse knee crease
53
In the absence of evidence of Intracranial mass or ischaemia in traumatic Brain injury, Diffuse Axonal injury is diagnosed clinically when loss of consciousness extends for more than
Answer
D. 06 hours
54
The complication associated with Anterior Lumbar Interbody fusion is :
Answer
D. All of the above
55
Which of the following statements is not true regarding Central Cord Syndrome (CCS)?
Answer
B. Bladder dysfunction if it occurs acutely is a continuous dribbling due to a contracted Bladder
56
Current guidelines on the treatment of Acute spinal cord injury suggests maintaining Mean Arterial Pressure (MAP) in the range of
Answer
C. 85-90 mm Hg for the first week
57
During treatment of an Acute cervical cord injury, a patient developed dysphagia, aspiration and diaphragm dysfunction - the possible reason is
Answer
A. An undiagnosed Occipital condyle fracture
58
Possible causes of Hyponatremia in the head injured patient in ICU are all except
Answer
A. Diabetes insipidus
59
Regarding traumatic CSF rhinorrhoea, the following are all true except
Answer
B. Surgical intervention is indicated within 48 hours of trauma in all cases of CSF fistula
60
Which of the following statements is true regarding Acute Subdural Haematoma?
Answer
C. Lucid interval is occasionally seen in Acute Subdural h'hage
61
In the current WHO classification of CNS tumors (2021), hemangiopericytomas are considered as part of spectrum with which other tumor?
Answer
D. Solitary fibrous tumors of the dura
62
A man with a history of seizures undergoes an MRI of the brain, which shows numerous non-enhancing and mildly expansile cortical/subcortical lesions and subependymal nodules. There also are T2 hyperintense radial white matter lines and small parenchymal cysts. What gene is involved in the patient's process?
Answer
B. TSC1/TSC2
63
What imaging characteristic would favor lymphoma over toxoplasmosis in a patient with AIDS?
Answer
C. Increased perfusion on an MR relative cerebral blood flow map
64
Which of the following statements about DNET is false?
Answer
B. It is located most commonly in Frontal lobes
65
Which one of the following statements regarding diagnosis and management of prolactinomas is LEAST accurate?
Answer
B. Hook effect describes spuriously high prolactin levels due to macroprolactin complexes
66
Which of the following statements regarding Medulloblastoma, WNT activated is true?
Answer
C. Most common is of classic histology
67
What is the most common location of choroid plexus papillomas in children?
Answer
A. Lateral ventricles
68
A 50-year-old woman presents to the hospital after a new onset of seizures. She describes head ache and poor vision. Her family notes that her memory has been worsening, and she is becoming more confused. Neurologic exam reveals a loss of smell on the left side. Ophthalmologic exam reveals a pale left optic disk. The right optic disk is congested and edematous. What is her most likely diagnosis?
Answer
C. Olfactory groove meningioma
69
Which of the following is most correct about oligodendrogliomas?
Answer
C. Preferential involvement of the cortex is a distinctive feature
70
Which of the following is true regarding optic pathway gliomas?
Answer
A. Sporadic gliomas are more frequently chiasmatic or postchiasmatic
71
Which of the following is not a classic feature of lateral medullary syndrome?
Answer
A. Weakness of arms and leg on the contralateral side
72
Which of the following is correct regarding Moyamoya disease?
Answer
D. Majority of saccular cerebral aneurysms associated with this disease is located at around the circle of Willis mainly at the vertebrobasilar territory
73
A Modified fisher scale of 3 would mean:
Answer
B. Focal or diffuse thick layer of SAH, No IVH
74
Which of the following projections of Anterior communicating artery aneurysms is associated with premature rupture during dissection?
Answer
B. Inferior
75
The P2P segment of posterior cerebral artery runs in :
Answer
B. Ambient cistern
76
All the following are true about mycotic intracranial aneurysms except :
Answer
A. Destruction of vasa vasorum is the cause
77
Vertebral artery insufficiency occurring during head rotation is known as :
Answer
C. Bow Hunter's syndrome
78
The following are scientific trials associated with management of malignant cerebral infarction except :
Answer
D. CREST
79
Which of the following increases the chances that a patient with headache has a subarachnoid hemorrhage (SAH), according to the Ottawa SAH rule?
Answer
C. Limited neck flexion on examination
80
A patient is referred to the neurosurgical clinic for a dural arteriovenous fistula (dAVF). An angiogram shows anterograde drainage into a venous sinus with retrograde flow into subarachnoid veins. What is the Borden classification for this dAVF?
Answer
B. 2
81
Which of the following is not recommended as per current SIBICC servere TBI algorithm
Answer
A. Mannitol by non-bolus continuous intravenous therapy
82
Which of the following is not a component of tier 3 therapy for management of raised intracranial pressure in severe head trauma patients?
Answer
D. Neuromuscular paralysis in adequately sedated patients
83
A 35 year old patient presents with confusion, lethargy and severe episodes of vomiting and sudden severe headache. On examination he has visual loss in right eye (No vision to light) with diminution of vision (perception of light in left eye). He has BP of 90 mm systolic with serum glucose of 68 mg%. The very likely cause of his present illness could be the following :
Answer
B. Pituitary apoplexy
84
Which of the following is not true of Cerebral salt wasting?
Answer
B. Serum Osmolarity > 280 mOsm/kg
85
Which of the following is true of mechanical ventilation in neurocritical care
Answer
A. All TBI patients with GCS 8 and below need elective intubation and ventilation
86
Central neurogenic claudication is characterised by all except
Answer
C. Characterised by crescendo-decrescendo cycles
87
Which of the following is not true about dystonia?
Answer
C. Levodopa trial is useful to diagnosis late onset dystonias
88
Hemispherotomy is indicated in all except
Answer
D. Stroke in Elderly
89
Which of the following is not true of spasticity?
Answer
B. Surgical treatment is the treatment of choice for all forms of spasticity
90
Which of the following is not a correct statement on radiofrequency lesioning?
Answer
B. RF lesioning of Ventral root ganglion is used for post herpetic neuralgia
91
The formation of bony projections along the edges of the vertebrae, a common feature of cervical spondylosis, are known as :
Answer
C. Osteophytes
92
Cervical block vertebrae are most commonly associated with which of the following syndromes?
Answer
C. Klippel-Feil syndrome
93
A characteristic radiographic sign of congenital block vertebrae is often described as a "wasp-waist" sign. What does this refer to?
Answer
C. A narrowing of the fused vertebral bodies at the level of the rudimentary intervertebral disc
94
Which gene is most strongly associated with an increased risk of developing ankylosing spondylitis?
Answer
D. HLA-B27
95
Which is not true of spondylolisthesis?
Answer
D. Spondyloptosis is noticed when slip between two vertebra is between 25-50%
96
Lumabar canal stenosis is characterised by all except
Answer
A. Absent Shopping cart sign
97
In a 11 year old child presenting with neck pain after recent history of fall is characterised by all except
Answer
D. Spinal cord compression is unlikely
98
Which of the following is not true of scoliosis?
Answer
B. Left side curves are more commonly seen in idiopathic scoliosis
99
Which of the following is not true of Piriformis syndrome?
Answer
C. Characterised by pain that worsens with standing
100
Which is not true of peripheral nerve entrapment syndrome?
Answer
A. Carpal tunnel syndrome involves compression of ulnar nerve
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