NLE Exam Neurology MCQs

Neurology carries a solid share of NLE questions, on par with Ophthalmology and Community Medicine. Sample MCQs on stroke, movement disorders, neuromuscular and demyelinating disease, each explained.

Neurology is one of the clinical subjects tested on the PMDC National Licensing Examination (NLE), with a solid share of questions in HighYield's NLE bank — comparable in volume to Ophthalmology and Community Medicine. Below is a sample set covering core neurology topics.

Stroke & Cerebrovascular Disease

1. Weakness of the contralateral face and arm, more than the leg, with expressive aphasia (if the dominant hemisphere is involved), points to occlusion of which artery?

A) Anterior cerebral artery
B) Middle cerebral artery ✅
C) Posterior cerebral artery
D) Basilar artery

Movement Disorders

2. The classic triad of resting tremor, bradykinesia and rigidity describes:

A) Huntington's disease
B) Parkinson's disease ✅
C) Essential tremor
D) Wilson's disease

Neuromuscular Disorders

3. Fatigable muscle weakness that worsens with activity and improves with rest is characteristic of:

A) Guillain-Barré syndrome
B) Myasthenia gravis ✅
C) Multiple sclerosis
D) Motor neuron disease

4. Guillain-Barré syndrome classically presents as:

A) Descending paralysis starting in the face
B) Ascending, symmetric weakness following a recent infection ✅
C) Sudden unilateral facial weakness
D) Painless vision loss

Demyelinating & Infectious Disease

5. Optic neuritis together with episodes of neurological deficit separated in time and space is suggestive of:

A) Multiple sclerosis ✅
B) Guillain-Barré syndrome
C) Myasthenia gravis
D) Bell's palsy

6. Which CSF finding is typical of bacterial (as opposed to viral) meningitis?

A) Normal glucose, lymphocyte predominance
B) Low glucose, neutrophil predominance ✅
C) High glucose, no cells
D) Normal protein, normal glucose

Cranial Nerve Lesions

7. Sudden, isolated, unilateral facial weakness involving the forehead (upper and lower face) with no other neurological deficit is most consistent with:

A) Stroke
B) Bell's palsy (lower motor neuron facial nerve palsy) ✅
C) Trigeminal neuralgia
D) Myasthenia gravis

Prepare with HighYield

HighYield's NLE question bank covers Neurology alongside Surgery, General Medicine, Paediatrics, Obstetrics & Gynaecology and every other subject tested on the PMDC National Licensing Examination, with every question explained. For the full NLE syllabus breakdown, see our NLE/NRE syllabus guide.