Ninja Prite Questions And Answers
Pt reports hearing voices of someone not present; stops moving, stares blankly, repetitively picks
at clothing, does not respond to Qs/commands x several min. The confusion resolves after 15
mins but pt has no recollection of events. Likely what? Complex Parti...
Pt reports hearing voices of someone not present; stops moving, stares blankly, repetitively picks
at clothing, does not respond to Qs/commands x several min. The confusion resolves after 15
mins but pt has no recollection of events. Likely what? Complex Partial Seizure
55 y/o pt BIB family after episode of amnesia/bewilderment lasting several hrs. CVA ruled out.
Pt keeps asking what is happening. What med to administer at this point? Observation
with no pharmacological intervention
Which of the following diagnoses involves a sense of loss of identity, often following a traumatic
experience and associated with inability to recall one's past? Dissociative Fugue
Contralateral leg weakness with sparing of face and arms. Urinary incontinence and abulia.
Where is the lesion? Anterior Cerebral Artery
(Abulia = an absence of willpower or an inability to act decisively, as a symptom of mental
illness.)
, Ninja Prite Questions And Answers
32 y/o pt 1-month history of worsening headaches, episodic mood swings and occasional
hallucinations with visual, tactile and auditory content. CT head reveals tumor where:
Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o
associated signs. Location of lesion in the brain? Supramarginal gyrus or insula
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where?
Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? Right Parietal Lobe
60M right-handed, getting lost, only writes on right half of paper. Where is lesion Right
parietal
Which hormone secreted in functional pituitary adenoma: Prolactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of
what diagnosis? Normal Pressure Hydrocephalus
, Ninja Prite Questions And Answers
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls, and
diplopia Medulloblastoma
20 y/o with 1 yr of bitemporal headaches, polydipsia, polyuria, bulimia. For 2 months emotional
outburst aggressive and transient confusion neuro exam normal. What will MRI of brain show?
Hypothalamic tumor
Location of lesion: previously pleasant person becomes profane and irresponsible over 6 months:
Frontal lobe
Unilateral hearing loss with vertigo, unsteadiness with falls and headaches, mild facial weakness
and ipsilateral limb ataxia is most commonly associated with tumors in what locations:
Cerebellopontine angle
52 y/o with h/o unipolar depression is brought to ED with a first episode of catatonia. Patient is
on no meds, UDS is neg. Further w/u should initially focus on what factor? Metabolic
disorders
, Ninja Prite Questions And Answers
Which term describes state of immobility that is constantly maintained? Catalepsy
Ability of catatonic pt to hold same position Catalepsy
Chronic Afib develops aphasia and R hemiparesis at noon. ER exam notes weakness of R
extremities and severe dysfluent aphasia, but CT at 1:30 PM has no acute lesion. Most
appropriate treatment: TPA
Young adult gained 70 lbs in last year c/o daily severe headaches sometimes assoc with graying
out of vision. Papilledema present. CT and MRI brain no abnormalities but ventricles smaller
than usual. Goal of treatment in this case: Prevent blindness
Patient with hypertension develops vertigo, nausea, vomiting, hiccups, left sided face numbness,
nystagmus, hoarseness, ataxia of the limbs, staggering gait, and is falling to the left. Dx?
Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia Brain Stem Infarction
Transient symptom associated with carotid stenosis: *** Monocular blindness
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