PRITE STUDY GUIDE EXAM (ALL
CHAPTERS INCULUDE )AND ACTUAL
ANSWERS.
Amnesia preceded by epigastric sensation and fear are associated with electrical abnormality where? -
Answer Temporal lobe
Memory loss pattern in dissociative amnesia - Answer Memory loss occurs for a discrete period of time
Amnesia characterized by loss of memory of events that occur after onset of etiologic condition or agent
- Answer Anterograde
What psychoactive drug produces amnesia? - Answer Alcohol
Brain Lesions - Answer ...
Visual problem in pituitary tumor compressing optic chiasm - Answer Bitemporal Hemianopsia
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: - Answer Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o associated
signs. Location of lesion in the brain? - Answer Supramarginal gyrus or insula
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where? - Answer
Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? - Answer Right Parietal Lobe
,60M right-handed, getting lost, only writes on right half of paper. Where is lesion - Answer Right
parietal
Which hormone secreted in functional pituitary adenoma: - Answer Prolactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of what
diagnosis? - Answer Normal Pressure Hydrocephalus
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls, and diplopia -
Answer 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? - Answer
Hypothalamic tumor
Previously pleasant mom becomes profane and irresponsible over 6 months: - Answer 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: - Answer
Cerebellopontine angle
Catatonia - Answer ...
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? - Answer Metabolic disorders
Which term describes state of immobility that is constantly maintained? - Answer Cataplexy
Ability of catatonic pt to hold same position - Answer Catalepsy
CVA - Answer ...
,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: - Answer
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: - Answer 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? - Answer
Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia - Answer Brain Stem Infarction
Transient symptom associated with carotid stenosis: *** - Answer Monocular blindness
62 y/o M w DM is not making sense, saying "thar szing is phrumper zu stalking". Normal intonation but
no one in the family can understand it. He verbally responds to questions with similar utterances but fails
to successfully execute any instruction. **** - Answer Wernicke's aphasia
58 y/o M h/o HTN, cig smoking and sudden inability to speak. Face drooping on R and dragging R leg. In
ER examined within 40 mins of onset: Aphasic, unable to understand or repeat verbal commands.
Unintelligable sounds for speech. Alert but appeared frustrated. R hemiplegia with arm and face weaker
than leg. CT head showed no hemorrhage. Pathology type and area: - Answer Thromboembolic stroke
L MCA (middle cerebral artery)
Abulia refers to impairment in ability to: - Answer Spontaneously move and speak
Sudden-onset left hemiparesis with deviation of eyes to the right - Answer Right putaminal
hemorrhage
Sudden onset vertigo/nausea, hoarseness/dysphagia, right sided face numbness, diminished gag reflex
on right, decreased pinprick and temp sensation on left - Answer Right medullary infarction
, 65 y/o diabetic presents to ED c/o acute L sided weakness, deviation of gaze to R, L hemiplegia and
hemisensory deficit, and L homonymous hemianopsia. 12 hrs later, pt is unconscious, L pupil enlarged
and unreactive. CT will show what? - Answer R MCA infarct w/ edema and uncal herniation
Pt with acute onset vertigo, what will suggest R lateral medullary infarct? - Answer R facial loss of touch
+ temp sensation
46 y/o M w/ double vision + pain R eye. Exam: ptosis R eyelid, inability to elevate or adduct R eye + R
pupillary dilation. This is caused by: - Answer Post. Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion where? - Answer
Post frontal lobe
39 year old with h/o of multiple miscarriages develops an acute left sided hemiparesis. Work up revels
elevated anticardiolipin titers and no other risk factors for stroke. Appropriate intervention at this point
is? - Answer Plasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in patients under 50 -
Answer Plasma homocysteine
73 y/o found on floor, unaware of L UE/LE. Flaccid L arm, but denies anything wrong and when asked to
raise L arm raises R. When asked which arm is her L, she replies "yours." Dx? - Answer Parietal lobe CVA
CT scan with occipital and intraventricular hyperintensities - Answer Parenchymal hemorrhage
Which med has secondary prevention against embolic stroke in patients with Afib? - Answer Oral
warfarin
As opposed to strokes caused by arterial embolism or thrombosis, those caused by cerebral vein or
venous sinus thrombosis are - Answer More often associated with seizures at onset
Atrophy of right temporal lobe on cross section associated with occlusion of: - Answer Middle cerebral
artery
