PRITE Neuro Exam Questions with
Correct Answers Latest 2024
Update
What does the cerebellum do in the human adult brain? - Answer- Diverse roles in
movement, behavior, and learning
Neurotransmitter assoc w/ reward & reinforcement in nicotine dependence - Answer-
Dopamine
A 70 y/o +HIV heroin abuser is treated with Lopinavir and Ritonavir and fluoxetine for
MDD. Hep C was dx and treated 2 months ago. Since then pt is more irritable,
insomnia, and diarrhea. Why? - Answer- Drug-drug interaction
5 days after CABG a 47 yr M is disoriented in time and place. He identifies his right and
left but not that of the examiners. Can draw square and circle but not a clock. This is: -
Answer- Dyspraxia
Alzheimer's disease risk - Apolipoprotein E phenotype - Answer- ɛ4ɛ4
Most common cause of aseptic meningitis: - Answer- Enteric virus
Head injury with LOC followed by lucid interval for a few hours then rapidly progressing
coma. What hemorrhage? - Answer- Epidural
Shaking hands, increased when using hands/writing/volitional activities. Stress worsens,
wine improves. Is familial. - Answer- Essential tremor
57 y/o diabetic w/ HTN c/o several episodes of visual loss "curtain falling" over his L
eye, transient speech and language disturbance, and mild R hemiparesis that lasted 2
hrs. Suggests presence of what? - Answer- Extracranial L internal carotid stenosis
Which gender has a higher risk for tardive dyskinesia (TD)? - Answer- Female
Electrophysiologic signs of denervation: - Answer- Fibrillation and positive sharp waves
Previously pleasant mom becomes profane and irresponsible over 6 months: - Answer-
Frontal lobe
,Dementia characterized by personality change, attention deficits, impulsivity, affect
lability, indifference, perseveration, loss of executive function. Assoc with dysfunction in
what area of the brain? - Answer- Frontal lobe
Treatment of Trigeminal Neuralgia: - Answer- Gabapentin
Young adult w/ headache behind left ear. 2 days later twisting of face. Impaired taste
sensation. Paralysis of forehead, lower face on left, incomplete closure of left eye w/
blinking. No sensory deficit or other cranial nerve deficit. MRI shows: - Answer-
Gadolinium enhancement of left facial nerve
What area of the body has the most serotonin? - Answer- GI tract
First sz with focal onset and second generalization in a 58 y/o patient is most likely the
consequence of what? - Answer- Glioblastoma multiforme
Cancer patient on chemo is disoriented and agitated. Afebrile VSS. Neg neuro exam.
Poor attention, cog impairment. Held for observation. CT neg, EEG diffuse slowing.
Treat with: - Answer- Haldol
80 y/o Alzheimer's with increasingly combative behavior. Family wants to keep at home.
Give what med? - Answer- Haldol
Treatment of Huntington's chorea - Answer- Haloperidol
Loss of pain and temp sensation on one side with motor paralysis and propioception on
the other. Spinal syndrome is: - Answer- Hemisection
Fever, HA, seizures, confusion, stupor, and coma, evolving over several days. EEG with
lateralized high-voltage sharp waves arising in the L temporal region, with slow wave
complexes repeating at 2-3 second intervals. CT low-density lesion in L temporal lobe. -
Answer- Herpes Simplex Encephalitis
49 year old develops seizure disorder that is difficult to control. CSF shows lymphocytic
pleocytosis and many RBC's. MRI shows T2 hyperintensity in the Left temporal lobe,
with gadolinium enhancement in this area in T1 weighted image. EEG shows periodic
discharges. Dx? - Answer- Herpes Simplex Encephalitis
Treatment for Huntington's disease: - Answer- High potency antipsychotics
Spinal fluid of patient w/ acute inflammatory polyneuropathy shows: - Answer- High
protein, normal cell count
Component of type A behavior most reliable risk factor for CAD - Answer- Hostility
, 98 y/o M in ER, unconscious after choking on chicken. Pt had a progressive neuro
condition presented in his early 30's w involuntary irregular movements of all extremities
and face but after 15 yr course evolved into rigid, akinetic condition w diff swallowing
and speaking. Also progressive dementia and full time care. After obstruction was
relieved pt remained unconscious, had cardiac arrest and died. PM exam showed
generalized brain atrophy. (Path picture of brain atrophy). Diagnosis: - Answer-
Huntington's disease
Cross section of the brain picture with generalized atrophy: - Answer- Huntington's
disease
Neurofibrillary tangles in Alzheimer's are composed of: - Answer- Hyperphosphorylated
tau proteins
Benign intracranial HTN etiology: - Answer- Hypervitaminosis A
Mild confusion, lethargy, thirst, polydipsia - Answer- Hyponatremia
A 32 y/o s/p thyroidectomy presents c/o frequent panic attack, progressive cognitive
inefficiency, perceptual disturbances, severe muscle cramps, and carpopedal spasm.
PE shows alopecia and absent DTR. DX? - Answer- Hypoparathyroidism
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
Patient with pain behind the left ear progressing to numbness of the left side of the face,
tearing of the left eye, discomfort with low frequency sounds, and left facial weakness
on exam. Dx?*** - Answer- Idiopathic Bells palsy
Prosopagnosia is: - Answer- Inability to recognize faces
3 month progressive limb weakness L>R, problems swallowing. Normal CN, weakness
in neck extensor muscles, in distal and proximal muscles (quadriceps, feet dorsal
flexors, extensor pollicis longus) and in wrist/finger flexors. DTRs normal. Motor
tone/coordination/gait normal. Elevated CK. - Answer- Inclusion Body Myositis
Positive allosteric modulators of neurotransmitter-gated, multimeric ion channels do
what? - Answer- Increase probability of opening in presence of a ligand.
Motor dysfunction in Parkinson's associated with: - Answer- Increased activity in
subthalamic nucleus and pars interna of globus pallidus
Detection of 2 Apolien e4 alleles is useful in dx dementia b/c - Answer- Increases
probability of dx of Alzheimers
