2024-2025 PRITE ACTUAL FINAL
EXAM|BRAND NEW EXAM QUESTIONS AND
CORRECT ANSWERS ALL GRADED
A+|GUARANTEED SUCCESS|LATEST UPDATE
60 yo right-handed M, getting lost, only writes on right half of paper. Left-sided
hemi-neglect. Where is the lesion? (8x) - ANSWER-✔RIGHT PARIETAL LOBE
66 yo with HTN develops vertigo, diplopia, nausea, vomiting, hiccups, L face
numbness, nystagmus, hoarseness, ataxia of limbs, staggering gait, and tendency to
fall to the left. Dx? (8x) - ANSWER-✔LATERAL MEDULLARY STROKE
26 yo w/HA and R-hand clumsiness for weeks. Exam shows difficulty w/rapid
alternating movements of hand, overt intention tremor on finger-to-nose, and mildly
dysmetric finger tamping. CNS intact and no papilledema. Where will damage show
on MRI? (5x) - ANSWER-✔CEREBELLUM
78 yo pt had an ischemic stroke that left him with a residual mild hemiplegia. Pt
appeared to be unaware that there was a problem of weakness on one side of this
body. When asked to raise the weak arm, the patient raised his normal arm. When
the failure to raise the paralyzed arm was pointed out to pt, he admitted that the
arm was slightly weak. He also neglects the side of the body when dressing and
grooming. Pt did not shave one side of his face, had difficulty putting a shirt on when
it was turned inside out. Area of the brain likely affected by stroke? (4x) - ANSWER-
✔RIGHT PARIETAL LOBE
,Adult neurogenesis in which area of the brain? (4x) - ANSWER-✔HIPPOCAMPUS
MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt
most likely exhibits: (3x) - ANSWER-✔WEAKNESS OF CONTRALATERAL FOOT AND
LEG, SPARING OF FACE AND ARM, WITH ABULIA
Previously pleasant mom becomes profane and irresponsible over 6 months. Most
likely a pathology in: (2x) - ANSWER-✔FRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) - ANSWER-
✔BRAIN STEM INFARCTION
Orexin is made in what part of the brain? (2x) - ANSWER-✔LATERAL
HYPOTHALAMIC NUCLEI
Brain area activated by subliminal presentations of emotional faces (2x) - ANSWER-
✔AMYGDALA
Where does histamine synthesis happen? (2x) - ANSWER-✔HYPOTHALAMUS
Which dopaminergic pathway includes the nucleus accumbens and mediates
addiction and associated behaviors/ reinforcing? (2x) - ANSWER-✔MESOLIMBIC
Which brain region does leptin work at - ANSWER-✔HYPOTHALAMUS
Oxytocin suppresses which brain region - ANSWER-✔AMYGDALA
Hypothalamus area for maternal behavior - ANSWER-✔PRE-OPTIC
Cranial nerve for gag reflex and palette elevation - ANSWER-✔VAGAL NERVE
Which of the following statements regarding the development of the CNS in the first
two years of life is correct? - ANSWER-✔MOTOR CORTEX DEVELOPS BEFORE
SENSORY CORTEX
Which of the following cortical regions is a key component of the salience network?
- ANSWER-✔ANTERIOR CINGULATE CORTEX
Primary taste cortex in humans located in which cortical area? - ANSWER-
✔ANTERIOR INSULAR
Initial learning phase of skilled motor sequence requires corticostriatal system and
what other system? - ANSWER-✔CORTIOCEROBELLAR
Reduced hippocampal volume causes what type of memory impairment? - ANSWER-
✔DECLARATIVE
,Histaminergic neurons that regulate sleep originate in which brain nuclei? -
ANSWER-✔TUBEROMAMMILLARY
Pt receives neck manipulation, now has dysarthric speech, gait ataxia, numbness
right body, neck pain - ANSWER-✔VERTEBRAL ARTERY DISSECTION
Which areas are connected by the stria terminalis? - ANSWER-✔AMYGDALA TO THE
SEPTAL AREA AND THE HYPOTHALAMUS
Wakefulness depends on which brain area? - ANSWER-✔ASCENDING RETICULAR
ACTIVATING SYSTEM
What forms the neural tube - ANSWER-✔ECTODERM
rTMS for MDD targets which brain region? - ANSWER-✔DORSOLATERAL
PREFRONTAL CORTEX
Neurogenesis in the adult brain is restricted to what region of the brain? - ANSWER-
✔DENTATE GYRUS
Which of the following is part of the hippocampal formation: amygdala, septal area,
dentate gyrus, cingulate gyrus, mammillary bodies? - ANSWER-✔DENTATE GYRUS
Bipolar has decreased connectivity here - ANSWER-✔AMYGDALA AND PFC
CNS response to fear mediated by what structure - ANSWER-✔CENTRAL NUCLEUS
OF THE AMYGDALA
Behavioral and visceral responses in fear come from projections to the brainstem
and hypothalamic nuclei from which of the following? - ANSWER-✔CENTROMEDIAL
NUCLEI OF THE AMYGDALA
Area of brain to remember a number to make a phone call - ANSWER-
✔DORSOLATERAL PFC
Which circuit mediates ability to resist responding to aggravating situations with
hostility? - ANSWER-✔ORBITOFRONTAL
The dorsolateral-prefrontal cortex, striatum and ____ are part of a loop circuit that
produces worry and obsessive symptoms - ANSWER-✔THALAMUS
Hyperactivity of orbitofrontal cortex, basal ganglia, and thalamus is what disorder? -
ANSWER-✔OBSESSIVE-COMPULSIVE
Dopamine neurons in what system are primarily implicated in tasks related to
cognitive processing? - ANSWER-✔MESOCORTICAL
, Where are stem cells in the hippocampus for adult brains? - ANSWER-✔SUB-
GRANULAR ZONE
65 yo pt has a stroke which causes him to fall. On exam, weakness of the right leg,
with only minor weakness of the right hand, no weakness of the face, no sensory
deficit. Speech is not affected, but pt seems unusually quiet and passive. The stroke
most likely involves the: - ANSWER-✔LEFT ANTERIOR CEREBRAL ARTERY
Hemisensory loss followed by pain and hyperpathia involving all modalities and
reaching the midline of the trunk and head is most consistent with ischemia in the
distribution of which of the following arteries? - ANSWER-✔POSTERIOR CEREBRAL
Right-side palsy with equal involvement of the face, arm and leg combined with
third nerve palsy is most likely due to occlusion of a branch of which artery? -
ANSWER-✔POSTERIOR CEREBRAL
Bilateral lower extremity weakness, abulia, mutism, urinary incontinence are most
likely to result from occlusion of which of the following arteries? - ANSWER-
✔ANTERIOR CEREBRAL
Pure sensory deficit extending to midline and involving face, arm, trunk, and leg,
caused by a lacunar infarct where? - ANSWER-✔LATERAL THALAMUS
Blocking R PCA (posterior cerebral artery) causes which visual disturbance? -
ANSWER-✔LEFT HOMONYMOUS HEMIANOPSIA
The clinical syndrome associated with occlusion of the cortical branch of the
posterior cerebral artery would result in which of the following? - ANSWER-
✔HOMONYMOUS HEMIANOPIA WITH ALEXIA WITHOUT AGRAPHIA
28 yo cocaine user complains of LBP, numbness in both legs and feet, thighs,
buttocks, abdomen, and says R leg is weak and clumsy, L leg is tired. Has urinary
incontinence and difficulty walking. Decreased light touch, pinprick, and
temperature. Normal vibration and proprioception. DTR is hard to elicit. Muscle tone
is normal. Decreased strength in B/L LE but worse on right. Diagnosis? - ANSWER-
✔ANTERIOR SPINAL ARTERY INFARCTION
Intact somatosensory functioning for light touch, pressure, temperature, pain,
vibration, and proprioception but patient cannot recognize objects based on touch.
Which brain region is affected? - ANSWER-✔POSTERIOR PARIETAL LOBE
Loss of ability to execute previously learned motor activities (which is not the result
of demonstrable weakness, ataxia or sensory loss) is associated with lesions of? -
ANSWER-✔LEFT PARIETAL CORTEX
Normal Romberg w/ eyes open but loses balance with eyes closed. Where is the
abnormality? - ANSWER-✔CEREBELLAR VERMIS
