PRITE UPDATED ACTUAL Questions
and CORRECT ANSWERS
Amnesia preceded by epigastric sensation and fear are associated with electrical abnormality
where? - CORRECT ANSWER- ✔✔Temporal lobe
Memory loss pattern in dissociative amnesia - CORRECT 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 - CORRECT ANSWER- ✔✔Anterograde
What psychoactive drug produces amnesia? - CORRECT ANSWER- ✔✔Alcohol
Brain Lesions - CORRECT ANSWER- ✔✔...
Visual problem in pituitary tumor compressing optic chiasm - CORRECT 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: -
CORRECT ANSWER- ✔✔Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o
associated signs. Location of lesion in the brain? - CORRECT ANSWER- ✔✔Supramarginal
gyrus or insula
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located
where? - CORRECT ANSWER- ✔✔Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? - CORRECT ANSWER-
✔✔Right Parietal Lobe
,60M right-handed, getting lost, only writes on right half of paper. Where is lesion -
CORRECT ANSWER- ✔✔Right parietal
Which hormone secreted in functional pituitary adenoma: - CORRECT ANSWER-
✔✔Prolactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive
of what diagnosis? - CORRECT ANSWER- ✔✔Normal Pressure Hydrocephalus
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,
and diplopia - CORRECT 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? - CORRECT ANSWER- ✔✔Hypothalamic tumor
Previously pleasant mom becomes profane and irresponsible over 6 months: - CORRECT
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: - CORRECT ANSWER- ✔✔Cerebellopontine angle
Catatonia - CORRECT 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? - CORRECT
ANSWER- ✔✔Metabolic disorders
Which term describes state of immobility that is constantly maintained? - CORRECT
ANSWER- ✔✔Cataplexy
Ability of catatonic pt to hold same position - CORRECT ANSWER- ✔✔Catalepsy
,CVA - CORRECT 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: - CORRECT 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: - CORRECT 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? - CORRECT ANSWER- ✔✔Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia - CORRECT ANSWER-
✔✔Brain Stem Infarction
Transient symptom associated with carotid stenosis: *** - CORRECT 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. **** - CORRECT
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: - CORRECT ANSWER- ✔✔Thromboembolic stroke L MCA (middle cerebral
artery)
Abulia refers to impairment in ability to: - CORRECT ANSWER- ✔✔Spontaneously move
and speak
, Sudden-onset left hemiparesis with deviation of eyes to the right - CORRECT 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 - CORRECT 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? - CORRECT ANSWER-
✔✔R MCA infarct w/ edema and uncal herniation
Pt with acute onset vertigo, what will suggest R lateral medullary infarct? - CORRECT
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: - CORRECT ANSWER- ✔✔Post.
Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion where? -
CORRECT 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? - CORRECT ANSWER- ✔✔Plasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in patients
under 50 - CORRECT 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?
- CORRECT ANSWER- ✔✔Parietal lobe CVA
