SCRN Study Exam Questions and Answers
with Verified Solutions | Latest Updated 2026
A 67yo man with a hx of HTN, DM, c
HLD, and smoking presents to the
ED. CC of persistent dizziness
q1week that has become so
severe he now has double vision,
N/V. His wife tells you she noticed
a L facial droop and slurring. Pt
reports weakness in L arm and
leg.
He denies HA or SZ. Head CT
was
negative for acute bleed. Upon
returning to the room he has
become increasingly obtunded
and difficult to arouse. You notice
he now has a nystagmus and
slightly dysconjugate gaze. His
exam appears to be worsening
now with R/L extremity weakness
in addition to his L hemiparesis.
What type of stroke syndrome are
you concerned he may be
having?
a. Wallenberg's stroke
b. Dissection of the R internal
carotid artery
c. acute basilar artery occlusion
d. Superior cerebellar artery
stroke
,You are assessing a 35yo M who d
has been in a motor vehicle crash,
and during the exam you notice
he has some abnormal eye exam
findings and weakness in the R
arm and leg (arm more than leg).
He has droopiness of the L eyelid
and his pupils are unequal. The L
pupil is 3mm in diameter and the
right is 5MM. Both pupils are
round and reactive to light.
Although it is a hot, humid day, he
is not sweating from the heat.
What stroke syndrome do you
suspect your patient is
experiencing?
a. Weber's syndrome
b. Amaurosis fugax
c. Locked-in syndrome
d. Horner's syndrome
What is a possible cause of b
Horner's syndrome?
a. Occlusion of the MCA
b. Dissection of the L ICA
c. Dissection of the R ICA
d. ACA stroke
, a patient presents with central d
retinal artery occlusion. As you
evaluate the neuroimaging, you
recognize that the most likely
etiology is artery-to-thrombosis
from which artery?
a. Basilar artery
b. Middle cerebral artery
c. Posterior inferior cerebellar
artery
d. Carotid artery
A patient is admitted to the b
emergency department with acute
symptoms of hemiparesis, hemi-
sensory loss, gaze preference,
and aphasia. Which vessel do you
suspect is involved in the stroke?
a. ACA
b. MCA
c. PCA
d. PICA
What cluster of symptoms is a
consistent with Weber's
syndrome?
a. Ipsilateral cranial nerve 3 palsy,
contralateral hemiparesis
b. Ipsilateral cranial nerve 4 and 6
palsy, contralateral hemiparesis
c. Contralateral cranial nerve 4
and 6 palsy, ipsilateral
hemiparesis
d. ipsilateral cranial nerve 5 paly,
ipsilateral ataxia
with Verified Solutions | Latest Updated 2026
A 67yo man with a hx of HTN, DM, c
HLD, and smoking presents to the
ED. CC of persistent dizziness
q1week that has become so
severe he now has double vision,
N/V. His wife tells you she noticed
a L facial droop and slurring. Pt
reports weakness in L arm and
leg.
He denies HA or SZ. Head CT
was
negative for acute bleed. Upon
returning to the room he has
become increasingly obtunded
and difficult to arouse. You notice
he now has a nystagmus and
slightly dysconjugate gaze. His
exam appears to be worsening
now with R/L extremity weakness
in addition to his L hemiparesis.
What type of stroke syndrome are
you concerned he may be
having?
a. Wallenberg's stroke
b. Dissection of the R internal
carotid artery
c. acute basilar artery occlusion
d. Superior cerebellar artery
stroke
,You are assessing a 35yo M who d
has been in a motor vehicle crash,
and during the exam you notice
he has some abnormal eye exam
findings and weakness in the R
arm and leg (arm more than leg).
He has droopiness of the L eyelid
and his pupils are unequal. The L
pupil is 3mm in diameter and the
right is 5MM. Both pupils are
round and reactive to light.
Although it is a hot, humid day, he
is not sweating from the heat.
What stroke syndrome do you
suspect your patient is
experiencing?
a. Weber's syndrome
b. Amaurosis fugax
c. Locked-in syndrome
d. Horner's syndrome
What is a possible cause of b
Horner's syndrome?
a. Occlusion of the MCA
b. Dissection of the L ICA
c. Dissection of the R ICA
d. ACA stroke
, a patient presents with central d
retinal artery occlusion. As you
evaluate the neuroimaging, you
recognize that the most likely
etiology is artery-to-thrombosis
from which artery?
a. Basilar artery
b. Middle cerebral artery
c. Posterior inferior cerebellar
artery
d. Carotid artery
A patient is admitted to the b
emergency department with acute
symptoms of hemiparesis, hemi-
sensory loss, gaze preference,
and aphasia. Which vessel do you
suspect is involved in the stroke?
a. ACA
b. MCA
c. PCA
d. PICA
What cluster of symptoms is a
consistent with Weber's
syndrome?
a. Ipsilateral cranial nerve 3 palsy,
contralateral hemiparesis
b. Ipsilateral cranial nerve 4 and 6
palsy, contralateral hemiparesis
c. Contralateral cranial nerve 4
and 6 palsy, ipsilateral
hemiparesis
d. ipsilateral cranial nerve 5 paly,
ipsilateral ataxia
