PRITE 02.1 - NEUROLOGY (BRAIN
LESIONS) QUESTIONS |
GUARANTEED ACCURATE
ANSWERS
Visual problem in pituitary tumor compressing optic chiasm -
ACCURATE ANSWERS✔✔ Bitemporal Hemianopsia,.
Unsteady gait, appendicular ataxia in LE only and normal eye
movement. Walks with lurching broad-based gait - ACCURATE
ANSWERS✔✔ cerebellar degeneration (alcoholics).
Severe occipital HA, bilateral papilledema and no other abnormalities.
Chronic acne treated with isotretinoin. Lumbar puncture elevated
opening pressure with no cells, 62 mg/dl glucose and 22 mg/dl protein.
CT is normal. What's going on? - ACCURATE ANSWERS✔✔
Pseudotumor cerebri.
66 yo complaining of frequent falls, several-month hx of anxiety,
unwilling to leave home. On exam, mild impairment of vertical gaze on
smooth pursuit/saccades, mild axial rigidity and minimal rigidity of
upper extremities, along with mild slowness of movement on finger
tapping, hand opening, and wrist opposition. Posture fine. Gait
tentative/awkward but w/o shuffling, ataxia, tremor. Pt slowly arises
, from char. What is it? - ACCURATE ANSWERS✔✔ Progressive
Supranuclear Palsy
79 yo pt with deteriorating mental stte over a 3 week period has
exaggerated startle response with violent myoclonus that is elicited by
turning on the room lights, speaking loudly, or touching the pt.
Myoclonic jerks also. What is it? - ACCURATE ANSWERS✔✔
Spongiform encephalopathy
Pt presents with slowly progressive gait disorder, followed by
impairment of mental function, and sphincteric incontinence. No
papilledema or headaches are reported. Likely dx? - ACCURATE
ANSWERS✔✔ Normal pressure hydrocephalus
65 yo pt fell several times in past 6 mo. MSE wnl. Smooth pursuit,
saccadic movements impaired (worse w/vertical gaze). Full ROM w/doll
head maneuver. Mild symmetric rigidity/bradykinesia, no tremor.
MRI/CSF/labs unremarkable. Dx? - ACCURATE ANSWERS✔✔
Progressive supranuclear palsy
28 yo with emotional lability and impulsivity. LFT's elevated. Close
relative had similar sx and died at 30 yo from hepatic failure. Which
blood level is diagnostic? - ACCURATE ANSWERS✔✔ ceruloplasmin
(Wilson dz; high copper)
LESIONS) QUESTIONS |
GUARANTEED ACCURATE
ANSWERS
Visual problem in pituitary tumor compressing optic chiasm -
ACCURATE ANSWERS✔✔ Bitemporal Hemianopsia,.
Unsteady gait, appendicular ataxia in LE only and normal eye
movement. Walks with lurching broad-based gait - ACCURATE
ANSWERS✔✔ cerebellar degeneration (alcoholics).
Severe occipital HA, bilateral papilledema and no other abnormalities.
Chronic acne treated with isotretinoin. Lumbar puncture elevated
opening pressure with no cells, 62 mg/dl glucose and 22 mg/dl protein.
CT is normal. What's going on? - ACCURATE ANSWERS✔✔
Pseudotumor cerebri.
66 yo complaining of frequent falls, several-month hx of anxiety,
unwilling to leave home. On exam, mild impairment of vertical gaze on
smooth pursuit/saccades, mild axial rigidity and minimal rigidity of
upper extremities, along with mild slowness of movement on finger
tapping, hand opening, and wrist opposition. Posture fine. Gait
tentative/awkward but w/o shuffling, ataxia, tremor. Pt slowly arises
, from char. What is it? - ACCURATE ANSWERS✔✔ Progressive
Supranuclear Palsy
79 yo pt with deteriorating mental stte over a 3 week period has
exaggerated startle response with violent myoclonus that is elicited by
turning on the room lights, speaking loudly, or touching the pt.
Myoclonic jerks also. What is it? - ACCURATE ANSWERS✔✔
Spongiform encephalopathy
Pt presents with slowly progressive gait disorder, followed by
impairment of mental function, and sphincteric incontinence. No
papilledema or headaches are reported. Likely dx? - ACCURATE
ANSWERS✔✔ Normal pressure hydrocephalus
65 yo pt fell several times in past 6 mo. MSE wnl. Smooth pursuit,
saccadic movements impaired (worse w/vertical gaze). Full ROM w/doll
head maneuver. Mild symmetric rigidity/bradykinesia, no tremor.
MRI/CSF/labs unremarkable. Dx? - ACCURATE ANSWERS✔✔
Progressive supranuclear palsy
28 yo with emotional lability and impulsivity. LFT's elevated. Close
relative had similar sx and died at 30 yo from hepatic failure. Which
blood level is diagnostic? - ACCURATE ANSWERS✔✔ ceruloplasmin
(Wilson dz; high copper)
