PRITE Neuroscience
60 y/o right-handed M, getting lost, only writes on right half of
paper. Left-sided hemi-neglect. Where is the lesion? (8x) -
AnswersRIGHT PARIETAL LOBE
66 y/o 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) -
AnswersLATERAL MEDULLARY STROKE
78 y/o 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 brain likely affected by stroke? (4x) - AnswersRIGHT
PARIETAL LOBE
26 y.o. 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? (4x) - AnswersCEREBELLUM
Previously pleasant mom becomes profane and irresponsible
over 6 months. Most likely a pathology in: (2x) -
AnswersFRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia:
(2x) - AnswersBRAIN STEM INFARCTION
, MRI scan of head reveals an infarct in distribution of left anterior
cerebral artery. Pt most likely exhibits: (2x) - AnswersWEAKNESS
OF CONTRALATERAL FOOT AND LEG
Amnesia preceded by epigastric sensation/fear is associated with
electrical abnormalities where? - AnswersTEMPORAL LOBE
Pt w/ sudden onset of L hemiparesis, L homonymous
hemianopsia, tendency to gaze to right, and neglect left sided
stimuli are deficits most likely result of occlusion of: -
AnswersRIGHT MIDDLE CEREBRAL ARTERY
65 y/o w/ hx of HTN, Meniere's with sudden vertigo, N/V, worse
with head movement, R beating nystagmus on lateral gaze, finger
to nose testing is ataxic, poor balance and dysarthria. Dx -
AnswersCEREBELLAR INFARCT
Lower facial weakness w/ relative sparing of forehead, stroke in? -
AnswersINTERNAL CAPSULE
Higher frequency & greater severity of depression associated w/
cortical & subcortical strokes: - AnswersLEFT ANTERIOR
FRONTAL
58 y/o s/p CABG - anomia for fingers and body parts, errors
involving right and left, inability to write thoughts/take notes/make
calculations. Fluent speech and excellent comprehension -
AnswersLEFT MEDIAL TEMPORAL STROKE
Visual disturbances associated with occlusion of the right
posterior cerebral artery? - AnswersLEFT HOMONYMOUS
HEMIANOPSIA
60 y/o right-handed M, getting lost, only writes on right half of
paper. Left-sided hemi-neglect. Where is the lesion? (8x) -
AnswersRIGHT PARIETAL LOBE
66 y/o 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) -
AnswersLATERAL MEDULLARY STROKE
78 y/o 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 brain likely affected by stroke? (4x) - AnswersRIGHT
PARIETAL LOBE
26 y.o. 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? (4x) - AnswersCEREBELLUM
Previously pleasant mom becomes profane and irresponsible
over 6 months. Most likely a pathology in: (2x) -
AnswersFRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia:
(2x) - AnswersBRAIN STEM INFARCTION
, MRI scan of head reveals an infarct in distribution of left anterior
cerebral artery. Pt most likely exhibits: (2x) - AnswersWEAKNESS
OF CONTRALATERAL FOOT AND LEG
Amnesia preceded by epigastric sensation/fear is associated with
electrical abnormalities where? - AnswersTEMPORAL LOBE
Pt w/ sudden onset of L hemiparesis, L homonymous
hemianopsia, tendency to gaze to right, and neglect left sided
stimuli are deficits most likely result of occlusion of: -
AnswersRIGHT MIDDLE CEREBRAL ARTERY
65 y/o w/ hx of HTN, Meniere's with sudden vertigo, N/V, worse
with head movement, R beating nystagmus on lateral gaze, finger
to nose testing is ataxic, poor balance and dysarthria. Dx -
AnswersCEREBELLAR INFARCT
Lower facial weakness w/ relative sparing of forehead, stroke in? -
AnswersINTERNAL CAPSULE
Higher frequency & greater severity of depression associated w/
cortical & subcortical strokes: - AnswersLEFT ANTERIOR
FRONTAL
58 y/o s/p CABG - anomia for fingers and body parts, errors
involving right and left, inability to write thoughts/take notes/make
calculations. Fluent speech and excellent comprehension -
AnswersLEFT MEDIAL TEMPORAL STROKE
Visual disturbances associated with occlusion of the right
posterior cerebral artery? - AnswersLEFT HOMONYMOUS
HEMIANOPSIA
