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PRITE Neuroscience Questions with Detailed Verified Answers

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PRITE Neuroscience Questions with Detailed Verified Answers

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PRITE Neuroscience Questions with Detailed Verified
Answers




60 y/o right-handed M, getting lost, only writes on right half of paper. Left-sided hemi-neglect.
Where is the lesion? (8x) Ans: ✓ ✓ ✓ RIGHT 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) Ans: ✓ ✓ ✓
LATERAL 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) Ans: ✓ ✓ ✓ RIGHT
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) Ans: ✓ ✓ ✓ CEREBELLUM


Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a
pathology in: (2x) Ans: ✓ ✓ ✓ FRONTAL LOBE




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Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) Ans: ✓ ✓ ✓ BRAIN STEM
INFARCTION


MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most likely
exhibits: (2x) Ans: ✓ ✓ ✓ WEAKNESS OF CONTRALATERAL FOOT AND LEG


Amnesia preceded by epigastric sensation/fear is associated with electrical abnormalities where?
Ans: ✓ ✓ ✓ TEMPORAL 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: Ans: ✓ ✓ ✓ RIGHT 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 Ans: ✓
✓ ✓ CEREBELLAR INFARCT


Lower facial weakness w/ relative sparing of forehead, stroke in? Ans: ✓ ✓ ✓ INTERNAL CAPSULE


Higher frequency & greater severity of depression associated w/ cortical & subcortical strokes: Ans:
✓ ✓ ✓ LEFT 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 Ans: ✓ ✓ ✓
LEFT MEDIAL TEMPORAL STROKE


Visual disturbances associated with occlusion of the right posterior cerebral artery? Ans: ✓ ✓ ✓
LEFT HOMONYMOUS HEMIANOPSIA


65 y/o w/ HTN collapsed. In ED is stuporous, R hemiparesis + hemisensory deficit, eyes deviate to L.
CT would show intraparenchymal hemorrhage in: Ans: ✓ ✓ ✓ LEFT BASAL GANGLIA


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