NINJA PRITE CERTIFICATION
EVALUATION QUESTIONS ANSWERS
COMPLETE SOLUTION VERIFIED PASS
●● 66 yo 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?
Answer: LATERAL MEDULLARY STROKE
●● 26 yo w/HA and R-hand clumsiness for weeks. Exam shows
difficutty 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?
Answer: CEREBELLUM
●● 78 yo 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 the brain likely affected by stroke?
Answer: RIGHT PARIETAL LOBE
,●● Adult neurogenesis happens in which area of the brain?
Answer: HIPPOCAMPUS
●● Previously pleasant mom becomes profane and irresponsible over 6
months. Most likely a pathology in:
Answer: FRONTAL LOBE
●● In addiction, dopaminergic neurons project to nucleus accumbens.
Cell bodies of these neurons reside in which area of the brain?
Answer: VENTRAL TEGMENTAL AREA
●● Orexin is made in what part of the brain?
Answer: LATERAL HYPOTHALAMIC NUCLEI
●● Which dopaminergic pathway includes the nucleus accumbens and
also mediates addiction and associated behaviors/ reinforcing?
Answer: MESOLIMBIC
●● Neural plasticity is largely mediated through the capacity to rapidly
change in number and morphology of what cell structure?
Answer: DENDRITIC SPINES
, ●● Which cell type secretes innate pro-inflammatory cytokines TNF -
alpha and Il -1 B in pts with inflammatory conditions that affect the
brain?
Answer: MICROGLIA
●● Cortical synaptic remodeling characteristic of normal adolescence is
also believed to be associated with what neurobiological change?
Answer: PREFERENTIAL LOSS OF EXCITATORY SYNAPSES
●● DA release in what structure represents common final event
associated w/ reinforcing effects of opiates, cocaine, amphetamines,
nicotine, PCP, and alcohol?
Answer: NUCLEUS ACCUMBENS
●● In addiction, dopaminergic neurons project to nucleus accumbens.
Cell bodies of these neurons reside in which area of the brain?
Answer: VENTRAL TEGMENTAL AREA
●● Neurohormone for social bonding:
Answer: OXYTOCIN
●● Decreased level of what NT is most associated with depressed mood,
poor sleep, and poor impulse control, and affective aggression?
Answer: SEROTONIN
EVALUATION QUESTIONS ANSWERS
COMPLETE SOLUTION VERIFIED PASS
●● 66 yo 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?
Answer: LATERAL MEDULLARY STROKE
●● 26 yo w/HA and R-hand clumsiness for weeks. Exam shows
difficutty 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?
Answer: CEREBELLUM
●● 78 yo 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 the brain likely affected by stroke?
Answer: RIGHT PARIETAL LOBE
,●● Adult neurogenesis happens in which area of the brain?
Answer: HIPPOCAMPUS
●● Previously pleasant mom becomes profane and irresponsible over 6
months. Most likely a pathology in:
Answer: FRONTAL LOBE
●● In addiction, dopaminergic neurons project to nucleus accumbens.
Cell bodies of these neurons reside in which area of the brain?
Answer: VENTRAL TEGMENTAL AREA
●● Orexin is made in what part of the brain?
Answer: LATERAL HYPOTHALAMIC NUCLEI
●● Which dopaminergic pathway includes the nucleus accumbens and
also mediates addiction and associated behaviors/ reinforcing?
Answer: MESOLIMBIC
●● Neural plasticity is largely mediated through the capacity to rapidly
change in number and morphology of what cell structure?
Answer: DENDRITIC SPINES
, ●● Which cell type secretes innate pro-inflammatory cytokines TNF -
alpha and Il -1 B in pts with inflammatory conditions that affect the
brain?
Answer: MICROGLIA
●● Cortical synaptic remodeling characteristic of normal adolescence is
also believed to be associated with what neurobiological change?
Answer: PREFERENTIAL LOSS OF EXCITATORY SYNAPSES
●● DA release in what structure represents common final event
associated w/ reinforcing effects of opiates, cocaine, amphetamines,
nicotine, PCP, and alcohol?
Answer: NUCLEUS ACCUMBENS
●● In addiction, dopaminergic neurons project to nucleus accumbens.
Cell bodies of these neurons reside in which area of the brain?
Answer: VENTRAL TEGMENTAL AREA
●● Neurohormone for social bonding:
Answer: OXYTOCIN
●● Decreased level of what NT is most associated with depressed mood,
poor sleep, and poor impulse control, and affective aggression?
Answer: SEROTONIN
