2027 Exams Includes Frequently Tested Questions With
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1. Which condition is most associated with a 'hyperdense basilar artery' on
CT? - Correct Answer: Basilar artery thrombosis
Explanation:
A hyperdense basilar artery suggests acute thrombosis, a life-threatening
condition.
2. Which symptom is most associated with a left PCA stroke? - Correct
Answer: Right homonymous hemianopia
Explanation:
Left PCA strokes often cause right homonymous hemianopia due to occipital lobe
involvement.
3. Which clinical feature is most associated with a thalamic stroke? -
Correct Answer: Pure sensory loss
Explanation:
The thalamus is the major sensory relay station, so thalamic strokes often present
with pure sensory deficits
, 4. Which complication is most associated with large cerebellar infarctions? -
Correct Answer: Hydrocephalus
Explanation:
Large cerebellar infarcts can compress the fourth ventricle, leading to obstructive
hydrocephalus.
5. Which finding is most consistent with central pontine myelinolysis? -
Correct Answer: Rapidly progressive quadriplegia
Explanation:
Central pontine myelinolysis causes demyelination in the pons, leading to
quadriplegia and dysarthria.
6. Which artery supplies the medial frontal lobes and lower extremity motor
cortex? - Correct Answer: Anterior cerebral artery
Explanation:
The anterior cerebral artery supplies the medial frontal lobes, including the leg
motor area.
7. Which condition is most associated with a 'reversible posterior
leukoencephalopathy' pattern on imaging? - Correct Answer:
Hypertensive emergency
Explanation:
PRES is commonly caused by hypertensive crisis, leading to vasogenic edema in
posterior regions.
, 8. Which symptom is most associated with a left MCA inferior division stroke?
- Correct Answer: Wernicke aphasia
Explanation:
The inferior division of the left MCA supplies Wernicke's area, causing receptive
aphasia.
9. Which test is most useful for diagnosing carotid artery dissection? -
Correct Answer: CTA or MRA of the neck
Explanation:
CTA or MRA can detect the intimal flap or mural hematoma characteristic of
dissection.
10.Which stroke syndrome is associated with ipsilateral facial weakness and
contralateral body weakness? - Correct Answer: Medial pontine
syndrome
Explanation:
Medial pontine strokes affect corticospinal tracts and CN VI/VII nuclei, producing
crossed deficits.
11. Which medication is recommended to prevent delayed cerebral ischemia
after SAH? - Correct Answer: Nimodipine
Explanation:
Nimodipine reduces the risk of delayed cerebral ischemia and improves
neurological outcomes.
, 12. Which condition is most associated with a 'hyperacute' bright signal on
DWI MRI? - Correct Answer: Ischemic stroke
Explanation:
DWI is highly sensitive for acute ischemia, showing restricted diffusion within
minutes.
13. Which clinical sign is most associated with cerebellar hemorrhage? -
Correct Answer: Severe ataxia
Explanation:
Cerebellar hemorrhage often presents with sudden severe ataxia and inability to
walk.
14. Which stroke mechanism is most associated with fibromuscular dysplasia? -
Correct Answer: Arterial dissection
Explanation:
Fibromuscular dysplasia weakens arterial walls, predisposing to carotid or
vertebral dissection.
15. Which finding is most consistent with a right PCA stroke? - Correct
Answer: Left homonymous hemianopia
Explanation:
PCA strokes affect the occipital lobe, causing contralateral homonymous
hemianopia.