PRITE – Neuro: Questions & Solutions (100% Accurate)
What psychoactive drug produces amnesia? Right Ans - Alcohol
What baseline labs should be taken before starting tacrine? Right Ans - ALT
and AST (baseline and f/u)
Clock drawing test is quickly administered and sensitive screen for which
d/o? Right Ans - Alzheimer's
Individuals over 40yo with Down's syndrome frequently develops: Right
Ans - Alzheimer's
Amyloid precursor protein in Right Ans - Alzheimer's Disease
Most common cause of dementia: Right Ans - Alzheimer's disease
41 y/o without family h/o corticocerebellar degeneration presents with 3-
month h/o ataxia of gait/limbs, dysarthria, and progressive nystagmus. MRI
and CSF normal. 1) Antibody panel with presence of ? 2) What type of tumor is
likely present? Right Ans - 1) anti-Yo 2) Ovarian Carcinoma
Essential criterion for the declaration of brain death prior to organ donation
requires? Right Ans - A positive apnea test
EEG that reveals posterior alpha and anterior beta activity is most likely to
have been obtained from whom? Right Ans - A relaxed adult with eyes
closed
10 y/o child freq episodes brief lapses of consciousness without premonitory
sxs. Lasts 2-10 seconds, followed by immediate and full resumption of
consciousness without awareness of what has happened. These ictal episodes
most likely caused by what kind szs: Right Ans - Absence
Neuronal enzyme that is the target of drugs to treat Alzheimer's i.e.
galantamine and rivastigmine Right Ans - Acetyl cholinesterase
Complications of a cerebellar hemorrhage? Right Ans - Acute
hydrocephalus
,Progressive weakness over several days - absent reflexes worse in lower
extremities - slow conduction velocity, conduction block Right Ans - Acute
inflammatory polyneuropathy
Weakness in limbs 2 weeks after a viral gastroenteritis. Weakness in UE/LE,
absent DTRs. Spinal fluid shows no cells and elevated protein. Right Ans -
Acute inflammatory polyneuropathy
Young pt recovering from flew-like illness w/ progressive weakness and
numbness of legs and feet. Weakness and numbness below middle of thorax.
Increased LE DTR's, extensor plantar reflexes. Urinary incontinence. LP 23
mononuclear cells, protein level 37, nml glucose Right Ans - Acute
transverse myelitis
The single most consistently documented and significant risk factor in the
epidemiology of tardive dyskinesia is? Right Ans - Advanced age
Known risk factors for dementia: Right Ans - Age, family hx, female, Down
Syndrome
45 year old with gradual progressive weakness over the past 3-4 months,
particularly in the LUE. Right Ans - Amyotrophic lateral sclerosis
Atrophy of the intrinsic muscles of the right arm and forearm. Reflexes are
generally brisk, plantar reflexes are extensor. Electrophysiology shows
widespread fasciculations, fibrillation and sharp waves. Dx? Right Ans -
Amyotrophic lateral sclerosis
Gradually progressive weakness of legs and dysarthria over months -
fasciculations of tongue - prominent left upper extremity weakness - muscle
spasticity - brisk reflexes - normal sensation Right Ans - Amyotrophic
lateral sclerosis
Fasciculations, fibrillations, positive sharp waves on EMG + progressive
weakness over several weeks Right Ans - Amyotrophic lateral sclerosis
70 y/o F sudden onset paralysis R foot and leg. R arm and hand lightly
affected. No aphasia or visual field deficit. Over weeks found with loss bladder
, control, abulia and lack of spontaneity. Which vascular area: Right Ans -
Anterior cerebral artery (left)
55 y/o hx of weakness and clumsiness x several months. Difficulty w/ fine
motor tasks. Arm muscles twitch and cramp easily, weakening, atrophy.
Sensory, coordination, cranial nerve exams wnl. Underlying illness affects
neuronal bodies where? Right Ans - Anterior horn of spinal cord, medial
brainstem and cortex
Amnesia characterized by loss of memory of events that occur after onset of
etiologic condition or agent Right Ans - Anterograde
Severe spasms and rigidity of limbs intermittently and later more
persistent/continuous: Right Ans - Antiglutamic and anidecarboxylase
(anti-GAD) antibodies
Which meds have best results for treating agitation in dementia? Right Ans
- Anti-psychotics
Inability to carry out motor activites on verbal command despite intact
comprehension & motor function indicates? Right Ans - apraxia
In managing acute ischemic stroke, administer this within 48 hrs of onset of
stroke for beneficial effect in reducing risk of recurrent stroke, disability and
death: Right Ans - Aspirin
An 80yo pt with Alzheimer's is brought in for increasingly combative
behavior. Daughter would like to keep the pt at home if possible. What
interventions would be most helpful in this situation? Right Ans - Assessing
for caregiver burnout
Inability to recognize objects by touch: Right Ans - Astereognosis
Adult LP with opening pressure 190, protein 110, glucose 27, leukocytes
5,000. Dx? Right Ans - Bacterial meningitis
Characteristics of Parkinson's tremor Right Ans - Being Inhibited with
Volitional Movement
What psychoactive drug produces amnesia? Right Ans - Alcohol
What baseline labs should be taken before starting tacrine? Right Ans - ALT
and AST (baseline and f/u)
Clock drawing test is quickly administered and sensitive screen for which
d/o? Right Ans - Alzheimer's
Individuals over 40yo with Down's syndrome frequently develops: Right
Ans - Alzheimer's
Amyloid precursor protein in Right Ans - Alzheimer's Disease
Most common cause of dementia: Right Ans - Alzheimer's disease
41 y/o without family h/o corticocerebellar degeneration presents with 3-
month h/o ataxia of gait/limbs, dysarthria, and progressive nystagmus. MRI
and CSF normal. 1) Antibody panel with presence of ? 2) What type of tumor is
likely present? Right Ans - 1) anti-Yo 2) Ovarian Carcinoma
Essential criterion for the declaration of brain death prior to organ donation
requires? Right Ans - A positive apnea test
EEG that reveals posterior alpha and anterior beta activity is most likely to
have been obtained from whom? Right Ans - A relaxed adult with eyes
closed
10 y/o child freq episodes brief lapses of consciousness without premonitory
sxs. Lasts 2-10 seconds, followed by immediate and full resumption of
consciousness without awareness of what has happened. These ictal episodes
most likely caused by what kind szs: Right Ans - Absence
Neuronal enzyme that is the target of drugs to treat Alzheimer's i.e.
galantamine and rivastigmine Right Ans - Acetyl cholinesterase
Complications of a cerebellar hemorrhage? Right Ans - Acute
hydrocephalus
,Progressive weakness over several days - absent reflexes worse in lower
extremities - slow conduction velocity, conduction block Right Ans - Acute
inflammatory polyneuropathy
Weakness in limbs 2 weeks after a viral gastroenteritis. Weakness in UE/LE,
absent DTRs. Spinal fluid shows no cells and elevated protein. Right Ans -
Acute inflammatory polyneuropathy
Young pt recovering from flew-like illness w/ progressive weakness and
numbness of legs and feet. Weakness and numbness below middle of thorax.
Increased LE DTR's, extensor plantar reflexes. Urinary incontinence. LP 23
mononuclear cells, protein level 37, nml glucose Right Ans - Acute
transverse myelitis
The single most consistently documented and significant risk factor in the
epidemiology of tardive dyskinesia is? Right Ans - Advanced age
Known risk factors for dementia: Right Ans - Age, family hx, female, Down
Syndrome
45 year old with gradual progressive weakness over the past 3-4 months,
particularly in the LUE. Right Ans - Amyotrophic lateral sclerosis
Atrophy of the intrinsic muscles of the right arm and forearm. Reflexes are
generally brisk, plantar reflexes are extensor. Electrophysiology shows
widespread fasciculations, fibrillation and sharp waves. Dx? Right Ans -
Amyotrophic lateral sclerosis
Gradually progressive weakness of legs and dysarthria over months -
fasciculations of tongue - prominent left upper extremity weakness - muscle
spasticity - brisk reflexes - normal sensation Right Ans - Amyotrophic
lateral sclerosis
Fasciculations, fibrillations, positive sharp waves on EMG + progressive
weakness over several weeks Right Ans - Amyotrophic lateral sclerosis
70 y/o F sudden onset paralysis R foot and leg. R arm and hand lightly
affected. No aphasia or visual field deficit. Over weeks found with loss bladder
, control, abulia and lack of spontaneity. Which vascular area: Right Ans -
Anterior cerebral artery (left)
55 y/o hx of weakness and clumsiness x several months. Difficulty w/ fine
motor tasks. Arm muscles twitch and cramp easily, weakening, atrophy.
Sensory, coordination, cranial nerve exams wnl. Underlying illness affects
neuronal bodies where? Right Ans - Anterior horn of spinal cord, medial
brainstem and cortex
Amnesia characterized by loss of memory of events that occur after onset of
etiologic condition or agent Right Ans - Anterograde
Severe spasms and rigidity of limbs intermittently and later more
persistent/continuous: Right Ans - Antiglutamic and anidecarboxylase
(anti-GAD) antibodies
Which meds have best results for treating agitation in dementia? Right Ans
- Anti-psychotics
Inability to carry out motor activites on verbal command despite intact
comprehension & motor function indicates? Right Ans - apraxia
In managing acute ischemic stroke, administer this within 48 hrs of onset of
stroke for beneficial effect in reducing risk of recurrent stroke, disability and
death: Right Ans - Aspirin
An 80yo pt with Alzheimer's is brought in for increasingly combative
behavior. Daughter would like to keep the pt at home if possible. What
interventions would be most helpful in this situation? Right Ans - Assessing
for caregiver burnout
Inability to recognize objects by touch: Right Ans - Astereognosis
Adult LP with opening pressure 190, protein 110, glucose 27, leukocytes
5,000. Dx? Right Ans - Bacterial meningitis
Characteristics of Parkinson's tremor Right Ans - Being Inhibited with
Volitional Movement
