prite ninja question book 2x Exam
100% Accurate!!
Adult neurogenesis in which area of the brain? (x2) - ANSWERHIPPOCAMPUS
Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a
pathology in: (2x) - ANSWERFRONTAL LOBE
MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most
likely exhibits: (2x) - ANSWERWEAKNESS OF CONTRALATERAL FOOT AND
LEG
Which cell types secretes innate pro-infammatory cytokines TNF - alpha and Il -1 B in pts
with inflammatory conditions that affect the brain? (X2) - ANSWERMICROGLIA
Role of glycine at NMDA receptor (x2) - ANSWEROBLIGATE COAGONIST
Which neurotransmitter system is the last to mature in the CNS of children and
adolescents? (2x) - ANSWERCHOLINERGIC
A compound that increases muscle mass by increasing episodic secretion of GH (2x): -
ANSWERGAMMA HYDROXYLBUTYRATE
9 y/o F has 3 month h/o seemingly unprovoked bouts of laughter. Worse when not
sleeping well. Pt does not feel happy during these episodes. Started menstruating 6
months ago, and at Tanner stage 4. Dx? (2x) - ANSWERHYPOTHALAMIC HAMARTOMA
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,
and diplopia: (2x) - ANSWERMEDULLOBLASTOMA
70 y/o develops flaccid paralysis following severe water intoxication. He develops
dysphagia and dysarthria without other cranial nerve involvement. Sensory exam is
limited but grossly normal, DTR's are symmetric, and cognition is intact. Likely dx: (2x) -
ANSWERCENTRAL PONTINE MYELINOLYSIS
Young adult gained 70 lbs in last year c/o daily severe headaches sometimes associated
with graying out of vision. Papilledema present. CT and MRI brain no abnormalities but
ventricles smaller than usual. Goal of treatment in this case: (2x) - ANSWERPREVENT BLINDNESS
Superior homonymous quadrantic defects in the visual fields result from lesions to which
,of the following structures? (2x) - ANSWERTEMPORAL OPTIC RADIATIONS
Tremor with a frequency of around 3 Hz, irregular amplitude, most evident towards the
end of reaching movements: (2x) - ANSWERCEREBELLAR TUMOR
Pt with several days of fever and severe headaches presents to ED b/o generalized
seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS
Acute onset of fever, sore throat, diplopia, & dysarthria. Exam reveals an inflamed throat,
left adductor nerve palsy w/ impairment of vertical pursuit, diffuse hyperreflexia w/
bilateral clonus, lower ext spasticity, & mild right hemiparesis. CT is uninformative. Spinal
fluid has protein of 24, 10 mononuclear cells, and glucose of 70. Dx? (2x) - ANSWERMULTIPLE
SCLEROSIS
Which is the most reliable finding from CSF analysis for a pt with multiple sclerosis in the
chronic progressive phase of the dz? (2x) - ANSWERPRESENCE OF OLIGOCLONAL BANDS
Benign intracranial HTN etiology: (2x) - ANSWERHYPERVITAMINOSIS A
Gait abnormality, slow movement, asymmetric UE rigidity. Difficulty in voluntary vertical
upward/downward gaze. Slowness/rigidity improved slightly with levodopa. Later has
problems with horizontal & vertical gaze. Oculocephalic reflexes normal. Involuntary
saccades. (2x) - ANSWERPROGRESSIVE SUPRANUCLEAR PALSY
Pt with several days of fever and severe headaches presents to ED b/o generalized
seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS
Pt presents with personality changes, cognitive difficulties, affective lability, and olfactory
and gustatory hallucinations. The most likely medical cause of this presentation is: (2x) -
ANSWERHERPES SIMPLEX VIRUS (HSV)
INFECTION
What condition is a forerunner of MS? (2x) - ANSWERTRANSVERSE MYELITIS
Head CT w/ lens-shaped hyperdensity (x2) - ANSWEREPIDURAL HEMATOMA
A life threatening complication of cerebellar hemorrhage is: (2x) - ANSWERACUTE HYDROCEPHALUS
A 72 yo patient had an embolic infarct in the middle cerebral artery territory. ECG shows no
structural abnormalities. Doppler studies of the neck arteries reveal less than 50% occlusion
on both carotid arteries. An EKG reveals AFib. Which of the following strategies has the best
, likelihood of reducing recurrent strokes in this patient? (2x) - ANSWERANTICOAGULATION WITH
WARFARIN
68 y/o pt w/ hypertension develops rapidly progressing right arm and leg weakness, with
deviation of the eyes to the left. Within 30 minutes of the onset of this deficit, pt became
increasingly sleepy. Two hours after the onset, the patient became unresponsive. On exam:
dense right hemiplegia, eyes deviated to the left, pupils: equal and reactive, a right facial
weakness to grimace elicited by noxious stimuli. Cough and gag reflexes: present. Which CT
finding is most likely? (2x) - ANSWERLEFT PUTAMINAL HEMORRHAGE
A pt has multiple stroke like symptoms of short duration over several days. And has new
onset symptoms for the last 90 minutes. CT scan shows no evidence of stroke or
hemorrhage. What is the appropriate treatment? (2x) - ANSWERINTRAVENOUS THROMBOLYTIC
AGENTS
70 y/o pt was hospitalized because of a middle cerebral artery stroke. The psychiatrist was
asked to evaluate the pt. The pt has non-fluent aphasia. Which most likely characterized the
pt's interaction with the psychiatrist? (2x) - ANSWERTHE PT WAS ABLE TO FOLLOW THE
VERBAL REQUEST, "CLOSE YOUR EYES."
Most common psychiatric presentation following a stroke? (2x) - ANSWERDEPRESSION
Chiropractic adjustments are a known precipitant for which of the following acute
conditions? (2x) - ANSWERVERTEBRAL ARTERY DISSECTION
The most common complication of temporal arteritis is caused by occlusion of the: (2x) -
ANSWEROPHTHALMIC ARTERY
The most common possible cause of a posterior cerebral artery infarct in 36 y/o F with hx of
migraine: (2x) - ANSWERORAL CONTRACEPTIVES
Which of the following is the most specific factor for distinguishing delirium from dementia
of the Alzheimer type? (2x) - ANSWERFLUCTUATING AROUSAL
Neurocognitive functions most likely to show decline in people over 65 years of age? (x2) -
ANSWERINFORMATION PROCESSING SPEED
Over the course of several months, a 46 yo pt w no past psych hx becomes emotionally
labile/irritable. Pt undergoes personality changes, is observed to laugh inappropriately
when neighbor kids taunt stray cat. Within 2 yrs pt is convinced all food has germs. Memory
is preserved. Pt is no longer able to work/live independently. Neuropsych testing shows
impaired language/attn. (2x) - ANSWERFRONTOTEMPORAL DEMENTIA
100% Accurate!!
Adult neurogenesis in which area of the brain? (x2) - ANSWERHIPPOCAMPUS
Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a
pathology in: (2x) - ANSWERFRONTAL LOBE
MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most
likely exhibits: (2x) - ANSWERWEAKNESS OF CONTRALATERAL FOOT AND
LEG
Which cell types secretes innate pro-infammatory cytokines TNF - alpha and Il -1 B in pts
with inflammatory conditions that affect the brain? (X2) - ANSWERMICROGLIA
Role of glycine at NMDA receptor (x2) - ANSWEROBLIGATE COAGONIST
Which neurotransmitter system is the last to mature in the CNS of children and
adolescents? (2x) - ANSWERCHOLINERGIC
A compound that increases muscle mass by increasing episodic secretion of GH (2x): -
ANSWERGAMMA HYDROXYLBUTYRATE
9 y/o F has 3 month h/o seemingly unprovoked bouts of laughter. Worse when not
sleeping well. Pt does not feel happy during these episodes. Started menstruating 6
months ago, and at Tanner stage 4. Dx? (2x) - ANSWERHYPOTHALAMIC HAMARTOMA
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,
and diplopia: (2x) - ANSWERMEDULLOBLASTOMA
70 y/o develops flaccid paralysis following severe water intoxication. He develops
dysphagia and dysarthria without other cranial nerve involvement. Sensory exam is
limited but grossly normal, DTR's are symmetric, and cognition is intact. Likely dx: (2x) -
ANSWERCENTRAL PONTINE MYELINOLYSIS
Young adult gained 70 lbs in last year c/o daily severe headaches sometimes associated
with graying out of vision. Papilledema present. CT and MRI brain no abnormalities but
ventricles smaller than usual. Goal of treatment in this case: (2x) - ANSWERPREVENT BLINDNESS
Superior homonymous quadrantic defects in the visual fields result from lesions to which
,of the following structures? (2x) - ANSWERTEMPORAL OPTIC RADIATIONS
Tremor with a frequency of around 3 Hz, irregular amplitude, most evident towards the
end of reaching movements: (2x) - ANSWERCEREBELLAR TUMOR
Pt with several days of fever and severe headaches presents to ED b/o generalized
seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS
Acute onset of fever, sore throat, diplopia, & dysarthria. Exam reveals an inflamed throat,
left adductor nerve palsy w/ impairment of vertical pursuit, diffuse hyperreflexia w/
bilateral clonus, lower ext spasticity, & mild right hemiparesis. CT is uninformative. Spinal
fluid has protein of 24, 10 mononuclear cells, and glucose of 70. Dx? (2x) - ANSWERMULTIPLE
SCLEROSIS
Which is the most reliable finding from CSF analysis for a pt with multiple sclerosis in the
chronic progressive phase of the dz? (2x) - ANSWERPRESENCE OF OLIGOCLONAL BANDS
Benign intracranial HTN etiology: (2x) - ANSWERHYPERVITAMINOSIS A
Gait abnormality, slow movement, asymmetric UE rigidity. Difficulty in voluntary vertical
upward/downward gaze. Slowness/rigidity improved slightly with levodopa. Later has
problems with horizontal & vertical gaze. Oculocephalic reflexes normal. Involuntary
saccades. (2x) - ANSWERPROGRESSIVE SUPRANUCLEAR PALSY
Pt with several days of fever and severe headaches presents to ED b/o generalized
seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS
Pt presents with personality changes, cognitive difficulties, affective lability, and olfactory
and gustatory hallucinations. The most likely medical cause of this presentation is: (2x) -
ANSWERHERPES SIMPLEX VIRUS (HSV)
INFECTION
What condition is a forerunner of MS? (2x) - ANSWERTRANSVERSE MYELITIS
Head CT w/ lens-shaped hyperdensity (x2) - ANSWEREPIDURAL HEMATOMA
A life threatening complication of cerebellar hemorrhage is: (2x) - ANSWERACUTE HYDROCEPHALUS
A 72 yo patient had an embolic infarct in the middle cerebral artery territory. ECG shows no
structural abnormalities. Doppler studies of the neck arteries reveal less than 50% occlusion
on both carotid arteries. An EKG reveals AFib. Which of the following strategies has the best
, likelihood of reducing recurrent strokes in this patient? (2x) - ANSWERANTICOAGULATION WITH
WARFARIN
68 y/o pt w/ hypertension develops rapidly progressing right arm and leg weakness, with
deviation of the eyes to the left. Within 30 minutes of the onset of this deficit, pt became
increasingly sleepy. Two hours after the onset, the patient became unresponsive. On exam:
dense right hemiplegia, eyes deviated to the left, pupils: equal and reactive, a right facial
weakness to grimace elicited by noxious stimuli. Cough and gag reflexes: present. Which CT
finding is most likely? (2x) - ANSWERLEFT PUTAMINAL HEMORRHAGE
A pt has multiple stroke like symptoms of short duration over several days. And has new
onset symptoms for the last 90 minutes. CT scan shows no evidence of stroke or
hemorrhage. What is the appropriate treatment? (2x) - ANSWERINTRAVENOUS THROMBOLYTIC
AGENTS
70 y/o pt was hospitalized because of a middle cerebral artery stroke. The psychiatrist was
asked to evaluate the pt. The pt has non-fluent aphasia. Which most likely characterized the
pt's interaction with the psychiatrist? (2x) - ANSWERTHE PT WAS ABLE TO FOLLOW THE
VERBAL REQUEST, "CLOSE YOUR EYES."
Most common psychiatric presentation following a stroke? (2x) - ANSWERDEPRESSION
Chiropractic adjustments are a known precipitant for which of the following acute
conditions? (2x) - ANSWERVERTEBRAL ARTERY DISSECTION
The most common complication of temporal arteritis is caused by occlusion of the: (2x) -
ANSWEROPHTHALMIC ARTERY
The most common possible cause of a posterior cerebral artery infarct in 36 y/o F with hx of
migraine: (2x) - ANSWERORAL CONTRACEPTIVES
Which of the following is the most specific factor for distinguishing delirium from dementia
of the Alzheimer type? (2x) - ANSWERFLUCTUATING AROUSAL
Neurocognitive functions most likely to show decline in people over 65 years of age? (x2) -
ANSWERINFORMATION PROCESSING SPEED
Over the course of several months, a 46 yo pt w no past psych hx becomes emotionally
labile/irritable. Pt undergoes personality changes, is observed to laugh inappropriately
when neighbor kids taunt stray cat. Within 2 yrs pt is convinced all food has germs. Memory
is preserved. Pt is no longer able to work/live independently. Neuropsych testing shows
impaired language/attn. (2x) - ANSWERFRONTOTEMPORAL DEMENTIA
