prite ninja question book 2x Questions With Correct Answers

prite ninja question book 2x Questions
With Correct Answers
Adult neurogenesis in which area of the brain? (x2) -
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correct answer...✔✔HIPPOCAMPUS
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Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely
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a
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pathology in: (2x) - correct answer...✔✔FRONTAL LOBE
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MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most
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likely exhibits: (2x) - correct answer...✔✔
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WEAKNESS OF CONTRALATERAL FOOT AND m m m m


LEG

Which cell types secretes innate pro-infammatory cytokines TNF - alpha and Il -
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1 B in pts
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with inflammatory conditions that affect the brain? (X2) - correct answer...✔✔
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MICROGLIA

Role of glycine at NMDA receptor (x2) - correct answer...✔✔OBLIGATE COAGONIST
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Which neurotransmitter system is the last to mature in the CNS of children and
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adolescents? (2x) - correct answer...✔✔CHOLINERGIC m m m m




A compound that increases muscle mass by increasing episodic secretion of GH (2x): -
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correct answer...✔✔GAMMA HYDROXYLBUTYRATE
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9 y/o F has 3 month h/o seemingly unprovoked bouts of laughter. Worse when not
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sleeping well. Pt does not feel happy during these episodes. Started menstruating 6
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months ago, and at Tanner stage 4. Dx? (2x) - correct answer...✔✔
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HYPOTHALAMIC HAMARTOMA m




5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,
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and diplopia: (2x) - correct answer...✔✔MEDULLOBLASTOMA
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70 y/o develops flaccid paralysis following severe water intoxication. He develops
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dysphagia and dysarthria without other cranial nerve involvement. Sensory exam is
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limited but grossly normal, DTR's are symmetric, and cognition is intact. Likely dx: (2x) -
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mcorrect answer...✔✔CENTRAL PONTINE MYELINOLYSIS
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Young adult gained 70 lbs in last year c/o daily severe headaches sometimes associate
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d


AGRADESOLUTIONS

,with graying out of vision. Papilledema present. CT and MRI brain no abnormalities but
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ventricles smaller than usual. Goal of treatment in this case: (2x) - correct answer...✔✔
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PREVENT BLINDNESS m




Superior homonymous quadrantic defects in the visual fields result from lesions to whic
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h
of the following structures? (2x) - correct answer...✔✔
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TEMPORAL OPTIC RADIATIONS m m




Tremor with a frequency of around 3 Hz, irregular amplitude, most evident towards the
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end of reaching movements: (2x) - correct answer...✔✔CEREBELLAR TUMOR
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Pt with several days of fever and severe headaches presents to ED b/o generalized
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seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
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foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - correct answer...✔
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✔HERPES ENCEPHALITIS m




Acute onset of fever, sore throat, diplopia, & dysarthria. Exam reveals an inflamed throa
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t,
left adductor nerve palsy w/ impairment of vertical pursuit, diffuse hyperreflexia w/
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bilateral clonus, lower ext spasticity, & mild right hemiparesis. CT is uninformative. Spin
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al
fluid has protein of 24, 10 mononuclear cells, and glucose of 70. Dx? (2x) -
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mcorrect answer...✔✔MULTIPLE SCLEROSIS
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Which is the most reliable finding from CSF analysis for a pt with multiple sclerosis in th
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e
chronic progressive phase of the dz? (2x) - correct answer...✔✔
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PRESENCE OF OLIGOCLONAL BANDS m m m




Benign intracranial HTN etiology: (2x) - correct answer...✔✔HYPERVITAMINOSIS A
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Gait abnormality, slow movement, asymmetric UE rigidity. Difficulty in voluntary vertical
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upward/downward gaze. Slowness/rigidity improved slightly with levodopa. Later has
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problems with horizontal & vertical gaze. Oculocephalic reflexes normal. Involuntary
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saccades. (2x) - correct answer...✔✔PROGRESSIVE SUPRANUCLEAR PALSY
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Pt with several days of fever and severe headaches presents to ED b/o generalized
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seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o
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foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - correct answer...✔
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✔HERPES ENCEPHALITIS m




Pt presents with personality changes, cognitive difficulties, affective lability, and olfactor
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y



AGRADESOLUTIONS

,and gustatory hallucinations. The most likely medical cause of this presentation is: (2x) -
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mcorrect answer...✔✔HERPES SIMPLEX VIRUS (HSV)
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INFECTION

What condition is a forerunner of MS? (2x) - correct answer...✔✔
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TRANSVERSE MYELITIS m




Head CT w/ lens-shaped hyperdensity (x2) - correct answer...✔✔
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EPIDURAL HEMATOMA m




A life threatening complication of cerebellar hemorrhage is: (2x) - correct answer...✔✔
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ACUTE HYDROCEPHALUS m




A 72 yo patient had an embolic infarct in the middle cerebral artery territory. ECG shows
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mno
structural abnormalities. Doppler studies of the neck arteries reveal less than 50% occlu
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sion
on both carotid arteries. An EKG reveals AFib. Which of the following strategies has the
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best
likelihood of reducing recurrent strokes in this patient? (2x) - correct answer...✔✔
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ANTICOAGULATION WITH WARFARIN m m




68 y/o pt w/ hypertension develops rapidly progressing right arm and leg weakness, with
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deviation of the eyes to the left. Within 30 minutes of the onset of this deficit, pt became
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increasingly sleepy. Two hours after the onset, the patient became unresponsive. On ex
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am:
dense right hemiplegia, eyes deviated to the left, pupils: equal and reactive, a right facia
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weakness to grimace elicited by noxious stimuli. Cough and gag reflexes: present. Whic
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h CTm


finding is most likely? (2x) - correct answer...✔✔LEFT PUTAMINAL HEMORRHAGE
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A pt has multiple stroke like symptoms of short duration over several days. And has new
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onset symptoms for the last 90 minutes. CT scan shows no evidence of stroke or
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hemorrhage. What is the appropriate treatment? (2x) - correct answer...✔✔
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INTRAVENOUS THROMBOLYTIC AGENTS m m




70 y/o pt was hospitalized because of a middle cerebral artery stroke. The psychiatrist w
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as
asked to evaluate the pt. The pt has non-
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fluent aphasia. Which most likely characterized the
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pt's interaction with the psychiatrist? (2x) - correct answer...✔✔
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THE PT WAS ABLE TO FOLLOW THE
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VERBAL REQUEST, "CLOSE YOUR EYES." m m m m




AGRADESOLUTIONS

, Most common psychiatric presentation following a stroke? (2x) - correct answer...✔✔
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DEPRESSION

Chiropractic adjustments are a known precipitant for which of the following acute
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conditions? (2x) - correct answer...✔✔VERTEBRAL ARTERY DISSECTION
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The most common complication of temporal arteritis is caused by occlusion of the: (2x) -
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correct answer...✔✔OPHTHALMIC ARTERY
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The most common possible cause of a posterior cerebral artery infarct in 36 y/o F with h
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x ofm


migraine: (2x) - correct answer...✔✔ORAL CONTRACEPTIVES
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Which of the following is the most specific factor for distinguishing delirium from dementi
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a
of the Alzheimer type? (2x) - correct answer...✔✔FLUCTUATING AROUSAL
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Neurocognitive functions most likely to show decline in people over 65 years of age? (x
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2) - correct answer...✔✔INFORMATION PROCESSING SPEED
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Over the course of several months, a 46 yo pt w no past psych hx becomes emotionally
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labile/irritable. Pt undergoes personality changes, is observed to laugh inappropriately
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when neighbor kids taunt stray cat. Within 2 yrs pt is convinced all food has germs. Me
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mory
is preserved. Pt is no longer able to work/live independently. Neuropsych testing shows
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impaired language/attn. (2x) - correct answer...✔✔FRONTOTEMPORAL DEMENTIA
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24 yo m with nocturnal HA resulting in early am waking. ROS +rhinorrhea, nostril blocki
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ng
and ipsilateral eye tearing and facial swelling. HA persists 45-60 min. Likely dx: (2x) -
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correct answer...✔✔blocking
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and ipsilateral eye tearing and facial swelling. HA persists 45-60 min. Likely dx: (2x)
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CLUSTER HA m




30 y/o with intermittent HAs, each attack lasting approx 1 hour. Attacks w/ sharp, stabbi
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ng
pain around eye, tearing, and nasal congestion. Most effective abortive treatment? (2x)
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- correct answer...✔✔OXYGEN
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The effective treatment for acute migraine: (2x) - correct answer...✔✔SUMATRIPTAN
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28 y/o F reports episodes of severe HAs w nausea/vomiting. HAs can be incapacitating,
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often preceded by flashes of light in the right visual field. During headache, pt sometime
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s
has difficulty expressing herself. Which med would be the appropriate to prevent these
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AGRADESOLUTIONS