GUARANTEED ACCURATE
ANSWERS
60 y/o right-handed M, getting lost, only writes on right half of paper.
Left-sided hemi-neglect. Where is the lesion? (8x) - ACCURATE
ANSWERS✔✔ RIGHT PARIETAL LOBE
66 y/o 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? (8x) - ACCURATE
ANSWERS✔✔ LATERAL MEDULLARY STROKE
78 y/o 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 brain likely affected by stroke? (4x) -
ACCURATE ANSWERS✔✔ RIGHT PARIETAL LOBE
26 y.o. w/HA and R-hand clumsiness for weeks. Exam shows difficulty
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? (4x) - ACCURATE
ANSWERS✔✔ CEREBELLUM
Previously pleasant mom becomes profane and irresponsible over 6
months. Most likely a pathology in: (2x) - ACCURATE ANSWERS✔✔
FRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) -
ACCURATE ANSWERS✔✔ BRAIN STEM INFARCTION
MRI scan of head reveals an infarct in distribution of left anterior
cerebral artery. Pt most likely exhibits: (2x) - ACCURATE
ANSWERS✔✔ WEAKNESS OF CONTRALATERAL FOOT AND
LEG
Amnesia preceded by epigastric sensation/fear is associated with
electrical abnormalities where? - ACCURATE ANSWERS✔✔
TEMPORAL LOBE
Pt w/ sudden onset of L hemiparesis, L homonymous hemianopsia,
tendency to gaze to right, and neglect left sided stimuli are deficits most
likely result of occlusion of: - ACCURATE ANSWERS✔✔ RIGHT
MIDDLE CEREBRAL ARTERY
, 65 y/o w/ hx of HTN, Meniere's with sudden vertigo, N/V, worse with
head movement, R beating nystagmus on lateral gaze, finger to nose
testing is ataxic, poor balance and dysarthria. Dx - ACCURATE
ANSWERS✔✔ CEREBELLAR INFARCT
Lower facial weakness w/ relative sparing of forehead, stroke in? -
ACCURATE ANSWERS✔✔ INTERNAL CAPSULE
Higher frequency & greater severity of depression associated w/ cortical
& subcortical strokes: - ACCURATE ANSWERS✔✔ LEFT
ANTERIOR FRONTAL
58 y/o s/p CABG - anomia for fingers and body parts, errors involving
right and left, inability to write thoughts/take notes/make calculations.
Fluent speech and excellent comprehension - ACCURATE
ANSWERS✔✔ LEFT MEDIAL TEMPORAL STROKE
Visual disturbances associated with occlusion of the right posterior
cerebral artery? - ACCURATE ANSWERS✔✔ LEFT HOMONYMOUS
HEMIANOPSIA
65 y/o w/ HTN collapsed. In ED is stuporous, R hemiparesis +
hemisensory deficit, eyes deviate to L. CT would show
intraparenchymal hemorrhage in: - ACCURATE ANSWERS✔✔ LEFT
BASAL GANGLIA