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Exam (elaborations)

NINJA PRITE MOST ASKED QUESTIONS AND ANSWERS 100% CORRECT!!!!

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26 yo w/HA and R-hand clumsiness for weeks. Exam shows difficutty 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? - ANSWER CEREBELLUM 78 yo 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 the brain likely affected by stroke? - ANSWER RIGHT PARIETAL LOBE Adult neurogenesis happens in which area of the brain? - ANSWER HIPPOCAMPUS Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a pathology in: - ANSWER FRONTAL LOBE In addiction, dopaminergic neurons project to nucleus accumbens. Cell bodies of these neurons reside in which area of the brain? - ANSWER VENTRAL TEGMENTAL AREA Orexin is made in what part of the brain? - ANSWER LATERAL HYPOTHALAMIC NUCLEI Which dopaminergic pathway includes the nucleus accumbens and also mediates addiction and associated behaviors/ reinforcing? - ANSWER MESOLIMBIC Neural plasticity is largely mediated through the capacity to rapidly change in number and morphology of what cell structure? - ANSWER DENDRITIC SPINES Which cell type secretes innate pro-inflammatory cytokines TNF - alpha and Il -1 B in pts with inflammatory conditions that affect the brain? - ANSWER MICROGLIA Decreased level of what NT is most associated with depressed mood, poor sleep, and poor impulse control, and affective aggression? - ANSWER SEROTONIN Visual problem in pituitary tumor compressing optic chiasm: - ANSWER BITEMPORAL HEMIANOPSIA Unsteady gait, appendicular ataxia in LE only and normal eye movement. Walks with lurching broad-based gait. Dx? - ANSWER CEREBELLAR DEGENERATION (ALCOHOLIC) 66 yo c/o frequent falls, several-month hx of anxiety, unwillingness to leave home. On exam, mild impairment of vertical gaze on smooth pursuit/saccades, mild axial rigidity & minimal rigidity of upper extremities, along w/ mild slowness of movement on finger tapping, hand opening & wrist opposition. Posture nml. Gait tentative/awkward, but w/o shuffling, ataxia, tremor. Pt is slow in arising from a chair. Most likely dx: - ANSWER PROGRESSIVE SUPRANUCLEAR PALSY

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Uploaded on
March 6, 2025
Number of pages
12
Written in
2024/2025
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Exam (elaborations)
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Questions & answers

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  • 66 yo with htn d

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NINJA PRITE MOST ASKED QUESTIONS
AND ANSWERS 100% CORRECT!!!!

, 60 yo right-handed M, getting lost, only writes on right half of paper. Left-sided hemi-
neglect. Where is the lesion? - ANSWER RIGHT PARIETAL LOBE

66 yo 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? - ANSWER LATERAL MEDULLARY STROKE

26 yo w/HA and R-hand clumsiness for weeks. Exam shows difficutty 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? - ANSWER CEREBELLUM

78 yo 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 the brain likely affected by stroke? - ANSWER RIGHT PARIETAL LOBE

Adult neurogenesis happens in which area of the brain? - ANSWER HIPPOCAMPUS

Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely
a pathology in: - ANSWER FRONTAL LOBE

In addiction, dopaminergic neurons project to nucleus accumbens. Cell bodies of these
neurons reside in which area of the brain? - ANSWER VENTRAL TEGMENTAL AREA

Orexin is made in what part of the brain? - ANSWER LATERAL HYPOTHALAMIC
NUCLEI

Which dopaminergic pathway includes the nucleus accumbens and also mediates
addiction and associated behaviors/ reinforcing? - ANSWER MESOLIMBIC

Neural plasticity is largely mediated through the capacity to rapidly change in number
and morphology of what cell structure? - ANSWER DENDRITIC SPINES

Which cell type secretes innate pro-inflammatory cytokines TNF - alpha and Il -1 B in
pts with inflammatory conditions that affect the brain? - ANSWER MICROGLIA

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