PRITE Clinical Neurology Questions And
Answers
A b27 byo bpatient bis bseen bfor bintermittent bmuscle btwitching. bExamination
bdemonstrates bfull bstrength bwith bnormal bmuscle bbulk. bAn bEMG bdemonstrates
bspontaneous bdischarges bwhich bare brelatively bconstant band brepresent bfiring bof bthe
bmotor bunit. bThese bfindings bare btypical bof:
A. bCramps
B. bspasms
C. bmyokymia
D. bfibrillations
E. bFasciculations b- bcorrect banswers✔✔E. bFasciculations
A b72 byo bpatient bpresents bwith bsubacute bonset bof bprogressive bataxia bof bgait band
blimbs. bLaboratory btesting breveals bthe bpresence bof ban banti-Yo bantibody bin bthe
bserum. bWhich bof bthe bfollowing btests bshould bbe bordered bnext? b
A. bSingle bphoton bemission bcomputed btomography bscan bof bthe bbrain
B. bComputed btomography bscan bof bthe bchest, babdomen band bpelvis
C. bMRI bbrain
D. bSerial btiters bof bAnti-yo bantibody
E. bMRI bspine b- bcorrect banswers✔✔B. bCT bchest, babdomen, bpelvis
Which bof bthe bfollowing bis bassociated bwith bincreased brisk bof bdepression bin bpatients
bwith bMS?
A. bolder bage
B. bFemale bsex
C. bType bof bdeficit
D. bLesion bvolume
E. bFamily bhistory bof bdepression b- bcorrect banswers✔✔D. bLesion bvolume
When btesting bfor bthe bbabinski breflex, bwhat balternative bstimuli bcan bbe bused bby bthe
bexaminer bto bovercome bthe bwithdrawal bresponse bby ba bpatient? b
A. bFlicking bthe bbig btoe
B. bDorsiflexing bthe bfoot
C. bDownward bscraping bof bshin
D. bTapping bdorsum bof bfoot
E. bSqueezing bof bthe bfoot bby bthe bexaminer b- bcorrect banswers✔✔C. bDownward
bscraping bof bshin
,When bobserved bin ba byoung badult, bbilateral bparesis bfo bthe bmedial brectus bmuscle
bof bthe beye bon battempted blateral bgaze, bwith ba bcoarse bnystagmus bin bthe babducting
beye, bis bcharacteristic bof bwhich bof bthe bfollowing bconditions?
A. bMultiple bsclerosis
B. bSmall bpontine binfarct
C. bPhencyclidine bintoxication
D. bWernicke bencephalopathy
E. bBilateral bthird bnerve bdamage b- bcorrect banswers✔✔A. bMultiple bsclerosis
A bstroke bin bwhich bof bthe bfollowing barterial bterritories bwould bresult bin ban binability
bto bread, bbut bwith bpreserved bability bto bwrite?
A. bCarotid
B. bBasilar
C. bVertebral
D. bMiddle bcerebral
E. bPosterior bcerebral b- bcorrect banswers✔✔E. bPosterior bcerebral
Which bof bthe bfollowing bis bmost blikely bto breduce bpsychotic bsymptoms bin bpatients
bwith bparkinson bdisease bwithout bworsening bmotor bsymptoms?
A. bquetiapine
B. bMirtazapine
C. bAripiprazole
D. bRivastigmine
E. bPimavanserin b- bcorrect banswers✔✔E. bPimavanserin
A b72 byo bpatient bdeveloped bsudden bonset bof bmemory bloss, band bwas bunaware bof
bhow bthe bpatient band bspouse barrived bat bthe bsupermarket. bThe bspouse bnoted bthat
bthe bpatient bwas bable bto bdrive bwithout bproblem, bbut bappeared banxious bduring
bmuch bof bthe btrip. bThe bpatient bwas bable bto bappropriately banswer bquestions, bbut
bthen bdidn't bremember bthe bconversation. bThe bentire bepisode blasted b3 bhours, bafter
bwhich btime bthe bpatient breturned bto bbaseline. bThe bmost blikely bdiagnosis bis:
A. bPresyncope
B. bComplicated bmigraine
C. bComplex bpartial bseizure
D. bTransient bglobal bamnesia
E. bPosterior bcirculation bstroke b- bcorrect banswers✔✔D. bTransient bGlobal bAmnesia
b(TGA)
A bpatient bundergoes ba bmultiple bsleep blatency btest b(MSLT) band bis bdiagnosed bwith
bnarcolepsy. bWhat bfinding bon bMSLT bwould bconfirm bthe bdiagnosis?
A. bIncreased bsleep blatency
B. bDecreased bREM blatency
C. bDecreased btotal bREM bsleep
D. bIncreased btotal bREM bsleep
E. bDecreased bsleep befficiency b- bcorrect banswers✔✔B. bDecreased bREM blatency
,Patients bwith bwhich bof bthe bfollowing bneurological bdisorders bhave bbeen breported bto
bhave bthe bhighest bprevalence bof bpathological blaughing band bcrying?
A. bMS
B. bParkinsons
C. bTBI
D. bMSA
E. bALS b- bcorrect banswers✔✔E. bALS
A b32 byo bpresents bwith bnew bonset bheadache bcharacterized bby bunilateral, bstabbing
beye bpain. bDuring bthese bepisodes bthe bpatient bdevelops brunny bnose band
bconjunctival binjection bon bthe bsame bside bas bthe bheadache. bThese bepisodes boccur
bevery bevening bafter bfalling basleep band blast bup bto btwo bhours. bBsaed bon bthis
bhistory bthe bpatient bmost blikely bhas:
A. bSleep bapnea
B. bSeizure bdisorder
C. bCluster bheadache
D. bMigraine bheadache
E. bTransient bischemic battacks b- bcorrect banswers✔✔C. bCluster bheadache
Black bon bCT bHead brepresents bwhat? b- bcorrect banswers✔✔Remote bstroke
During ba bneurological bexamination ban b80 byo bpatient bis bunable bto bdemonstrate
bhow bto bblow bout ba bmatch. bMotor band bsensory bfunction bare bnormal, band bthe brest
bof bthe bneurological bexamination bis bunremarkable. bThe bpatient's binability bto
bperform bthis baction bis btermed:
A. bAtonia
B. bApraxia
C. bAphasia
D. bAreflexia
E. bAgraphesthesia b- bcorrect banswers✔✔B. bApraxia
Which bof bthe bfollowing bmedications bis ban beffective bfirst-line btreatment bfor bpatients
bwith brestless bleg bsyndrome?
A. bCarbamazepine
B. bPramipexole
C. bClonazepam
D. bIMipramine
E. bGabapentin b- bcorrect banswers✔✔B. bPramipexole
A b65 byo bpatient bhas bfallen bseveral btimes bover bthe bpast b6 bmonths. bThe bpatient's
bmental bstatus bexam bis bnormal. bSmooth bpursuit band bsaccadic bmovements bare
bimpaired, bmore bprominently bfor bvertical bgaze, bbut bfull brange bof bmotion bis beasily
belicited bby bdoll's bhead bmaneuvers. bThe bpatient bhas bmild bsymmetric brigidity band
bbradykinesia. bThere bis bno btremor. bA bbrain bMRI bscan bis bunremarkable, bas bare bthe
, bresults bof bCSF band broutine blaboratories bincluding btoxic bdrugs bscreen. bWhich bof
bthe bfollowing bis bthe bmost blikely bpatient bdiagnosis?
A. bCorticobasal bdegeneration
B. bOlivopontocerebellar bdegeneration
C. bIdiopathic bParkinson bDisease
D. bPrimary bprogressive baphasia
E. bProgressive bsupranuclear bpalsy b- bcorrect banswers✔✔E. bProgressive
bsupranuclear bpalsy
High bvoltage bdelta bactivity bassociated bwith bslow beye-rolling bmovements bon
bpolysomnogram bis bcharacteristic bof bwhat bstage bof bsleep? b
A. bN1
B. bN2
C. bN3
D. bREM b- bcorrect banswers✔✔C. bN3
Which bof bthe bfollowing bis bthe bmost beffective btreatment bof bspasmodic btorticollis?
A. bGabapentin
B. bTopiramate
C. bGlatiramer bacetate
D. bLevodopa/carbidopa
E. bBotulinum btoxin b- bcorrect banswers✔✔E. bBotulinum btoxin
The bprimary bpurpose bof bcomputed btomography bscan bin bthe bevaluation bof ba
bpatient bsuspected bof bhaving ban bacute bischemic bstroke bis bto: b
A. bIdentify bthe bsite bof bischemia
B. bquantiify bcerebral bblood bflow
C. bExclude bthe bpresence bof bhemorrhage
D. bidentify bpateints bwith bmicrovascular bocclusions
E. bEstimate bthe bextent bof bpotentially bsalvageable btissue b- bcorrect banswers✔✔C.
bexclude bthe bpresence bof bhemorrhage
Which bof bthe bfollowing bchemotherapy bagents bis bmost bcommonly bassociated bwith ba
bdistal bsensory bpolyneuropathy?
A. bCisplatin
B. bLapatinib
C. bMethotrexate
D. bGemcitabine
E. bTemozolomide b- bcorrect banswers✔✔A. bCisplatin
The bphysician bdirects ba bpatient bwith ba btremor bto btap bone bhand bat ba bdifferent brate
bto bsee bif bthe btremor bcan bbe bentrained bto bbe bat bthe bsame brate bas bthe btapping
bhand. bThis bis ba bmethod bto btest bfor bwhich bof bthe bfollowing btypes bof btremor?
A. bKinetic
B. bIntention
C. bPostural
Answers
A b27 byo bpatient bis bseen bfor bintermittent bmuscle btwitching. bExamination
bdemonstrates bfull bstrength bwith bnormal bmuscle bbulk. bAn bEMG bdemonstrates
bspontaneous bdischarges bwhich bare brelatively bconstant band brepresent bfiring bof bthe
bmotor bunit. bThese bfindings bare btypical bof:
A. bCramps
B. bspasms
C. bmyokymia
D. bfibrillations
E. bFasciculations b- bcorrect banswers✔✔E. bFasciculations
A b72 byo bpatient bpresents bwith bsubacute bonset bof bprogressive bataxia bof bgait band
blimbs. bLaboratory btesting breveals bthe bpresence bof ban banti-Yo bantibody bin bthe
bserum. bWhich bof bthe bfollowing btests bshould bbe bordered bnext? b
A. bSingle bphoton bemission bcomputed btomography bscan bof bthe bbrain
B. bComputed btomography bscan bof bthe bchest, babdomen band bpelvis
C. bMRI bbrain
D. bSerial btiters bof bAnti-yo bantibody
E. bMRI bspine b- bcorrect banswers✔✔B. bCT bchest, babdomen, bpelvis
Which bof bthe bfollowing bis bassociated bwith bincreased brisk bof bdepression bin bpatients
bwith bMS?
A. bolder bage
B. bFemale bsex
C. bType bof bdeficit
D. bLesion bvolume
E. bFamily bhistory bof bdepression b- bcorrect banswers✔✔D. bLesion bvolume
When btesting bfor bthe bbabinski breflex, bwhat balternative bstimuli bcan bbe bused bby bthe
bexaminer bto bovercome bthe bwithdrawal bresponse bby ba bpatient? b
A. bFlicking bthe bbig btoe
B. bDorsiflexing bthe bfoot
C. bDownward bscraping bof bshin
D. bTapping bdorsum bof bfoot
E. bSqueezing bof bthe bfoot bby bthe bexaminer b- bcorrect banswers✔✔C. bDownward
bscraping bof bshin
,When bobserved bin ba byoung badult, bbilateral bparesis bfo bthe bmedial brectus bmuscle
bof bthe beye bon battempted blateral bgaze, bwith ba bcoarse bnystagmus bin bthe babducting
beye, bis bcharacteristic bof bwhich bof bthe bfollowing bconditions?
A. bMultiple bsclerosis
B. bSmall bpontine binfarct
C. bPhencyclidine bintoxication
D. bWernicke bencephalopathy
E. bBilateral bthird bnerve bdamage b- bcorrect banswers✔✔A. bMultiple bsclerosis
A bstroke bin bwhich bof bthe bfollowing barterial bterritories bwould bresult bin ban binability
bto bread, bbut bwith bpreserved bability bto bwrite?
A. bCarotid
B. bBasilar
C. bVertebral
D. bMiddle bcerebral
E. bPosterior bcerebral b- bcorrect banswers✔✔E. bPosterior bcerebral
Which bof bthe bfollowing bis bmost blikely bto breduce bpsychotic bsymptoms bin bpatients
bwith bparkinson bdisease bwithout bworsening bmotor bsymptoms?
A. bquetiapine
B. bMirtazapine
C. bAripiprazole
D. bRivastigmine
E. bPimavanserin b- bcorrect banswers✔✔E. bPimavanserin
A b72 byo bpatient bdeveloped bsudden bonset bof bmemory bloss, band bwas bunaware bof
bhow bthe bpatient band bspouse barrived bat bthe bsupermarket. bThe bspouse bnoted bthat
bthe bpatient bwas bable bto bdrive bwithout bproblem, bbut bappeared banxious bduring
bmuch bof bthe btrip. bThe bpatient bwas bable bto bappropriately banswer bquestions, bbut
bthen bdidn't bremember bthe bconversation. bThe bentire bepisode blasted b3 bhours, bafter
bwhich btime bthe bpatient breturned bto bbaseline. bThe bmost blikely bdiagnosis bis:
A. bPresyncope
B. bComplicated bmigraine
C. bComplex bpartial bseizure
D. bTransient bglobal bamnesia
E. bPosterior bcirculation bstroke b- bcorrect banswers✔✔D. bTransient bGlobal bAmnesia
b(TGA)
A bpatient bundergoes ba bmultiple bsleep blatency btest b(MSLT) band bis bdiagnosed bwith
bnarcolepsy. bWhat bfinding bon bMSLT bwould bconfirm bthe bdiagnosis?
A. bIncreased bsleep blatency
B. bDecreased bREM blatency
C. bDecreased btotal bREM bsleep
D. bIncreased btotal bREM bsleep
E. bDecreased bsleep befficiency b- bcorrect banswers✔✔B. bDecreased bREM blatency
,Patients bwith bwhich bof bthe bfollowing bneurological bdisorders bhave bbeen breported bto
bhave bthe bhighest bprevalence bof bpathological blaughing band bcrying?
A. bMS
B. bParkinsons
C. bTBI
D. bMSA
E. bALS b- bcorrect banswers✔✔E. bALS
A b32 byo bpresents bwith bnew bonset bheadache bcharacterized bby bunilateral, bstabbing
beye bpain. bDuring bthese bepisodes bthe bpatient bdevelops brunny bnose band
bconjunctival binjection bon bthe bsame bside bas bthe bheadache. bThese bepisodes boccur
bevery bevening bafter bfalling basleep band blast bup bto btwo bhours. bBsaed bon bthis
bhistory bthe bpatient bmost blikely bhas:
A. bSleep bapnea
B. bSeizure bdisorder
C. bCluster bheadache
D. bMigraine bheadache
E. bTransient bischemic battacks b- bcorrect banswers✔✔C. bCluster bheadache
Black bon bCT bHead brepresents bwhat? b- bcorrect banswers✔✔Remote bstroke
During ba bneurological bexamination ban b80 byo bpatient bis bunable bto bdemonstrate
bhow bto bblow bout ba bmatch. bMotor band bsensory bfunction bare bnormal, band bthe brest
bof bthe bneurological bexamination bis bunremarkable. bThe bpatient's binability bto
bperform bthis baction bis btermed:
A. bAtonia
B. bApraxia
C. bAphasia
D. bAreflexia
E. bAgraphesthesia b- bcorrect banswers✔✔B. bApraxia
Which bof bthe bfollowing bmedications bis ban beffective bfirst-line btreatment bfor bpatients
bwith brestless bleg bsyndrome?
A. bCarbamazepine
B. bPramipexole
C. bClonazepam
D. bIMipramine
E. bGabapentin b- bcorrect banswers✔✔B. bPramipexole
A b65 byo bpatient bhas bfallen bseveral btimes bover bthe bpast b6 bmonths. bThe bpatient's
bmental bstatus bexam bis bnormal. bSmooth bpursuit band bsaccadic bmovements bare
bimpaired, bmore bprominently bfor bvertical bgaze, bbut bfull brange bof bmotion bis beasily
belicited bby bdoll's bhead bmaneuvers. bThe bpatient bhas bmild bsymmetric brigidity band
bbradykinesia. bThere bis bno btremor. bA bbrain bMRI bscan bis bunremarkable, bas bare bthe
, bresults bof bCSF band broutine blaboratories bincluding btoxic bdrugs bscreen. bWhich bof
bthe bfollowing bis bthe bmost blikely bpatient bdiagnosis?
A. bCorticobasal bdegeneration
B. bOlivopontocerebellar bdegeneration
C. bIdiopathic bParkinson bDisease
D. bPrimary bprogressive baphasia
E. bProgressive bsupranuclear bpalsy b- bcorrect banswers✔✔E. bProgressive
bsupranuclear bpalsy
High bvoltage bdelta bactivity bassociated bwith bslow beye-rolling bmovements bon
bpolysomnogram bis bcharacteristic bof bwhat bstage bof bsleep? b
A. bN1
B. bN2
C. bN3
D. bREM b- bcorrect banswers✔✔C. bN3
Which bof bthe bfollowing bis bthe bmost beffective btreatment bof bspasmodic btorticollis?
A. bGabapentin
B. bTopiramate
C. bGlatiramer bacetate
D. bLevodopa/carbidopa
E. bBotulinum btoxin b- bcorrect banswers✔✔E. bBotulinum btoxin
The bprimary bpurpose bof bcomputed btomography bscan bin bthe bevaluation bof ba
bpatient bsuspected bof bhaving ban bacute bischemic bstroke bis bto: b
A. bIdentify bthe bsite bof bischemia
B. bquantiify bcerebral bblood bflow
C. bExclude bthe bpresence bof bhemorrhage
D. bidentify bpateints bwith bmicrovascular bocclusions
E. bEstimate bthe bextent bof bpotentially bsalvageable btissue b- bcorrect banswers✔✔C.
bexclude bthe bpresence bof bhemorrhage
Which bof bthe bfollowing bchemotherapy bagents bis bmost bcommonly bassociated bwith ba
bdistal bsensory bpolyneuropathy?
A. bCisplatin
B. bLapatinib
C. bMethotrexate
D. bGemcitabine
E. bTemozolomide b- bcorrect banswers✔✔A. bCisplatin
The bphysician bdirects ba bpatient bwith ba btremor bto btap bone bhand bat ba bdifferent brate
bto bsee bif bthe btremor bcan bbe bentrained bto bbe bat bthe bsame brate bas bthe btapping
bhand. bThis bis ba bmethod bto btest bfor bwhich bof bthe bfollowing btypes bof btremor?
A. bKinetic
B. bIntention
C. bPostural
