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60 y/o right-handed M, getting lost, only writes on right half of paper. Left-
sided hemi-neglect. Where is the lesion? (8x) - 🧠ANSWER ✔✔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) - 🧠ANSWER ✔✔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) - 🧠ANSWER
✔✔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) - 🧠ANSWER ✔✔CEREBELLUM
Previously pleasant mom becomes profane and irresponsible over 6
months. Most likely a pathology in: (2x) - 🧠ANSWER ✔✔FRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) -
🧠ANSWER ✔✔BRAIN STEM INFARCTION
MRI scan of head reveals an infarct in distribution of left anterior cerebral
artery. Pt most likely exhibits: (2x) - 🧠ANSWER ✔✔WEAKNESS OF
CONTRALATERAL FOOT AND LEG
Amnesia preceded by epigastric sensation/fear is associated with electrical
abnormalities where? - 🧠ANSWER ✔✔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: - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔CEREBELLAR
INFARCT
Lower facial weakness w/ relative sparing of forehead, stroke in? -
🧠ANSWER ✔✔INTERNAL CAPSULE
Higher frequency & greater severity of depression associated w/ cortical &
subcortical strokes: - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔LEFT MEDIAL
TEMPORAL STROKE
Visual disturbances associated with occlusion of the right posterior cerebral
artery? - 🧠ANSWER ✔✔LEFT HOMONYMOUS HEMIANOPSIA
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