SAE Exam with Questions and Answers

SAE Exam with Questions and Answers A 65-year-old right handed man has a pure Wernicke aphasia without hemiplegia after a stroke. The location of his stroke is in which branch of the left middle cerebral artery? a. posterior branch of the lower division b. anterior branch of the lower division c. posterior branch of the upper division d. anterior branch of the upper division ANSWER Answer: a Pure Wernicke aphasia without hemiplegia is seen with occlusion of the posterior branch of the lower division of the middle cerebral artery supplying the hemisphere dominant for speech. Broca aphasia is seen with occlusion of the anterior branch of the upper division. A literal paraphasia, featuring speech errors of mispronounced words, is limited to the posterior branch of the upper division of the middle cerebral artery. A patient with Parkinson disease is referred to you for rehabilitation recommendations, but you question the diagnosis. Which clinical feature is typical of parkinsonism and therefore increases the likelihood of a correct diagnosis? a. poor vertical eye movement b. asymmetric onset of tremor c. rapid progression of symptoms d. hyperreflexia ANSWER Answer: b