PRITE Questions and Answers Verified Solutions Latest Update
Question: 1. 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:
2. 66 y/o with HTN develops vertigo, diplopia, nausea, vomiting, hiccups, L face numbness,
nystagmus,
Question: Hoarseness, ataxia of limbs, staggering gait, and tendency to fall to the left. Dx? (8x)
Answer:
3. 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
Question: Likely affected by stroke? (4x)
Answer:
4. 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
Question: Papilledema. Where will damage show on MRI? (4x)
Answer:
5. Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a pathology
in: (2x)
6. Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) RIGHT PARIETAL LOBE
LATERAL MEDULLARY STROKE RIGHT PARIETAL LOBE CEREBELLUM FRONTAL LOBE
BRAIN STEM INFARCTION 2/13
7. MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most likely
exhibits: WEAKNESS OF CONTRALATERAL FOOT AND (2x) LEG 8. Amnesia preceded by
epigastric sensation/fear is as- TEMPORAL LOBE
, Question: Sociated with electrical abnormalities where?
Answer:
9. Pt w/sudden onset of L hemiparesis, L homonymous RIGHT MIDDLE CEREBRAL hemianopsia,
tendency to gaze to right, and neglect ARTERY left sided stimuli are deficits most likely result of
occlusion of: 10. 65 y/o w/hx of HTN, Meniere's with sudden vertigo, CEREBELLAR INFARCT N/V,
worse with head movement, R beating nystagmus on lateral gaze, finger to nose testing is ataxic, poor
balance and dysarthria. Dx
11. Lower facial weakness w/relative sparing of forehead, INTERNAL CAPSULE
Question: Stroke in?
Answer:
12. Higher frequency & greater severity of depression as- LEFT ANTERIOR FRONTAL sociated
w/cortical & subcortical strokes: 13. 58 y/o s/p CABG - anomia for fingers and body LEFT MEDIAL
TEMPORAL parts, errors involving right and left, inability to STROKE write thoughts/take
notes/make calculations. Fluent speech and excellent comprehension
14. Visual disturbances associated with occlusion of the LEFT HOMONYMOUS
Question: Right posterior cerebral artery?
Answer:
HEMIANOPSIA 15. LEFT BASAL GANGLIA 3/13 65 y/o w/HTN collapsed. In ED is stuporous, R
hemiparesis + hemisensory deficit, eyes deviate to L. CT would show intraparenchymal hemorrhage in:
16. Atrophy of right temporal lobe on cross section associated with occlusion of: 17. 58 y/o M h/o
HTN, cig smoking and sudden inability to speak. Face drooping on R and dragging R leg. In ER
examined within 40 mins of onset: Aphasic, unable to understand or repeat verbal commands.
Unintelligible sounds for speech. Alert but appears frustrated. R hemiplegia with arm and face weaker
than leg. CT head: no hemorrhage. Pathology type and area: 18. Sudden onset vertigo/nausea,
hoarseness/dysphaMIDDLE CEREBRAL ARTERY THROMBOEMBOLIC STROKE OF LEFT
MCA RIGHT MEDULLARY INgia, right sided face numbness, diminished gag reflex FARCTION on
right, decreased pinprick and temperature sensation on left: 19. 65 y/o diabetic pt presents to ED c/o
acute L sided weakness, deviation of gaze to R, L hemiplegia and hemisensory deficit, and L
homonymous hemianopsia. 12 hrs later, pt is unconscious, L pupil enlarged
Question: And unreactive. CT will show what?
Answer:
R MCA INFARCT W/EDE MA AND UNCAL HERNIATION 20. Pt with acute onset vertigo, what
will suggest R lateral RIGHT FACIAL LOSS OF
Question: 1. 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:
2. 66 y/o with HTN develops vertigo, diplopia, nausea, vomiting, hiccups, L face numbness,
nystagmus,
Question: Hoarseness, ataxia of limbs, staggering gait, and tendency to fall to the left. Dx? (8x)
Answer:
3. 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
Question: Likely affected by stroke? (4x)
Answer:
4. 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
Question: Papilledema. Where will damage show on MRI? (4x)
Answer:
5. Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a pathology
in: (2x)
6. Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) RIGHT PARIETAL LOBE
LATERAL MEDULLARY STROKE RIGHT PARIETAL LOBE CEREBELLUM FRONTAL LOBE
BRAIN STEM INFARCTION 2/13
7. MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most likely
exhibits: WEAKNESS OF CONTRALATERAL FOOT AND (2x) LEG 8. Amnesia preceded by
epigastric sensation/fear is as- TEMPORAL LOBE
, Question: Sociated with electrical abnormalities where?
Answer:
9. Pt w/sudden onset of L hemiparesis, L homonymous RIGHT MIDDLE CEREBRAL hemianopsia,
tendency to gaze to right, and neglect ARTERY left sided stimuli are deficits most likely result of
occlusion of: 10. 65 y/o w/hx of HTN, Meniere's with sudden vertigo, CEREBELLAR INFARCT N/V,
worse with head movement, R beating nystagmus on lateral gaze, finger to nose testing is ataxic, poor
balance and dysarthria. Dx
11. Lower facial weakness w/relative sparing of forehead, INTERNAL CAPSULE
Question: Stroke in?
Answer:
12. Higher frequency & greater severity of depression as- LEFT ANTERIOR FRONTAL sociated
w/cortical & subcortical strokes: 13. 58 y/o s/p CABG - anomia for fingers and body LEFT MEDIAL
TEMPORAL parts, errors involving right and left, inability to STROKE write thoughts/take
notes/make calculations. Fluent speech and excellent comprehension
14. Visual disturbances associated with occlusion of the LEFT HOMONYMOUS
Question: Right posterior cerebral artery?
Answer:
HEMIANOPSIA 15. LEFT BASAL GANGLIA 3/13 65 y/o w/HTN collapsed. In ED is stuporous, R
hemiparesis + hemisensory deficit, eyes deviate to L. CT would show intraparenchymal hemorrhage in:
16. Atrophy of right temporal lobe on cross section associated with occlusion of: 17. 58 y/o M h/o
HTN, cig smoking and sudden inability to speak. Face drooping on R and dragging R leg. In ER
examined within 40 mins of onset: Aphasic, unable to understand or repeat verbal commands.
Unintelligible sounds for speech. Alert but appears frustrated. R hemiplegia with arm and face weaker
than leg. CT head: no hemorrhage. Pathology type and area: 18. Sudden onset vertigo/nausea,
hoarseness/dysphaMIDDLE CEREBRAL ARTERY THROMBOEMBOLIC STROKE OF LEFT
MCA RIGHT MEDULLARY INgia, right sided face numbness, diminished gag reflex FARCTION on
right, decreased pinprick and temperature sensation on left: 19. 65 y/o diabetic pt presents to ED c/o
acute L sided weakness, deviation of gaze to R, L hemiplegia and hemisensory deficit, and L
homonymous hemianopsia. 12 hrs later, pt is unconscious, L pupil enlarged
Question: And unreactive. CT will show what?
Answer:
R MCA INFARCT W/EDE MA AND UNCAL HERNIATION 20. Pt with acute onset vertigo, what
will suggest R lateral RIGHT FACIAL LOSS OF
