PRITE Questions and Answers Verified Solutions Latest Update
Question: Amnesia preceded by epigastric sensation and fear are associated with electrical
abnormality where?
Answer:
Temporal lobe Memory loss pattern in dissociative amnesia Memory loss occurs for a discrete period
of time Amnesia characterized by loss of memory of events that occur after onset of etiologic condition
or agent Anterograde
Question: What psychoactive drug produces amnesia?
Answer:
Alcohol Brain Lesions... Visual problem in pituitary tumor compressing optic chiasm Bitemporal
Hemianopsia 32 y/o pt 1-month history of worsening headaches, episodic mood swings and occasional
hallucinations with visual, tactile and auditory content. CT head reveals tumor where: Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o associated
signs.
Question: Location of lesion in the brain?
Answer:
Supramarginal gyrus or insula Acute onset of hemiballismus of LUE & LLE. MRI is most likely to
Question: Show lesion located where?
Answer:
Subthalamic nucleus Left sided hemi-neglect is associated with lesion located
Question: Where?
Answer:
Right Parietal Lobe 60M right-handed, getting lost, only writes on right half of paper. Where is lesion
Right parietal
Question: Which hormone secreted in functional pituitary adenoma: Prolactin CT & MRI show
ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of what diagnosis?
Answer:
Normal Pressure Hydrocephalus 5 y/o with 4 month history of morning HA, vomiting, and recent
problems with gait, falls, and diplopia Medulloblastoma 20 y/o with 1 yr of bitemporal headaches,
polydipsia, polyuria, bulimia. For 2 months emotional outburst aggressive and transient confusion
neuro exam normal. What will MRI of brain
, Question: Show?
Answer:
Hypothalamic tumor Previously pleasant mom becomes profane and irresponsible over 6 months:
Frontal lobe Unilateral hearing loss with vertigo, unsteadiness with falls and headaches, mild facial
weakness and ipsilateral limb ataxia is most commonly associated with tumors in what locations:
Cerebellopontine angle Catatonia... 52 y/o with h/o unipolar depression is brought to ED with a first
episode of catatonia. Patient is on no meds, UDS is neg. Further w/u should initially
Question: Focus on what factor?
Answer:
Metabolic disorders
Question: Which term describes state of immobility that is constantly maintained?
Answer:
Cataplexy Ability of catatonic pt to hold same position Catalepsy CVA... Chronic Afib develops
aphasia and R hemiparesis at noon. ER exam notes weakness of R extremities and severe dysfluent
aphasia, but CT at 1: 30 PM has no acute lesion. Most appropriate treatment: TPA Young adult gained
70 lbs in last year c/o daily severe headaches sometimes assoc with graying out of vision. Papilledema
present. CT and MRI brain no abnormalities but ventricles smaller than usual. Goal of treatment in this
case: Prevent blindness Patient with hypertension develops vertigo, nausea, vomiting, hiccups, left
sided face numbness, nystagmus, hoarseness, ataxia of the limbs, staggering gait, and is falling to
Question: The left. Dx?
Answer:
Lateral medullary stroke Rapid onset of right facial weakness, left limb weakness, diplopia Brain Stem
Infarction Transient symptom associated with carotid stenosis: *** Monocular blindness 62 y/o M w
DM is not making sense, saying "thar szing is phrumper zu stalking". Normal intonation but no one in
the family can understand it. He verbally responds to questions with similar utterances but fails to
successfully execute any instruction. **** Wernicke's aphasia 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. Unintelligable sounds for speech.
Alert but appeared frustrated. R hemiplegia with arm and face weaker than leg. CT head showed no
hemorrhage. Pathology type and area: Thromboembolic stroke L MCA (middle cerebral artery) Abulia
refers to impairment in ability to: Spontaneously move and speak Sudden-onset left hemiparesis with
deviation of eyes to the right Right putaminal hemorrhage Sudden onset vertigo/nausea,
hoarseness/dysphagia, right sided face numbness, diminished gag reflex on right, decreased pinprick
and temp sensation on left Right medullary infarction 65 y/o diabetic 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 and unreactive. CT will show
Question: Amnesia preceded by epigastric sensation and fear are associated with electrical
abnormality where?
Answer:
Temporal lobe Memory loss pattern in dissociative amnesia Memory loss occurs for a discrete period
of time Amnesia characterized by loss of memory of events that occur after onset of etiologic condition
or agent Anterograde
Question: What psychoactive drug produces amnesia?
Answer:
Alcohol Brain Lesions... Visual problem in pituitary tumor compressing optic chiasm Bitemporal
Hemianopsia 32 y/o pt 1-month history of worsening headaches, episodic mood swings and occasional
hallucinations with visual, tactile and auditory content. CT head reveals tumor where: Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o associated
signs.
Question: Location of lesion in the brain?
Answer:
Supramarginal gyrus or insula Acute onset of hemiballismus of LUE & LLE. MRI is most likely to
Question: Show lesion located where?
Answer:
Subthalamic nucleus Left sided hemi-neglect is associated with lesion located
Question: Where?
Answer:
Right Parietal Lobe 60M right-handed, getting lost, only writes on right half of paper. Where is lesion
Right parietal
Question: Which hormone secreted in functional pituitary adenoma: Prolactin CT & MRI show
ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of what diagnosis?
Answer:
Normal Pressure Hydrocephalus 5 y/o with 4 month history of morning HA, vomiting, and recent
problems with gait, falls, and diplopia Medulloblastoma 20 y/o with 1 yr of bitemporal headaches,
polydipsia, polyuria, bulimia. For 2 months emotional outburst aggressive and transient confusion
neuro exam normal. What will MRI of brain
, Question: Show?
Answer:
Hypothalamic tumor Previously pleasant mom becomes profane and irresponsible over 6 months:
Frontal lobe Unilateral hearing loss with vertigo, unsteadiness with falls and headaches, mild facial
weakness and ipsilateral limb ataxia is most commonly associated with tumors in what locations:
Cerebellopontine angle Catatonia... 52 y/o with h/o unipolar depression is brought to ED with a first
episode of catatonia. Patient is on no meds, UDS is neg. Further w/u should initially
Question: Focus on what factor?
Answer:
Metabolic disorders
Question: Which term describes state of immobility that is constantly maintained?
Answer:
Cataplexy Ability of catatonic pt to hold same position Catalepsy CVA... Chronic Afib develops
aphasia and R hemiparesis at noon. ER exam notes weakness of R extremities and severe dysfluent
aphasia, but CT at 1: 30 PM has no acute lesion. Most appropriate treatment: TPA Young adult gained
70 lbs in last year c/o daily severe headaches sometimes assoc with graying out of vision. Papilledema
present. CT and MRI brain no abnormalities but ventricles smaller than usual. Goal of treatment in this
case: Prevent blindness Patient with hypertension develops vertigo, nausea, vomiting, hiccups, left
sided face numbness, nystagmus, hoarseness, ataxia of the limbs, staggering gait, and is falling to
Question: The left. Dx?
Answer:
Lateral medullary stroke Rapid onset of right facial weakness, left limb weakness, diplopia Brain Stem
Infarction Transient symptom associated with carotid stenosis: *** Monocular blindness 62 y/o M w
DM is not making sense, saying "thar szing is phrumper zu stalking". Normal intonation but no one in
the family can understand it. He verbally responds to questions with similar utterances but fails to
successfully execute any instruction. **** Wernicke's aphasia 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. Unintelligable sounds for speech.
Alert but appeared frustrated. R hemiplegia with arm and face weaker than leg. CT head showed no
hemorrhage. Pathology type and area: Thromboembolic stroke L MCA (middle cerebral artery) Abulia
refers to impairment in ability to: Spontaneously move and speak Sudden-onset left hemiparesis with
deviation of eyes to the right Right putaminal hemorrhage Sudden onset vertigo/nausea,
hoarseness/dysphagia, right sided face numbness, diminished gag reflex on right, decreased pinprick
and temp sensation on left Right medullary infarction 65 y/o diabetic 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 and unreactive. CT will show
