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PRITE Clinical Neurology Questions with Detailed
Verified Answers
A 27 yo patient is seen for intermittent muscle twitching. Examination demonstrates full strength
with normal muscle bulk. An EMG demonstrates spontaneous discharges which are relatively
constant and represent firing of the motor unit. These findings are typical of:
A. Cramps
B. spasms
C. myokymia
D. fibrillations
E. Fasciculations Ans: ✓ ✓ ✓ E. Fasciculations
A 72 yo patient presents with subacute onset of progressive ataxia of gait and limbs. Laboratory
testing reveals the presence of an anti-Yo antibody in the serum. Which of the following tests
should be ordered next?
A. Single photon emission computed tomography scan of the brain
B. Computed tomography scan of the chest, abdomen and pelvis
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C. MRI brain
D. Serial titers of Anti-yo antibody
E. MRI spine Ans: ✓ ✓ ✓ B. CT chest, abdomen, pelvis
Which of the following is associated with increased risk of depression in patients with MS?
A. older age
B. Female sex
C. Type of deficit
D. Lesion volume
E. Family history of depression Ans: ✓ ✓ ✓ D. Lesion volume
When testing for the babinski reflex, what alternative stimuli can be used by the examiner to
overcome the withdrawal response by a patient?
A. Flicking the big toe
B. Dorsiflexing the foot
C. Downward scraping of shin
D. Tapping dorsum of foot
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E. Squeezing of the foot by the examiner Ans: ✓ ✓ ✓ C. Downward scraping of shin
When observed in a young adult, bilateral paresis fo the medial rectus muscle of the eye on
attempted lateral gaze, with a coarse nystagmus in the abducting eye, is characteristic of which of
the following conditions?
A. Multiple sclerosis
B. Small pontine infarct
C. Phencyclidine intoxication
D. Wernicke encephalopathy
E. Bilateral third nerve damage Ans: ✓ ✓ ✓ A. Multiple sclerosis
A stroke in which of the following arterial territories would result in an inability to read, but with
preserved ability to write?
A. Carotid
B. Basilar
C. Vertebral
D. Middle cerebral
E. Posterior cerebral Ans: ✓ ✓ ✓ E. Posterior cerebral
© Get it right 2025 Getaway - Stuvia US All rights reserved
PRITE Clinical Neurology Questions with Detailed
Verified Answers
A 27 yo patient is seen for intermittent muscle twitching. Examination demonstrates full strength
with normal muscle bulk. An EMG demonstrates spontaneous discharges which are relatively
constant and represent firing of the motor unit. These findings are typical of:
A. Cramps
B. spasms
C. myokymia
D. fibrillations
E. Fasciculations Ans: ✓ ✓ ✓ E. Fasciculations
A 72 yo patient presents with subacute onset of progressive ataxia of gait and limbs. Laboratory
testing reveals the presence of an anti-Yo antibody in the serum. Which of the following tests
should be ordered next?
A. Single photon emission computed tomography scan of the brain
B. Computed tomography scan of the chest, abdomen and pelvis
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
C. MRI brain
D. Serial titers of Anti-yo antibody
E. MRI spine Ans: ✓ ✓ ✓ B. CT chest, abdomen, pelvis
Which of the following is associated with increased risk of depression in patients with MS?
A. older age
B. Female sex
C. Type of deficit
D. Lesion volume
E. Family history of depression Ans: ✓ ✓ ✓ D. Lesion volume
When testing for the babinski reflex, what alternative stimuli can be used by the examiner to
overcome the withdrawal response by a patient?
A. Flicking the big toe
B. Dorsiflexing the foot
C. Downward scraping of shin
D. Tapping dorsum of foot
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
E. Squeezing of the foot by the examiner Ans: ✓ ✓ ✓ C. Downward scraping of shin
When observed in a young adult, bilateral paresis fo the medial rectus muscle of the eye on
attempted lateral gaze, with a coarse nystagmus in the abducting eye, is characteristic of which of
the following conditions?
A. Multiple sclerosis
B. Small pontine infarct
C. Phencyclidine intoxication
D. Wernicke encephalopathy
E. Bilateral third nerve damage Ans: ✓ ✓ ✓ A. Multiple sclerosis
A stroke in which of the following arterial territories would result in an inability to read, but with
preserved ability to write?
A. Carotid
B. Basilar
C. Vertebral
D. Middle cerebral
E. Posterior cerebral Ans: ✓ ✓ ✓ E. Posterior cerebral
© Get it right 2025 Getaway - Stuvia US All rights reserved
