PRITE EXAM QUESTIONS WITH
CORRECT ANSWERS
Amnesia |preceded |by |epigastric |sensation |and |fear |are |associated |with |electrical
|abnormality |where? |- |ANSWERS✔✔ |Temporal |lobe
Memory |loss |pattern |in |dissociative |amnesia |- |ANSWERS✔✔ |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 |- |ANSWERS✔✔ |Anterograde
What |psychoactive |drug |produces |amnesia? |- |ANSWERS✔✔ |Alcohol
Brain |Lesions |- |ANSWERS✔✔ |...
Visual |problem |in |pituitary |tumor |compressing |optic |chiasm |- |ANSWERS✔✔ |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: |-
|ANSWERS✔✔ |Temporal |lobe
Syndrome |characterized |by |fluent |speech, |preserved |comprehension, |inability |to |repeat,
|w/o |associated |signs. |Location |of |lesion |in |the |brain? |- |ANSWERS✔✔ |Supramarginal |gyrus
|or |insula
Acute |onset |of |hemiballismus |of |LUE |& |LLE. |MRI |is |most |likely |to |show |lesion |located
|where? |- |ANSWERS✔✔ |Subthalamic |nucleus
,Left |sided |hemi-neglect |is |associated |with |lesion |located |where? |- |ANSWERS✔✔ |Right
|Parietal |Lobe
60M |right-handed, |getting |lost, |only |writes |on |right |half |of |paper. |Where |is |lesion |-
|ANSWERS✔✔ |Right |parietal
Which |hormone |secreted |in |functional |pituitary |adenoma: |- |ANSWERS✔✔ |Prolactin
CT |& |MRI |show |ventriculomegaly |are |out |of |proportion |to |sulcal |atrophy. |This |is |suggestive
|of |what |diagnosis? |- |ANSWERS✔✔ |Normal |Pressure |Hydrocephalus
5 |y/o |with |4 |month |history |of |morning |HA, |vomiting, |and |recent |problems |with |gait, |falls,
|and |diplopia |- |ANSWERS✔✔ |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 |show? |- |ANSWERS✔✔ |Hypothalamic |tumor
Previously |pleasant |mom |becomes |profane |and |irresponsible |over |6 |months: |-
|ANSWERS✔✔ |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: |- |ANSWERS✔✔ |Cerebellopontine |angle
Catatonia |- |ANSWERS✔✔ |...
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 |focus |on |what |factor? |-
|ANSWERS✔✔ |Metabolic |disorders
,Which |term |describes |state |of |immobility |that |is |constantly |maintained? |- |ANSWERS✔✔
|Cataplexy
Ability |of |catatonic |pt |to |hold |same |position |- |ANSWERS✔✔ |Catalepsy
CVA |- |ANSWERS✔✔ |...
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: |- |ANSWERS✔✔ |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: |- |ANSWERS✔✔ |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 |the
|left. |Dx? |- |ANSWERS✔✔ |Lateral |medullary |stroke
Rapid |onset |of |right |facial |weakness, |left |limb |weakness, |diplopia |- |ANSWERS✔✔ |Brain
|Stem |Infarction
Transient |symptom |associated |with |carotid |stenosis: |*** |- |ANSWERS✔✔ |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. |**** |-
|ANSWERS✔✔ |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: |- |ANSWERS✔✔ |Thromboembolic |stroke |L |MCA |(middle |cerebral
|artery)
Abulia |refers |to |impairment |in |ability |to: |- |ANSWERS✔✔ |Spontaneously |move |and |speak
Sudden-onset |left |hemiparesis |with |deviation |of |eyes |to |the |right |- |ANSWERS✔✔ |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 |-
|ANSWERS✔✔ |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 |what? |- |ANSWERS✔✔ |R |MCA
|infarct |w/ |edema |and |uncal |herniation
Pt |with |acute |onset |vertigo, |what |will |suggest |R |lateral |medullary |infarct? |- |ANSWERS✔✔ |R
|facial |loss |of |touch |+ |temp |sensation
46 |y/o |M |w/ |double |vision |+ |pain |R |eye. |Exam: |ptosis |R |eyelid, |inability |to |elevate |or
|adduct |R |eye |+ |R |pupillary |dilation. |This |is |caused |by: |- |ANSWERS✔✔ |Post. |Communicating
|artery |aneurysm
Aphasia |w/ |effortful |fragmented, |dysfluent, |telegraphic |speech, |is |seen |in |a |lesion |where? |-
|ANSWERS✔✔ |Post |frontal |lobe