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PRITE Exam Questions and Correct Answers
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PRITE Exam Questions and Correct Answers
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PRITEAmnesia preceded by epigastric sensation and fear are associated with electrical abnormality where? -
Answer -Temporal lobe
Memory loss pattern in dissociative amnesia - Answer -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
- Answer -Anterograde
What psychoactive drug produces amnesia? - Answer -Alcohol
Brain Lesions - Answer -...
Visual problem in pituitary tumor compressing optic chiasm - Answer -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: - Answer -Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o associated
signs. Location of lesion in the brain? - Answer -Supramarginal gyrus or insula
,Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where? - Answer -
Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? - Answer -Right Parietal Lobe
60M right-handed, getting lost, only writes on right half of paper. Where is lesion - Answer -Right
parietal
Which hormone secreted in functional pituitary adenoma: - Answer -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 -
Answer -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? - Answer
-Hypothalamic tumor
Previously pleasant mom becomes profane and irresponsible over 6 months: - Answer -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: - Answer -
Cerebellopontine angle
Catatonia - Answer -...
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? - Answer -Metabolic disorders
,Which term describes state of immobility that is constantly maintained? - Answer -Cataplexy
Ability of catatonic pt to hold same position - Answer -Catalepsy
CVA - Answer -...
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: - Answer -
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: - Answer -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? - Answer -
Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia - Answer -Brain Stem Infarction
Transient symptom associated with carotid stenosis: *** - Answer -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. **** - Answer -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: - Answer -Thromboembolic stroke L
MCA (middle cerebral artery)
Abulia refers to impairment in ability to: - Answer -Spontaneously move and speak
, Sudden-onset left hemiparesis with deviation of eyes to the right - Answer -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 - Answer -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? - Answer -R MCA infarct w/ edema and uncal herniation
Pt with acute onset vertigo, what will suggest R lateral medullary infarct? - Answer -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: - Answer -Post. Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion where? - Answer -Post
frontal lobe
39 year old with h/o of multiple miscarriages develops an acute left sided hemiparesis. Work up revels
elevated anticardiolipin titers and no other risk factors for stroke. Appropriate intervention at this point
is? - Answer -Plasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in patients under 50 -
Answer -Plasma homocysteine
73 y/o found on floor, unaware of L UE/LE. Flaccid L arm, but denies anything wrong and when asked to
raise L arm raises R. When asked which arm is her L, she replies "yours." Dx? - Answer -Parietal lobe CVA
CT scan with occipital and intraventricular hyperintensities - Answer -Parenchymal hemorrhage
Which med has secondary prevention against embolic stroke in patients with Afib? - Answer -Oral
warfarin
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