60 y/o right-handed M, getting lost, only writes on right half of paper. Left-sided hemineglect.
Where is the lesion? - ANS RIGHT PARIETAL LOBE
66 y/o with HTN develops vertigo, diplopia, nausea, vomiting, hiccups, L face numbness,
nystagmus, hoarseness, ataxia of limbs, staggering gait, and tendency to fall to the left. Dx? -
ANS LATERAL MEDULLARY STROKE
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 likely affected by stroke? - ANS
RIGHT PARIETAL LOBE
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 papilledema. Where will damage show on MRI? (5x) - ANS
CEREBELLUM
Adult neurogenesis in which area of the brain? (x2) - ANS HIPPOCAMPUS
Rapid onset of right facial weakness, left limb weakness, diplopia: (2x) - ANS BRAIN STEM
INFARCTION
Which cell types secretes innate pro-inflammatory cytokines TNF - alpha and Il -1 B in pts with
inflammatory conditions that affect the brain? (X2) - ANS MICROGLIA
DA release in what structure represents common final event assoc w reinforcing effects of
opiates, cocaine, amphetamines, nicotine, PCP, and alcohol? (4x) - ANS NUCLEUS
ACCUMBENS
Role of glycine at NMDA receptor (x2) - ANS Obligate coagonist
which NT last to mature in CNS of children and adults - ANS Cholinergic
A compound that increases muscle mass by increasing episodic secretion of GH (2x): - ANS
GAMMA hydroxylbutyrate
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