PRITE Ninja 2024 with Verified Questions and
Answers.
Amnesia preceded by epigastric sensation and fear are associated with electrical
abnormality where? - Correct answer Temporal lobe
Memory loss pattern in dissociative amnesia - Correct 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 - Correct answer Anterograde
What psychoactive drug produces amnesia? - Correct answer Alcohol
Visual problem in pituitary tumor compressing optic chiasm - Correct 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: - Correct answer Temporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat,
w/o associated signs. Location of lesion in the brain? - Correct answer Supramarginal
gyrus or insula
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located
where? - Correct answer Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? - Correct answer Right
Parietal Lobe
60M right-handed, getting lost, only writes on right half of paper. Where is lesion -
Correct answer Right parietal
Which hormone secreted in functional pituitary adenoma: - Correct answer Prolactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is
suggestive of what diagnosis? - Correct answer Normal Pressure Hydrocephalus
5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,
and diplopia - Correct 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? - Correct answer Hypothalamic tumor
,Location of lesion: previously pleasant person becomes profane and irresponsible over
6 months: - Correct 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: - Correct answer Cerebellopontine angle
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? -
Correct answer Metabolic disorders
Which term describes state of immobility that is constantly maintained? - Correct
answer Catalepsy
Ability of catatonic pt to hold same position - Correct answer Catalepsy
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: - Correct 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: - Correct 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? - Correct answer Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia - Correct answer
Brain Stem Infarction
Transient symptom associated with carotid stenosis: *** - Correct 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. **** - Correct
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: - Correct answer Thromboembolic stroke L MCA
(middle cerebral artery)
Abulia refers to impairment in ability to: - Correct answer Spontaneously move and
speak
Sudden-onset left hemiparesis with deviation of eyes to the right - Correct 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 - Correct
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? - Correct answer R
MCA infarct w/ edema and uncal herniation
Pt with acute onset vertigo, what will suggest R lateral medullary infarct? - Correct
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: - Correct answer Post.
Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion
where? - Correct 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? - Correct answer Plasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in
patients under 50 - Correct 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? - Correct answer Parietal lobe CVA
CT scan with occipital and intraventricular hyperintensities - Correct answer
Parenchymal hemorrhage
Which med has secondary prevention against embolic stroke in patients with Afib? -
Correct answer Oral warfarin
, As opposed to strokes caused by arterial embolism or thrombosis, those caused by
cerebral vein or venous sinus thrombosis are - Correct answer More often associated
with seizures at onset
Atrophy of right temporal lobe on cross section associated with occlusion of: - Correct
answer Middle cerebral artery
Loss of ability to execute previously learned motor activities (which is not the result of
demonstrable weakness, ataxia or sensory loss) is associated with lesions of? - Correct
answer Left parietal cortex
58 y/o s/p CABG - anomia for fingers and body parts, errors involving right and left,
inability to write thoughts/take notes/make calculations. Fluent speech and excellent
comprehension - Correct answer Left medial temporal stroke
Visual disturbances associated with occlusion of the right posterior cerebral artery? -
Correct answer Left homonymous hemianopsia
65 y/o with HTN collapsed. In ED is stuporous, R hemiparesis + hemisensory deficit,
eyes deviate to L. CT would show intraparenchymal hemorrhage in: - Correct answer
Left basal ganglia
Higher frequency & greater severity of depression associated w/ cortical & subcortical
strokes - Correct answer Left anterior frontal
Pt with hypertension develops painless vision loss on the left eye. PE revels blindness
in the left eye and afferent papillary defect on the left. MRI shows several T2
hyperintensities in the white matter periventricularly. No corpus callosum lesions. No
enhancement with gadolinium. Dx? - Correct answer Ischemic optic neuropathy
63 y/o with new onset aphasia and R hemiparesis, 2 days ago had milder/similar
symptoms that resolved in 30 minutes, yesterday had similar episode x45 minutes.
Current sx started 1.5 hrs ago. CT shows no stroke or hemorrhage. Tx? - Correct
answer Intravenous thrombolytic agents
Lower facial weakness w/ relative sparing of forehead can be stroke in - Correct answer
Internal capsule
Prosopagnosia is: - Correct answer Inability to recognize faces
57 y/o diabetic w/ HTN c/o several episodes of visual loss "curtain falling" over his L
eye, transient speech and language disturbance, and mild R hemiparesis that lasted 2
hrs. Suggests presence of what? - Correct answer Extracranial L internal carotid
stenosis
