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Adult neurogenesis in which area of the brain? (x2) - ANSWERHIPPOCAMPUS Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a pathology in: (2x) - ANSWERFRONTAL LOBE MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most li...

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  • October 12, 2024
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prite ninja question book 2x Exam
100% Accurate!!

Adult neurogenesis in which area of the brain? (x2) - ANSWERHIPPOCAMPUS

Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a

pathology in: (2x) - ANSWERFRONTAL LOBE

MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most

likely exhibits: (2x) - ANSWERWEAKNESS OF CONTRALATERAL FOOT AND

LEG

Which cell types secretes innate pro-infammatory cytokines TNF - alpha and Il -1 B in pts

with inflammatory conditions that affect the brain? (X2) - ANSWERMICROGLIA

Role of glycine at NMDA receptor (x2) - ANSWEROBLIGATE COAGONIST

Which neurotransmitter system is the last to mature in the CNS of children and

adolescents? (2x) - ANSWERCHOLINERGIC

A compound that increases muscle mass by increasing episodic secretion of GH (2x): -
ANSWERGAMMA HYDROXYLBUTYRATE

9 y/o F has 3 month h/o seemingly unprovoked bouts of laughter. Worse when not

sleeping well. Pt does not feel happy during these episodes. Started menstruating 6

months ago, and at Tanner stage 4. Dx? (2x) - ANSWERHYPOTHALAMIC HAMARTOMA

5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls,

and diplopia: (2x) - ANSWERMEDULLOBLASTOMA

70 y/o develops flaccid paralysis following severe water intoxication. He develops

dysphagia and dysarthria without other cranial nerve involvement. Sensory exam is

limited but grossly normal, DTR's are symmetric, and cognition is intact. Likely dx: (2x) -
ANSWERCENTRAL PONTINE MYELINOLYSIS

Young adult gained 70 lbs in last year c/o daily severe headaches sometimes associated

with graying out of vision. Papilledema present. CT and MRI brain no abnormalities but

ventricles smaller than usual. Goal of treatment in this case: (2x) - ANSWERPREVENT BLINDNESS

Superior homonymous quadrantic defects in the visual fields result from lesions to which

,of the following structures? (2x) - ANSWERTEMPORAL OPTIC RADIATIONS

Tremor with a frequency of around 3 Hz, irregular amplitude, most evident towards the

end of reaching movements: (2x) - ANSWERCEREBELLAR TUMOR

Pt with several days of fever and severe headaches presents to ED b/o generalized

seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o

foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS

Acute onset of fever, sore throat, diplopia, & dysarthria. Exam reveals an inflamed throat,

left adductor nerve palsy w/ impairment of vertical pursuit, diffuse hyperreflexia w/

bilateral clonus, lower ext spasticity, & mild right hemiparesis. CT is uninformative. Spinal

fluid has protein of 24, 10 mononuclear cells, and glucose of 70. Dx? (2x) - ANSWERMULTIPLE
SCLEROSIS

Which is the most reliable finding from CSF analysis for a pt with multiple sclerosis in the

chronic progressive phase of the dz? (2x) - ANSWERPRESENCE OF OLIGOCLONAL BANDS

Benign intracranial HTN etiology: (2x) - ANSWERHYPERVITAMINOSIS A

Gait abnormality, slow movement, asymmetric UE rigidity. Difficulty in voluntary vertical

upward/downward gaze. Slowness/rigidity improved slightly with levodopa. Later has

problems with horizontal & vertical gaze. Oculocephalic reflexes normal. Involuntary

saccades. (2x) - ANSWERPROGRESSIVE SUPRANUCLEAR PALSY

Pt with several days of fever and severe headaches presents to ED b/o generalized

seizure. Pt is confused and somnolent. Also reported to have been irritable and has c/o

foul smells. T2 MRI displayed (hyperintensity of left temporal): (2x) - ANSWERHERPES ENCEPHALITIS

Pt presents with personality changes, cognitive difficulties, affective lability, and olfactory

and gustatory hallucinations. The most likely medical cause of this presentation is: (2x) -
ANSWERHERPES SIMPLEX VIRUS (HSV)

INFECTION

What condition is a forerunner of MS? (2x) - ANSWERTRANSVERSE MYELITIS

Head CT w/ lens-shaped hyperdensity (x2) - ANSWEREPIDURAL HEMATOMA

A life threatening complication of cerebellar hemorrhage is: (2x) - ANSWERACUTE HYDROCEPHALUS

A 72 yo patient had an embolic infarct in the middle cerebral artery territory. ECG shows no

structural abnormalities. Doppler studies of the neck arteries reveal less than 50% occlusion

on both carotid arteries. An EKG reveals AFib. Which of the following strategies has the best

, likelihood of reducing recurrent strokes in this patient? (2x) - ANSWERANTICOAGULATION WITH
WARFARIN

68 y/o pt w/ hypertension develops rapidly progressing right arm and leg weakness, with

deviation of the eyes to the left. Within 30 minutes of the onset of this deficit, pt became

increasingly sleepy. Two hours after the onset, the patient became unresponsive. On exam:

dense right hemiplegia, eyes deviated to the left, pupils: equal and reactive, a right facial

weakness to grimace elicited by noxious stimuli. Cough and gag reflexes: present. Which CT

finding is most likely? (2x) - ANSWERLEFT PUTAMINAL HEMORRHAGE

A pt has multiple stroke like symptoms of short duration over several days. And has new

onset symptoms for the last 90 minutes. CT scan shows no evidence of stroke or

hemorrhage. What is the appropriate treatment? (2x) - ANSWERINTRAVENOUS THROMBOLYTIC
AGENTS

70 y/o pt was hospitalized because of a middle cerebral artery stroke. The psychiatrist was

asked to evaluate the pt. The pt has non-fluent aphasia. Which most likely characterized the

pt's interaction with the psychiatrist? (2x) - ANSWERTHE PT WAS ABLE TO FOLLOW THE

VERBAL REQUEST, "CLOSE YOUR EYES."

Most common psychiatric presentation following a stroke? (2x) - ANSWERDEPRESSION

Chiropractic adjustments are a known precipitant for which of the following acute

conditions? (2x) - ANSWERVERTEBRAL ARTERY DISSECTION

The most common complication of temporal arteritis is caused by occlusion of the: (2x) -
ANSWEROPHTHALMIC ARTERY

The most common possible cause of a posterior cerebral artery infarct in 36 y/o F with hx of

migraine: (2x) - ANSWERORAL CONTRACEPTIVES

Which of the following is the most specific factor for distinguishing delirium from dementia

of the Alzheimer type? (2x) - ANSWERFLUCTUATING AROUSAL

Neurocognitive functions most likely to show decline in people over 65 years of age? (x2) -
ANSWERINFORMATION PROCESSING SPEED

Over the course of several months, a 46 yo pt w no past psych hx becomes emotionally

labile/irritable. Pt undergoes personality changes, is observed to laugh inappropriately

when neighbor kids taunt stray cat. Within 2 yrs pt is convinced all food has germs. Memory

is preserved. Pt is no longer able to work/live independently. Neuropsych testing shows

impaired language/attn. (2x) - ANSWERFRONTOTEMPORAL DEMENTIA

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