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NINJA PRITE – Questions & Complete Solutions
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NINJA PRITE – Questions &Complete Solutions
What characterizes the memory loss in patients with dissociative amnesia?
(x2) - -Episodic
-Amnesia preceded by epigastric sensation/fear are associated with
electrical abnormalities where? - -Temporal lobe
-Memory loss pattern in dissociative amnesia? - -Occurs for a discrete
period of time (episodic!)
-Amnesia characterized by loss of memory of events, occur after onset of
etiologic condition or agent? - -Anterograde
-What psychoactive drug produces amnesia? - -EtOH
-Pt with strange behavior answers appropriately with fluent speech but no
ability to retain new information. Episode lasts 6 hours then back to normal.
No recollection of events. What is the diagnosis? - -Transient global amnesia
-Pt reports hearing voices of someone not present, stops moving, stares
blankly, repetitively picks at clothing, does not respond to
questions/commands for several minutes. The confusion resolves after 15
minutes but pt has no recollection of events. Likely what? - -Complex partial
seizure
-55 y/o pt BiB family after episode of amnesia/bewilderment lasting several
hours. CVA ruled out. Pt keeps asking what is happening. What medication to
administer at this point? - -Observation with no pharmacological intervention
-Which of the following diagnoses involves a sense of loss of identity, often
following a traumatic experience and associated with inability to recall one's
past? - -Dissociative fugue
-Contralateral leg weakness with sparing of the face and arms. Urinary
incontinence and abulia. Where is the lesion? - -Anterior cerebral artery
-Visual problem in pituitary tumor compressing optic chiasm (x10)? - -
Bitemporal hemianopsia
-60 y/o right handed M, getting lost, only writes on right half of paper. Left-
sided hemi-neglect. Where is the lesion? (x8) - -Right parietal lobe
, -66 yo c/o frequent falls, several month h/o of anxiety, unwillingness to
leave home. On exam, mild impairment of vertical gaze on smooth pursuit,
saccades, mild axial rigidity of upper extremities, along with mild slowness of
movement on finger tapping, hand opening and wrist opposition. Posture
normal. Gait tentative/awkward, but w/o shuffling, ataxia, tremor. Pt is slow
in arising from chair. Most likely diagnosis? 5x - -Progressive supranuclear
palsy
-65 yo pt fell several times in past 6 months. MSE normal. Smoth pursuit,
saccadic movements impaired. Worse with vertical gaze. Full ROM with doll
head maneuver. Mild symmetric rigidity/bradykinesia, no tremor.
MRI/CSF/labs unremarkable. Diagnosis? x4 - -Progressive supranuclear
palsyof right hand for
-26 y/o with headache, clumsiness of right hand for weeks. Struggles with
rapid alternating movements of right hand, overt intention tremor with finger
to nose, mildly dysmetric finger tapping. CNS normal, no papilledema.
Damage to what is seen on MRI? x3 - -Cerebellum
-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. Diagnosis? x2 - -
Hypothalamic hamartoma
-5 y/o with 4 month history of morning headache, vomitting, and recent
problems with gait, falls, and diplopia. Diagnosis? x2 - -Medulloblastoma
-75 yo patient evaluated for progressive gait urine incontinence and
cognitive decline. After removal of csf, there is improvement in gait and
balance. What would CT show? - -Enlargement of frontal horns
-70 yo pt develops confusion, lethargy, and generalized tonic clonic
seizures. Lab reveals serum sodium of 95 meq/L. This is most likely a
complication of excessively rapid correction of which metabolic problem? - -
Central pontine myelinolysis
-Which lesion causes b/l coarse nystagmus worsening with visual fixation
and present with horizontal and vertical gaze? - -Brain stem
-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? - -Temporal lobe
-Syndrome characterized by fluent speech, preserved comprehension,
inability to repeal, with associated signs. Location of lesion in the brain? - -
Supramarginal gyrus or insula
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