PRITE Test Questions & Answers 100% Correct!!
Amnesia preceded by epigastric sensation and fear are associated with electrical abnormality where?
- ANSWERTemporal lobe
Memory loss pattern in dissociative amnesia - ANSWERMemory 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 - ANSWERAnterograde
What psychoactive drug produces amnesia? - ANSWERAlcohol
Brain Lesions - ANSWER...
Visual problem in pituitary tumor compressing optic chiasm - ANSWERBitemporal 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: -
ANSWERTemporal lobe
Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o
associated signs. Location of lesion in the brain? - ANSWERSupramarginal gyrus or insula
Which hormone secreted in functional pituitary adenoma: - ANSWERProlactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of what
diagnosis? - ANSWERNormal Pressure Hydrocephalus
,5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls, and
diplopia - ANSWERMedulloblastoma
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? -
ANSWERHypothalamic tumor
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where? -
ANSWERSubthalamic nucleus
Left sided hemi-neglect is associated with lesion located where? - ANSWERRight Parietal Lobe
60M right-handed, getting lost, only writes on right half of paper. Where is lesion - ANSWERRight
parietal
Previously pleasant mom becomes profane and irresponsible over 6 months: - ANSWERFrontal 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: -
ANSWERCerebellopontine 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? - ANSWERMetabolic disorders
Which term describes state of immobility that is constantly maintained? - ANSWERCataplexy
Ability of catatonic pt to hold same position - ANSWERCatalepsy
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: -
ANSWERTPA
,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: - ANSWERPrevent 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. **** - ANSWERWernicke'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: -
ANSWERThromboembolic stroke L MCA (middle cerebral artery)
Abulia refers to impairment in ability to: - ANSWERSpontaneously move and speak
Sudden-onset left hemiparesis with deviation of eyes to the right - ANSWERRight putaminal
hemorrhage
Sudden onset vertigo/nausea, hoarseness/dysphagia, right sided face numbness, diminished gag
reflex on right, decreased pinprick and temp sensation on left - ANSWERRight 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? - ANSWERR MCA infarct w/ edema and uncal herniation
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? -
ANSWERLateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia - ANSWERBrain Stem Infarction
Transient symptom associated with carotid stenosis: *** - ANSWERMonocular blindness
, Pt with acute onset vertigo, what will suggest R lateral medullary infarct? - ANSWERR 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: - ANSWERPost. Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion where? -
ANSWERPost 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? - ANSWERPlasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in patients under 50 -
ANSWERPlasma 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? - ANSWERParietal
lobe CVA
CT scan with occipital and intraventricular hyperintensities - ANSWERParenchymal hemorrhage
Which med has secondary prevention against embolic stroke in patients with Afib? - ANSWEROral
warfarin
As opposed to strokes caused by arterial embolism or thrombosis, those caused by cerebral vein or
venous sinus thrombosis are - ANSWERMore often associated with seizures at onset
Atrophy of right temporal lobe on cross section associated with occlusion of: - ANSWERMiddle
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? - ANSWERLeft parietal cortex
