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24 Cards in this Set
- Front
- Back
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Which of the following symptoms are suggestive of a left middle cerebral artery infarct?
a. loss of movement and painful tingling in lower extremities b. loss of movement in proximal muscles of legs and arms c. right-sided hemiparesis, hemisensory loss and possible aphasia d. right-sided lower motor neuron symptoms |
C. Right-sided hemiparesis, hemisensory loss and possible aphasia
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Chronic hypertension increases the risk of
a. abulia and pseudobulbar palsy b. cardiac syncope c. hemorrhagic stroke d. thrombosis |
C. Hemorrhagic stroke
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A patient presents to the hosptial with the "worst headach of my life". Initially cogent, he becomes confused followed by projectile vomiting, diplopia and loss of consciousness. What the most likely cause?
A. SAH, CT should be ordered with possible need for emergent neurosurgery B. food poisoning. Allow pt to rest and monitor for fever C. Drug overdose, immediately pump stomach D. Heart attack, perform CPR |
A. SAH. Stat CT needed with possible neurosurgery
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Which neuroanatomic are is an example of an anastome?
A. superior saggital sinus B. circle of Willis C. ophthalamic arteries and cranial nerves D. Internal carotid arteries |
B. Circle of Willis
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A patient is referred for neuropsychological evaluation following a stroke. She is functioning relatively well in basic ADL tasks, but demonstrates "strange symptoms" that concern her given her desire to return working as a teacher. In your office she presents with slight inattention/distractibility. She is oriented and demonstrates adequate knowledge of current events. Verbal memory is generally intact. She shows marked deficits in reading, writing and arithmetic, despite the fact that she taught these topics with no difficulty before her injury. She is aware of her deficits in these areas and becomes quite upset. What additional exams should you consider and for what syndrome?
A. Token test to identify vascular dementia confounded by recent CVA B. grip strenght and peg board for assessment of ALS C. tests for left-right confusion and finger agnosia to rule out Gerstmann's syndrome associated with injury to the left parietal lobe. D. Visual field tests to evaluate PCA lesions |
C. tests for left-right confusion and finger agnosia to rule out Gerstmann's syndrome associated with injury to the left parietal lobe.
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Occlusion of which artery leads to alexia without agraphia?
A. Left medial MCA B. Lenticulostriate arteries C. Left PCA D. Left choroidal artery |
C. Left PCA
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What are the primary symptoms associated with occlusion of deep matter MCA territories?
A. contralateral thalamic pain syndrome B. lower extremity sensation loss C. "man in the barrel" syndrome D. pure motor hemiparesis |
D. Pure motor hemiparesis
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Strokes in which of the following arteries leads to gaze preference ipsilateral to the site of injury?
A. Left MCA stem B. Right MCA stem C. Right MCA inferior division D. Ophthalamic arteries and frontal eye field regions. E. A, B and D F. A, B and C G. A, B, C and D |
F. Left MCA stem, right MCA stem, right MCA inferior division
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Dysarthria is
A. abnormality in articulation that involves abnormal functioning of pharynx, palate, tongue and lips B. Impairment in selection, initiation and blending of phonemes C. Inability to swallow secretions, increasing risk of aspiration D. Uncoordinated, weak breathing leading to hypophonic speech |
A. abnormality in articulation that involves abnormal functioning of pharynx, palate, tongue and lips
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Dyspraxia for speech is related to cortical dysfunction and is commonly found with which syndrome?
A. Wernicke's aphasia B. Anomic aphasia C. Broca's aphasia D. Transdural aphasia |
C. Broca's aphasia
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Stroke in which artery can lead to abulia?
A. Recurrent artery of Heubner B. Inferior MCA C. Right PCA D. Left internal carotid artery |
D. Left internal carotid artery
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Which aphasic syndrome frequently includes right hemiplegia greater in the upper extremity than the lower extremity, ideomotor dyspraxia of the left arm, and contralateral hemineglect in the acute phase?
A. Transcortical sensory aphasia B. Broca's aphasia C. Wernicke's aphasia D. Sensory aphasia |
B. Broca's aphasia
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Broca's aphasia is related to which neuroanatomic region?
A. superior temporal gyrus B. inferior insula C. pars triangularis D. arcuate fasciulous |
c. pars triangularis
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Which aphasic syndrome is more frequently associated with right-sided homonymous visual deficits and anosognosia but not right-sided hemiplegia?
A. Transcortical motor aphasia B. Global aphasia C. Broca's aphasia D. Wernicke's aphasia |
D. Wernicke's aphasia
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What syndrome is observed with a focal lesion localized in Wernicke's area?
A. Wernicke's aphasia B. Transcortical sensory aphasia C. Auditory agnosia D. Finger agnosia |
C. Auditory agnosia
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Which patterns of recovery are often noted in aphasic syndromes?
A. Global aphasia to Broca's aphasia B. Broca's aphasia to Anomic aphasia C. Wernicke's aphasia to Conduction aphasia D. All three above |
D. All three
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A patient presents with symptoms of Global aphasia. Where is the most likely location of his acclusion?
A. Left vertebral artery B. Left ACA C. Left anterior choroidal artery D. Left MCA stem |
D. Left MCA stem
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Which neuroanatomic regions are thought to be involved wtih Conduction Aphasia?
A. left suparmarginal gyrus, left primary auditory cortex, insula, white matter pathways B. arcuate fasiculous and pars operculum C. heschel's gyrus D. insula and caudate |
A. left suparmarginal gyrus, left primary auditory cortex, insula, white matter pathways
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Infarction or hemorrhage of the most distal regions of the upper division of left MCA is associated with which syndrome?
A. right-sided hemi-sensory loss and thalamic pain B. Transcortical motor aphasia C. Transcortical sensory aphasia D. alexia with agraphia |
B. Transcortical motor aphasia
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A patient presents with fluent speech, impaired comprehension, alexia with agraphia, and compulsive but accurate repetitions. Which aphasic syndrome most accurately describes her presentation?
A. Wernicke's aphasia B. Conduction aphasia C. Transcortical sensory aphasia D. Transcortical motor aphasia |
C. Transcortical sensory aphasia
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What lesion location is related to transcortical sensory aphasia?
A. inferior MCA B. Watershed area between ACA and MCA C. Watershed area between MCA and PCA D. Left ACA |
C. Watershed area between MCA and PCA. This affects temporoparieto-occipital junction, posterior temporal region, and/or thalamus
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Thalamic strokes include which symptoms
A. chronic contralateral sensory loss with Broca's-like aphasia B. Transcortical sensory aphasia with hypophonic speech C. dysarthria and hypophonic speech D. pure motor loss |
B. Transcortical sensory aphasia with hypophonic speech
** remember that thalamus = sensory |
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Basal ganglia strokes can lead to which aphasic symptoms?
A. dysarthria B. transcortical aphasia symptoms C. both A and B D. echolalia and painful swallowing |
C. both transcortical motor aphasia symptoms and dysarthria
** remember basal ganglia = motor |
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What is the difference between anterior and posterior putamen strokes in terms of aphasic syndromes?
A. pain vs. motor symptoms B. anomic symptoms are more prominent with anterior lesions C. location is similar to Broca's and Wernicke's, with anterior lesions similar to Broca's and posterior lesions similar to Broca's D. the putamen is a small structure that is only incidentally related to language. Therefore, the region of putamen that is affected by a stroke is not related to aphasic symptoms |
C. location is similar to Broca's and Wernicke's, with anterior lesions similar to Broca's and posterior lesions similar to Broca's
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