Quiz 07/16/2022 (2)

Which of the following identifies the vein of Galen?

Which of the following comorbidities are responsible for the lesion appreciated in the image below?

Which of the following arteries is the first branch of the internal carotid after it enters the cranial cavity?

The pathophysiology of the lesion shown in the gross pathologic image below is most likely which of the following?

A 29-year-old female taking oral contraceptive pills (OCPs), but with no other known medical history, presents for a 3-week course of progressive headache. Given her risk factors, the following imaging study is performed. An occlusion within which of the following structures is seen?

A pediatric neurology consult was placed for a 5-day-old, full-term newborn with macrocephaly. When formally measured his head circumference was 46 cm. A tense fontanelle was appreciated on examination. A bedside ultrasound was performed and the only abnormality appreciated was significant hydrocephalus. What is the most likely etiology of the patient’s symptoms?

What is the pathophysiology of the lesion provided below?

A 26-year-old female presents to the hospital following a sudden onset headache and decreased responsiveness. A CT Head is obtained (left) followed by a cerebral angiogram (right). Which of the following is the most likely cause of the patient’s symptoms?

Which of the following is not a risk factor for carotid dissection?

A 12-year-old boy with a past medical history of sickle cell disease was admitted to the emergency room in a pain crisis. While being treated with morphine the patient developed acute left arm/leg weakness and numbness. Which of the following is the most likely etiology for the patient’s new neurologic symptoms?

What is the mechanism of action of clopidogrel?

A 34-year-old man was admitted to the hospital and intubated after a severe motor vehicle accident leading to multiple bone fractures two days ago. Despite weaning IV sedation, the patient continues to be unarousable to stimulation. An MRI was performed and DWI imaging is shown below. What is the most likely diagnosis?

A 40-year-old male with a history of headaches, seizures, and recurrent strokes has a brain biopsy performed to aid in diagnosis. Electron microscopy of his brain tissue shows granular osmiophilic material in the basal lamina of small cutaneous arterioles. What is the cause of this patient’s disease?

How long ago did the ischemic injury seen on the micropathology slide below of neuronal tissue occur?

Which of the following diseases does not contribute to the pathology appreciated in this pathology image?

A 68-year-old right-handed male with HTN and atrial fibrillation formerly taking Eliquis, but stopped months ago due to GI bleed, presents for acute onset neurologic symptoms. He is able to understand speech and commands, however, he is unable to speak fluently and can not get the right words out. Despite this, he is able to accurately repeat words you say and correctly name items that are pointed to. What other neurologic symptom is also likely to be present on the exam?

Which of the following is the correct order of venous structures related to cerebral blood drainage?

Which of the following is not one of the absolute exclusionary criteria for tissue plasminogen activator (tPA)?

You are caring for a patient in the Neuro ICU for loss of consciousness after 3 convulsive episodes within a 2 hour period. She required intubation with rocuronium and sedation with propofol. She was loaded with 2000 mg of Keppra and had received 2 mg of Ativan in the ED. You obtain a spot EEG and left temporal epileptiform discharges are seen, but no additional seizures. Unfortunately, your hospital does not have continuous EEG capabilities. Of the following options, which physical exam change in this paralyzed patient is most likely to indicate potential repeat seizure and prompt stat repeat spot EEG and consideration of antiepileptic bolus?