Quiz 07/17/2022

Quiz 07/17/2022

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Anatomic Syndromes 0%
Basic Neuroanatomy 0%
Demyelinating Diseases 0%
EEG 0%
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Neuroinfectious Disease 0%
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Question 1 of 10

1. Question
A 37-year-old retired nurse is being evaluated in the emergency room for excessive diarrhea. She has been in the emergency department multiple times in the past for similar complaints and diagnostic testing has repeatedly been unremarkable. While casually talking to the nursing staff, the patient accidentally knocks over her purse and several bottles of laxatives fall out. Which of the following is the most likely diagnosis?
- Factitious disorder
- Malingering
- Conversion disorder
- Somatic symptom disorder
- Dissociative identity disorder
Correct

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Question 2 of 10

2. Question
A 28-year-old female is brought to the emergency room by her husband because of behavioral changes and memory issues over the last 4 days. Right after the MRI, shown below, the patient had a tonic-clonic seizure. Based on the limited clinical history and imaging provided, which of the following is the most likely diagnosis?
- Right MCA territory infarct
- Right PCA territory infarct
- Herpes simplex encephalitis
- Sagittal sinus thrombosis
- Cerebral toxoplasmosis
Correct

Incorrect
Question 3 of 10

3. Question
A healthy 24-year-old female was admitted to the epilepsy monitoring unit for spell classification. What state is the patient during this segment of recording?
- Drowsy
- Stage 1 sleep (N1)
- Stage 2 sleep (N2)
- Stage 3 sleep (N3)
- REM sleep
Correct

Incorrect
Question 4 of 10

4. Question
Which of the following is the chemoreceptor trigger zone for vomiting?
- Organum vasculosum
- Area postrema
- Lamina terminalis
- Median eminence
- Subfornical organ
Correct

Incorrect
Question 5 of 10

5. Question
A 33-year-old industrial worker presents to the ED complaining of sudden onset nausea, bilateral headache, dyspnea, confusion, and eye irritation. His skin is flushed on physical exam. He states he forgot to wear protective equipment (mask, gloves) while working. A T2 flair MRI of the brain is shown. Exposure to which of the following substances is likely?
- Lead
- Manganese
- Carbon monoxide
- Nitrous oxide
- Metallic mercury
Correct

Incorrect
Question 6 of 10

6. Question
You are interested in initiating tetrabenazine for a patient with refractory chorea. You should educate the patient that this medication carries a black box warning for which of the following?
- Compulsive gambling or shopping
- Life-threatening rash
- Early death in dementia patients
- Suicidality
- Aplastic anemia
- Hepatotoxicity
Correct

Incorrect
Question 7 of 10

7. Question
An 85-year-old woman presents to the hospital with an acute onset of language impairment. On examination, she has difficulty with comprehension but her verbal fluency and repetition are normal. Which of the following best describes her deficits?
- Broca’s aphasia
- Conduction aphasia
- Transcortical sensory aphasia
- Wernicke’s aphasia
- Transcortical motor aphasia
Correct

Incorrect
Question 8 of 10

8. Question
You are asked to evaluate a patient in the neurointensive care unit who is comatose and has had a somatosensory evoked potential performed. Which of the following is most suggestive of a poor prognosis for this patient?
- Bilateral absence of all waves
- Bilateral absence of N20 waves with normal N9 waves
- Bilateral absence of N9 waves with normal N20 waves
- Bilateral absence of both N20 and N9 waves
Correct

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Question 9 of 10

9. Question
Which of the following comorbidities would prohibit the use of dalfampridine?
- Epilepsy
- Stage IV chronic kidney disease
- Carotid artery stenosis
- A and B
- All of the above
Correct

Incorrect
Question 10 of 10

10. Question
What is the electrographic pattern seen best in the right temporal electrodes?
- Benign rolandic epilepsy (BRE)
- A normal benign variant
- Herpes simplex encephalitis
- Right middle cerebral artery stroke
- Panayiotopoulos syndrome
Correct

Incorrect