Quiz 07/21/2022 (1)

Vasogenic edema would be best appreciated on which of the following MRI sequences?

An unresponsive patient with an ischemic stroke is transferred to the intensive care unit. On physical exam, the patient has flexion of the bilateral elbows, wrists, and fingers, but extension of the legs. Where is the stroke most likely located?

A 67-year-old male presents with the inability to reach for objects in his visual field. He states that he can see the object, but on the clinical exam he can not grasp it accurately. He also is unable to see multiple objects at once. He has a past medical history of atrial fibrillation and an ischemic injury is suspected. A brain MRI would show which of the following areas of the brain is/are affected?

A 72-year-old male with a past medical history of hypertension presents with an acute onset of right upper and lower extremity weakness. The sensory exam is normal. Right homonymous hemianopia is also appreciated. Which of the following vessels is most likely affected?

A 32-year-old man with no significant past medical history presents to the emergency department after experiencing a generalized tonic-clonic seizure. His neurological examination was unremarkable. As part of his work-up, an MRI was obtained (see FLAIR axial image below). What is the most appropriate next step in management?

Which of the following syndromes are most likely associated with the lesion shown in the image below?

The pathology shown in the image below is likely due to which of the following?

Which of the following findings is depicted in the vessel imaging shown?

A pure sensory stroke is most likely to damage which structure?

A 75-year-old woman with HTN presents with sudden memory deficits and a change in emotional regulation. She is found to have a lacunar infarct, and you feel a disconnection of the Papez circuit may explain her symptoms. Which of the following is not considered a part of the Papez circuit?

A patient with medically refractory epilepsy secondary to mesial temporal sclerosis recently had a right hemispheric anterior temporal lobectomy. He is complaining of a post-operative visual field deficit. Which of the following is most likely to be appreciated on the exam?

A 65-year-old male with a history of alcoholic cirrhosis presents to the emergency department with dark black coffee-ground emesis. He is found to have a systolic blood pressure of 76/40 and is tachycardic to 120 BPM. Which nerve is most responsible for carrying the afferent fibers from carotid sinus baroreceptors that cause the reflex increase in heart rate seen in this patient?

Which of the following can not cross the blood-brain barrier via channel-mediated transport?

Which of the following symptoms can be seen with MCA-PCA watershed infarcts?

Which of the following findings is depicted in the catheter angiogram shown?