ILA Neuro Flashcards
A 42 year old female suffers a violent headache followed by sudden collapse. You notice that her left pupil is fixed and dilated and her left eye is deviated laterally and downwards. Which artery is likely to have been affected?
posterior communicating artery
An elderly patient with a stiff flexed arm, and a stiff extended leg (both on the left) which the patient finds difficult to bend. Where is the cause most likely to be located?
upper motor neuron
While examining a patient you observe that they walk with a wide unsteady gait and appear uncoordinated. Their speech is slurred. Where is the likely lesion?
cerebellum
A 69 year old lady was slurring her words at a church coffee morning. At the same time her right arm began to feel heavy and weak. 24 hours later all her symptoms had resolved. Which of these is the likely cause?
stroke
Whilst examining an elderly lady who arrives on the stroke ward, it becomes apparent that she can only see one half of your face. Where is the likely lesion?
occipital lobe
A 51 year old man has a 2 month history of weakness in both of his hands, he is now unable to open jars. His hands show wasting of the thenar eminence. He has recently developed slurred speech and difficulty swallowing. His tongue appears spastic and he is unable to protrude it. Which of these is the likely cause?
motor neuron disease
You are clerking an elderly gentleman who has had a stroke; the patient keeps trying to take his gown off and some of his responses are inappropriate and occasionally rude. Where is the likely lesion?
frontal lobe
An 89-year-old right-handed patient presents with acute onset of weakness and numbness of their left lower leg and foot is unusually agitated and in an aggressive mood. Which artery is likely to have been affected?
anterior cerebral artery
Which artery supplies the circle of Willis?
internal carotid
A 40 year old removal man felt immediate back pain and a popping sensation after lifting a heavy box. The next day he noticed he was tripping over his right foot as it was dragging along the floor. Where is the cause most likely to be located?
nerve root
A 30 year old woman noticed both her eye lids becoming progressively more droopy with time (ptosis). Weeks later she began to experience double vision, and found it progressively more tiring and difficult to chew while eating. Which of these is the likely cause?
myasthenia gravis
A 53 year old man with hypertension presents with sudden collapse; unable to move any part of his body except for eye movements, he appears to understand your questions, but is unable to answer. Where is the likely lesion?
brain stem
A 30 year old pregnant lady complains to the GP of progressive hand weakness. She is unable to open jars and even grip her tea cup. The GP noticed that the muscles around her thumb were wasting. Where is the cause most likely to be located?
peripheral nerve
