Neuroscience Flashcards
60 y/o right-handed M, getting lost, only writes on right half of paper. Left-sided hemineglect. Where is the lesion?
RIGHT PARIETAL LOBE
66 y/o with HTN develops vertigo, diplopia, nausea, vomiting, hiccups, L face numbness,
nystagmus, hoarseness, ataxia of limbs, staggering gait, and tendency to fall to the left. Dx?
LATERAL MEDULLARY STROKE
78 y/o pt had an ischemic stroke that left him with a residual mild hemiplegia. Pt appeared
to be unaware that there was a problem of weakness on one side of this body. When asked
to raise the weak arm, the patient raised his normal arm. When the failure to raise the
paralyzed arm was pointed out to pt, he admitted that the arm was slightly weak. He also
neglects the side of the body when dressing and grooming. Pt did not shave one side of his
face, had difficulty putting a shirt on when it was turned inside out. Area of brain likely
affected by stroke?
RIGHT PARIETAL LOBE
26 y.o. w/HA and R-hand clumsiness for weeks. Exam shows difficulty w/rapid alternating
movements of hand, overt intention tremor on finger-to-nose, and mildly dysmetric finger
tamping. CNS intact and no papilledema. Where will damage show on MRI?
CEREBELLUM
Adult neurogenesis in which area of the brain? (x2)
HIPPOCAMPUS
Previously pleasant mom becomes profane and irresponsible over 6 months. Most likely a
pathology in: (2x)
FRONTAL LOBE
Rapid onset of right facial weakness, left limb weakness, diplopia: (2x)
BRAIN STEM INFARCTION
Neurogenesis in adult brain is restricted to what region of the brain?
DENTATE GYRUS
MRI scan of head reveals an infarct in distribution of left anterior cerebral artery. Pt most
likely exhibits: (2x)
WEAKNESS OF CONTRALATERAL FOOT AND
LEG
bipolar has decreased connectivity here
AMYGDALA AND PFC
Biogenic amine made in Locus Coeruleus
NE
CNS response to fear mediated by what structure.
CENTRAL NUCLEUS OF THE AMYGDALA
Brain area activated by subliminal presentations of emotional faces
AMYGDALA
CNS region containing dopaminergic neurons projecting to caudate and putamen
SUBSTANTIA NIGRA
Area of brain responsible for face recognition
FUSIFORM GYRUS
Area of brain to remember a number to make a phone call
DORSOLATERAL PFC
Which part of cortical-striatal-pallidal-thalamic cortical circuit evaluates painful stimuli
LATERAL ORBITOFRONTAL
The dorsolateral-prefrontal cortex, striatum and ____ are part of a loop circuit that produces
worry and obsessive symptoms
THALAMUS
The blood brain barrier is made up of what kind of cells?
ENDOTHELIAL
Orexin is made in what part of the brain?
HYPOTHALAMUS
So dopamine neurons in what system is primarily implicated in tasks related to cognitive
processing?
MESOCORTICAL
Which dopaminergic pathway includes the nucleus accumbens and mediates addiction and
associated behaviors?
MESOLIMBIC
Development of brain grey-matter volume peaks at what stage
LATE CHILDHOOD
In a pt with hippocampus damage, what allows them to still learn new skills like playing
tennis?
BASAL GANGLIA
65 y/o pt has a stroke which causes him to fall. On exam, weakness of the right leg, with only
minor weakness of the right hand, no weakness of the face, no sensory deficit. Speech is not
affected, but pt seems unusually quiet and passive. The stroke most likely involves the:
LEFT ANTERIOR CEREBRAL ARTERY
Hemisensory loss followed by pain and hyperpathia involving all modalities and reaching the
midline of the trunk and head is most consistent with ischemia in the distribution of which of
the following arteries?
POSTERIOR CEREBRAL
Right-side palsy with equal involvement of the face, arm and leg combined with third nerve
palsy is most likely due to occlusion of a branch of which artery?
POSTERIOR CEREBRAL
Bilateral lower extremity weakness, abulia, mutism, urinary incontinence are most likely to
result from occlusion of which of the following arteries?
ANTERIOR CEREBRAL
Pure sensory deficit extending to midline and involving face, arm, trunk, and leg, caused by a
lacunar infarct where?
LATERAL THALAMUS
Blocking R PCA (posterior cerebral artery) causes which visual disturbance?
LEFT HOMONYMOUS HEMIANOPSIA
The clinical syndrome associated with occlusion of the cortical branch of the posterior
cerebral artery would result in which of the following?
HOMONYMOUS HEMIANOPIA WITH ALEXIA
WITHOUT AGRAPHIA
28 y/o cocaine user complains of LBP, numbness in both legs and feet, thighs, buttocks,
abdomen, and says R leg is weak and clumsy, L leg is tired. Has urinary incontinence and
difficulty walking. Decreased light touch, pinprick, and temperature. Normal vibration and
proprioception. DTR is hard to elicit. Muscle tone is normal. Decreased strength in B/L LE but
worse on right. Diagnosis?
ANTERIOR SPINAL ARTERY INFARCTION
Loss of ability to execute previously learned motor activities (which is not the result of
demonstrable weakness, ataxia or sensory loss) is associated with lesions of?
LEFT PARIETAL CORTEX
Normal Romberg w/ eyes open but loses balance with eyes closed. Where is the
abnormality?
CEREBELLAR VERMIS
Motor speech paradigm activation task on fMRI – hyperactivity in right temporal lobe.
Damage is where?
CALCARINE FISSURE
Aphasia w/ effortful fragmented, non-fluent, telegraphic speech, is seen in a lesion where?
POSTERIOR FRONTAL LOBE
A pituitary tumor that protrudes through the diaphragmatic sella is most likely to cause?
BITEMPORAL HEMIANOPSIA
Conduction aphasia often occurs as a result of damage to which structure?
ARCUATE FASCICULUS
Unilateral hearing loss, vertigo, unsteadiness, falls, headaches, mild facial weakness and
ipsilateral limb ataxia is most commonly associated with tumors in what locations?
CEREBELLOPONTINE ANGLE
20 y/o with 1-year h/o bitemporal headaches, polydipsia, polyuria, and bulimia plus 2-month
h/o emotional outbursts, aggression, and transient confusion. Neuro exam normal. What will
MRI of brain show?
HYPOTHALAMIC TUMOR
34 y/o M is referred for psychiatric evaluation 5 years after sustaining a head injury at work.
Prior to the accident, he was a stable, happily married man. Since the accident, he has been
described as overly talkative and restless. His wife divorced him because he was acting
irresponsibly, which also resulted in termination from his job. Psychometric testing reveals
that the man has average intelligence and no detectable memory deficits. Pt’s clinical
presentation is most consistent with damage to which to the following brain areas?
FRONTAL LOBE
Pt reports headaches and peripheral visual loss. Visual field defects involving the temporal
fields of both eyes are detected. An MRI scan is likely to reveal?
A MASS IN THE SELLA TURCICA
Unconsciousness can be induced by a small area of damage where?
RETICULAR FORMATION
Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where?
SUBTHALAMIC NUCLEUS
Akinetic mutism can result from bilateral infarctions of which of the following structures:
ANTERIOR CINGULATE GYRUS
Which lesion causes bilateral coarse nystagmus worsening with visual fixation and present
with horizontal and vertical gaze?
BRAINSTEM
32 y/o pt 1-month hx of worsening headaches, episodic mood swings and occasional
hallucinations with visual, tactile and auditory content. CT head reveals tumor where:
TEMPORAL LOBE