Neurovascular Anatomy, Cerebral Aneurysms and Basic Stroke Syndromes

Question 1

What are the language areas supplied by?

Answer 1

middle cerebral arteries

Question 2

What are the main blood vessels in the brain?

Answer 2

right and left internal carotid arteries

right and left vertebral arteries

basilar artery

right and left anterior cerebral arteries

right and left middle cerebral arteries

right and left posterior cerebral arteries

anterior communicating artery

right and left posterior communicating artery

Question 3

What is A and B?

Answer 3

A - right ICA

B - left ICA

Question 4

What is A, B and C?

Answer 4

A - basilar artery

B - right vertebral artery

C - left vertebrl artery

Question 5

What is A?

Answer 5

right and left middle cerebral arteries

Question 6

What is A?

Answer 6

left and right posterior cerebral arteries

Question 7

What is A?

Answer 7

left and right anterior cerebral arteries

Question 8

What is A?

Answer 8

anterior communicating artery

Question 9

What is A?

Answer 9

right and left posterior communicating arteries

Question 10

What is A?

Answer 10

right middle cerebral artery aneurysm

Question 11

What is a common anatomical area for aneurysms?

Answer 11

most intracranial aneurysms arise from the branch points of the circle of willis

Question 12

What is the treatment of a ruptured intracranial aneurysm?

Answer 12

endovascular coil embolization

surgical clipping

treating complications such as infarcts and disability

Question 13

What does the right middle cerebral artery supply?

Answer 13

left body strength and left body sensation

and vice versa for the right middle cerebral artery but plus language

Question 14

WHat do the right and left posterior cerebral arteries supply?

Answer 14

perception of the visual field on the opposite side

Question 15

What is the cerebellum supplied by?

Answer 15

posterior inferior, anterior inferior and superior cerebellar arteries

Question 16

What do cerebellar strokes cause?

Answer 16

ataxia and/or nystagmus

Question 17

What is another cause of acute cerebellar syndrome? ()becomes inflamed and damaged

Answer 17

alcohol intoxication

Question 18

Case 1 - an elderly patient presents with sudden onset left arm and left weakness. on examination she has increased reflexes and left-sided neglect. the culprit arterial territory is:

A) left middle cerebellar artery

B) right middle cerebellar artery

C) left posterior cerebellar artery

D) right posterior cerebellar artery

E) left anterior cerebellar artery

Answer 18

B) right middle cerebellar artery

Question 19

Case 2 - an elderly patient presents to hospital after a fall caused by tripping over a large object. on examination, the patient has a right visual field defect. the culprit artery is:

A) left middle cerebellar artery

B) right middle cerebellar artery

C) left posterior cerebellar artery

D) right posterior cerebellar artery

E) left anterior cerebellar artery

Answer 19

C) left posterior cerebellar artery

Question 20

Case 3 - a patient presents with sudden onset right arm and right leg weakness with increased reflexes in thos elimbs. He/she also has aphasia. The arterial territory is of:

A) left middle cerebellar artery

B) right middle cerebellar artery

C) left posterior cerebellar artery

D) right posterior cerebellar artery

E) left anterior cerebellar artery

Answer 20

A) left middle cerebellar artery

Question 21

Case 4 - an 84 year old man with 2 prrior left hemispheric infarcts got locked in his house 2 weeks ago as he couldnt find his keys. on examination, he has a left homonymous hemianopia. The culprit artery is:

A) left middle cerebellar artery

B) right middle cerebellar artery

C) left posterior cerebellar artery

D) right posterior cerebellar artery

E) left anterior cerebellar artery

Answer 21

D) right posterior cerebral artery

Question 22

Case 5 - a patient with a history of hypertension and 2 previous heart attacks presents with sudden onset painless right lower limb weakness. the patient . The culprit artery is:

A) left middle cerebellar artery

B) right middle cerebellar artery

C) left posterior cerebellar artery

D) right posterior cerebellar artery

E) left anterior cerebellar artery

Answer 22

E) left anterior cerebral artery