Neurology VI Flashcards
(27 cards)
Focal seizures not responding to first-line drug - try [2] (i.e. the first-line drug not already tried) and if neither help then [1]
Focal seizures not responding to first-line drug - try lamotrigine or levetiracetam (i.e. the first-line drug not already tried) and if neither help then carbamazepine
A patient presents with sentences that make no sense, word substitution and neologisms but speech remains fluent.
What type of aphasia is this? [1]
Where is the lesion occurring? [1]
Wernicke’s (receptive) aphasia
- lesion of the superior temporal gyrus
Wernicke’s (receptive) aphasia is normally supplied by which artery? [1]
inferior division of the left MCA
Where is Broca’s aphasia occuring? [1]
Due to a lesion of the inferior frontal gyrus
Broca’s aphasia is due to a lesion of the inferior frontal gyrus. It is typically supplied by the [1]
Due to a lesion of the inferior frontal gyrus. It is typically supplied by the superior division of the left MCA
Describe the presentation of conduction aphasia [1]
Where is the lesion occuring? [1]
Speech is fluent but repetition is poor. Aware of the errors they are making
Classically due to a stroke affecting the arcuate fasiculus - the connection between Wernicke’s and Broca’s area
Speech fluent; comprehension impaired
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Speech fluent; comprehension impaired
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Speech non-fluent; comprehension impaired
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Speech non-fluent; comprehension impaired
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Speech fluent; comprehension intact
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Conduction aphasia
Speech non-fluent; comprehension intact
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
Speech non-fluent; comprehension intact
Broca’s aphasia
Global aphasia
Conduction aphasia
Wernicke’s aphasia
A patient presents with fluent but meaningless speech, poor comprehension, and frequent neologisms. What is the most likely diagnosis?
A. Broca’s aphasia
B. Wernicke’s aphasia
C. Conduction aphasia
D. Global aphasia
C. Conduction aphasia
Which of the following arteries supplies Broca’s area?
A. Anterior cerebral artery
B. Posterior cerebral artery
C. Superior division of the middle cerebral artery
D. Inferior division of the middle cerebral artery
C. Superior division of the middle cerebral artery
Temporal lobe
A patient is noted to have no speech and appears to understand little of what is said to him - global aphasia
Dysarthria
A patient is noted to speak fluently but makes little sense with mulitple word substitutions and neologisms. He also has difficulty understanding what people are saying to him - Wernicke’s aphasia
frontal lobe
inability to generate a list would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
inability to generate a list would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
auditory agnosia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
auditory agnosia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
Auditory agnosia refers to impairments in sound perception and identification despite intact hearing, cognitive functioning, and language abilities
inferior homonymous quadrantanopia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
Parietal lobe lesions
superior homonymous quadrantanopia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
superior homonymous quadrantanopia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
visual agnosia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
visual agnosia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
anosmia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
anosmia would occur from a lesion in
Frontal lobes lesions
Temporal lobe lesion
Occipital lobe lesions
Parietal lobe lesions
Cerebellum lesions
Kluver-Bucy syndrome (hypersexuality, hyperorality, hyperphagia, visual agnosia would occur from a lesion in which specific brain area?
Amygdala
