Step 2 CK

Question 1

Lesion site?
Right anopsia (monocular blindness)

Answer 1

Right optic nerve

Question 2

Lesion site?

Bitemporal hemianopsia

Answer 2

Optic chiasm

Question 3

Lesion site?

Left homonymous hemianopsia

Answer 3

Right optic tract

Question 4

Lesion site?

Left upper quadrant anopsia

Answer 4

Right optic radiations in the right TEMPORAL lobe

Question 5

Lesion site?

Left lower quadrant anopsia

Answer 5

Right optic radiations in the right PARIETAL lobe

Question 6

Lesion site?

Left homonymous hemianopsia w/ macular sparing

Answer 6

Right occipital lobe (from posterior cerebral artery occlusion)

Question 7

Decreased or no reflexes, fasciculations, atrophy. Area?

Answer 7

Lower motor neuron disease (possible muscle problem)

Question 8

Hyperreflexia, clonus, increased muscle tone

Answer 8

Upper motor neuron lesion (cord or brain)

Question 9

Apathy, inattention, disinhibition, labile affect. Area?

Answer 9

Frontal lobes

Question 10

Broca (motor ) aphasia. Area?

Answer 10

Dominant frontal lobe

Question 11

Wernicke (sensory) aphasia. Area?

Answer 11

Dominant temporal lobe

Question 12

Memory impairment, hyperaggression, hypersexuality. Lesion area?

Answer 12

Tempral lobes

Question 13

Inability to read, write, name or do math. Lesion area?

Answer 13

Dominant parietal lobe

Question 14

Ignoring one side of body, trouble with dressing. Lesion area?

Answer 14

Nondominant parietal lbe

Question 15

Visual hallucinations/illusions. Lesion area?

Answer 15

Occipital lobes

Question 16

Cranial III and IV

Answer 16

Midbrain

Question 17

CN V, VI, VII, VIII

Answer 17

Pons

Question 18

CN IX, X, XI, XII

Answer 18

Medulla

Question 19

Ataxia, dysarthria, nystagmus, intention, tremor, dysmetria, scanning speech

Answer 19

Cerebellum