QUESTIONS WITH ANSWERS GRADED A+
◉All of the following may represent symptoms from the brain stem
or posterior circulation EXCEPT:
a) dizziness
b) vertigo
c) ectasia
d) syncope
e) amaurosis fugax. Answer: e) amaurosis fugax
◉A patient relates a 10-mininute episode of loss of vision. He closed
each eye and the reduction in the right half of his visual field was
present bilaterally. This patient is describing amaurosis fugax.
True or false?. Answer: false
◉A TIA of the right anterior hemisphere of the brain will likely
affect:
a) the entire body
b) the left side of the body
c) the right side of the body
d) the right side of the face
,e) the back of the head. Answer: b) the left side of the body
◉Amaurosis fugax related to an internal carotid lesion will cause:
a) permanent blindness of the contralateral eye
b) temporary blindness or shading of the ipsilateral eye
c) permanent blindness of the ipsilateral eye
d) temporary blindness or shading of the contralateral eye
e) temporary blindness or shading of both eyes. Answer: b)
temporary blindness or shading of the ipsilateral eye
◉Simultaneous bilateral ocular symptoms in the patient with
suspected cerebrovascular disease generally originate from:
a) the vertebrobasilar arteries
b) the ophthalmic arteries
c) both common carotid arteries
d) both internal carotid arteries
e) both external carotid arteries. Answer: a) the vertebrobasilar
arteries
◉Which of the following is an anterior circulation symptom?
a) ataxia
b) drop attack
, c) syncope
d) binocular visual disturbances
e) facial asymmetry. Answer: e) facial asymmetry
◉A 56-year old patient reports loss of vision in her left eye two days
ago, with total resolution in 10 minutes. Yesterday morning she
developed weakness and numbness in her right hand and was
unable to hold her coffee cup. This afternoon her hand strength is
about 90% normal, with normal sensation. Clinically she has:
a) amaurosis fugax
b) transient ischemic attack
c) migraine
d) stroke
e) lacunar infarct. Answer: d) stroke
◉112. A binocular disturbance that disrupts vision in half the visual
field of both eyes is called:
a) hemiplegia
b) amaurosis duplex
c) dysphagia
d) homonymous hemianopia
e) hemiparesis. Answer: d) homonymous hemianopia