Scribd Logo
Upload

Welcome to Scribd!

  • 26 views

    Stroke Mcqs

    Uploaded by

    Bhargavi

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Stroke Mcqs

    Uploaded by

    Bhargavi
    26 views22 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    26 views22 pages

    Stroke Mcqs

    Uploaded by

    Bhargavi

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 22

    Stroke

    Ischemic and Hemorrhagic

    Anvitha Poonacha
    HSC20MB0019
    1. Lacunar stroke is seen due to damage of lenticulostriate
    branches, which are branches of ?

    A. M1 - Horizontal part of Middle Cerebral Artery


    B. M2- Insular part of Middle Cerebral Artery
    C. M3 - Opercular part of Middle Cerebral Artery
    D. M4 - Cortical part of Middle Cerebral Artery
    Answer:

    A) Horizontal part of MCA - Lenticulostriate branches arise superiorly from M1 of


    middle cerebral artery . It causes basal ganglia manifestations when involved.
    2. All the following are located on the lateral side of brain stem except?

    A. Spinothalamic Tract
    B. Spinocerebellar Tract
    C. Corticospinal Tract
    D. Sympathetic chain
    Answer:

    C) Corticospinal Tract - It is a motor tract present in the midline of the brainstem.

    Lateral side
    - Spinothalamic Tract
    - Spinocerebellar Tract
    - Sympathetic chain
    - Sensory CN nuclei

    Midline
    - Medial longitudinal fasciclus (eye movement)
    - Motor Tract (Corticospinal tract)
    - Medial leminiscus ( proprioception and vibration)
    - Motor nucleus of CN 3, 4, 6, 12
    3. All the following are features of lateral medullary syndrome except,

    A. Horner’s syndrome
    B. Crossed hemianaesthesia
    C. Aguesia and vertigo
    D. Deviated tongue
    Answer:
    D) Deviated tongue

    Lateral Medullary syndrome


    - Restiform body - I/L gait ataxia, I/L intention tremors, I/L hypotonia
    - Descending sympathetic chain - Horner’s syndrome
    - CN 5 - I/L loss of sensation over face
    - Lateral STT - C/L loss of pain and temperature
    -CN 7,9 - Aguesia
    -CN 8 - Vertigo
    4. CADASIL is associated with which of the following gene?

    A. NOTCH 1
    B. NOTCH 2
    C. NOTCH 3
    D. NOTCH 4
    Answer:

    C) NOTCH 3 gene

    Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts. It is a type of small


    vessel stroke
    5. A 58 year old male patient presented with drooping of left eyelid and weakness in the
    right upper limb and lower limb . Which part of the brain is affected?

    A. Medial midbrain
    B. Medial medulla
    C. Pons
    D. Thalamus
    Answer:

    A) Medial midbrain

    Weber’s syndrome ( Vental midbrain syndrome )


    - I/L CN 3 palsy (ptosis) , squint (deviation of eye)
    - C/L hemiplegia
    6. Which of the following is least likely cause of intraparenchymal hemorrhage?

    A. Cavernous angioma
    B. Aneurysm
    C. Capillary telengectasia
    D. Head trauma
    Answer:

    C) Capillary telengectasia - It is more common in brainstem. It is mostly non-


    hemorrhagic and asymptomatic.
    7. The most common site of intraparenchymal hemorrhage is:

    A. Thalamus
    B. Putamen
    C. Cerebellum
    D. Pons
    Answer:

    B) Putamen - most common type of intracranial hemorrhage is intraparenchymal


    hemorrhage. It is most often caused by hypertensive bleed.
    8. Raised intracranial tension is not associated with which of the following
    manifestations?

    A. Seizures
    B. Blurring of vision
    C. Paraparesis
    D. Abducent paralysis
    Answer:

    C) Paraparesis - usually caused by a spinal lesion compressing the spinal cord.

    Manifestations of raised ICT include


    - Hypertension
    - Bradycardia
    - Respiartory depression
    - Headache, blurring of vision due to papilledema and abducent nerve palsy
    - Seizures
    9. Which of the following is a component of Cushing’s triad?

    A. Bradycardia
    B. Hypotension
    C. Loss of consciousness
    D. Papilledema
    Answer:

    A) Bradycardia - a component of Cushing’s triad

    Cushing’s triad - Hypertension, Bradycardia, Respiratory depression


    10. At which of the following locations does a Berry Aneurysm have the highest risk of
    rupture?

    A. Origin of posterior communicating artery


    B. Origin of anterior cerebral artery
    C. Middle cerebral artery
    D. Anterior communicating artery
    Answer:

    A) Origin of posterior communicating artery

    Aneurysms with greater risk of rupture :


    -Size: > 7cm in diameter
    -Located at the top of Basilar artery (origin of PCA)
    -Located near the origin of posterior communicating artery

    The most common location of Berry aneurysm is the Anterior communicating artery.
    Thank you

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy