EMQs in Clinical Medicine.pdf - Peshawar Medical College

84 Neurology
38 Site of neurological lesion
A
B
C
D
E
F
left occipital lobe
right cerebellar lobe
medial longitudinal fasciculus
(MLF)
non-dominant temporal lobe
caudate nucleus
right occipital lobe
G
H
I
J
K
L
M
substantia nigra
frontal lobe
left parietal lobe
dominant temporal lobe
left cerebellar lobe
right parietal lobe
bilateral nerve VI lesion
Choose the most probable site of lesion in these clinical scenarios. Each option
may be used only once.
1 A 75-year-old, right-handed woman is noted to ignore stimuli on the left side of
her body.
2 A 65-year-old woman with suspected dementia is noted to be aggressive and
sexually disinhibited.
3 A 65-year-old man has been unable to understand the ward staff over the last
few days and speaks fluently in jargon that cannot be understood. His speech
and language were previously normal.
4 A 34-year-old woman with multiple sclerosis is found to have bilateral
internuclear ophthalmoplegia.
5 A 41-year-old man presents with dementia and irregular jerky movements of
the trunk and limbs. His father suffered from a similar problem.
Answers: see page 100.