ABCN Neuropathological Conditions and Clinical Presentations 2

Question 1

According to standard classification criteria, a traumatic brain injury is classified as 'severe' when the post-resuscitation Glasgow Coma Scale score is:

Accepted Answer

3–8

Answer

13–15

Answer

9–12

Answer

Below 3

Question 2

Following mild traumatic brain injury (concussion), which neuropsychological domain demonstrates the most consistent acute-phase impairment?

Accepted Answer

Processing speed and sustained attention

Answer

Visuospatial construction abilities

Answer

Language production fluency

Answer

Long-term semantic memory retrieval

Question 3

Post-stroke aphasia characterized by non-fluent speech output, impaired repetition, and relatively preserved auditory comprehension is most consistent with which syndrome?

Accepted Answer

Broca's aphasia

Answer

Wernicke's aphasia

Answer

Conduction aphasia

Answer

Transcortical sensory aphasia

Question 4

A patient with left temporal lobe epilepsy is most likely to demonstrate which selective memory impairment on neuropsychological testing?

Accepted Answer

Impaired verbal learning and recall with relatively preserved visuospatial memory

Answer

Impaired visuospatial memory with preserved verbal learning

Answer

Generalized amnestic syndrome affecting all modalities equally

Answer

Prospective memory deficit without retrograde impairment

Question 5

Which neuropsychological measure is considered most sensitive for detecting left hippocampal dysfunction in temporal lobe epilepsy presurgical evaluation?

Accepted Answer

California Verbal Learning Test (CVLT) delayed recall

Answer

Trail Making Test Part B

Answer

Rey-Osterrieth Complex Figure delayed recall

Answer

Digit Span Forward

Question 6

A patient sustains a right hemisphere ischemic stroke. Which constellation of deficits is most expected on neuropsychological examination?

Accepted Answer

Left hemispatial neglect, constructional apraxia, and left hemiplegia

Answer

Expressive aphasia, right hemiplegia, and right homonymous hemianopsia

Answer

Alexia without agraphia and right visual field defect

Answer

Ideomotor apraxia and Gerstmann syndrome

Question 7

The Wada test (intracarotid sodium amobarbital procedure) is administered during epilepsy surgery evaluation primarily to determine:

Accepted Answer

Language lateralization and adequacy of contralateral memory

Answer

Seizure type and ictal propagation pattern

Answer

Degree of hippocampal sclerosis on MRI

Answer

Responsiveness to antiepileptic medication