Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  q4 




 
Kaplan Qbank USMLE



Author11 Posts
  #1

A 73 yr old woman is brought to the emergency dept after her husband noted that she had a left-sided facial droop and was having difficulty with moving her left side. On physical examination, the patient's speech is fluent and her comprehension is intact, but she is unable to repeat what is said to her. This patient's brain lesion includes which of the following areas?

A) Amygdala
B) Arcuate Fasciculus
C) Basal Ganglia
D) Broca's Area
E) Wernicke's Area

  #2

B.

___________________
remedy for weakness is not brooding over it ,but thinking of strength.

  #3

It is conduction aphasia;is due to transection of arcuatefasiculus which interconnects Brodmann's speech area with Wernickes area

  #4

agree

___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca

  #5

nod

___________________
Aim High

  #6

sorry guys .... but i dont fully understand.

q says that her speech is fluent and so is her comprehension ... means that she can speak fine. if arcuate fasciculus is gone then the picture should be similar to Broca's aphasia.

trouble repeating is in Wernicke's ... but this pt's compre is fine .... so I dont know the answer !!

pl continue ....

  #7

yeah plz.....make it clear....

___________________
i m not perfect but i wanna get close to it......

  #8

broca aphasia is non-fluent with poor repitition
conduction aphasia is FLUENT with poor repitition

  #9

in conduction aphasia the person comprehend completely normal, because there is no damage to wernikes area and he speaks fluently because of lack of damage ot brocas. The problem is that the communication between brocas, and wernikes is disrupted. This lead to the in ability to repeat sentences. Just like brocas these patients are acutely aware of their deficit and usually extremely frustrated by it. So I agree with everyone that says B

  #10

the answer is B

But what about left-sided facial droop and difficulty with moving her left side.

Shouldn't it be right sided movement difficulties?

  #11

poor repetition= Arcuate Fasciculus

ez! it is possibe that the patient's dominant side is on the right hemishere.


___________________
All human wisdom is summed up in two words: wait and hope







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.