medic21
Forum Newbie
Topics: 9
Posts: 21
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i have attached the question image.
what symptoms does this patient have on the right side
A. numbness of face and homonymous hemianopia
B weakness of upper limb and aphasia
C weakness in face n dysarthia
d weakness of upper limb, lower limb, face
Attached Files:
Picture 1.png (77 KB, 26 downloads)
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| akm
Forum Junior
Topics: 12
Posts: 76
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I think the answer is C
First off, one can pretty much rule out the other options......
the limbs are affected contralterally ( in this case it seems to be middle cerebral art so contralteral upper limbs and aphasia)
Homonymous hemaniopsia is also contralateral and involves the Posterior Cerebral artery.....
So I think its C.....
However it would be great if someone could give a detailed explanation! My test is on Monday.
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| Tiff
Forum Guru
Topics: 54
Posts: 563
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Think it's C too.
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| medic21
Forum Newbie
Topics: 9
Posts: 21
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i know this might sound silly but how do u decide which side the lesion is? i thought it is a left MCA lesion is affected therefore the patient would have weakness in right upper limb and right lower face and aphasia. there is also contralateral loss of sensaion in face and upper limb (right loss of sensation in face and upper limb).
i picked B , this might be wrong cos i dont know what side the lesion is? please, can someone help me decide which side the lesion is?
Edited by medic21 on 04/10/08 - 07:47 PM
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| medic21
Forum Newbie
Topics: 9
Posts: 21
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oh please can some also clarify does epidural hematoma look line biconcave or biconvex on a scan
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| angel23
Forum Guru
Topics: 37
Posts: 751
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this section is at the eye level
so if u judge by supposing your skull tht the area shown in the figure is right above your ear on right side
this area (lower part of convex surface) is area for face
so ans is C
if this section wud hav been at upper level than eyes then it wud hav involved upper part of convex surface ....area for upper limb
if still higher then trunk
and if medial surface then it wud hav been lower limbs
this is accordin to distribution on convex surface of brain
i think i made tht clear
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| angel23
Forum Guru
Topics: 37
Posts: 751
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answers for nbme form 2
BLOCK 1
1B
2G
3B
4A
5D
6A
7C
8A
9C
10E
11A
12H
13D
14B
15C
16E
17C
18B
19B
20C
21D
22A
23A
24B
25A
26A
27C
28D
29B
30E
31D
32A
33B
34C
35C
36C
37E
38D
39D
40E
41C
42C
43B
44B
45B
46G
47E
48A
49E
50C
BLOCK 2
1C
2A
3D
4C
5C
6C
7D
8A
9B
10E
11C
12E
13B
14A
15A
16D
17B
18B
19D
20A
21E
22A
23E
24A
25G
26A
27E
28B
29C
30A
31A
32B
33E
34D
35C
36D
37D
38F
39E
40B
41C
42D
43D
44E
45D
46D
47E
48C
49C
50C
BLOCK 3
1C
2B
3B
4C
5F
6A
7B
8E
9E
10A
11C
12D
13A
14D
15E
16B
17D
18A
19B
20D
21D
22B
23D
24E
25B
26C
27D
28C
29A
30B
31A
32F
33B
34A
35B
36F
37D
38E
39B
40C
41C
42A
43B
44E
45D
46E
47D
48D
49C
50B
BLOCK 4
1D
2D
3D
4E
5B
6A
7D
8E
9C
10D
11C
12A
13B
14C
15A
16C
17C
18B
19A
20E
21D
22E
23C
24C
25B
26I
27C
28D
29A
30D
31E
32F
33A
34B
35D
36D
37C
38B
39A
40B
41A
42B
43D
44C
45A
46E
47D
48C
49B
50C
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