Vascular Territories
This artery commonly causes contralateral face and arm weakness when occluded.
A. Anterior cerebral artery
B. Posterior cerebral artery
C. Middle cerebral artery
D. Basilar artery
Middle Cerebral Artery
Ipsilateral facial paralysis with contralateral hemiparesis localizes the lesion to the:
A. Medulla
B. Midbrain
C. Pons
D. Cerebellum
Pons
Finger agnosia, acalculia, and left‑right confusion point to damage in the:
A. Right frontal lobe
B. Dominant parietal lobe
C. Non‑dominant temporal lobe
D. Occipital cortex
Dominant Parietal Lobe
Pure motor hemiparesis without cortical signs most often results from infarction of the:
A. Thalamus
B. Internal capsule
C. Caudate nucleus
D. Primary motor cortex
Internal Capsule
Early MCA stroke often causes loss of gray‑white differentiation in the:
A. Caudate nucleus
B. Insular cortex
C. Occipital lobe
D. Thalamus
Insular Cortex
Infarcts in this vascular territory often cause contralateral leg weakness and behavioral changes.
A. Middle Cerebral Artery
B. Posterior Cerebral Artery
C. Anterior Cerebral Artery
D. Vertebral artery
Anterior Cerebral Artery
Hoarseness, dysphagia, ipsilateral facial pain loss, and contralateral body pain loss indicate:
A. Medial medullary syndrome
B. Lateral medullary (Wallenberg) syndrome
C. Weber syndrome
D. Claude syndrome
Wallenberg Syndrome
Non‑fluent, effortful speech with intact comprehension localizes to:
A. Wernicke’s area
B. Arcuate fasciculus
C. Broca’s area
D. Insular cortex
Broca's Area
A pure sensory stroke most commonly involves the:
A. Post‑central gyrus
B. Cerebellum
C. Thalamus
D. Brainstem tegmentum
Thalamus
Early middle cerebral artery (MCA) infarcts may spare which region due to more robust collateral blood supply?
A. Primary motor cortex
B. Primary visual cortex
C. Internal capsule
D. Insular cortex
Severe deficits including coma and “crossed” brainstem findings suggest occlusion of which artery?
A. Posterior inferior cerebellar artery
B. Basilar artery
C. Anterior spinal artery
D. Posterior cerebral artery
Basilar Artery
Loss of pain and temperature sensation on the ipsilateral face implicates damage to the:
A. Ventral trigeminothalamic tract
B. Main sensory trigeminal nucleus
C. Spinal trigeminal nucleus and tract
D. Medial lemniscus
Spinal Trigeminal Nucleus and Tract
A right hemispheric stroke most commonly causes:
A. Expressive aphasia
B. Gerstmann syndrome
C. Hemispatial neglect
D. Alexia without agraphia
Hemispatial Neglect
Ataxic hemiparesis is most often due to infarction in the:
A. Medulla
B. Internal capsule or pons
C. Occipital lobe
D. Cerebellar hemisphere
Internal Capsule or Pons
This brain region is most vulnerable to global hypoxia:
A. Putamen
B. Purkinje cells
C. CA1 hippocampal neurons
D. Posterior limb of internal capsule
CA1 Hippocampal Neurons
This artery supplies the occipital lobe and medial temporal lobe.
A. Middle cerebral artery
B. Anterior choroidal artery
C. Posterior cerebral artery
D. Superior cerebellar artery
Posterior Cerebral Artery
Locked‑in syndrome results from infarction of which structure?
A. Dorsal midbrain
B. Medial medulla
C. Ventral pons
D. Cerebellar vermis
Ventral Pons
Fluent but meaningless speech with impaired comprehension indicates damage to:
A. Inferior frontal gyrus
B. Posterior superior temporal gyrus
C. Supplementary motor area
D. Angular gyrus
Posterior Superior Temporal Gyrus
Weber syndrome localizes to the:
A. Pons
B. Medulla
C. Midbrain
D. Thalamus
Midbrain
An intracerebral hemorrhage classically causes gaze deviation toward the lesion when it involves which brain region?
A. Occipital lobe
B. Temporal lobe
C. Frontal lobe
D. Parietal lobe
Frontal Lobe
Alexia without agraphia most classically results from infarction in which vessel territory?
A. Left MCA
B. Right PCA
C. Left PCA
D. Left ACA
Left PCA
Ipsilateral tongue deviation with contralateral body weakness localizes the lesion to the:
A. Pons
B. Medial medulla
C. Lateral medulla
D. Midbrain
Medial Medulla
Inability to perform learned motor tasks despite intact strength is called:
A. Ataxia
B. Apraxia
C. Agnosia
D. Dysmetria
Apraxia
Decreased consciousness, vertical gaze palsy, and memory impairment suggest infarction of the:
A. Basal ganglia
B. Medial temporal lobe
C. Paramedian thalamus
D. Cerebellar vermis
Paramedian Thalamus
Watershed infarcts most often occur between which territories?
A. ACA–PCA
B. MCA–PCA
C. ACA–MCA
D. Basilar–PCA
ACA-MCA