Neurology: stroke: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Neurology: stroke

Sample item

A patient develops aphasia and right face-arm weakness greater than leg weakness. Which artery is most likely occluded?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Left middle cerebral artery

The dominant MCA supplies lateral frontal and temporal cortex, including language areas, and the lateral motor cortex representing face and arm.

Option by option

  • A. Basilar artery

    Basilar occlusion produces brainstem findings or locked-in syndrome.

  • B. Left middle cerebral artery (correct)

    Correct. Dominant MCA infarction fits aphasia with face-arm deficit.

  • C. Right posterior cerebral artery

    PCA infarction often causes visual-field loss.

  • D. Left anterior cerebral artery

    ACA infarction favours contralateral leg weakness.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Left middle cerebral artery. The dominant MCA supplies lateral frontal and temporal cortex, including language areas, and the lateral motor cortex representing face and arm.

Why is "Basilar artery" not the answer?

Basilar occlusion produces brainstem findings or locked-in syndrome.

Why is "Right posterior cerebral artery" not the answer?

PCA infarction often causes visual-field loss.

Why is "Left anterior cerebral artery" not the answer?

ACA infarction favours contralateral leg weakness.

What concept does this question test?

It tests Neurology: stroke in General Medicine. The correct option holds because: Correct. Dominant MCA infarction fits aphasia with face-arm deficit.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neurology: stroke?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.