<prompt> A lady cant speak but can tell by writing. Which of the following brain areas is affected?Brocas areaWernickes areaParacentral lobuleInsula  <response>: Ans. a Brocas AreaRef: Harrison 19th ed. 177 Brocas area damage is called expressive aphasia non- fluent aphasia. Pattern has loss of the ability to produce language spoken or written. Patient has insight to his problem and is frustrated. Remember: Broca is broke. Speaks broken words. Damage to paracentral lobule would lead to loss of control over urination and lead to urge incontinence. Damage to insula leads to loss of hand eye coordination and loss of social skills. 