Unit XI (55-62) - The Nervous System - Motor and Integrative Neurophysiology Flashcards

1
Q

Activation of the Golgi tendon organ of a given muscle:

a. Monosynaptically produces excitatory post synaptic potential (EPSP) on the α motor neuron that returns to that muscle.
b. Is most effectively produced by lengthening of the extrafusal fibers of that muscle.
c. Polysynaptically produces IPSPs on the α motor neuron that returns to that muscle.
d. Polysynaptically produces EPSPs on the α motor neuron that returns to that muscle.
e. Activates motor neurons that return to the Golgi tendon organ itself.

A

C. Polysynaptically produces Inhibitory post synaptic potentials on the α motor neuron that returns to that muscle.

Cunningham Ch. 8

Golgi tendon organ - senses tension, it is a local circuit that directly inhibits the individual muscle without affecting the adjacent muscles.
Signals transmitted through large rapidly conducting Type IB nerve fibers

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2
Q

Gamma (γ) motor neurons:
a. Innervate and produce contraction of the equatorial
(middle) region of an intrafusal fiber.
b. Have their cell bodies in the dorsal horn of the spinal cord.
c. Are never activated at the same time as α motor neurons.
d. Can regulate the sensitivity of the muscle spindle sensory organ.
e. Innervate and regulate the sensitivity of the Golgi tendon
organ.

A

D. Can regulate the sensitivity of the muscle spindle sensory organ.

Cunningham Ch. 8

Gamma - smaller fibers, in less quantities than alpha , innervate intrafusal fibers

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3
Q

Which of the following is not characteristic of the muscle
spindle?
a. Encapsulated intrafusal fibers
b. Sensitivity to muscle tension
c. Sensitivity to dynamic stretching of the muscle
d. Lying parallel to the extrafusal muscle fibers
e. Sensitivity to steady-state length of the muscle

A

B. Sensitivity to muscle tension

Cunningham Ch. 8

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4
Q

If the distance between the origin and insertion tendons is increased (the muscle is stretched), what happens to the frequency of action potentials along the sensory axons leaving the muscle spindles in that muscle?

a. Increases
b. Decreases
c. Does not change

A

A. Increases

Cunningham Ch. 8

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5
Q

Hair cells similar to those of the organ of Corti are important for the function of which two of the following sensory organs?

a. Muscle spindle
b. Retina
c. Crista ampullaris
d. Golgi tendon organ
e. Utricular macula

A

C and E

Crista ampullaris and Utricular macula

Cunningham Ch. 17

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6
Q

Which one of the following cranial nerves transmits sound to the brain?

a. Second
b. Seventh
c. Eighth
d. Tenth

A

C. VIII

Cunningham Ch. 17

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7
Q

A motor neuron pool located most laterally in the ventral horn of the spinal cord is most likely to operate a muscle controlling movement of the:

a. Proximal limb.
b. Neck.
c. Distal limb.
d. Abdomen

A

C. Distal limb

Cunningham Ch. 10

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8
Q

Which of the following is true regarding decerebrate rigidity?
a. It can result from severe forebrain disease.
b. Disruption of the cortical control of medullary reticulospinal neurons is a major contributor to the condition.
c. It can result in a fixed, rigid, hobbyhorse-like posture in the quadruped.
d. Removal of normal inhibition to some of the antigravity
muscles contributes to the condition.
e. All of the above are true.

A

E. All of the above

Cunningham Ch. 10

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9
Q

Which of the following descending brainstem motor pathways controls distal limb musculature associated with skilled movement?

a. Vestibulospinal tract
b. Rubrospinal tract
c. Reticulospinal tract
d. Corticospinal tract (pyramidal)

A

B. Rubrospinal tract (extrapyramidal)

Cunningham Ch. 10

Vestibulospinal tract and Reticulospinal tract - important for maintaining the body upright against the pull of gravity

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10
Q

The corticospinal (pyramidal) tract, in general, initiates what form of movement?

a. Antigravity movement
b. Postural adjustment
c. Skilled, voluntary, mostly flexor movement
d. Tremulous, jerky movement
e. None of the above

A

C. Skilled, voluntary, mostly flexor movement

Cunningham Ch. 10

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11
Q

You are presented with a dog with a dense weakness, and proprioceptive placing reaction deficit, of his left front and left back legs. A single pathological site could cause these signs if it were located in the:

a. Left side of the cervical spinal cord.
b. Left cerebral cortex.
c. Right cerebral cortex.
d. Either a or b
e. Either a or c

A

E. A or C

Cunningham Ch. 10

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12
Q

The receptor organ detecting rotary acceleration and deceleration of the head is located in the:

a. Utricle
b. Saccule
c. Ampulla of the semicircular duct
d. Scala media of the cochlea
e. Vestibular nuclear complex

A

C. Ampulla of the semicircular duct
because it has the endolymph - fluid remains stationary while the semicircular ducts rotates with the head.

Cunningham Ch. 11

utricle - linear acceleration. determines the orientation of the head when the head is upright (horizontal)
saccule - detects orientation of the head when lying down (vertical)

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13
Q
  1. Which two of the following are not generally associated with the macula?
    a. Otoliths
    b. Cupula
    c. Detection of linear acceleration of the head
    d. Hair cells
    e. Normal nystagmus
A

B and E

Cupula and Normal nystagmus

Cunningham Ch. 11

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14
Q

You are presented with a dog with a head tilt, compulsive
circling, and spontaneous nystagmus. The most likely site of this dog’s pathological lesion is the:
a. Oculomotor nucleus.
b. Cerebral cortex.
c. Vestibular system.
d. Cervical spinal cord.
e. Spinal accessory (eleventh cranial) nerve.

A

C. Vestibular system

Cunningham Ch. 11

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15
Q

Which one of the following statements is false?

a. All hair cells of a single utricle are oriented in the same direction with respect to their cilia.
b. In a single vestibular hair cell, displacement of the cilia toward the largest cilium increases the firing rate of the hair cell’s associated sensory neuron.
c. The axons of sensory neurons synaptically associated with vestibular hair cells form the eighth cranial nerve.
d. A gelatinous layer is associated with the vestibular macula.
e. The vestibular nuclear complex is located in the brainstem.

A

A. All hair cells of a single utricle are oriented in the same direction with respect to their cilia.

Cunningham Ch. 11

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16
Q
  1. If a normal dog is sitting on a piano stool and I start to spin (accelerate) the stool to the right, which two of the following will be false regarding the observed nystagmus?
    a. The pattern of nystagmus observed at the start of rotation will be seen in reverse briefly after the spinning is abruptly stopped.
    b. An intact medial longitudinal fasciculus (MLF) is important for producing the nystagmus.
    c. The nystagmus will continue long after constant velocity is achieved.
    d. The eyes will drift slowly to the left, as far as they can go, and then flip rapidly back to the right.
    e. Nystagmus will often be observed long after the spinning has stopped, while the dog is stationary.
A

C & E

Cunningham Ch. 11

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17
Q
Which brain structure serves as the major controller of the limbic system?
A. Hypothalamus
B. Hippocampus
C. Amygdala
D. Mammillary body
E. Fornix
A

A. Hypothalamus

The hypothalamus, despite its small size, is the most important control center for the limbic system. It controls most of the vegetative and endocrine functions of the body and many aspects of behavior.

Guyton 13 ed. p 755

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18
Q

Which reflex is correctly paired with the sensory structure that mediates the reflex?
A. Autogenic inhibition - muscle spindle
B. Reciprocal inhibition - Golgi tendon organ
C. Reciprocal inhibition - Pacinian corpuscle
D. Stretch reflex - muscle spindle
E. Golgi tendon reflex - Meissner Corpuscle

A

D. The stretch reflex is mediated by muscle spindles. Autongenic inhibition involves Golgi tendon organs. Reciprocal inhibition is also related to muscle spindles.

Guyton 13 ed. p 698-699

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19
Q
Stimulation of which subcortical area can lead to contraction of a single muscle or small groups of muscles?
A. Dentate nucleus of the cerebellum
B. Ventrobasal complex of the thalamus
C. Red nucleus
D. Subthalamic nucleus
E. Nucleus accumbens
A

C. Red nucleus

The magnocellular portion of the red nucleus has a somatographic representation of all the muscles of the body, similar to the motor cortex. Stimulation of this area in the red nucleus results in contraction of a single muscle or small groups of muscles.

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20
Q

Which of the following is not associated with paradoxical vestibular disease?
A. Lesion in flocculonodular lobe
B. CP deficits on side of the lesion
C. Head tilt away from the lesion
D. Fast phase nystagmus toward the lesion

A

D. Fast phase toward the lesion

Paradoxical vestibular - loss of inhibitory influence on the vestibular nuclei –> overexcitation on the side of the lesion, vestibular signs away from the lesion and CP deficits on the side of the lesion.

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21
Q
1. Which of the following is principally involved in planning
ahead for the next appropriate movement?
a. Vestibulocerebellum
b. Spinocerebellum
c. Cerebrocerebellum
d. Archicerebellum
e. Both a and b
A

C. Cerebrocerebellum

Cunningham Ch 12

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22
Q

Which of the following is true regarding cerebellar Purkinje cells?

a. They are located in the cerebellar cortex.
b. They have large cell bodies.
c. They have an extensive dendritic tree.
d. When active, they inhibit the activity of cells in deep cerebellar nuclei, whose axons leave the cerebellum.
e. All the above.

A

E. all of the above

Cunningham Ch 12

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23
Q

Loss of the cerebellum causes loss of the muscle stretch reflex.

a. True
b. False

A

False

Cunningham Ch 12

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24
Q

Cats with congenital malformations of the cerebellum often have ataxia, intention tremor, and wide gait.

a. True
b. False

A

True

Cunningham Ch 12

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25
Q
As they leave the spinal cord and course peripherally to skeletal muscle, the axons of motor neurons must pass through which of the following structures?
A. Posterior column
B. Posterior root 
C. Posterior horn
D. Anterior root
E. Ventral White commissure
A

D. Axons of motor neurons in the anterior horn exit the spinal cord through the anterior root. The posterior root serves as the entry point for sensory fibers coming into the posterior horn region of the spinal cord. The posterior column and ventral white commissure are fiber tracts located solely within the spinal cord.

Guyton 13th ed p. 695

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26
Q

Which of the following features is characteristic of the supplementary motor cortex?
A.It has no somatotopic representation of the body
B. Stimulation of the supplementary motor cortex leads to bilateral movements, typically involving both hands
C.It is located just anterior to the premotor cortex on the lateral surface of the hemisphere
D. Like the premotor cortex, stimulation of the supplementary motor cortex leads to discrete movement of individual muscles
E. The supplementary cortex functions totally independent of the premotor and primary motor cortices

A

B. A characteristic feature of the supplementary motor cortex is that stimulation on one side produces bilateral limb movements, usually involving both hands.

Guyton 13th ed p. 708

27
Q

In addition to influencing the function of muscles, the corticospinal system regulates movement by its involvement with which of the following?
A. Spinal reflex circuits, such as those involved in the stretch reflex
B. Control of pain processing in the intralaminar thalamic nuclei
C.Vestibulo-ocular reflex
D. Brain stem preganglionic parasympathetic neurons
E. Memory circuits in the hippocampus

A

A. In addition to influencing the activation of muscles, the corticospinal tract can increase the gain of certain spinal cord reflex pathways, such that some reflexes are enhanced and others are inhibited.

Guyton 13th ed p. 712

28
Q

Although the sympathetic nervous system is often activated in such a way that it leads to mass activation of sympathetic responses throughout the body, it can also be activated to produce relatively discrete responses. Which of the following is an example of a local or discrete sympathetic action?
A. Heating of a patch of skin causes relatively restricted vasodilatation in the heated region
B. Food in the mouth causes salivation
C. Emptying of the bladder causes reflexive emptying of the bowel
D. Dust particle in the eye causes increased tear fluid release
E. Bright light introduced into one eye causes pupillary constriction in both eyes

A

A. An example of a relatively restricted or local sympathetic action is the vasodilatation or vasoconstriction of blood vessels that occurs upon the warming or cooling of a patch of skin.

Guyton 13th ed p. 783

29
Q
Which of the following pathways from the periphery give input to the cerebellum?
A. Corticopontocerebellar
B. olivocerebellar
C. Vestibulocerebellar
D. Reticulocerebellar
E. Spinocerebellar
A

E. Spinocerebellar

All the other pathways are from the brain to the cerebellum

30
Q
A lesion in which of the following parts of the basal ganglia  (aka basal nuclei) is associated with tremors, flailing movements of a limb, or flicking movements of the hand?
A. Caudate nucleus
B. Putamen
C. Globus pallidus 
D. Substantia nigra
E. Subthalamic nucleus
A

B. Putamen

thought to be the case in parkinsons disease.

31
Q
Which of the following parts of the basal ganglia is associated with cognitive control of motor function (doing something as an instinct - without thinking about it)? 
A. Caudate nucleus
B. Putamen
C. Globus pallidus 
D. Substantia nigra
E. Subthalamic nucleus
A

A. Caudate nucleus

32
Q
Which of the following neurotransmitters in the basal ganglia is ALWAYS inhibitory? 
A. Dopamine
B. GABA
C. Acetylcholine 
D. Serotonin
E. Norepinephrine
A

B. GABA

33
Q
In regards to control of movement overall, which of the following is responsible for arousal?
A. Spinal cord 
B. Hindbrain
C. Motor cortex
D. Cerebellum
E.  Basal ganglia
F.  Limbic System
A

F. Limbic system

34
Q
In regards to control of movement overall, which of the following is associated with execution of subconscious learned patterns? 
A. Spinal cord 
B. Hindbrain
C. Motor cortex
D. Cerebellum
E.  Basal ganglia
F.  Limbic System
A

E. Basal ganglia

35
Q
In regards to control of movement overall, which of the following is responsible for responsible for maintenance of axial tone of body?
A. Spinal cord 
B. Hindbrain
C. Motor cortex
D. Cerebellum
E.  Basal ganglia
F.  Limbic System
A

B. Hindbrain

36
Q

Which of the following association areas functions in behavior, emotions and motivation?
A. Parieto-occipitotemporal
B. Pre-frontal
C. limbic

A

C. limbic

Parieto-occipitotemporal - interpretation of info from senses, spacial coordination of body

Pre-frontal - plans patterns with motor cortex

37
Q

Which of the following is mismatched?
A. Norepinephrine system - increased activity of brain
B. Dopamine system - excitation of basal ganglia
C. Serotonin system - suppression of pain
D. ACh system - gigantocellular neurons

A

B. Dopamine causes inhibition of the basal ganglia but is excitatory in other places.

38
Q

Which statement best describes a functional role for the lateral hemispheres of the cerebellum?

a. Control and coordinate movements of the axial muscles, as well as the shoulder and hip
b. Control movements that involve distal limb musculature
c. Function with the cerebral cortex to plan movements
d. Stimulate motor neurons through their connections to the spinal cord

A

C The lateral cerebellar hemispheres function with the cerebral cortex in the planning of complex movements.

Guyton 13 ed. P 722

39
Q

Which of the following would produce an increase in cerebral blood flow?

a. Increase in CO2 concentration
b. Increase in O2 concentration
c. Decrease in the activity of cerebral cortex neurons
d. Decrease in CO2 concentration
e. Decrease in arterial blood pressure from 120 mm Hg to 90 mm Hg

A

A The most potent stimulator of cerebral blood flow is a local increase in CO2 concentration, followed in order by a decrease in oxygen concentration and an increase in local neuronal activity.

Guyton 13 ed. P 788

40
Q

Which spinal cord level contains the entire populations of preganglionic sympathetic neurons?

a. C5-T1
b. C3-C5
c. S2-S4
d. T1-L2
e. T6-L1

A

D All preganglionic sympathetic neurons are located in the intermediolateral cell column (lateral horn); this cell group extends from T1-L3.

Guyton 13 ed. P 774

41
Q

The gigantocellular neurons of the reticular formation release which neurotransmitter?

a. Norepinephrine
b. Serotonin
c. Dopamine
d. Acetylcholine
e. Glutamate

A

D The gigantocellular neurons of the reticular formation reside in the pons and mesencephalon. These neurons release acetylcholine, which functions as an excitatory neurotransmitter in most brain areas.

Guyton 13 ed. P 735

42
Q

Which of the following pathways provides input to the cerebellum from the periphery?

a. Corticopontocerebellar pathway
b. Vestibulocerebellar fibers
c. Reticulocerebellar fibers
d. Dorsal spinocerebellar tract

A

Answer D The dorsal and ventral spinocerebellar tracts provide input from the periphery to the cerebellum. The corticopontocerebellar pathway, olivocerebellar tract, vestibulocerebellar fibers, and reticulocerebellar fibers provide input from the brain to the cerebellum.

Mauler PPT

43
Q

All input signals to the cerebellum go to the deep nuclei. Which one of the following is one of the three deep cerebellar nuclei?

a. Dentate
b. Red nucleus
c. Middle cerebellar peduncle
d. Flocculonodular lobe

A

Answer A Dentate, interposed, and fastigial are deep nuclei of the cerebellum that receive info from the cerebellar cortex and deep sensory afferents.

Mauler PPT

44
Q

Regarding output from the cerebellum, which one of the following pathways is matched appropriately with the corresponding deep nuclei?

a. Pathway from midline (vermis) – interposed nucleus
b. Pathway from intermediate zone of cerebellar lateral hemisphere – fastigial nuclei
c. Pathway from lateral cerebellar cortex – dentate nucleus
d. Pathway from medial cerebellar to interposed nucleus

A

Answer C The pathway from lateral cerebellar cortex goes to the dentate nucleus and coordinates sequential motor activities initiated by the cerebral cortex. Pathway from midline (vermis) goes through fastigial nuclei to aid in control of equilibrium and postural reactions. Pathway from intermediate zone of cerebellar lateral hemisphere passes through the interposed nucleus to coordinate reciprocal contraction of agonist and antagonist muscles.

Mauler PPT

45
Q

What are the two fibers that carry afferent info to the cerebellum?

a. climbing fibers and Type Ib fibers
b. climbing fibers and mossy fibers
c. Type Ia fibers and Type Ib fibers
d. Type IIb and mossy fibers

A

Answer B Climbing fibers and mossy fibers

Mauler PPT

46
Q

List the functions of the limbic system

A

A. Stimulation of lateral hypothalamus – increased general activity
B. Stimulation of ventromedial nucleus – satiety, decreased eating
C. Stimulation of periventricular nuclei – fear reaction
D. Stimulation of anterior and posterior portion of hypothalamus – sexual drive

47
Q

Function of hippocampus

A

behavioral responses
learning
decision making

48
Q

Which of the following seizures occurs in veterinary medicine?

a. grand mal
b. petite ma
c. generalized

A

Answer: C generalized and focal seizures. Grand mal and petite mal seizures only truly occur in human medicine

Mauler PPT

49
Q

True or False

Focal seizures result due to structural abnormalities.

A

Answer: False

Mauler PPT (Guyton is incorrect regarding this fact.)

50
Q

You examine a dog that is bright, alert, and responsive. She can stand and bear weight on both front legs, but she cannot stand or bear any weight on the back legs. Patellar and withdrawal normal in the fore, normal to slightly increased in the hindlimb. There is no atrophy. The proprioceptive positioning response is normal in the front legs but absent in both rear legs. Where is this dog’s pathological lesion most likely located?

a. Neuromuscular junction
b. C1-C6
c. C6-T2
d. T3-L3
e. Brainstem

A

D. T3-L3

51
Q

A chemical neurotransmitter between preganglionic and postganglionic neurons of the parasympathetic component of the autonomic nervous system is:

a. Norepinephrine.
b. Acetylcholine.
c. Epinephrine.
d. Serotonin.
e. γ-Aminobutyric acid.

A

B. acetylcholine

Cunningham Ch 13

52
Q

A neurotransmitter most often found at the synapse between sympathetic postganglionic neurons and their targets is:

a. Norepinephrine.
b. Epinephrine.
c. Acetylcholine.
d. Dopamine.
e. γ-Aminobutyric acid.

A

A. Norepi

Cunningham Ch 13

53
Q

Which of the following is true regarding sympathetic preganglionic neurons?

a. Their cell bodies are located in thoracic and lumbar regions of the spinal cord.
b. Their axons synapse within the sympathetic ganglion chain.
c. Their axons form splanchnic nerves.
d. Their axons travel in the ventral root.
e. All the above are true.

A

E. all of the above

Cunningham Ch 13

54
Q

Horner’s syndrome is caused by the loss of:

a. Sympathetic innervation to the eye.
b. Parasympathetic postganglionic innervation to the eye.
c. Peripheral muscarinic receptors.
d. Vagus nerve fibers.
e. Smooth muscle of the iris.

A

A. Sympathetic innervation to the eye

Cunningham Ch 13

55
Q

An increase in heart rate could result from:
a. An increase in sympathetic nerve activity to the heart.
b. An abnormally rapid decrease in permeability of SA node
cells to K+ during diastole.
c. An abnormally rapid increase in permeability of SA node
cells to Na+ during diastole.
d. A decrease in parasympathetic nerve activity to the heart.
e. All the above.

A

E. all of the above.

Cunningham Ch 19

56
Q

A drug is injected intravenously into a dog and causes a transient increase in mean arterial pressure and a transient
decrease in heart rate. The baroreceptor nerves are cut; the drug is reinjected and now causes a greater increase in blood pressure but no change in heart rate. These results are most consistent with the primary action of the drug being to:
a. Activate the muscarinic cholinergic (M3) receptors of
arterioles.
b. Activate the α-adrenergic receptors of arterioles.
c. Activate β1-adrenergic receptors of the pacemaker cells of the SA node.
d. Increase the synthesis of nitric oxide in arterioles.
e. Decrease the activity of arterial baroreceptors.

A

b. Activate the α-adrenergic receptors of arterioles.

Cunningham Ch. 25

57
Q

Choose the incorrect statement below:
a. A ganglion is a collection of nerve cell bodies outside the
CNS.
b. Acetylcholine is a chemical transmitter at the parasympathetic postganglionic–to–target organ synapse.
c. Sympathetic postganglionic neurons are usually longer
than those of the parasympathetic system.
d. The adrenal medulla secretes mostly norepinephrine and relatively little epinephrine.
e. Muscarinic acetylcholine receptors are found on peripheral targets of parasympathetic postganglionic neurons.

A

D. The adrenal medulla secretes mostly norepinephrine and relatively little epinephrine.

Cunningham Ch 13

58
Q

What are the parasympathetic influences on systemic blood vessels?

a. no effects
b. abdominal vessel constriction
c. skin vessel constriction
d. skin vessel dilation

A

Answer: A no effects. In humans, it may cause vasodilation in very specific areas, such as blushing. Sympathetic effects on systemic blood vessels include most vessel constriction (such as answers b and c).

Mauler PPT

59
Q

Which of the following occurs during a sympathetic stress response?

a. decreased muscle strength
b. increased rate of blood coagulation
c. decreased mental activity
d. decreased blood glucose concentration

A

Answer: B increased rate of blood coagulation.
Other effects include increased: arterial pressure, blood flow to active muscles, rates of cellular metabolism throughout the body, blood glucose concentration, glycolysis in the liver and in muscle, muscle strength, mental activity.
Other effects include decreased: blood flow to organs such as the gastrointestinal tract and the kidneys that are not needed for rapid motor activity.

Mauler PPT

60
Q

Which of the following systems are controlled in the brainstem?

a. arterial pressure, heart rate, respiratory rate
b. arterial pressure, gastrointestinal motility, micturition
c. respiratory rate, micturition, conscious proprioception
d. vision, balance, conscious proprioception

A

Answer: A arterial pressure, heart rate, respiratory rate

Mauler PPT

61
Q

In a healthy patient with no cardiac disease, what range does autoregulation of cerebral blood flow function?

a. 40-100 mm Hg
b. 50-120 mm Hg
c. 60-140 mm Hg
d. 70-160 mm Hg

A

Answer: C 60-140 mm Hg

Mauler PPT

62
Q

Where is the majority of CSF produced?

a. ependymal surfaces of ventricles
b. arachnoid membranes
c. perivascular spaces in the brain
d. choroid plexus

A

Answer: D choroid plexus

Mauler PPT

63
Q
Which of the following cranial nerves carries the majority of the parasympathetic fibers? 
A. XII – Facial
B. IX – glossopharyngeal
C. X – Vagus 
D. III – Oculomotor
A

C. X- vagus – 75% of parasympathetic fibers

Mauler PPT

64
Q
To which of the following substance is the BBB impermeable to? 
A. water 
B. lipids
C. Na
D. plasma proteins
A

D. proteins