Cerebellum And Cerebellar Pathways

Question 1

The lesion here will have an upbeat, rebound with abnormal kinetic nystagmus effect.
A. Uvula
B. Posterior midline cerebellum
C. Midline cerebellum

Answer 1

C

Question 2

Downbeat nystagmus is the effect of this lesion.
A. Anterior midline cerebellum
B. Posterior midline cerebellum
C. Midline cerebellum
D. Uvula

Answer 2

B

Question 3

Least evident cerebellar abnormality
A. Ataxia
B. Hypotonia
C. Dysmetria

Answer 3

B

Question 5

It occurs usually from ethanol or drug intoxication

Answer 5

Pancerebellar syndrome

TN: ALL SYNDROME occurs from TUMOR/STROKE except pancerebellar syndrome

Question 7

Abnormalities in the rhythm of rapid alternating movements

Answer 7

Adiodochokinesis

Question 8

Separates 2 lateral lobes of cerebellum

Answer 8

Vermis

Question 9

Bilateral signs affecting the trunk, limbs and cranial musculature
A. Pancerebellar syndrome
B. Caudal syndrome
C. Rostral vermis syndrome
D. Hemispheric syndrome

Answer 9

A

Question 11

TRUE or FALSE. Hemispheric syndrome:

1. Ataxia
2. Neoplasms
3. Abscesses
4. Hypoglycemia
5. Infarcts
6. Hypothermia

Answer 11

1. F
2. T
3. T
4. F
5. T
6. F

Question 13

Cerebellar sign per excellence

Answer 13

Ataxia

Question 14

Narrow, ridge-like folds of cerebellum

Answer 14

Folia

Question 15

Contralateral lesion (similar to dysarthria from corticospinal disorder

Answer 15

Slurring Dysarthria

Question 18

Abnormalities in RATE, RANGE and FORCE in movements

Answer 18

Dysmetria

Question 19

Disturbance of ocular movement will lead to: (TRUE or FALSE)

1. Slower smooth pursuit movements
2. Ocular flutter
3. Opsoclonus
4. Circular waves at rest
5. Skew deviation
6. Inability to hold gaze
7. Failure to suppress the vestibulocochlear reflex

Answer 19

1. T
2. T
3. T
4. F - square wave
5. T
6. F - eccentric gaze
7. F - vestibulo-ocular reflex

Question 20

A kind of ataxic tremor that overshoot the target

Answer 20

Hypermetria

Question 23

Axial disequilibrium
A. Pancerebellar syndrome
B. Hemispheric syndrome
C. Rostral vermis syndrome
D. Caudal syndrome

Answer 23

D

Question 24

Lack of operation in performing more complex movement
A. Synergic
B. Adiodochokinesis
C. Dysarthria
D. Asynergia

Answer 24

D

Question 25

It has a periodic alternating nystagmus effect
A. Posterior midline cerebellar lesion
B. Anterior midline cerebellar lesion
C. Midline cerebellar lesion
D. Uvula and nodule lesion

Answer 25

D

Question 27

Positive in all cerebellar test and has hemispheric syndrome deficits will result to ___________________

Answer 27

Bidirectional nystagmus

*course to the side of lesion

Question 28

The following are its functions EXCEPT:
A. Receive contralateral inputs both sensory and special sensory pathway
B. Coordinate skilled voluntary
C. Does not influence motor neurons directly

Answer 28

A - it receives COLLATERAL inputs

Question 30

Rhythmic tremor of the head three to four per second

Answer 30

Titubation

Question 31

True or False. Speech production is often with excessive facial grimacing.

Answer 31

True

Question 32

Impairment of the check reflex
A. Ataxia
B. Dysmetria
C. Hypotonia
D. Dysarthria

Answer 32

C

Question 33

Wide based stance and titubating gait
A. Caudal syndrome
B. Hemispheric syndrome
C. Rostral vermis syndrome
D. Pancerebellar syndrome

Answer 33

C

Question 34

True or False. Rostral vermis syndrome has presence of hypotonia, nystagmus and dysarthria.

Answer 34

False - unfrequent presence

Question 35

Disorder of equilibrium and gait has these following effects. (TRUE or FALSE) 1. Cannot walk 2. Wide based stance with decreased trunk sway 3. Regular stepping 4. Impossible standing with feet together 5. Uneven steps and misaligned placement of foot

Answer 35

1. F - can walk but impaired tandem walking 2. F - increased trunk sway 3. F - irregular stepping 4. T 5. T

Question 36

Rapid involuntary oscillation of eyeball A. Opsoclonus B. Nystagmus

Answer 36

B

Question 38

``` Incoordination of ipsilateral appendicular movements A. Hemispheric syndrome B. Rostral vermis syndrome C. Caudal syndrome D. Pancerebellar syndrome ```

Answer 38

A

Question 39

Prosody and abnormalities in articulation

Answer 39

Scanning dysarthria

Question 41

``` Depression of gamma and alpha motor neuron A. Hypertonia B. Dysarthria C. Ataxia D. Hypotonia ```

Answer 41

D

Question 45

True or False. Cerebellum is adjacent to aqueduct of sylvius.

Answer 45

False. 4TH VENTRICLE

Question 54

The cerebellum is located behind the ____________________.

Answer 54

Dorsal aspect of pons and medulla

Question 56

Separated from cerebrum (occipital lobe) by ____________.

Answer 56

Tentorium