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Neuro 4 Flashcards

1
Q

The following are tests used to assess dysdiadochokinesia, EXCEPT:

a. Alternate forearm pronation-supination
b. Alternate heel to knee
c. Past pointing
d. None of these

A

Past pointing

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2
Q

The primary function of the posterior lobe of the cerebellum is:

a. Maintenance of equilibrium
b. Coordination of skilled movement
c. Regulation of muscle tone
d. Maintenance of posture

A

Coordination of skilled movement

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3
Q

Involuntary, but slower, twisting movements causing transient, odd and unnatural posturing, most evident in distal parts:

a. Tremor
b. Chorea
c. Athetosis
d. Hyperkinesia
e. Hypoclonus

A

Athetosis

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4
Q

Stimulation of the anterior hypothalamus causes all of the following, EXCEPT:

a. Sweating
b. Increased respiration
c. Cutaneous vasodilatation
d. Shivering

A

Shivering

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5
Q

Functional limitations observed in patients with cerebellar dysfunction may include the following, EXCEPT:

a. Hypertonicity
b. Dyssynergia
c. Gait ataxia
d. Postural instability
e. Fatiguability and weakness

A

Hypertonicity

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6
Q

Unusually violent and flinging motions of the limbs:

a. Chorea
b. Spasticity
c. Dystonia
d. Athetosis
e. Hemiballisimus

A

Hemiballisimus

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7
Q

Controls the rate and depth of respiration.

a. Pneumotaxic
b. Apneustic
c. Dorsal Medulla
d.Ventral medulla

A

Pneumotaxic

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8
Q

Hemiballismus is a movement disorder involving the

a. Basal ganglia
b. Subthalamic nucleus
c. Posterior limb of internal capsule
d. Corpus callosum
e. Pyramidal tract

A

Subthalamic nucleus

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9
Q

Which part of the Medulla Oblongata has both Inspiratory and
Expiratory Control?

a. Anterior
b. Dorsal
c. Posterior
d. Ventral

A

Ventral

Remember: VOTH or VEX

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10
Q

A patient who exhibits a slow, involuntary continuous writhing movements. What area in the brain has a lesion?

a. Cerebral cortex
b. Basal Ganglia
c. Anterior Limb Capsule
d. Putamen

A

Basal Ganglia

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11
Q

Terminal branches of the basilar artery:

a. Vertebral arteries
b. Superior cerebellar arteries
c. Posterior communicating arteries
d. Paired posterior cerebral arteries

A

Paired posterior cerebral arteries

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12
Q

This is a syndrome caused by lesions to the thalamus

a. Kluver Bucy
b. Germann’s
c. Rathke
d. Dejerine-Rousy

A

Dejerine-Rousy

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13
Q

Movement performed in a sequence of component parts rather than a single smooth activity:

a. Dyssynergia
b. Decomposition of movement
c. Rebound phenomenon
d. Both A and B
e. All of these

A

Both A and B

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14
Q

MOSTLY associated with the activity of the pineal gland?

a. Amygdala
b. Subthalamus
c. Hypothalamus
d. Epithalamus

A

Epithalamus

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15
Q

The part of the midbrain responsible for visual reflexes:

a. Tegmentum
b. Crus Cerebri
c. Superior Colliculi
d. Inferior Colliculi
e. Substansia Nigra

A

Superior Colliculi

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16
Q

In the motor homunculus the arms are represented in what part of the cortex:

a. Medial Frontal
b. Medial Parietal
c. Lateral Frontal
d. Lateral Parietal

A

Lateral Frontal

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17
Q

While you are fast moving vehicle, you saw a familiar face, your head and trunk subsequently moved as you fix gaze upon her. What spinal tract is responsible for this activity?

a. Tectospinal tract
b. Rubrospinal tract
c. Spinocerebellar tract
d. Fasciculus cuneatus

A

Tectospinal tract

Code: Tecto (teka) lang kilala ko yon

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18
Q

Dysmetria can be best defined as:

a. Sudden jerky movements
b. Inability to perform alternating movements
c. Overshooting the goal
d. Tiring easily

A

Overshooting the goal

Remember: dysMETRia ay parang meter so problem is sa distance

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19
Q

What part of the hypothalamus is responsible for controlling sympathetic division of the ANS?

a. Suprachiasmatic nucleus
b. Supraoptic nucleus
c. Posterolateral nuclei
d. Preoptic and anterior nuclei
e. Paraventricular nucleus

A

Posterolateral nuclei

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20
Q

A patient presents with symptoms of uncoordinated eye movements, profound gait and trunk ataxia, and difficulty with postural orientation to vertical. Balance deficits are pronounced in standing with eyes open and eyes closed. Examination of the extremities reveals little change in tone or coordination. The therapist suspects involvement of the:

a. Spinocerebellum
b. Basal ganglia
c. Premotor cortex
d. Vestibulocerebellum

A

Vestibulocerebellum

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21
Q

Voluntary breathing control resides in the:

a. Cerebellar motor cortex
b. Pons
c. Medulla oblongata
d. Cerebral motor cortex

A

Cerebral motor cortex

22
Q

The large part of the anterior region of the brain is supplied by the:

a. Internal carotid artery
b. Vertebral artery
c. External carotid artery
a. Basilar artery

A

Internal carotid artery

23
Q

Which of the following is NOT directly regulated by the hypothalamus

a. Temperature regulation
b. Autonomic nervous system
c. Endocrine axis
d. Motor activity

A

Motor activity

24
Q

Striatum is composed of which of the following?

a. Caudate and putamen
b. Caudate and globus pallidus
c. Putamen and globus pallidus
d. Globus pallidus
e. None of these

A

Caudate and putamen

25
Q

Which sensory pathway is NOT using the thalamus as a relay station?

a. Visual pathway
b. Auditory pathway
c. Olfactory pathway
d. Somatic sensory pathway

A

Olfactory pathway

Remember: Di dumadaan si olfactory sa thalamus. Diretso na si beh.

26
Q

Which thalamic nucleus/nuclei will tracts for general senses pass?

a. Ventro-anterior
b. Ventral-lateral
c. All of the above
d. Ventroposterolateral

A

Ventroposterolateral

27
Q

Lesion can lead to obesity and hyperphagia

a. Anterior hypothalamus
b. Posterior hypothalamus
c. Ventrolateral nucleus
d. Ventromedial nucleus

A

Ventromedial nucleus

28
Q

Which of the following is disrupted after destruction of epithalamus?

a. Maternal behavior
b. Appetite
c. Water regulation
d. Biological rhythm

A

Biological rhythm

29
Q

Patient woke up due to progressive weakness of left lower extremities. He most likely damaged his

a. Right medial cerebrum
b. Left lateral cerebrum
c. Medial cerebrum
f. Right lateral cerebrum

A

Right medial cerebrum

30
Q

The major vital centers controlling activity of the respiratory as well as the cardiovascular systems are present in the:

a. Midbrain
b. Pons
c. Medulla oblongata
d. Amygdala

A

Medulla oblongata

31
Q

Anesthesia to the face means there is a lesion to a brain structure derived from:

a. Myelencephalon
b. Metencephalon
c. Mesencephalon
d. Telencephalon

A

Metencephalon

32
Q

Regulation of autonomic nervous system is a function of:

a. Subthalamus
b. Thalamus
c. Hypothalamus
d. Epithalamus

A

Hypothalamus

33
Q

Sensory and motor relay to the cerebral cortex

a. Thalamus
b. Spinal cord
c. Basal ganglia
d. Cerebellum

A

Thalamus

Code: THAch (touch-sensory) and MUve (move-motor)

34
Q

Which of the following will NOT be seen in a patient with damaged midbrain?

a. Difficulty of initiating movement
b. Bradykinesia
c. Festination
d. Intention tremors

A

Intention tremors

Resting dapat

35
Q

The artery involved in wallenburg syndrome:

a. Superior cerebellar artery
b. Anterior inferior cerebellar artery
c. Posterior inferior cerebellar artery
d. Vertebrobasilar artery
e. None of these

A

Posterior inferior cerebellar artery

36
Q

The first branch of the basilar artery:

a. Superior cerebellar artery
b. Anterior inferior cerebellar artery
c. Posterior inferior cerebellar artery
d. Vertebrobasilar artery
e. None of these

A

Anterior inferior cerebellar artery

37
Q

This is an important tiny branch of the internal carotid artery which would differentiate from other stroke with the presence of amaurosis fugax:

a. MCA
b. Ophthalmic artery
c. Ant. Communicating artery
d. Basilar artery

A

Ophthalmic artery

Amaurosis fugax is blindness

38
Q

Decerebrate rigidity occurs when the transection is at the:

a. Medulla
b. Cerebellum
c. Pons
d. Midbrain

A

Midbrain

39
Q

These neurons carry motor impulses from the brain to the motor neuron in the spinal cord:

a. Interneurom
b. First order neuron
c. Lower motor neuron
d. Upper motor neuron

A

Upper motor neuron

Brain to spinal cord

40
Q

A posterior circulation stroke involves the

a. Parietal lobe
b. Frontal lobe
c. Basal ganglia
d. Brainstem

A

Brainstem

41
Q

Posterior cerebral artery stroke presents as:

a. Apraxia
b. Aphasia
c. Head turning the lesion
d. Visual impairment

A

Visual impairment

42
Q

The MCA supplies the following, except:

a. Lateral parietal
b. Lateral frontal
c. Basal ganglia
d. Medial frontal
e. None of these

A

Medial frontal

Puro lateral sinusupply ni MCA

43
Q

What is the first branch of the internal carotid artery?

a. MCA
b. ACA
c. PCA
d. Lenticulostriate artery
e. Ophthalmic artery

A

Ophthalmic artery

44
Q

Disorder of the motor component of speech articulation

a. Dyssynergia
b. Asynergia
c. Dysarthria
d. Dysdiadochokinesia

A

Dysarthria

Remember: dysARTHRIA (articulation)

45
Q

Branch of the vertebrobasilar artery of the brain:

a. Lenticulostriate artery
b. anterior cerebral artery
c. Internal auditory artery
d. ophthalmic artery

A

Internal auditory artery

46
Q

Lenticulostriate artery is a branch of:

a. MCA
b. ACA
c. Middle meningeal artery
d. VBA

A

MCA

47
Q

Impulses from spinal cord to the brain is carried by:

a. Second order neuron
b. First order neuron
c. LMN
d. UMN

A

Second order neuron

Code: SC to brain is second

48
Q

The following areas of the brain are supplied by the PCA, except:
I. Thalamus
II. Inferior temporal
III. Lateral occipital
IV. Basal ganglia

a. I, II, and IlI
b. Only IV
c. I and III
d. ll and IV
e. All of these

A

Only IV

49
Q

The following are branches of the basilar artery, except:
I. PICA
II. AICA
IIl. Opthalmic artery
IV. SCA

a. l, Il, and Ill
b. Only IV
c. l and IlI
d. ll and IV
e. All of these

A

l and IlI

50
Q

What artery connects the anterior circulation with posterior circulation of the brain?

a. Anterior communicating artery
b. Posterior communicating artery
c. Posterior cerebral arteries
d. Anterior cerebral arteries
e. Middle cerebral arteries

A

Posterior communicating artery

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