Sample Exam Flashcards

1
Q

This is triangular depressed area above the pineal gland
Select one:
a. Striae medullaris
b. Pineal gland
c. Trigon of pons
d. Habenula

A

d. Habenula

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2
Q

Total palsy of third cranial nerve leaves the eye
Select one:
a. inferior oblique
b. medial rectus
c. superior rectus
d. superior oblique

A

d. superior oblique

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3
Q

This fiber occupies the medial part of the crus cerebi. Select one:
a. Corticospinal b. Corticobulbar
c. Frontopontine d. Temporopontine

A

c. Frontopontine

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4
Q

What cranial nerve is classified as purely afferent?
Select one:
a. Trigeminal nerve
b. Vagus nerve
c. Olfactory nerve
d. Abducens nerve

A

c. Olfactory nerve

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5
Q

Part of thalamus that projects to the primary vestibular cortex of the parietal lobe:
Select one:
a. Medial Geniculate body
b. Ventral Posteroinferior nucleus
c. Ventral Posteromedian nucleus
d. Lateral Geniculate body

A

a. Medial Geniculate body

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6
Q

What cranial nucleus is classified under Special Visceral Efferent?
Select one:
a. Inferior salivatory
b. Abducens
c. Facial
d. Dorsal motor of vagus nerve

A

c. Facial

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7
Q

The following nuclei have a parasympathetic function EXCEPT: Select one:
a. Edinger westphal
b. Superior salivatory
c. Spinal accessory
d. Dorsal motor nucleus

A

c. Spinal accessory

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8
Q

Which neurologic lesion is considered focal in topography?
Select one:
a. Stroke
b. Polyneuropathy
c. Meningitis

A

a. Stroke

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9
Q

What cranial nerve functions to control the movement and shape of the tounge?
Select one:
a. Hypoglossal
b. Abducens
c. Vagus
d. Accessory

A

a. Hypoglossal

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10
Q

What functional classification of sensory neurons innervates the taste form the posterior two thirds of the tongue?
Select one:
a. General Somatic Afferent “
b. Special Visceral Afferent
c. Special Somatic Afferent
d. General Visceral Afferent

A

b. Special Visceral Afferent

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11
Q

Function of thalamus:
Select one:
a. It relays olfactory signals from cranial nerve I
b. All of the above
c. It provides balance and equilibrium
d. Regulates wakefulness and consciousness

A

d. Regulates wakefulness and consciousness !

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12
Q

An eighty years old hypertensive patient came in due headache and eye deviation. On cranial CT scan there was a note of large hematoma on the dorsal aspect of the brainstem. What is the MOST likely nerve involved?
Select one: a. Facial
b. Oculomotor
c. Glossopharyngeal
d. Trochlear

A

d. Trochlear

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13
Q

Which of the following spinal reflexes is classified as viscero somatic?
Select one:
a. Patient presented with right lower quadrant pain and diagnosed to have Acute Appendicitis, resulting to
contraction of abdominal muscles.
b. Applying ice on the skin resulting to contraction of smooth muscle in the blood vessel wall
c. Tapping the patellar tendon resulting to contraction of quadriceps femoris causing leg to extend at knee joint

A

a. Patient presented with right lower quadrant pain and diagnosed to have Acute Appendicitis, resulting to
contraction of abdominal muscles.

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14
Q

The third cranial innervates all extraocular muscles except
Select one:
a. superior rectus
b. superior oblique
c. inferior oblique
d. medial rectus

A

b. superior oblique !

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15
Q

The hypoglossal nerve arises from the brain at the level of the:
Select one:
a. Diencephalon
b. Medulla
c. Pons
d. Midbrain

A

b. Medulla !

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16
Q

What sensory nerve cell bodies responsible for the taste from the posterior one third of the tongue? Select one:
a. Petrosal ganglion
b. Semilunar ganglion
c. Ganglion nodosum
d. Geniculate ganglion

A

a. Petrosal ganglion !

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17
Q

What functional classification of sensory neurons innervates the sensation from the tongue and the pharynx?
Select one:
a. General Somatic Afferent
b. General Visceral Afferent
c. Special Visceral Afferent
d. Special Somatic Afferent

A

b. General Visceral Afferent

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18
Q

A seventy year old male was referred to you because of sudden onset of ophthalmoplegia of the left eye turned down and out, loss of pupillary direct and consensual light reflex, left eye, and paralysis of arms and legs, right. This syndrome involves lesion located in the:
Select one:
a. Medulla
b. Pons
c. Midbrain
d. Cerebellum

A

c. Midbrain

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19
Q

A sixty years old man sought consult after noticing loss of hearing on the right side. In which structure of the brainstem do the afferent fibers, that lead acoustic information synapse?
Select one:
a. Superior colliculus
b. Mamillary bodies
c. Red nucleus
d. Inferior colliculus

A

d. Inferior colliculus

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20
Q

Balance is controlled by what type of ganglion?
Select one:
a. Geniculate ganglion
b. Gasserian ganglion
c. Spiral ganglion

A

a. Geniculate ganglion
b. Gasserian ganglion
c. Spiral ganglion

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21
Q

The visual cortex receives afferent fibers from the Select one:
a. Lateral geniculate body
b. Medial geniculate body
c. Nucleus solitarius
d. Nucleus ambiguus

A

a. Lateral geniculate body

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22
Q

During class, your professor noticed that someone is cheating. He immediately asked the class to get a sheet of paper for a quiz. The immediate reaction was a no from you. In wiring of the said reflex, which of the following is N3?
Select one:
a. Spiral ganglion
b. Nucleus ambiguus
c. Cochlear nuclei
d. Organ of Corti

A

b. Nucleus ambiguus

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23
Q

Paralysis of the soft palate (palatoplegia) and vocal cords, Horner’s syndrome, cerebello-vestibular disorders, impaired superficial sensitivity of the face on same side as that of the lesion, alternating dissociated hemianesthesia on the opposite side are characteristic:
Select one:
a. Wallenberg syndrome
b. Millard-Guebler syndrome
c. Benedikt syndrome

A

a. Wallenberg syndrome

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24
Q

This cranial nerve nuclei is found at the most medial portion of the central gray mater of the fourth ventricle.
Select one:
a. Medial vestibular
b. Inferior vestibular
c. Hypoglossal
d. Dorsal vagal

A

c. Hypoglossal

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25
Q

This nucleus of the trigeminal nerve is found at the midbrain.
Select one:
a. Spinal
b. Main motor
c. Mesensephalic
d. Principal sensory

A

c. Mesensephalic

26
Q

This cavity of the medulla is surrounded by the internal arcuate fibers arising form the nucleus gracilis and nucleus cuneatus.
Select one:
a. Third Ventricle
b. ITER
c. Fourth Ventricle
d. Central canal

A

d. Central canal

27
Q

A forty year old hypertensive male came in with paralysis of the left lower part of his face with tongue deviation, he also experienced weakness on the left side of his arm and leg, what structure in the midbrain is affected?
Select one:
a. Crus cerebri
b. Tectum
c. Tegmentum
d. Substantia nigra

A

a. Crus cerebri

28
Q

Lesion in this area would result to unexplainable appetite?
Select one:
a. Lateral nucleus
b. Posterolateral
c. Ventromedial nucleus
d. Arcuate nucleus

A

c. Ventromedial nucleus

29
Q

What cranial nerve is being evaluated if you are testing for general sensation and taste on each half of the anterior two thirds of the tongue?
Select one:
a. Facial nerve
b. Vagus nerve
c. Trigeminal nerve
d. Glossopharyngeal nerve

A

a. Facial nerve

30
Q

A ten year old girl was referred to you because of gradual onset of facial weakness, right, medial deviation of right eye and body weakness, left. This syndrome involves a lesion located in the:
Select one:
a. Midbrain
b. Pons
c. Cerebellum
d. Medulla

A

b. Pons

31
Q

In flexor withdrawal reflexes, contraction of flexor muscles is associated with reciprocal inhibition of:
Select one:
a. Synergistic flexors
b. Ipsilateral extensors
c. Contralateral flexors
d. Contralateral extensors

A

b. Ipsilateral extensors

32
Q

Tests of motor coordination, as well as dexterity and balance are noted to be abnormal. Where is the lesion most likely located?
Select one:
* a. Cerebellum
* b. Basal ganglia
* c. Brainstem
* d. Cerebral cortex

A
  • a. Cerebellum
33
Q

Medial nucleus of the thalamus connects to which structure?
Select one:
a. Parietal lobe
b. Cerebellum
c. Amygdala
d. Globus pallidus

A

a. Parietal lobe
c. Amygdala

34
Q

Which of the following nucleus supplies your sensation from the external surface of tympanic membrane and external acoustic meatus?
Select one:
* a. Spinal nucleus of facial nerve
* b. Mesencephalic nucleus
* c. Cochlear nucleus
* d. Nucleus solitaries

A
  • d. Nucleus solitaries
35
Q

Which region of the hypothalamus where oxytocin is being secreted?
Select one:
a. Tuberal
b. Preoptic
c. Supraoptic
d. Mamillary

A

c. Supraoptic

36
Q

A patient came in for difficulty of separating the lips with the teeth clenched. What is the cranial nerve affected?
Select one:
* a. Trigeminal
* b. Abducens
* c. Facial
* d. Accessory

A
  • c. Facial
37
Q

Facial colliculus is produced by the root of the facial nerve winding around the nucleus of this cranial nerve.
Select one:
a. Vestibulocochlear
b. Trochlear
c. Abducent
d. Trigeminal

A

c. Abducent

38
Q

Upon drinking coffee, there was warmth on the anterior two third of your tongue and it made you throw up.
Which of the following is N1?
Select one:
* a. Geniculate ganglion
* b. Taste buds
* c. Nucleus solitarius
* d. Nucleus ambiguus

A
  • a. Geniculate ganglion
39
Q

Trigeminal neuralgia is a condition wherein the patient experienced pain most commonly over the skin areas innervated by the mandibular and maxillary divisions of what cranial nerve?
Select one:
a. Facial
b. Opthalmic
c. Accesory
d. Vagus

A

b. Opthalmic

40
Q

Metathalamus is mainly involve in:
Select one:
a. Two point discrimination
b. Vision
c. Olfaction
d. Gustatory sensation

A

b. Vision

41
Q

Which of the following is NOT located at the pons?
Select one:
a. Trigeminal nerve
b. Facial nerve
c. Vagus nerve
d. Vestibulocochlear nerve

A

c. Vagus nerve !

42
Q

Atrophy in the tongue can be seen in lesion involving:
Select one:
a. Midbrain
b. Medulla
c. Pons
d. Cerebellum

A

b. Medulla

43
Q

The following is a function of the main oculomotor nucleus:
Select one:
a. Constrict the pupils
b. Turns the eye medially
c. Turns the eye downward

A

c. Turns the eye downward

44
Q

A twenty eight years old weightlifter suddenly felt a sharp pain on his neck followed by inability to move his neck to the right after carrying 100 kilos weights. What cranial nerve was affected?
Select one:
* a. Accesory
* b. Trigeminal
* c. Vagus
* d. Hypoglossal

A
  • a. Accesory
45
Q

What is failure to recognize stimuli perceived by the senses?
Select one:
* a. Aphasia
* b. Anosmia
* c. Agnosia
* d. Apraxia

A
  • c. Agnosia
46
Q

A fifty year old man was referred to you because of recent onset of left hemiparesis, left sided loss of proprioception and right sided tongue deviation. This syndrome involves lesion located in the:
Select one:
a. Cerebellum
b. Pons
c. Midbrain
d. Medulla

A

d. Medulla

47
Q

Which ventricle is adjacent to the two thalamic nuclei?
Select one:
a. Lateral ventricle
b. Third ventricle
c. Fourth ventricle
d. Iter

A

b. Third ventricle

48
Q

Lateral medullary syndrome may have a lesion involving which neurologic structure?
Select one:
a. Spinal tract of trigeminal
b. Main sensory trigeminal nucleus
c. Medial lemniscus
d. Pyramidal tract

A

a. Spinal tract of trigeminal

49
Q

A seventy three year old female was referred to you because of sudden onset of ophthalmoplegia- left eye turned down and out, propioception loss of body, right and involuntary tremor and movement. This syndrome involves a lesion located in the:
Select one:
a. Medulla
b. Cerebellum
c. Pons
d. Midbrain

A

d. Midbrain

50
Q

Thalamus and hypothalamus are derivatives from what brain vesicle embryologically?
Select one:
a. Telencephalon
b. Myelencephalon
c. Diencephalon
d. Metencephalon

A

c. Diencephalon

51
Q

A twenty year old male had a vehicular accident after a drinking spree. On examination, he had an upper motor neuron paralysis and loss of muscle joint sense of the left leg on the right side, there was loss of tactile sense, total analgesia and thermoanesthesia of the skin of the abdominal wall below the level of the umbilicus and whole right leg. Name the thalamic nucleus involved in this case:
Select one:
* a. Ventral Posterolateral
* b. Ventral anterior
* c. Ventral Posteromedial
* d. Ventral Posteroinferior

A
  • c. Ventral Posteromedial
52
Q

Loss of taste in lateral medullary syndrome is due to lesion in
Select one:
a. Nucleus of the 5th nerve
b. Nucleus and tractus solitarus !

A

b. Nucleus and tractus solitarus !

53
Q

A thirty nine years old male patient experienced paresthesia on both lower extremities. MRI is requested to screen the course of the ascending tract that lead to sensory information. Which structure in the medulla is affected?
Select one:
a. Olives
b. Cuneate tubercle
c. Gracile tubercle
d. Pyramids

A

c. Gracile tubercle

54
Q

What cranial nerve passes through the cavernous sinus, except? Select one:
a. Ophthalmic division of trigeminal nerve
b. Abducen nerve
c. Facial nerve
d. Trochlear nerve

A

c. Facial nerve

55
Q

Internuclear ophthalmoplegia involves a lesion in which structure?
Select one:
a. Spinothalamic tract
b. Corticospinal tract
c. Medial longitudinal fasciculus
d. Substancia nigra

A

c. Medial longitudinal fasciculus

56
Q

Localized vasodilation is an example of what spinal reflex?
Select one:
a. Viscero somatic
b. Somato visceral
c. Viscero visceral
d. Somato somatic

A

b. Somato visceral

57
Q

Body temperature is controlled in which part of diencephalon?
Select one:
a. Thalamus
b. Subthalamus
c. Hypothalamus
d. Epithalamus

A

c. Hypothalamus

58
Q

Asymmetrical elevation of the uvula involves lesion in: Select one:
a. Hypoglossal
b. Glossopharyngeal
c. Facial
d. Oculomotor

A

a. Hypoglossal

59
Q

Decreased hearing and the ability to localize sounds is a function of which structure?
Select one: a. BA 17
b. BA 41 and 42
c. BA 4
d. BA 3, 1, 2

A

b. BA 41 and 42

60
Q

Cranial nerve responsible for olfaction can be located in the:
Select one:
a. Pons
b. Medulla oblongata
c. Cerebrum
d. Midbrain

A

c. Cerebrum