WorksheetsQuestion from GR Discussion
Total questions: 109
Worksheet time: 1hrs 25mins
What are the additional 2 cranial nerves?
(a)
Person with tic douloureux. Which activity aggravates pain?
Walking
Listening to music
Reading
Eating
Patient has R CVA. Which side does the tongue deviate?
Left
Right
Location of CN 1
(a)
Location of CN 2
(a)
Jugular Foramen syndrome, except?
Weak SCM
(-) Gag reflex
(+) dysphagia
Loss of taste ant 2/3 of tongue
What CN passes through the Cavernous sinus?
(a)
Patient has R homonymous hemianopsia.
R optic tract
L optic nerve
R optic nerve
L Optic radiation
Lesion as L optic tract results to:
R temporal + R nasal visual field loss
L nasal + L temporal visual field loss
R temporal + L nasal visual field loss
L temporal + R nasal visual field loss
Patient has a CVA presenting with L hemiplegia. Initially while the patient is in bed, where to you put the objects?
R side of the bed
L side of the bed
Lesion to the upper fibers of the L optic radiation results to:
(a)
Lesion to the temporal fibers of the R optic radiation results to:
(a)
Conditions manifesting Ptosis, except:
Myesthenia Gravis
CN 3 palsy
Horner’s Syndrome
Edema due to infection
All of the above
Damage to CN3 will cause:
(a)
A light was shown on the R eye, (-) direct light reflex but (+) consensual light reflex. The lesion is at the?
R CN2
L CN 2
R CN 3
L CN 3
A light was shown on the R eye, (-) direct and consensual light reflex. Penlight was then shown to the L eye showing, (+) direct and consensual light reflex. Which is damaged?
(a)
The only extraoccular muscle of the eye at the back of the sclera
(a)
Patient complains of diplopia upon looking to the right
R CN 6
L CN 6
R CN 4
L CN 4
Patient with diplopia upon looking to the right and down:
R CN 6
L CN 6
R CN 4
L CN 4
How will you know if the patient has diplopia:
(a)
CN that supplies the hyoids:
(a)
CNs included in the sneeze reflex:
(a)
CN for the general sensation to the anterior 2/3 of the tongue:
5
7
9
12
CN for the general sensation to the posterior 1/3 of the tongue
5
7
9
12
Chevoks test assess what cranial nerve
(a)
Most common site of nerve entrapment in Bell’s Palsy
(a)
Platysma is supplied by what branch of the CN 7
(a)
Lesion of the facial nerve at the stylomastoid foramen will manifest the following:
Loss of taste at the anterior 2/3 of tongue
Hyperacusis
Impaired lacrimation
Facial palsy
Lesion of the facial nerve at the brainstem level will manifest the following
Impaired lacrimation
Hyperacusis
Loss of taste of the anterior 2/3 of tongue
Facial palsy
CVA case manifesting a paralyzed contralateral lower quadrant facial palsy
CN 7 central lesion
CN 7 peripheral lesion
The organ for balance
(a)
True organ for hearing
(a)
What are the three types of deafness
(a)
Impacted ear may result to what type of deafness
(a)
Otitis media is what type of deafness?
(a)
Primary auditory area for hearing
(a)
Test for hearing acuity
(a)
CN supplying the muscles of the pharynx
9
10
9 and 10
NOTA
CN supplying the muscles of the larynx
9
10
9 and 10
NOTA
CN manifesting Dyphagia
9
10
Both
NOTA
CN manifesting Dysphagia, Dysphonia
9
10
Both
NOTA
Touching left ear with left shoulder. Which SCM side is activated?
(a)
Patient with torticollis has limited neck rotation towards the right and side flexion towards the left. What is the tight SCM?
(a)
The only CN passing through the Foramen Magnum
(a)
CN affected when there is lateral winging of the scapula(sliding door)
(a)
CNs affected when Dysarthria is manifested
5
12
7
10
The tongue muscle that is not supplied by CN 12
(a)
LMNL : R Tongue deviation. Which CN 12 side is affefcted?
R
L
UMNL : R Tongue deviation. Which CN 12 side is affefcted?
R
L
Leptomeninges
Dura Mater
Arachnoid Mater
Pia Mater
Pachymeninx
Dura Mater
Arachnoid Mater
Pia Mater
Components of the limbic system
Amygdala
Parahippocampus
Uncus
Cingulate gyrus
Hippocampus
Produced by the paraventricular nucleus
Corticotropin
Thyrtropin
GHRH
Oxytocin
ADH
Produced by pre-optic and anterior nuclei of the hypothalamus:
LHRH
GHRH
ADH
Parasympathetic division
Produced by the suprachiasmatic nucleus of the hypothalamus:
Somastatin
vasopressin
Circadian rhythm
Oxytocin
Produced by the supraoptic nucleus of the hypothalamus :
Oxytocin
Somastatin
Vasopressin
corticotropin
Produced by the suprachiasmatic nucleus of the hypothalamus:
Somastatin
vasopressin
Circadian rhythm
Oxytocin
Activity of the motor cortex passes through which part of the thalamus?
(a)
General sensations to consciousness passes through which part of the thalamus?
(a)
Visual sensations passes through which area/nucleus of the thalamus
(a)
Auditory sensations passes through which area/nucleus of the thalamus?
(a)
This is the origin of the tectospinal tract
(a)
what tract passes through the crus cerebri?
(a)
Specific location of the substantia nigra
(a)
Condition when there is increase release of dopaminne
(a)
Lesion to tegmentum would result to what syndrome?
(a)
What nucleus is found in the tegmentnum?
(a)
What tract is found in the tegmentum
(a)
Transection of the midbrain, tegmentum, will result to what?
(a)
Area involved in Decorticate posture
(a)
Area involved in decerebrate posture
(a)
Tract involved that results to decorticate posture
(a)
Tract involved that results to decerebrate posture
(a)
Primary respiratory center
Pons
Medulla oblongata
What is the primary manifestation when there is a lesion to the vermis?
(a)
What GCS score is considered comatose?
(a)
L4 Vertebral fracture. With SCI or no SCI? With PNI or no PNI
with SCI
no SCI
With PNI
No PNI
Normal diameter of the spinal cord
(a)
Watershed areas are located where?
Upper thoracic
Lower thoracic
Upper lumbar
Lower lumbar
Pointed conical end of spinal cord
(a)
Spinal integration center for micturation
(a)
Reflex level of micturition
(a)
T10 SCI : what type of bladder do you expect?
Flaccid
Spastic
Lesion above the conus medullaris will manifest what?
UMNL
LMNL
Tip of the coccyx is connected to the coccyx via:
Pachymeninx
Leptomeninx
Both
NOTA
Ligament found in the spinal cord that origins from the pia mater outwards stabilizing spinal cord in its place
(a)
Who among the following has the best capacity to father children?
UMNL complete
UMNL incomplete
LMNL complete
LMNL incomplete
Patient manifesting loss of Proprioception, vibration and 2-point discrimination. What part of spinal cord is mostly damaged?
Dorsal horn
Ventral horn
Dorsal funiculus
Ventral funiculus
Dorsal Column Pathway functions:
Proprioception
Stereognosis
2-point discrimination
Graphesthesia
Dorsal Column Pathway functions:
Proprioception
Stereognosis
Precise localization
Fine intensity gradations
The following are extrapyramidal tract, except:
Reticulospinal
Corticospinal
Rubospinal
(+) Babinski, what tract is involved?
(a)
Lesion above the decussation of corticospinal tract will manifest what laterality:
Ipsilateral
Contralateral
Lesion below the decussation of corticospinal tract will manifest what laterality:
Ipsilateral
Contralateral
Brown Sequard Syndrome. You note a loss of pain and temperature R C8 down and loss of motor from L C6 down . What is the level?
R C6
L C6
R C8
L C8
Most common cause of traumatic SCi
(a)
Most common levels of tetralplegia
(a)
What should recovers first in SCI patients to have a good prognosis?
Motor
Sensory
Both
NOTA
Upon sensory evaluation, you notice there is partial sensation of the xiphoid process, 1inch below the umbilicus is still noted. What is the SCI level?
T6
T8
T10
T12
To preserve tenodesis effects, these motions are to be avoided:
Wrist flexion , finger flexion
wrist flexion, finger extension
Wrist extension, finger extension
Wrist extension, finger flexion
To induce autogenic inhibition to a spastic biceps. Where should the electrodes be placed?
On top of biceps
On top of triceps
Patient is manifesting Autonomic Dysreflexia, what is the first thing to do:
elevate the head / sit the patient up
Check the catheter
Most important factor that causes DVT
Hypercoagulability
Venous Stasis
Intimal wall damage
Above what SCI level do you need a ventilator
C2
C3
C4
C5
C5 SCI, what type of breathing exercises is recommended:
Segmental breathing
Pursed lip breathing
glossopharyngeal / Frog breathing
Diaphragmatic breathing
C3 SCI, what type of breathing exercises is recommended:
Segmental breathing
Pursed lip breathing
glossopharyngeal / Frog breathing
Diaphragmatic breathing
C5 SCI: To prevented mucus secretion from developing into the lung, what should you teach the patient:
Coughing
Huffing
Assisted cough
AOTA
Highest level capable of self-assisted cough
C6
C8
C4
C5
Wrist driven flexor hinge/ Tenodesis Spint orthosis is for what level of SCI
C4
C5
C6
C7
