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Neuro Midterm 2 Quiz

Total questions: 90

Worksheet time: 45mins

Name
Class
Date
1.
The filum terminae is left over ______ after the end of the spinal cord at L1/L2 which anchors the spinal cord to the _______
a)
dura mater / sacrum
b)
pia mater / coccyx
c)
arachnoid mater / coccyx
d)
dura mater / coccyx
e)
pia mater / sacrum
2.
The sacral spinal cord segments that contain its motor neurons are physically located at the sacrum.
a)
true
b)
false
3.
These segments of the spinal cord have the least amount of grey matter.
a)
Cervical
b)
Thoracic
c)
Lumbar
4.
Which of these fiber types are in the crus cerebri?
a)
A-alpha
b)
A-beta
c)
A-delta
d)
C
e)
Ia
5.
These tracts are contained within the R crus cerebri except
a)
R DCST
b)
R LCST
c)
R corticorubrospinal
d)
R rubrospinal
e)
R corticoreticular
6.

Which of these fibers course through the anterior white commissure at T9 spinal segment?

a)

A-alpha

b)

A-beta

c)

A-delta

d)

Ib

e)

Ia

7.
What tract is between the lateral column and dorsal spinocerebellar tract at C5 spinal segment?
a)
RCST
b)
CCT
c)
Reticulospinal tract
d)
LCST
e)
none of these
8.
What tracts are between the bilateral dorsolateral tracts (Lissauer's) at the dorsal side of spinal segment C7?
a)
CCT
b)
RCST
c)
Fasiculus gracilis
d)
Fasiculus cuneatus
e)
DSCT
9.
What are the names for rex lamina 7:
a)
Renshaw's
b)
Clark's
c)
Centrobasal
d)
Cooper-Sharington's
e)
gray nucleus
10.
Rex lamina 4 is also known as:
a)
nucleus proprius, fast
b)
nucleus proprius, slow
c)
marginal nucleus
d)
substantia gelatinosa
e)
gray nucleus
11.
The 2nd order ______ from spinal segment T8 synapses at the __________ cerebellum
a)
R DCST / R CBL
b)
R DCST / L CBL
c)
R VCST / L CBL
d)
R VCST / R CBL
e)
R RCST/ R CBL
12.
What are the anterograde targets for the anterior white commissure for T9 spinal segment?
a)
Bilateral reticular formation (midbrain/pons/mo)
b)
Bilateral RL 5-9
c)
Bilateral CBL
d)
Bilateral VPL nuclei
e)
Bilateral Cooper-Sharington's
13.
What are the retrograde targets for the anterior white commissure for T9 spinal segment?
a)
Bilateral RL 7
b)
Bilateral RL 3
c)
Bilateral CBL
d)
Bilateral Cooper-Sharington's nuclei
e)
Bilateral precentral gyri
14.
What tracts decussate at the midbrain?
a)
medial lemnisci
b)
reticulospinal
c)
LCST
d)
corticorubrospinal
e)
none of these
15.
What are the anterograde targets for the radial nerve (C5-C8)
a)
ipsilateral extra/intrafusal fibers
b)
contralateral lateral cuneatus nucleus
c)
ipsilateral Clark's
d)
ipsilateral RL 1-2 (C3-T2)
e)
contralateral cuneatus nucleus
16.
What are the retrograde targets for the radial nerve (C5-C8)
a)
ipsilateral RL 8-9
b)
ipsilateral DRG (C5-C8)
c)
ipsilateral RL 5-9
d)
ipsilateral DRG (C3-T2)
e)
ipsilateral Centrobasal nucleus
17.
Which of these tracts decussate at the level of the pons?
a)
medial lemnisci
b)
Reticulospinal tract
c)
VSCT
d)
Rubrospinal tract
e)
Corticoreticulospinal tract
18.
What tract is between the ventral column and ventrolateral column at C8 spinal segment level?
a)
reticulospinal
b)
rubrospinal
c)
spinoreticular
d)
spinothalamic
e)
RCST
19.
Patient with ALS from C5-T7, affecting the lower motor neurons and lateral columns bilaterally, would have reflexes intact for knee extension.
a)
true
b)
false
20.
What tracts are in the ventral column at C8 spinal segment?
a)
VCST
b)
VSCT
c)
RCST
d)
protopathic tracts
e)
Reticulospinal tract
21.
What are the Anterograde targets for the R pons (descending tracts only)
a)
L Reticular Formation (MO)
b)
L Red nucleus
c)
R RL 5-9
d)
L RL 5-9
e)
L Reticular Formation (Pons)
22.
What are the Anterograde targets for the R MO (ascending tracts only)
a)
R CBL
b)
L CBL
c)
L VPL
d)
R VPL
e)
R Reticular Formation
23.
What are the Retrograde targets for the R midbrain (ascending tracts only)
a)
R RL 7 Clarks, Cooper-Sharington, centrobasal
b)
R Reticular Formation
c)
L RL 3
d)
L gracilis/cuneatus nucleus
e)
L RL 7
24.
The lateral column of the spinal cord contains ascending tracts.
a)
true
b)
false
25.

What are the Anterograde targets for the R dorsolateral column (Lissauer's) at C8 spinal segment

a)

R RL 1-2 @ C5

b)

R RL 1-2 @ C8

c)

R RL 5-9

d)

R RL 1-2 @ T2

26.
What is the name of the condition is brought on by an affected secondary cortex?
a)
agnosia
b)
alexia
c)
agraphia
d)
alexia
e)
aphasia
27.
Which lobe is Wernicke's area located?
a)
Frontal
b)
Parietal
c)
Temporal
d)
Occipital
e)
Insular
28.
Injury to the the arcuate fasiculus will render someone unable to
a)
comprehend speech
b)
speak
c)
write
d)
read
e)
calculate
29.
What 1st order afferent neurons are typically classified as:
a)
pseudounipolar
b)
bipolar
c)
anaxonic
d)
multipolar
30.
Merkel receptors respond to _______ and ________.
a)
vibration
b)
pressure
c)
texture
d)
flutter movements
e)
stroking movements
31.
Meissner's corpucles respond to _______ and _______.
a)
vibration
b)
pressure
c)
texture
d)
flutter movements
e)
stroking movements
32.
Fibers from muscle spindles and golgi tendon organs are:
a)
small diameter
b)
large diameter
c)
myelinated
d)
unmyelinated
e)
none of these
33.
Fibers in the dorsal column are:
a)
small diameter
b)
large diameter
c)
myelinated
d)
unmyelinated
e)
none of these
34.
Fibers in the internal capsule are:
a)
small diameter
b)
large diameter
c)
myelinated
d)
unmyelinated
e)
none of these
35.
Fibers in the dorsolateral column (Lissauer's) are:
a)
small diameter
b)
large diameter
c)
myelinated
d)
unmyelinated
e)
none of these
36.
Fibers exiting the ventral horn are:
a)
small diameter
b)
large diameter
c)
myelinated
d)
unmyelinated
e)
none of these
37.
Which of these tracts send pain signals to the primary somatosensory cortex
a)
fasiculus cuneatus
b)
fasiculus gracilis
c)
spinoreticular
d)
spinothalamic
e)
DCST
38.
Patient with Ventral spinal artery thrombosis (blood clot) C5-C8, affecting the LMN and all motor tracts bilaterally. Patient will exhibit ___________ C9 and below spinal segment bilaterally.
a)
flaccidity
b)
spasticity
c)
hyporeflexive
d)
hyperreflexive
e)
no paresis
39.
Cervical spinal segments have more gray matter than white matter.
a)
true
b)
false
40.
The reticular formation is responsible for:
a)
slow pain
b)
motor control
c)
control of heart rate
d)
control of blood pressure
e)
consicousness
41.
What type of fibers are in the dorsal cutaneous branch of the ulnar nerve?
a)
A-alpha
b)
A-beta
c)
A-delta
d)
C
e)
II
42.
What type of fibers are in the posterior interossesus nerve?
a)
A-alpha
b)
A-beta
c)
A-delta
d)
C
e)
II
43.
How many coccygeal spinal cord segments are there?
a)
1
b)
2
c)
3
d)
4
e)
5
44.
What is the Anterograde marker for the rubrospinal tract in the L lateral column?
a)
bilateral RL 5-7
b)
bilateral RL 8-9
c)
L RL 5-7
d)
L RL 8-9
e)
R RL 5-9
45.
What type of nuclei are in the lateral horn of T5 spinal cord segment?
a)
RL 5-7 Renshaws
b)
RL 7 Clark's
c)
RL 7 Cooper-Sharington's
d)
RL 7 centrobasal
e)
lateral cuneatus nucleus
46.
Splanchnic nerve depolarization can influence the voltage gated channels of C fibers to fire as they are coming from referred skin prior to entering their spinal cord segments.
a)
true
b)
false
47.
Occulsion of the R ACA artery would have the greatest effect on:
a)
R epicritic
b)
L protopathic
c)
R proprioception
d)
UE
e)
LE
48.
Occulsion of the L MCA artery would have the greatest effect on:
a)
R epicritic
b)
R motor control
c)
L protopathic
d)
UE
e)
LE
49.
These tracts have RL7 as 2nd order neuron except:
a)
LCST
b)
VSCT
c)
spinoreticular
d)
corticorubrospinal
e)
Corticoreticulospinal
50.
Where does CSF flow in the spinal cord?
a)
Subdural space
b)
Subarachnoid space
c)
central canal
d)
ventral median septum
e)
dorsal median septum
51.
Ventral and dorsal rootlets that exit the spinal cord are considered PNS structures.
a)
true
b)
false
52.
How many spinal cord segments are there?
a)
30
b)
31
c)
32
d)
33
e)
34
53.
Denticulate ligaments are an extension of ________ that anchor to _______.
a)
dura mater / intervertebral bodies
b)
pia mater / dura mater
c)
pia mater / intervertebral bodies
d)
pia mater / arachnoid mater
e)
white matter / pia mater
54.
Gracile and Cuneate nuclei are _______ of the epicritic pathway and its fibers decussate at the ________.
a)
3rd order neurons
b)
2nd order neurons
c)
midbrain
d)
pons
e)
MO
55.
Which of the spinocerebellar tracts decussate at C8 spinal cord segment?
a)
VSCT
b)
DSCT
c)
CCT
d)
RSCT
e)
none of these
56.
Which of the spinocerebellar tracts decussate at T8 spinal cord segment?
a)
VSCT
b)
DSCT
c)
CCT
d)
RSCT
e)
none of these
57.
Which of the spinocerebellar tracts send proprioceptive information from the ipsilateral UE and decussate in the cerebellum?
a)
VSCT
b)
DSCT
c)
CCT
d)
RSCT
e)
none of these
58.
Which of these fibers have the highest nerve conduction velocity?
a)
Ia
b)
Ib
c)
A-beta
d)
A-delta
e)
II
59.
Patient with Ventral spinal artery thrombosis (blood clot) C5-C8, affecting all white matter bilaterally excluding dorsolateral and dorsal columns, which fibers are implicated?
a)
A-alpha
b)
Ib
c)
A-beta
d)
C
e)
A-delta
60.
Which of the spinocerebellar tracts send proprioceptive information from muscle spindles from the ipsilateral UE?
a)
VSCT
b)
DSCT
c)
CCT
d)
RSCT
e)
none of these
61.
Which of the somatosensory tracts send information from Merkel receptors from the skin on the forearm?
a)
fasiculus cuneatus
b)
fasiculus gracilis
c)
spinoreticular
d)
spinothalamic
e)
CCT
62.
Which of the somatosensory tracts send temperature information from the skin on the forearm?
a)
fasiculus cuneatus
b)
fasiculus gracilis
c)
spinoreticular
d)
spinothalamic
e)
CCT
63.
What type of LMNs are involved in the GTO reflex?
a)
alpha
b)
beta
c)
delta
d)
gamma
64.
Which of the motor tracts decussate at the level of the MO?
a)
DCST
b)
corticoreticulospinal tract
c)
reticulospinal tract
d)
rubrospinal tract
e)
corticorubrospinal tract
65.

What are the Retrograde targets for the R VSCT for spinal segment C8?

a)

L RL 7 Cooper's Sharinginton (T6-Ccy1)

b)

L RL 7 Cooper-Sharington's (C1-C8)

c)

R RL 7 Cooper's Sharinginton (T6-Ccy1)

d)

R RL 7 Cooper-Sharington's (C1-C8)

e)

L RL 7 Cooper's Sharinginton (C1-T5)

66.
What are the Anterograde targets for the R VSCT for spinal segment C8?
a)
L CBL
b)
R CBL
c)
Bilateral RL 5-9
d)
L RL 7 Cooper-Sharington's (T6-Ccy1)
e)
none of these
67.
What are the Retrograde target for the R medial lemniscus at the level of the Pons?
a)
L gracilis nucleus
b)
L cuneatus nucleus
c)
R gracilis nucleus
d)
R cuneatus nucleus
e)
none of these
68.
What is the Retrograde target for the R DSCT at C8 spinal segment level?
a)
R Clark's (C1-T5)
b)
R Cooper-Sharington's (T6-Ccy1)
c)
R Centrobasal (C1-T5)
d)
R CBL
e)
none of these
69.
What is the retrograde target for the R CCT at C1 spinal segment level?
a)
R DRG (C1-T5)
b)
R DRG (T6-Ccy1)
c)
R DRG (C1)
d)
R lateral cuneatus nucleus
e)
none of these
70.
What are the Anterograde targets for the R internal capsule (descending tracts only)
a)
R red nucleus
b)
L Red nucleus
c)
R reticular formation
d)
L reticular formation
e)
none of these
71.

What are the Retrograde targets for the R internal capsule (ascending tracts only)

a)

R gracile/cuneate nuclei

b)

L gracile/cuneate nuclei

c)

R reticular formation

d)

L reticular formation

e)

none of these

72.
Occlusion of the _______ will have the greatest effect on proprioception of the _______.
a)
L PICA
b)
L SCA
c)
R UE
d)
L UE
e)
L LE
73.
Patient with a R dorsal artery thrombosis C8-T5, affecting R dorsal and R dorsolateral columns. What would the be the somatosensory effects below T5?
a)
Bilateral epicritic loss
b)
R epicritic loss
c)
L epicritic loss
d)
R protopathic loss
e)
Bilateral propathic OK
74.
Patient with a R dorsal artery thrombosis C8-T5, affecting R dorsal and R dorsolateral columns. What would the be the somatosensory effects C8-T5?
a)
R epicritic loss
b)
L epicritic loss
c)
Bilateral protopathic loss
d)
R protopathic loss
e)
L protopathic OK C8-T5
75.
Patient with a R dorsal artery thrombosis C8-T5, affecting R dorsal and R dorsolateral (Lissauer's) columns. What would the be the motor and reflexive effects at C8-T5?
a)
R hypertonic
b)
R hypotonic
c)
R hyporeflex
d)
R hyperreflex
e)
R atrophy
76.
What are the Retrograde target for the R cerebellum?
a)
R RL 7 Clarks, Cooper-Sharington, centrobasal
b)
L RL 7 Clarks, Cooper-Sharington, centrobasal
c)
R RL 7 Clark's, Centrobasal
d)
R lateral cuneatus nucleus
e)
L RL 7 Cooper's Sharinginton
77.
What LMNs are involved in the muscle spindle reflex?
a)
alpha
b)
beta
c)
gamma
d)
delta
e)
none of these
78.
Which is incorrect?
a)
CCT runs in the same column as the protopathics
b)
RSCT runs between DSCT and the protopathics
c)
RSCT runs between DSCT and the lateral column
d)
Reticulospinal runs between VCST and Protopathics
e)
Reticulospinal runs between lateral column and ventral lateral column
79.
Which of the following is true?
a)
Cervical spine segments have an equal amount of white and gray matter
b)
Thoracic spine segments T1-12 have a dorsal intermediate septum
c)
Lumbar spine segments have an equal amount of white and gray matter
d)
All spinal semegments have a dorsal intermedite horn
e)
Sacral spine segments have more white matter than gray matter
80.
What cell bodies can be found in the dorsal rami?
a)
Oligodendrocytes
b)
Microglia 
c)
Schwann cells
d)
Astrocytes
e)
Neurons
81.
Blockage of the dorsal spinal artery is more likely to cause issues with...
a)
Sensation
b)
Movement
c)
Digestion
d)
Passing your neuro exam
82.
Which tract contains the smallest diameter axons?
a)
Dorsal spinocerebellar tract (DSCT)
b)
Faciculus Gracilis
c)
Corticorubrospinal 
d)
Descending Corticospinal tract (DCST)
e)
Spinoreticular
83.
Motor Spindle Fibers are classic examples of Bipolar Neurons.
a)
true
b)
false
84.
If retro stained at the cerebral peduncle, which may terminate at ipsi precentral gyrus?
a)
Corticoreticulospinal
b)
DSCT
c)
DCST
d)
Croticorubrospinal
e)
2 of the above
85.
Leftover pia mater than anchors the SC to the coccyx is called
a)
conus medullaris
b)
cauda equina
c)
denticulate ligament
d)
filum terminale
86.
Anterograde stain at the pyramids of MO will terminate:
a)
ipsi primary motor ctx
b)
bilateral primary motor ctx
c)
ipsi RL 5-7
d)
bilateral RL 5-7
87.
Which of the following tracts do not have a synapse in the MO?
a)
Epicritics
b)
Spinoreticular
c)
Reticulospinal
d)
DCST
e)
2 of the above
88.
If the right hand is stroked with a feather, where is it's second synapse?
a)
R nucleus gracilis of MO
b)
L nucleus gracilis of MO
c)
R VPL of thalamus
d)
L VPL of thalamus
89.
select A-beta fibers
a)
Ia
b)
II
c)
fasc. Gracilis
d)
spinothalamic
90.
Which tract goes through the marginal nucleus?
a)
RSCT
b)
spinoreticular
c)
spinothalamic
d)
VCST