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Blood Supply and Cerebrospinal Fluid System

Total questions: 26

Worksheet time: 13mins

Name
Class
Date
1.

Which of the following is(are) the function(s) of the cerebrospinal fluid (CSF) system?

a)

To provide water and certain amino acids to the extracellular fluid

b)

To supply specific ions to the extracellular fluid

c)

To provide buoyancy to the brain

d)

all of the above

2.

What structure is above the body of the lateral ventricle?

a)

Thalamus

b)

Hypothalamus

c)

Caudate

d)

Corpus callosum

e)

Lenticular nucleus

3.

Where is CSF normally found?

a)

In the subarachnoid space

b)

Between the dura and the skull

c)

In the subdural space

d)

Between the pia mater and the brain

4.

Vertebrobasilar artery ischemia is associated with:

a)

Diplopia

b)

Ataxia

c)

Weakness

d)

Oropharyngeal dysfunction

e)

all of the above

5.

Lacunar infarctions:

a)

Are due to hemorrhage

b)

Typically result in severe residual disability.

c)

Produce small avascular cavities in the brain.

d)

Are a form of TIAs.

e)

Occur most often in the anterior cerebral artery.

6.

Partial occlusion of the basilar artery may cause:

a)

Tetraplegia

b)

Loss of sensation

c)

Coma

d)

Cranial nerve signs

e)

all of the above

7.

Acute cerebellar infarction typically produces which of the following?

a)

Dizziness and/or vertigo with a lack of balance

b)

Nausea and vomiting, dysarthria, and headache

c)

Receptive aphasia

d)

Dizziness and/or vertigo with a lack of balance & Nausea and vomiting, dysarthria, and headache

8.

Which of the following stimulate vasoconstriction of the cerebral arteries?

a)

Low blood pressure

b)

Low pH levels (acidic)

c)

Low oxygen (O2) concentrations

d)

Low carbon dioxide (CO2) concentrations

9.

Which of the following events occurs with prolonged cerebral edema?

a)

Fluid leakage from damaged capillaries

b)

Arterial dilation with increased capillary pressures

c)

Lack of blood flow and O2 delivery

d)

All of the above

10.

Occlusion of the middle cerebral artery and ischemia of the inferior parietofrontal lobes of the right hemisphere may result in which of the following?

a)

Impaired nonverbal communication

b)

Apraxia

c)

Hemispatial and hemipersonal neglect

d)

All of the above

11.

Venous blood that accumulates in the dural sinus will drain into which of the following?

a)

Watershed area

b)

Internal carotid vein

c)

Jugular vein

d)

Fourth ventricle

12.

Match each lesion site with the effect of the lesion: epidural hematoma

a)

Venous bleeding that is associated with confusion, gradual worsening of headache, vomiting, decreasing consciousness and hemiparesis

b)

Disproportionately large head size, inactivity, and downward gaze of the eyes.

c)

Arterial bleeding, followed by a worsening headache, vomiting, decreased consciousness, and hemiparesis.

d)

Headache that is associated with increasing pressure, gait and balance impairments, and incontinence.

13.

Match each lesion site with the effect of the lesion: Subdural hematoma

a)

Venous bleeding that is associated with confusion, gradual worsening of headache, vomiting, decreasing consciousness and hemiparesis

b)

Disproportionately large head size, inactivity, and downward gaze of the eyes.

c)

Arterial bleeding, followed by a worsening headache, vomiting, decreased consciousness, and hemiparesis

d)

Headache that is associated with increasing pressure, gait and balance impairments, and incontinence.

14.

Match each lesion site with the effect of the lesion: Hydrocephalus in infants

a)

Venous bleeding that is associated with confusion, gradual worsening of headache, vomiting, decreasing consciousness and hemiparesis

b)

Disproportionately large head size, inactivity, and downward gaze of the eyes.

c)

Arterial bleeding, followed by a worsening headache, vomiting, decreased consciousness, and hemiparesis.

d)

Headache that is associated with increasing pressure, gait and balance impairments, and incontinence.

15.

Match each lesion site with the effect of the lesion: Hydrocephalus in adults

a)

Venous bleeding that is associated with confusion, gradual worsening of headache, vomiting, decreasing consciousness and hemiparesis

b)

Disproportionately large head size, inactivity, and downward gaze of the eyes

c)

Arterial bleeding, followed by a worsening headache, vomiting, decreased consciousness, and hemiparesis.

d)

Headache that is associated with increasing pressure, gait and balance impairments, and incontinence.

16.

Match each disorder with the most likely location of the lesion: Left homonymous hemianopsia, left hemiplegia and hemisensory loss involving the upper limb and face more than the lower limb, and personal neglect

a)

Cortical branches of the left middle cerebral artery

b)

Midbrain branches of the posterior cerebral artery

c)

Watershed area

d)

Striate arteries of the right middle cerebral artery

e)

Cortical branches of the right middle cerebral artery

17.

Match each disorder with the most likely location of the lesion: Left hemiplegia and hemisensory loss involving the face, upper limb, and lower limb equally

a)

Midbrain branches of the posterior cerebral artery

b)

Watershed area

c)

Striate arteries of the right middle cerebral artery

d)

Cortical branches of the right middle cerebral artery

e)

Anterior cerebral artery

18.

Match each disorder with the most likely location of the lesion: Personality changes with contralateral lower limb hemiplegia and hemisensory loss

a)

Anterior cerebral artery

b)

Cortical branches of the right middle cerebral artery

c)

Striate arteries of the right middle cerebral artery

d)

Watershed area

e)

Cortical branches of the left middle cerebral artery

19.

Match each disorder with the most likely location of the lesion: Right homonymous hemianopsia, right hemiplegia and hemisensory loss involving the upper limb and face more than the lower limb, and language impairment

a)

Watershed area

b)

Midbrain branches of the posterior cerebral artery

c)

Cortical branches of the left middle cerebral artery

d)

Striate arteries of the right middle cerebral artery

20.

Match each disorder with the most likely location of the lesion: Contralateral hemiparesis with ocular paralysis preventing upward and medial gaze

a)

Midbrain branches of the posterior cerebral artery

b)

Watershed area

c)

Striate arteries of the right middle cerebral artery

d)

Cortical branches of the right middle cerebral artery

21.

Match each disorder with the most likely location of the lesion: Upper limb paresis and paresthesia

a)

Midbrain branches of the posterior cerebral artery

b)

Watershed area

c)

Anterior cerebral artery

d)

Cortical branches of the left middle cerebral artery

22.

Match each disorder with its description: Arteriovenous malformation

a)

Protrusion of the cerebellar tonsils

through the foramen magnum; caused by pressure from an uncal herniation, a tumor in the brainstem/cerebellar region, hemorrhage, or edema.

b)

Developmental abnormality with arteries connected to veins by abdominal, thin-walled vessels

c)

Medial displacement of the uncus, with compression the midbrain, caused by a space-occupying lesion in temporal lobe

d)

Abnormal dilation of the wall of an artery or vein

e)

Displacement of the diencephalon, midbrain, and the pons inferiorly; caused by a space-occupying lesion in the cerebrum.

23.

Match each disorder with its description: Aneurysm

a)

Protrusion of the cerebellar tonsils

through the foramen magnum; caused by pressure from an uncal herniation, a tumor in the brainstem/cerebellar region, hemorrhage, or edema.

b)

Developmental abnormality with arteries connected to veins by abdominal, thin-walled vessels

c)

Medial displacement of the uncus, with compression the midbrain, caused by a space-occupying lesion in temporal lobe

d)

abnormal dilation of the wall of an artery or vein

e)

Displacement of the diencephalon, midbrain, and the pons inferiorly; caused by a space-occupying lesion in the cerebrum.

24.

Match each disorder with its description: Uncal herniation

a)

Protrusion of the cerebellar tonsils

through the foramen magnum; caused by pressure from an uncal herniation, a tumor in the brainstem/cerebellar region, hemorrhage, or edema.

b)

Developmental abnormality with arteries connected to veins by abdominal, thin-walled vessels

c)

Medial displacement of the uncus, with compression the midbrain, caused by a space-occupying lesion in temporal lobe

d)

Abnormal dilation of the wall of an artery or vein

e)

Displacement of the diencephalon, midbrain, and the pons inferiorly; caused by a space-occupying lesion in the cerebrum.

25.

Match each disorder with its description: Central herniation

a)

Protrusion of the cerebellar tonsils

through the foramen magnum; caused by pressure from an uncal herniation, a tumor in the brainstem/cerebellar region, hemorrhage, or edema.

b)

Developmental abnormality with arteries connected to veins by abdominal, thin-walled vessels

c)

Medial displacement of the uncus, with compression the midbrain, caused by a space-occupying lesion in temporal lobe

d)

Abnormal dilation of the wall of an artery or vein

e)

Displacement of the diencephalon, midbrain, and the pons inferiorly; caused by a space-occupying lesion in the cerebrum.

26.

Match each disorder with its description: Tonsillar herniation

a)

Protrusion of the cerebellar tonsils

through the foramen magnum; caused by pressure from an uncal herniation, a tumor in the brainstem/cerebellar region, hemorrhage, or edema.

b)

Developmental abnormality with arteries connected to veins by abdominal, thin-walled vessels

c)

Medial displacement of the uncus, with compression the midbrain, caused by a space-occupying lesion in temporal lobe

d)

Abnormal dilation of the wall of an artery or vein

e)

Displacement of the diencephalon, midbrain, and the pons inferiorly; caused by a space-occupying lesion in the cerebrum.