Font size
WorksheetsOCC222 Neuro Week5
Total questions: 60
Worksheet time: 3570secs
Extrapyramidal motor system
Controls involuntary movement
Controls voluntary movement
Modulation and regulation
Locomotion, reflexes, postural control, complex movements
Input from – Basal ganglia, cerebellum, vestibular nuclei, sensory cortex
Pyramidal motor system
Travel via pyramids in the medulla
Controls voluntary movement
Corticospinal/ corticobulbar
Rubrospinal, reticulospinal, vestibulospinal, tectospinal tracts
Locomotion, reflexes, postural control, complex movements
Basal ganglia/ nuclei = (a) matter inside the brain
Basal ganglia/ nuclei control voluntary/involuntary movement
voluntary
involuntary
Basal ganglia/ nuclei involve which process for movement. _________ and _________
(a)
The function of Basal ganglia
Ensure smooth, refined movement
Involved in motor learning via cognitive association areas of the cortex
Emotional expression in movement via the limbic system
Function of Substantia nigra –
stimulates movement
initiates movement
stops excessive movement
information from body, fine tuning
inhibits and excites the thalamus
Function of Cortex–
stimulates movement
initiates movement
stops excessive movement
information from body, fine tuning
inhibits and excites the thalamus
Function of Thalamus–
stimulates movement
initiates movement
stops excessive movement
information from body, fine tuning
inhibits and excites the thalamus
Function of Subthalamic nucleus–
stimulates movement
initiates movement
stops excessive movement
information from body, fine tuning
inhibits and excites the thalamus
Function of Globus pallidus–
stimulates movement
initiates movement
stops excessive movement
information from body, fine tuning
inhibits and excites the thalamus
Involuntary repetitive contractions of opposing muscles – lasts a few seconds to few minutes, resulting in abnormal postures
Dystonia
Dyskinesia
Twisting repetitive movements, odd quality
Dystonia
Dyskinesia
True or False : Parkinson’s Disease is one of the Neurodegenerative diseases
True
False
Balism =
Severe type of chorea
Violent flinging of proximal limb
Usually single limb
Huntington's disease = Autosomal dominant condition which means __/__% chance
(a)
Huntington's disease = (a) brain nerve cell breakdown
Huntington's disease make Basal ganglia more (a)
True or False : The brain stem connects brain and spinal cord
True
False
Midbrain =
Visual processing
Bridge
Substantia nigra
Superior and inferior colliculi
Ventral tegmental area
Pons =
several cranial nerve nuclei
Bridge
Substantia nigra
Periaqueductal grey
Ventral tegmental area
True or False : Medulla oblongata reflex actions does not include vomit
True
False
True or False : Reticular formation have a huge role in sleeping and waking
True
False
True or False : Bulbar palsy impairs of function of the cranial nerves IX, X, XI and XII
True
False
True or False : Stable posture = body part alignment so centre of gravity is over the base of support
True
False
Neurological mechanisms include
Musculoskeletal proprioception
Vestibular system
Cerebellum
Vision
Vestibular organs detect change of (a) of head
Vestibular organs -
Linear acceleration
Angular acceleration
Vestibular nuclei receive (a) information
Cerebellar dysfunction
Inco-ordination of movement
Ataxic gait
Hypotonia
Abnormal eye movements
Ataxic/ dysarthric speech
Functions of Limbic system
Controls emotions
Produces feelings
Interprets sensory impulses
Regulate voluntary movement
Stimulate involuntary movement
Amygdala mediation of which emotion below?
fear
anxiety
anger
True or False : Prefrontal cortex does not have a role in emotional control
True
False
How many hippocampi we normally have
(a)
The primary function of the Hippocampus is to transfer _____ _____ information/memory into ____ _____ information/memory
(a)
Hippocampus –
declarative memory/ ‘Knowing that’
procedural memory/ “Knowing how”
Basal ganglia and cerebellum –
declarative memory/ ‘Knowing that’
procedural memory/ “Knowing how”
Severe blow to the head, dense retrograde amnesia that resolves with time, only the incident itself is not remembered is a symptom of
Transient global amnesia
Post-traumatic amnesia
Korsakoff’s syndrome
Patients with Transient global amnesia may experience
severe forgetfulness, confusion, total episodic memory loss, disorientation.
a severe blow to the head, dense retrograde amnesia that resolves with time, only the incident itself is not remembered.
classically confabulate (report events that never happened, mistaking their guesses or imagination for actual memories).
What are some effects of cortical dorsolateral focal injury
Decreased drive
Loss of fear
PTSD
Blunted emotions
Flat affect
What are some effects of Amygdala damage
Loss of ability to experience pleasure (anhedonia)
Lethargy
Don’t recognise danger – risk taking
Cant recognise fear in others
Flat affect
True or False : Amygdala associated with aggression and sexual response
True
False
True or False : Poor judgement is not an effect of Orbitofrontal injury
True
False
In the brain stem:
The periaquaductal grey plays a role in coughing reflex
The substantia nigra plays a role in voluntary movement
The cerebellar peduncles are involved primarily in visual reflexes
The earliest symptom of Parkinson’s Disease is typically
The presence of bilateral tremor
Loss of sense of smell
Changes in balance and mobility
All of the above
Which of the following is NOT a common motor symptom in Parkinson’s Disease
Freezing
Masked face (hypomimia)
Hyperreflexia
Shuffling gait
The vestibular nuclei:
are situated in the frontal lobe
have both afferent and efferent connections with the cerebellum
are responsible for initiation and termination of movement
The basal ganglia have a role in producing movement by:
Integrating sensory information (proprioception)
Producing dopamine
Coordinating skeletal muscles
Maintaining posture
The pyramidal motor system
Controls voluntary movement
Has tracts that originate in the brain stem
Controls muscle tone and posture
Pons is responsible for
Visual processing
Auditory processing
Reflex actions such as blinking
Mediating motor information
Medulla oblongata is responsible for
Visual processing
Auditory processing
Reflex actions such as blinking
Mediating motor information
What movement disorder is most likely to be associated with Huntington's disease?
Chorea
cogwheel rigidity
bradykinesia
Pill rolling tremor
Parkinson's disease
is unlikely to be associated with depression
is never associated dementia
presents with tremor, bradykinesia and muscle rigidity
The cerebellum
Integrates sensory information
Coordinates skeletal muscle activity
Maintains posture
All of the above
The main function of the (a) is memory formation and recall
Damage to the amygdala may result in
Inability to form new memories
Loss of ability to experience pleasure
Loss of smell
Loss of visual recognition
In Parkinson's disease the occupation of social participation is affected by
the in abilty to hold a toothbrush
high muscle tone resulting in impaired sleep
blunted emotional expression due to loss of facial expression
disinhibition and verbal outburst
Function of Semi-circular canals is to regulate (a) of head
True or False: If a client with Vestibular damage perform a Romberg Test, client arms will tend to drift to one side, may even fall
True
False
True of False : Cerebellum have no role in eyes control at all
True
False
