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Neuroanatomy KM session

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

Ask patient to flex elbow against resistance; sudden release may cause the hand to strike the face. This maneuver tests the integrity of which of the following neural structures?

a)

Dentatorubrothalamic tract

b)

Dorsal column-medial lemniscus pathway

c)

Anterolateral system

d)

Motor pathway

2.

The lumbar and sacral spinal cord are supplied by this large and most constant medullary artery arising from the descending aorta

a)

Artery of Adamkiewicz

b)

Anterior spinal artery

c)

External iliac artery

d)

Common iliac artery

3.

The evocation of a reflex on one side of the body causes opposite effects on the limb of the other side of the body

a)

Law of reciprocal innervation

b)

Babinski reflex

c)

Monosynaptic reflex arc

d)

Crossed extensor reflex

4.

How will you classify the Golgi tendon organs?

a)

Slowly adapting, encapsulated receptors

b)

Slowly adapting, nonencapsualted receptors

c)

Rapidly adapting, encapsulated receptors

d)

Rapidly adapting, nonencapsulated receptors

5.

The function of this cortical region is to relate the visual information received by the primary visual cortex to past visual experiences, thus enabling the individual to recognize and appreciate what he is seeing.

a)

Brodmann area 8

b)

Brodmann areas 18, 19

c)

Brodmann area 22

d)

Brodmann areas 39, 40

6.

What is the sensory innervation of the middle finger?

a)

C6

b)

C7

c)

C8

d)

T1

7.

A 69-year-old female presented at the emergency room with sudden onset diplopia and gait ataxia. Neurological examination revealed primary gaze exotropia, bilateral ocular adduction impairment and nystagmus of the abducting eye. Cranial MRI showed an infarct in the mesencephalic tegmentum. Dysfunction of which structure gave rise to the ocular findings?

a)

Superior colliculus

b)

Paraabducens nucleus

c)

Medial longitudinal fasciculus

d)

Decussation of the superior cerebellar peduncles

8.

A 65-year-old man developed sudden inability to identify objects presented simultaneously, inability to reach for object under visual guidance and inability to voluntarily shift the gaze despite intact extraocular muscles. Where is the most likely site of the pathology?

a)

Dominant parietal lobe

b)

Bilateral parietooccipital junction

c)

Non-dominant temporooccipital area

d)

Bilateral occipital cortices

9.

Which of the following is CORRECT regarding the Papez circuit?

a)

Outflow impulses from the amygdala via the fornix to the mamillary bodies

b)

From the mammillary bodies via the tract of Vicq d'Azyr to the medial thalamic nuclei

c)

From the thalamus to the cingulate gyrus via the cingulum

d)

From the cingulate gyrus, impulses return to the hippocampus via the entorhinal area

10.

What is the embryonic origin of a suprasellar tumor in the pediatric age group that may transform to squamous cell carcinoma after radiation therapy?

a)

Neural crest

b)

Branchial arches

c)

Notochord

d)

Rathke’s pouch

11.

What sensory inputs are involved in the maintenance of balance and awareness of the position of one’s body?

a)

Retinal, labyrinthine, tactile

b)

Retinal, labyrinthine, proprioceptive

c)

Labyrinthine, auditory, tactile

d)

Labyrinthine, auditory, proprioceptive

12.

A 50-year-old woman was brought in for consultation because of chronic headache. She was morbidly obese with moon-like facies and violaceous striae in the abdomen. Neurological examination revealed bitemporal hemianopia. Which part of the visual pathway is affected?

a)

Optic tract

b)

Optic chiasm

c)

Geniculocalcarine tract

d)

Visual cortices

13.

A 65-year-old male was referred to neurology from the oncology service for evaluation of left partial ptosis, miosis and anhidrosis. He was a heavy smoker and was diagnosed with a tumor in the apex of the left lung. The neurological syndrome is secondary to compression of which autonomic ganglion?

a)

Otic ganglion

b)

Superior cervical ganglion

c)

Stellate ganglion

d)

Ciliary ganglion

14.

A 7-year-old girl was referred for evaluation. At 6 years old, her body began changing into that of an adult with early breast development, pubic and underarm hair growth, and menarche. Neurological examination revealed impaired upward gaze. Where is the location of the lesion?

a)

Corpora quadrigemina

b)

Pituitary gland

c)

Pineal gland

d)

Hypothalamus

15.

A 65-year-old male sought consult because of resting tremors on the right hand. Neurological examination showed decreased right arm swing when walking and loss of smell. Which of the following is true regarding this neurological condition?

a)

Overactivity of the direct pathway

b)

Overactivity of the indirect pathway

16.

A stroke survivor was brought in for treatment. He complains of right sided body weakness and difficulty with speech. Your neurological examination showed effortful speech production, impaired repetition, and relatively preserved comprehension. Where is the most probable location of the stroke?

a)

Dominant temporal lobe

b)

Dominant frontal lobe

c)

Nondominant temporal lobe

d)

Nondominant frontal lobe

17.

Which of the following is affected by botulism?

a)

Calcium influx in the terminal button

b)

Breakdown of neurotransmitters

c)

Release of neurotransmitters

d)

Affinity of postsynaptic membrane receptors

18.

The facial nerve contains the following nerve fibers except:

a)

General somatic efferent

b)

Special visceral afferent

c)

General visceral efferent

d)

Special visceral efferent

19.

Which of the following statements is TRUE regarding the muscle spindles?

a)

Composed of intrafusal fibers concentrated in the belly of the muscle

b)

Activated by excess tension in a contracting muscle

c)

Afferent fibers are classified as A-gamma

d)

Activation cause inhibition of antagonist muscle

20.

What is the descending tract that plays a major role in decerebrate posturing?

a)

Lateral corticospinal tract

b)

Anterior corticospinal tract

c)

Vestibulospinal tract

d)

Rubrospinal tract