Block 5 Neuro Atlas Ch 1 And 2 W Expl

36 Questions | Total Attempts: 121

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Neuro Quizzes & Trivia

Questions from 7th edition Neuro Atlas with explanation, chapters 1 & 2


Questions and Answers
  • 1. 
    A 59-year-old woman complains of a sudden severe headache that did not seem to respond to OTC medications, but cleared after several hours. Upon questioning her physician discovers that she has recently had prior similar episodes and he orders an MRI. This series of images reveals a large fusiform aneurysm of the P3 segment.  Assuming the neurosurgeon decides that this is a serious lesion that requires clipping, which of the following deficits might this patient experience?
    • A. 

      Blindness in one eye

    • B. 

      Partial bilateral hearing loss

    • C. 

      Partial bilateral visual loss

    • D. 

      Somato motor loss on the body

    • E. 

      Somatosensory loss on the body

  • 2. 
    A 59-year-old woman complains of a sudden severe headache that did not seem to respond to OTC medications, but cleared after several hours. Upon questioning her physician discovers that she has recently had prior similar episodes and he orders an MRI. This series of images reveals a large fusiform aneurysm of the P3 segment. Based on its location, which of the following gyri would most likely be impinged upon by this aneurysm?
    • A. 

      Cuneus

    • B. 

      Lingual

    • C. 

      Orbital

    • D. 

      Parahippocampal

    • E. 

      Superior temporal

  • 3. 
    Which of the following Brodmann areas represents the primary auditory cortex?
    • A. 

      Areas 3,1,2

    • B. 

      Area 17

    • C. 

      Areas 39 * 40

    • D. 

      Area 41

    • E. 

      Area 45

  • 4. 
    Which of the following venous structures is found deep in the lateral sulcus on the surface of the insular cortex?
    • A. 

      Anterior cerebral vein

    • B. 

      Basal vein of Rosenthal

    • C. 

      Deep middle cerebral vein

    • D. 

      Superficial middle cerebral vein

    • E. 

      Vein of Labbé

  • 5. 
    A sagittal MRI of a 52-year-old man clearly shows a small tumor in the area of the long and short gyri. These gyri are characteristically found in which of the following lobes?
    • A. 

      Frontal

    • B. 

      Insular

    • C. 

      Limbic

    • D. 

      Occipital

    • E. 

      Parietal

  • 6. 
    A 4-year-old boy is brought to the emergency department by his mother who explains that the boy fell off a porch onto a concrete sidewalk. The examination reveals that the boy has a large parietal scalp laceration, is stuporous, and has reactive pupils. Which of the following imaging tests would be most immediately (and appropriately) useful in this patient?
    • A. 

      CT

    • B. 

      MRI, gadolinium enhanced

    • C. 

      MRI,T1-weighted

    • D. 

      MRI,T2-weighted

    • E. 

      PET (positron emission tomography)

  • 7. 
    The MRI of a 49-year-old woman with a brain tumor shows tonsillar herniation. Based on its anatomical position, which of the following portions of the brainstem would be most adversely affected by this herniation?
    • A. 

      Caudal midbrain

    • B. 

      Caudal pons

    • C. 

      Medulla

    • D. 

      Rostral midbrain

    • E. 

      Rostral pons

  • 8. 
    The MRI of an 11-year-old boy shows a tumor in the pontine portion of the fourth ventricle. The rostral edge of which of the following structures represents the caudal border of this ventricular space?
    • A. 

      Facial colliculus

    • B. 

      Hypoglossal trigone

    • C. 

      Medial eminence

    • D. 

      Stria medullares

    • E. 

      Vagal trigone

  • 9. 
    A 61-year-old man presents with a tremor and unsteady gait; these problems are on the same side of his body. Sagittal MRI shows a lesion in the anterior lobe of the cerebellum. This lesion is located immediately rostral to which of the following?
    • A. 

      Horizontal fissure

    • B. 

      Posterior superior fissure

    • C. 

      Posterolateral fissure

    • D. 

      Primary fissure

    • E. 

      Secondary fissure

  • 10. 
    Which of the following cranial nerves exits the posterior (dorsal) aspect of the brainstem?
    • A. 

      Abducens (VI)

    • B. 

      Hypoglossal (XII)

    • C. 

      Trigeminal (V)

    • D. 

      Trochlear (IV)

    • E. 

      Vestibulocochlear (VIII)

  • 11. 
    Which of the following cranial nerves exits the brainstem via the preolivary sulcus?
    • A. 

      Abducens (VI)

    • B. 

      Facial (VII)

    • C. 

      Hypoglossal (XII)

    • D. 

      Vagus (X)

    • E. 

      Trigeminal (V)

  • 12. 
    . A 71-year-old morbidly obese man is brought to the emergency department by his son. The son reports that the man complained of a sudden excruciating headache and then became stuporous. Suspecting a ruptured aneurysm the physician orders a CT. Which of the following describes the appearance of acute blood in the subarachnoid space in this patient?
    • A. 

      Black (hypodense)

    • B. 

      Black to grey

    • C. 

      Light grey

    • D. 

      Medium grey

    • E. 

      White (hyperdense)

  • 13. 
    A 49-year-old woman presents with ill-defined neurological deficits that have persisted over several months. As part of the evaluation, the neurologist orders a T1-weighted MRI. Which of the following describes the appearance of CSF in the ventricular spaces, and consequently the outline and shape of the ventricles, in this patient?
    • A. 

      Black (hypointense)

    • B. 

      Dark grey

    • C. 

      Light grey

    • D. 

      Medium grey

    • E. 

      White (hyperintense)

  • 14. 
    A 19-year-old man presents with significant paralysis of movement in his left eye and a dilated pupil. No other deficits are seen. Suspecting some type of lesion on the root or along the intracranial course of the oculomotor (III) nerve, the neurologist orders T2-weighted MRI. Which of the following describes the appearance of the subarachnoid and ventricular spaces in this image?
    • A. 

      Black (hypointense)

    • B. 

      Dark grey

    • C. 

      Light grey

    • D. 

      Medium grey

    • E. 

      White (hyperintense)

  • 15. 
    A 51-year-old man presents with visual field deficits in both eyes and a right-sided weakness of the upper and lower extremities. MRI shows a lesion in the optic tract that has spread into a structure located immediately adjacent to this tract. Based on its anatomical relationship, which of the following structures is most likely involved in this lesion in this patient?
    • A. 

      Left basilar pons

    • B. 

      Left crus cerebri

    • C. 

      Left pyramid

    • D. 

      Right crus cerebri

    • E. 

      Right optic nerve

  • 16. 
    The MRI of a 27-year-old woman shows a meningioma impinging on the gyrus rectus in axial and coronal MRI. This lesion is located on which of the following lobes of the cerebral hemi-sphere?
    • A. 

      Frontal

    • B. 

      Insular

    • C. 

      Occipital

    • D. 

      Parietal

    • E. 

      Temporal

  • 17. 
    An 81-year-old woman is brought to the emergency department by her son with a complaint of weakness on the same side of her body and face. CT shows a hemorrhage in the territory of the lenticulostriate arteries. Which of the following represents the most likely origin of these vessels?
    • A. 

      A1

    • B. 

      M1

    • C. 

      M2

    • D. 

      P1

    • E. 

      P2

  • 18. 
    A 73-year-old woman presents with visual deficits in both eyes. No other cranial nerve deficits or motor or sensory deficits are seen. CT shows a hemorrhage in the cerebral cortex. Which of the following vessels/segments is most likely involved in this hemorrhage?
    • A. 

      A4 * 5

    • B. 

      M3

    • C. 

      M4

    • D. 

      P2

    • E. 

      P4

  • 19. 
    A 22-year-old man is brought to the emergency department with a gunshot wound to the head. He is decorticate but soon becomes decerebrate. This change in status is due to uncal herniation. Which of the following most specifically describes the position of the uncus prior to this patient’s change in status?
    • A. 

      At the temporal lobe

    • B. 

      Caudal aspect of the cingulate gyrus

    • C. 

      Caudal aspect of the gyrus rectus

    • D. 

      Medial edge of occipitotemporal gyri

    • E. 

      Rostromedial aspect of the parahippocampal gyrus

  • 20. 
    A 71-year-old woman presents with motor and sensory deficits affecting her face and upper extremity. CT shows a hemorrhage that is confined largely to the cortex and adjacent subcorticalareas. Which of the following vessels/segments are most likely involved?
    • A. 

      A1

    • B. 

      M2

    • C. 

      M3

    • D. 

      M4

    • E. 

      P4

  • 21. 
    Which of the following Brodmann areas represents the primary somatomotor cortex?
    • A. 

      Areas 3,1,2

    • B. 

      Area 4

    • C. 

      Area 5

    • D. 

      Area 6

    • E. 

      Area 7

  • 22. 
    A 39-year-old woman complains of weakness in her right lower extremity. The history suggests that this deficit has developed slowly,perhaps over several years. MRI shows a meningioma imposing on the cerebral cortex. Which of the following gyri is most likely involved in this patient?
    • A. 

      Anterior paracentral

    • B. 

      Lateral part of precentral

    • C. 

      Medial part of precentral

    • D. 

      Medial part of postcentral

    • E. 

      Posterior paracentral

  • 23. 
    The collection of posterior and anterior roots that occupy the lumbar cistern are collectively known as which of the following?
    • A. 

      Cauda equine

    • B. 

      Conus medullaris

    • C. 

      Denticulate ligament

    • D. 

      Filum terminale externum

    • E. 

      Filum terminale internum

  • 24. 
    A 47-year-old woman presents with seizures and ill-defined neurological complaints. The examination reveals a bruit on the lateral aspect of the head immediately rostral and superior to the ear. A CT shows a large arteriovenous malformation in the area of the lateral sulcus. The feeding artery(ies) is M4 branches. Which of the following most likely represents the major draining vein?
    • A. 

      Inferior sagittal sinus

    • B. 

      Deep cerebral vein

    • C. 

      Internal cerebral vein

    • D. 

      Ophthalmic vein

    • E. 

      Superficial middle cerebral vein

    • F. 

      Superior petrosal sinus

  • 25. 
    A 71-year-old man presents with a Broca (nonfluent) aphasia. MRI reveals a lesion in Brodmann area 44. As this lesion expands, due to edema, and impinges on the immediately adjacent cortical areas, which of the following deficits would most likely be seen?
    • A. 

      Loss of hearing in one ear

    • B. 

      Numbness and prickly sensation on the hand

    • C. 

      Visual field deficits in both eyes

    • D. 

      Weakness of facial muscles

    • E. 

      Weakness of the upper extremity

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