Block 5 Problem Quiz #2
- 1.A developmental disorder resulting in the failure of the mesencephalon to develop would result in the loss of which of the following structures?
- A.
Facial nuclei
- B.
Spinal trigeminal nuclei
- C.
Oculomotor nuclei
- D.
Hypoglossal nuclei
- E.
Dorsal motor nuclei of X
- 2.What is the anatomical marker of lateralization of language?
- A.
Structure of the arcuate fasciculus
- B.
Asymmetry of primary auditory cortex surface
- C.
Presence of angular gyrus on the dominant hemisphere
- D.
Involvement of dorsolateral prefrontal cortex
- E.
Asymmetry of planum temporale surface
- 3.What is the role of non-dominant equivalent to Wernicke area?
- A.
Language production
- B.
Language understanding
- C.
Semantic aspects of language
- D.
Prosodic aspects of language
- E.
Syntactic aspects of language
- 4.An area of the brain involved in language functions exhibits measurable volume difference between the right and the left hemisphere, in relation with the degree of lateralization of those language functions. What is the name of this area?
- A.
Triangular area
- B.
Opercular area
- C.
Angular gyrus
- D.
Planum temporale
- E.
Primary auditory cortex
- 5.A 49-year old man suffers from a stroke and he is unable to move his right upper limb and has lost sensation to that region as well. Which of the following arteries do your suspect to be compromised?
- A.
Right anterior cerebral artery
- B.
Left anterior cerebral artery
- C.
Right middle cerebral artery
- D.
Left middle cerebral artery
- E.
Right posterior cerebral artery
- 6.A 71-year old man has a stroke in small branches of the middle cerebral artery that supplies Brodmann's areas 41/42. What major problem do you expect this individual to exhibit?
- A.
Difficulty in the comprehension of speech
- B.
Disruptions with the perception of pain and temperature
- C.
Disruptions in visual processing
- D.
Disruptions in voluntary motor output
- E.
Difficulty hearing
- 7.Which of the following areas is not involved in language for a person who is left- dominant?
- A.
Left dorsolateral prefrontal cortex
- B.
Left opercular gyrus
- C.
Left angular gyrus
- D.
Right plenum temporale
- E.
Right primary auditory cortex
- 8.A 42-year old woman is suffering from chronic headaches. A CT reveals a tumor in her 4th ventricle and enlargement of all ventricles. Under normal conditions which of the following is characteristic of CSF flow?
- A.
CSF flows from the 4th ventricle to the cistern magna via the median aperture
- B.
The CSF flows from the lateral ventricles to the 3rd ventricle via the cerebral aqueduct.
- C.
The CSF flows from the 3rd to 4th ventricle via the foramen of Monroe
- D.
The CSF flows from the lateral ventricles to the 4th via the foramen of Luschka
- E.
The CSF flows from the ducal sinuses to the subarachnoid space via the arachnoid
- 9.A 2-year old child presents with hydrocephalus due to a tumor in her fourth ventricle. Under normal conditions the CSF flows from the 4th ventricle to the cistern magna via which foramen?
- A.
The left foramen of Luschka
- B.
The foramen of Megendie
- C.
The right foramen of Luschka
- D.
The foramen of Monroe
- E.
The left Interventricular foramen
- 10.A 60-year old man suffered from a right sided hemiplegia and right sided cerebellar ataxia. He could not abduct the left eye. Which of the following structures is involved?
- A.
Right pons
- B.
Left internal capsule
- C.
Right internal capsule
- D.
Left medulla
- E.
Left pons
- 11.If the Foramen of Megendie is obstructed, which of the following would occur?
- A.
Non-communicating hydrocephalus
- B.
Communicating hydrocephalus
- C.
Subdural hematoma
- D.
Epidural hematoma
- E.
Subarachnoid hemorrhage
- 12.Left hemineglect suggests lesion of the
- A.
Prefrontal cortex
- B.
Right hemisphere
- C.
Left hemisphere
- D.
Optic nerve
- E.
Visual cortex
- 13.A detailed neurological examination of a 52-year old male reveals the following: patient H5 alert to time, date and place and exhibits no disorders of speech or comprehension. Visual system testing, however, reveals a paralysis of upward gaze as well as a loss of the consensual pupillary light reflex. Such a constellation of symptoms could be due to a tumor at which location?
- A.
Optic chiasm
- B.
Rathke’s pouch (Craniopharingioma)
- C.
Pituitary gland
- D.
Pineal gland
- E.
Caudal pans
- 14.The gait in a patient with established neuro syphilis with damage to the spinal cord is which of the following?
- A.
Staggering
- B.
Shuffling
- C.
Drags one feet
- D.
High stepping
- E.
Scissors like
- 15.A lesion at the level of the cerebral peduncle would affect descending fibers of the corticospinal tract. Disruption of these axons would result in which of the following?
- A.
Flaccid paralysis
- B.
Areflexia
- C.
Hypotonicity
- D.
Positive Babinski sign
- E.
Absent Babinski sign
- 16.SVA axons are contained in which of the following cranial nerves?
- A.
CN III, CN VII, CN IX
- B.
CN V, CN VIII, CN IX
- C.
CN VII, CN IX, CN X
- D.
CN II, CN X, CN XI
- E.
CN V, CN X, CN VII
- 17.A patient exhibits a loss of pain sensation on the right side of his face. What cranial nerve is affected and a lesion to which of the following tracts would result in the deficit exhibited in this case?
- A.
CN V; Left Trigemino-Thalamic tract
- B.
CN VII; Left spinal tract of V
- C.
CN V; Right Trigemino-Thalamic tract
- D.
CN V, Left spiral tract of V
- E.
CN VII; Right tractus solitarius
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