Book Review And Study Questions For Chapter 5

20 Questions

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Study Quizzes & Trivia

Questions and Answers
  • 1. 
    A 47-year-old woman presents with signs of increased intracranial pressure (vomiting, headache, lethargy).MRI shows a large tumor invading the head of the caudate nucleus, the rostral portion of the putamen, and involving a fiber bundle located between these two structures. This fiber bundle is most likely the:
    • A. 

      Anterior commissure

    • B. 

      Anterior limb of the internal capsule

    • C. 

      Column of the fornix

    • D. 

      External capsule

    • E. 

      Posterior limb of the internal capsule

  • 2. 
    A 76-year-old woman is diagnosed as having “probable “Alzheimer disease based on a steady decline in cognitive function. It is likely that this woman has cell dropout in the nucleus accumbens. Which of the following most specifically describes the location of this cell group?
    • A. 

      At the junction of the caudate head and putamen

    • B. 

      At the junction of the pallidum and putamen

    • C. 

      At the junction of the pallidum and substantia nigra

    • D. 

      In the anterior wall of the temporal horn

    • E. 

      Internal to the uncus

  • 3. 
    Which of the following structures is located in the medial wall of the temporal horn of the lateral ventricle and, if severely damaged, or damaged bilaterally, may result in memory deficits?
    • A. 

      Amygdaloid complex

    • B. 

      Calcar avis

    • C. 

      Hippocampus

    • D. 

      Pulvinar

    • E. 

      Tail of the caudate

  • 4. 
    Which of the following represents the fibers that fan out from the internal capsule into the white matter of the hemisphere?
    • A. 

      Cingulum

    • B. 

      Corona radiate

    • C. 

      Genu of the corpus callosum

    • D. 

      Superior longitudinal fasciculus

    • E. 

      Uncinate fasciculus

  • 5. 
    The lamina of white matter located immediately internal to the cortex of the insula is the:
    • A. 

      Arcuate fasciculus

    • B. 

      External capsule

    • C. 

      Extreme capsule

    • D. 

      Internal capsule

    • E. 

      Tapetum

  • 6. 
    • A. 

      Anterior thalamic nucleus

    • B. 

      Body of the caudate nucleus

    • C. 

      Column of the fornix

    • D. 

      Dorsomedial nucleus

    • E. 

      Head of the caudate nucleus

  • 7. 
    A 76-year-old man presents with a resting tremor, bradykinesia, and stooped posture. These observations suggest loss of a prominent population of cells in the brain. Which of the following structures is most likely affected in this patient?
    • A. 

      Lateral cerebellar nucleus

    • B. 

      Locus ceruleus

    • C. 

      Red nucleus

    • D. 

      Substantia nigra

    • E. 

      Subthalamic nucleus

  • 8. 
    • A. 

      Caudate nucleus

    • B. 

      Globus pallidus

    • C. 

      Putamen

    • D. 

      Subthalamic nucleus

    • E. 

      Substantia nigra

  • 9. 
    The MRI of a 59-year-old woman shows a large arteriovenous malformation (AVM) located between the lenticular nucleus and the dorsal thalamus. Based on its location, this AVM most likely involves which of the following structures?
    • A. 

      Anterior limb of the internal capsule

    • B. 

      Crus cerebri

    • C. 

      External capsule

    • D. 

      Posterior limb of the internal capsule

    • E. 

      Retrolenticular limb of the internal capsule

  • 10. 
    A 29-year-old man is brought to the emergency department with a severe and persistent headache. MRI shows a large tumor of the pineal gland. Based on its location, as this lesion enlarges it may impinge on which of the following structures?
    • A. 

      Anterior thalamic nucleus

    • B. 

      Body of the caudate nucleus

    • C. 

      Globus pallidus

    • D. 

      Pulvinar nucleus(i)

    • E. 

      Ventral posteromedial nucleus

  • 11. 
    The hippocampal commissure contains fibers from one hippocampal formation that cross the midline to distribute to tar-gets on the opposite side of the hemisphere. Which of the following structures is directly adjacent to this commissure?
    • A. 

      Body of the corpus callosum

    • B. 

      Genu of the corpus callosum

    • C. 

      Splenium of the corpus callosum

    • D. 

      Spiral fibers of the hippocampus

    • E. 

      Precommissural fornix

  • 12. 
    An 85-year-old woman is brought to the emergency department by her family because she suddenly became confused and lethargic. CT shows a hemorrhage into the medial and lateral geniculate bodies. Which of the following structures would also likely be involved in this vascular lesion?
    • A. 

      Anterior thalamic nucleus

    • B. 

      Rostral dorsomedial nucleus

    • C. 

      Globus pallidus

    • D. 

      Pulvinar nucleus(i)

    • E. 

      Subthalamic nucleus

  • 13. 
    A 29-year-old woman presents with neurological deficits that wax and wane over time suggestive of multiple sclerosis. MRI (especially T2-weighted) shows small, demyelinated areas at several locations in her brain, one of these being the mammillothalamic tract. Which of the following structures is most intimately associated with this tract?
    • A. 

      Anterior thalamic nucleus

    • B. 

      Centromedian nucleus

    • C. 

      Dorsomedial nucleus

    • D. 

      Ventral anterior thalamic nucleus

    • E. 

      Ventral lateral thalamic nucleus

  • 14. 
    Which of the following structures is a primary target of the optic tract as it passes caudally from the optic chiasm?
    • A. 

      Lateral geniculate nucleus

    • B. 

      Mammillary body

    • C. 

      Medial geniculate nucleus

    • D. 

      Pulvinar

    • E. 

      Ventral posterolateral nucleus

  • 15. 
    An 82-year-old man presents with a severe motor deficit (resting tremor) and dementia. The former correlates with degenerative changes in the putamen and Globus pallidus and the latter with degenerative changes in the ventral striatum and ventral pallidum. Which of the following structures separates these two areas in the basal forebrain?
    • A. 

      Anterior commissure

    • B. 

      Lamina terminalis

    • C. 

      Massa intermedia

    • D. 

      Posterior commissure

    • E. 

      Septum pellucidum

  • 16. 
    A 23-year-old man is brought to the emergency department by emergency medical personnel after an automobile collision. CT shows bilateral damage to the temporal pole and the uncus. Which of the following structures is also most likely damaged in this patient?
    • A. 

      Amygdaloid complex

    • B. 

      Anterior thalamic nucleus

    • C. 

      Cingulum

    • D. 

      Gracile nucleus

    • E. 

      Hippocampal formation

  • 17. 
    The optic radiations are closely associated with which of the following spaces?
    • A. 

      Anterior horn of the lateral ventricle

    • B. 

      Body of the lateral ventricle

    • C. 

      Cisterns adjacent to the midbrain

    • D. 

      Posterior horn of the lateral ventricle

    • E. 

      Third ventricle

  • 18. 
    A 31-year-old man presents with ill-defined neurological com-plaints (persistently tired, headache, confusion).CT shows an arteriovenous malformation occupying most of the dorsomedial nucleus (DM) of the thalamus. This lesion is located immediately medial to which of the following?
    • A. 

      Ansa lenticularis

    • B. 

      External medullary lamina

    • C. 

      Internal medullary lamina

    • D. 

      Lamina terminalis

    • E. 

      Stria medullaris thalami

  • 19. 
    A 48-year-old woman presents with violent, flailing movements of her left upper extremity. CT shows a small hemorrhage in the subthalamic nucleus. Which of the following structures, due to its position, may also be affected by this lesion?
    • A. 

      Centromedian nucleus

    • B. 

      Globus pallidus

    • C. 

      Medial geniculate nucleus

    • D. 

      Putamen

    • E. 

      Substantia nigra

  • 20. 
    Which of the following structures is located immediately caudal to the anterior commissure and appears as a distinct black spot in a T2-weighted axial MRI?
    • A. 

      Anterior limb of internal capsule

    • B. 

      Column of the fornix

    • C. 

      Crus of the fornix

    • D. 

      Lenticular fasciculus

    • E. 

      Mammillothalamic tract