4th Neuroanatomy Lecture Exam - Reticular Formatiom and the Limbic System (Batch ?) Flashcards
- Baroreceptors located in the carotid sinus in the common carotid artery and the aortic arch are sensitive to change in the blood pressure, when the BP rises afferent stimuli from the carotid sinus ascend in the Xth nerve and reach the nucleus solitarius, likewise, afferent stimuli ascend from the aortic arch through the vagus nerve connector neurons in the medulla and activate the
A.AV node
B.SA node
C. Dorsal nucleus of the Vagus nerve
D. Cardiac plexus
AV node
2.The result of the events in the previous question is, Required to answer.
A.Rise in BP
B.BP falls
C. Heart rate is normal
D. increase in the force of heart contraction
BP falls
- Corpus Striatum is composed of:
A.Caudate and Putamen
B.Caudate and Globus Pallidus
C. Putamen and Globus Pallidus
D. Caudate, Putamen and Globus Pallidus
Caudate, Putamen and Globus Pallidus
- Regarding the anatomy of the basal ganglia, which of the following statements is INCORRECT?
A. The majority of cortical projections to the basal ganglia are to the striatum and subthalamic nucleus
B. The globus pallidus projects to the thalamus, which in turn, projects to the motor cortex
C. The striatum consists of the caudate and putamen
D. The major outflow of the basal ganglia arises in the putamen
The major outflow of the basal ganglia arises in the putamen
- The following intracranial arteries are part of the Anterior circulation except:
A. Middle cerebral artery
B. Posterior communicating artery
C. Posterior cerebral artery
D. Anterior cerebral artery
Posterior cerebral artery
- Large collections of sympathetic and parasympathetic afferent nerve fibers and their associated ganglia together with visceral afferents form the autonomic plexuses in the entire body cavity close to the visceral organs
A. Thorax
B. abdomen
C. pelvis
Thorax
- Cord edema is best evaluated with MRI
A. Option 2
B. X-ray
C. Bone
D. CT Myelography
CT Myelography
- The control of the skeletal muscles, somatic and visceral sensations, the autonomic nervous system, circadian rhythms the endocrine system and the ARAS is achieved by,
A.The ARAS alone
B.the reticular formation and the hypothalamus
C. The hypothalamus alone
D. The limbic system and the hypothalamus
B.the reticular formation and the hypothalamus
These nerve cells influence the level of consciousness and alertness
A. reticular nuclei
B. anterior nuclei
C. intralaminar nuclei
D. midline nuceli
intralaminar nuclei
The afferent arm of the sympathetic system passes from the viscera to the sympathetic ganglia without synapsing and passes to the lateral gray column from level T1 to L2 then back to the viscera as post-ganglionic fibers, the neurotransmitter here is,
A. Acetylcholine
B. Norepinephrine
C. Glutamine
D. GABA
Norepinephrine
- The production and release of ACTH, FSH, LH, TSH, GH are brought about by,
A. Release-inhibiting hormones
B. Portal system
C. Autonomic system
D. Releasing hormones
Releasing hormones
- TRUE of caudate, except:
A. It is the output center for the basal ganglia
B. None, all are true
C. It is a C-shaped mass of gray matter
D. It is located medial to the internal capsule
It is located medial to the internal capsule
- Pre-ganglionic sympathetic fibers descend to the medulla of the adrenal gland here the transmitter substance released at the nerve ending is,
A. Adrenaline
B. Acetylcholine
C. Glutamine
D. Norepinephrine
Acetylcholine
- Neuro-secretory cells responsible for the production of releasing hormones and release-inhibiting hormones are produced mainly by
A. Tubero-mammillary nucleus
B. Medial zone of the hypothalamus
C. Supra-optic nucleus
D. Lateral zone of the hypothalamus
Tubero-mammillary nucleus
- Which of the following statements is INCORRECT regarding the Basal ganglia?
A. The substantia nigra pars compacta normally inhibits the indirect pathway and excites the direct pathway
B. None, all are correct
C. Decreased thalamocortical activity results in hyperkinetic movement movement disorders and increased thalamocortical activity results in hypokinetic movement disorders
D. Parkinson’s disease results from degeneration of substanta nigra pars compacta
Decreased thalamocortical activity results in hyperkinetic movement movement disorders and increased thalamocortical activity results in hypokinetic movement disorders
- This part of the brain is concerned with converting recent memory to long term memory, this is the,
A. Amygdala
B. Dentate gyrus
C. Cingulum
D. Hippocampus
Hippocampus
- These relay information to the primary somatosensory cortex (Brodmann 3, 1,2) by way of the posterior limb of the internal capsule then through the corona radiata
A. Red nuclei
B. Median nuclei
C. Ventral posterior lateral nuclei
D. Ventral anterior nuclei
Ventral posterior lateral nuclei
- A 63 year-old male who experienced sudden onset of thunderclap headache revealed subarachnoid hemorrhage in the basal cisterns on CT. What is the next best imaging modality that should be requested?
A. MR angiogram
B. Skull xray
C. none of the choices
D. CT angiogram
CT angiogram
- The hormones vasopressin and oxytocin are synthesized in the,
A. Tubero-mammillary nucleus
B. Suprachiasmatic nucleus
C. Supra-optic and paraventricular nucleus
D. Infundibular nucleus
Supra-optic and paraventricular nucleus
- The final control of the parasympathetic system is in the,
A. Supra-chiasmatic nuclei
B. Pre-optic and anterior nuclei of the hypothalamus
C. Supra-optic nucleus
D. Lateral hypothalamic nucleus
Pre-optic and anterior nuclei of the hypothalamus
- Parinaud syndrome caused by pineal gland tumors can cause all of the following except:
A. convergence weakness
B. supranuclear upgaze palsy
C. lid retraction
D. abnormal downward gaze
abnormal downward gaze
Thin layer of white matter that covers the superior surface of the thalamus
A. external medullary lamina
B. stratum medullare
C. stratum zonale
D. internal medullary lamina
stratum zonale
The axons of the retinal cell bodies terminate in the six layers of the
A. red nucleus
B. lateral geniculate body
C. medial geniculate body
D. median nucleus
lateral geniculate body
- The following intracranial arteries are part of the Circle of Willis except:
A. Anterior cerebral artery
B. Posterior cerebral artery
C. Vertebrobasilar system
D. Middle cerebral artery
Anterior cerebral artery
- Which of the following statements is CORRECT regarding the direct and indirect pathways of the Basal ganglia?
A. Hyperkinetic movement disorders result from reduce activity in the indirect pathway
B. The net effect of activity in the indirect pathway is to normally increase movement
C. The net effect of activity in the direct pathway is to normally inhibit movement
D. Hypokinetic movement disorders result from the increased activity in the direct pathway
E. Hyperkinetic movement disorders result from the increased activity in the indirect pathway
Hyperkinetic movement disorders result from reduce activity in the indirect pathway
- A13 year-old boy with parenchymal bleed on CT and angiogram study revealed tangle of abnormal vessels in the cortical segments of the middle cerebral artery. What is the diagnosis?
A. Stroke
B. Brain abscess
C. Vasculitis
D. Arteriovenous malformation
Stroke
- DIRECT PATHWAY:
A. Cortex - Caudate/Putamen - Globus pallidus externa – Thalamus
B. Cortex - Globus pallidus externa - Caudate/Putamen – Thalamus
C. Cortex - Globus pallidus interna - Caudate/Putamen - Thalamus
D. Cortex - Caudate/Putamen - Globus pallidus interna - Thalamus
Cortex - Caudate/Putamen - Globus pallidus interna - Thalamus
- The thalamus lies at the core of the diencephalon. Its pole forms the posterior wall of the interventricular foramen of Monroe.
A. Medial
B. Inferior
C. Anterior
D. Posterior
Anterior
- Unique structure in C2 vertebra that articulates with C1 anterior arch
A. Lamina
B. Spinous process
C. Odontoid process
D. Pedicle
Odontoid process
- The border zone between the cerebral cortex and the hypothalamus is known to control emotions, behaviour and memory and is known as
A. the limbic system
B. the extrapyramidal motor system
C. the basal ganglia
D. the ARAS
the limbic system
- Which aspect of the the thalamus forms the upper and lateral walls of the third ventricle while the surface is part of the floor of the body of the lateral ventricle?
A. Lateral
B. Ventral
C. Dorsal
D. Medial
Dorsal
- Regarding the basal ganglia circuits, which of the following statements is CORRECT?
A. The direct pathway is inhibitory: by increasing inhibition of the globus pallidus intern (GPi), it decreases thalamic output
B. Projections from the subthalamic nucleus to the GPi are inhibitory
C. Projections from the Pi to the thalamus are inhibitory
D. The indirect pathway is excitatory: by increasing inhibition of the globus pallidus interna(GPi), it increases thalamic output
Projections from the subthalamic nucleus to the GPi are inhibitory
- The anterior two-thirds of the medial surface of the cerebral hemisphere is supplied by
A. Anterior cerebral artery
B. Posterior cerebral artery
C. Posterior communicating artery
D. Middle cerebral artery
Middle cerebral artery
- Which of the following statements is CORRECT regarding the lentiform nucleus?
A. It is lateral to the internal capsule
B. It is a wedge-shaped mass of white matter
C. It is medial to the internal capsule
D. It is composed of putamen and thalamus
It is lateral to the internal capsule
- The Bainbridge right atrial reflex is initiated when the nerve endings in the wall of the right atrium and the wall of the vena cava are stimulated by a rise in venous pressure . The afferent fibers ascend the vagus nerve to the medulla and terminate on the nucleus solitarius and connector neurons inhibit the parasympathetic or dorsal nucleus of the vagus and the reticulo-spinal fibers stimulate the thoracic outflow tract resulting in,
A. increase contraction of the heart
B. Tachycardia
C. reduction of the heart rate
D. depresses contraction of the heart
Tachycardia
- Neurons of the substantia nigra are inhibitory, the transmitter substance is
A. Dopaminergic
B. Gamma aminobutyric acid
C. Cholinergic
D. Glutaminergic
Dopaminergic
- TRUE of Huntington’s disease:
A. All are correct
B. Pathology is atrophy of head of caudate
C. Autosomal recessive inheritance presenting as choreoathetosis
D. Mutation as excessively long repeats of trinucleotide CGG
Pathology is atrophy of head of caudate
- The gold standard for neurovascular imaging
A. both CT angiogram and MR angiogram
B. Digital subtraction angiography
C. MR angiogram
D. CT angiogram
Digital subtraction angiography
- A 23 year-old male who had a vehicular accident while wearing a seatbelt revealed anterior wedge fracture of L1 vertebral body with a horizontal fracture through posterior elements on xray. What is the diagnosis?
A. Chance fracture
B. Clay-shoveler fracture
C. Hangman’s fracture
D. Jefferson’s fracture
Chance fracture
- The sympathetic system comes under the regulation of the,
A. Paraventricular nuclei
B. Posterior and lateral nuclei
C. Medial and hypothalamic nuclei
D. Pre-optic nuclei
Posterior and lateral nuclei
- The spinal cord most commonly ends at the level of
A. L2-L3
B. T12-L1
C. L5-S1
D. L4-L5
L2-L3
- The lateral surface of the cerebral hemisphere is supplied by
A. Posterior cerebral artery
B. Middle cerebral artery
C. Vertebrobasilar system
D. Anterior cerebral artery
Middle cerebral artery
- The subthalamic nucleus uses this neurotransmitter:
A. Acetylcholine
B. GABA
C. Glutamate
D. Dopamine
Glutamate
- As an emergency response, the sympathetic nervous system when activated results in
A. Constriction of pupils
B. Relaxation of sphincters
C. Decrease in heart rate
D. Increase in blood supply to the heart, brain and muscles
Increase in blood supply to the heart, brain and muscles
The limbic system by way of this connection and another is able to influence and control the endocrine system and influence emotional behaviour like fear, anger, and reproductive behaviour, that other factor is
A. ARAS and the autonomic nervous system
B. Hippocampus and the hypothalamus
C. Reticular formation and the basal ganglia
D. Hypothalamus and the autonomic nervous system
ARAS and the autonomic nervous system
The Globus pallidus interna uses this neurotransmitter:
A. GABA
B. Glutamate
C. Acetylcholine
D. Dopamine
GABA