8th Physiology Lecture Exam - Nervous System (Batch 2025) Flashcards
- Signal generation involved in the function of the vestibular apparatus involves conversion of
a. Mechanical signals to electrical signals
b. Electrical signals to chemical signals
C. Chemical signals to electrical signals
d. Mechanical signals to chemical signals
a. Mechanical signals to electrical signals
- A 63 y/o man presents with muscle rigidity, resting tremor, and difficulty walking, consistent with Parkinson disease. The involved neurotransmitter resulting in the patients difficulty in initiating movement is in the
a. GABA
b. Acetylcholine
c. Substantia nigra
d. Dopamine
d. Dopamine
- Which of the following structures is
primarily involved in controlling the
necessary instantaneous interplay
between agonist and antagonist
muscle groups?
a. Cerebellum
b. Supplementary motor cortex
c. Primary motor cortex
d. Basal ganglia
a. Cerebellum
- Which group of neurons function in
association with the pontine nuclei to
control the antigravity muscles?
a. Substantia nigra
b. Flocullonodular
c. Vestibular nuclei
d. Basal ganglia
c. Vestibular nuclei
- When doing the corneal reflex in a
patient with Bell’s palsy, what finding
will you expect?
a. Loss of vision
b. Pupillary dilatation
c. Inability to detect pain
sensation
d. Difficulty blinking the eyes
d. Difficulty blinking the eyes
- The ability to vocalize words
properly what the patient has
decided to say is the function of
which are of the body?
a. Medulla
b. Primary motor cortex
c. Wernicke’s area
d. Broca’s area
d. Broca’s area
- Nerve fibers that directly innervate
the skeletal muscle fibers leave the
cord by way of which of the following
structures?
a. White matter
b. Posterior horn
c. Anterior horn
d. Gray matter
c. Anterior horn
- Excitation of the cerebral cortex by
this structure is necessary for almost
all cortical activity
a. Caudate nucleus
b. Thalamus
c. Substantia nigra
d. Basal ganglia
b. Thalamus
- Withdrawal of an affected limb from
painful stimulus is characterized as
which of the following reflexes?
a. Reciprocal inhibition
b. Crossed-extensor reflex
c. Extensor reflex
d. Flexor reflex
d. Flexor reflex
- In Parkinson’s Disease, the bradykinesia observed is due to increased activity of neurons in the internal segment of the globus pallidus resulting to:
a. Increased activation of the brainstem
b. Increased activation of the motor cortex
c. Increased synthesis of dopamine
d. Less activation of motor cortical areas
d. Less activation of motor
cortical areas
- Which of the following observations
would suggest that an upper motor
neuron lesion rather than a lower
motor neuron lesion is present?
a. Hyporeflexia
b. Profound muscle weakness
c. Spasticity
d. Profound muscle wasting
c. Spasticity
- True statement about regulation and coordination of muscle movement
a. All of the statements are correct
b. Basal ganglia is involved in timing of motor activities and smooth progression from one movement to another
C. Proper motor movement requires proper
functioning of the basal ganglia and cerebellum
d. Cerebellum plays a major role in controlling relative intensities of individual motion components
C. Proper motor movement requires proper
functioning of the basal ganglia and cerebellum
- The thought process of movement
begins with the motor image of the
total muscle movement that is to be
performed. Which of the following is
responsible for this thought process?
a. Primary motor cortex
b. Premotor area
c. Are 42
d. Wernicke’s area
b. Premotor area
- These are mainly short-term
memories that are used during the
course of intellectual reasoning but
are terminated as each stage of the
problem is resolved.
a. Intermediate memory
b. Working memory
c. Intermediate long-term
memory
d. Long-term memory
b. Working memory
- What is the other name for the most
important output pathway from the
motor cortex is referred to as the
pyramidal tracts?
a. Spinothalamic tract
b. Corticocerebellar tracts
c. Corticobulbar tracts
d. Corticospinal tract
d. Corticospinal tract
- Which part of the cerebellum is
responsible for planning and
initiation of movement?
a. Vestibulocerebellum
b. Spinocerebellum
c. Cerebrocerebellum
(Neocerebellum)
d. Flocculonodular lobe
c. Cerebrocerebellum
(Neocerebellum)
- During a withdrawal response of the
right arm, antagonistic muscles of
the right arm are inhibited allowing
for the unopposed contraction of
flexor muscles. The pattern of neural
signaling involved in this case is
a. Reflex stimulation
b. Reciprocal inhibition
c. Diverging circuitry
d. Crossed-extensor reflex
b. Reciprocal inhibition
- True statement about the basal ganglia regulation of movement?
a. All of the statements are correct
b. Interaction between the basal ganglia and cortex essentially are composed of negative feedback loops
c. There are dopamine pathways from the caudate nucleus and putamen
d. Major inhibitory neurotransmitter in the basal ganglia is dopamine
b. Interaction between the basal ganglia and cortex essentially are composed of negative feedback loops
- Neuronal circuits in the interneuron
pool of the spinal cord conduct
impulses in which of the following
patterns?
a. Repetitive-discharge
b. Diverging
c. All of the patterns are correct
d. Converging
c. All of the patterns are
correct
- Formation of thought and even most
choices of words enabling a person
to communicate through language is
the function of which cortical area?
a. Wernicke’s area
b. Broca’s area
c. Primary motor cortex
d. Primary sensory cortex
a. Wernicke’s area
- Which of the following are identified
interneurons which function as
inhibitory cells to surrounding motor
neurons allowing for lateral
inhibition?
a. Muscle spindle
b. Reed-sternberg cells
c. Golgi tendon
d. Renshaw cells
d. Renshaw cells
- This is a parasympathetic function of
the 7th cranial nerve
a. Pupillary constriction
b. Bronchodilation
c. Salivation and lacrimation
d. Decreased heart rate
c. Salivation and lacrimation
- Learning rapid hand and physical
skills such as suturing depends on
physically repeating the required
task over and over again rather than
symbolically rehearsing the
movement in the mind. This type of
learning is based on which of the
following?
a. None of the choices is
correct
b. Skill memory
c. Declarative memory
d. Machine learning
b. Skill memory
- These structures are arranged at
right angles to one another so that
they represent all three planes in
space to reference the position of
the head.
a. Utricle
b. Semicircular ducts
c. Cochlea
d. Macula
b. Semicircular ducts
- Which of the ff is a sign of Bell’s
palsy?
a. Inability to wrinkle
forehead
b. Inability to identify different
scents
c. Inability to move arms and
legs
d. Unilateral sensory loss of
lower and upper extremities
a. Inability to wrinkle
forehead
- The sensory portion of the 7th
cranial nerve is tested through which
of the ff?
a. Testing for taste in the
anterior ⅔ of the tongue
b. Testing for pain by pinching
the cheeks
c. Asking the subject to smell
different solutions
d. Testing for gag reflex
a. Testing for taste in the
anterior ⅔ of the tongue
- Which component of the utricle
mainly lies on the horizontal plane
important in determining orientation
of the head when the head is upright
tested by turning the patient’s head?
a. Semicircular canals
b. Cochlea
c. Utricle
d. Saccule
c. Utricle
- Integration of sensorimotor signals
responsible for the generation of
spinal cord reflexes is located in
which of the ff areas?
a. Gray matter of the cerebral
cortex
b. White matter area of the
spinal cord
c. Gray matter of the spinal
cord
d. Gray matter of the brainstem
c. Gray matter of the spinal
cord
- In the majority of patients who
develop Bell’s palsy, what is the
prognosis?
a. Poor; signs and symptoms
are irreversible and may
remain
b. Good; may resolve with or
without treatment
c. Prognosis depends on the
cause of the condition
d. Guarded; symptoms may
improve or may worsen
b. Good; may resolve with or
without treatment
- Facilitation of the synaptic pathways
to retain incoming information that
causes important consequences
such as pain and pleasure is
referred to as
a. Habituation
b. Negative memory
c. Excitation
d. Memory sensitization
d. Memory sensitization
- Akinesia, one of the signs of
Parkinson’s disease means:
a. Abnormal twitching of
muscles
b. Muscle stiffness
c. Shuffling gait
d. Difficulty in starting
movement
d. Difficulty in starting
movement
- The structural capability of synapses
to transmit signals are increased
during establishment of which type
of memory?
a. Working memory
b. Short term memory
c. Long-term memory
d. Intermediate long-term
memory
c. Long-term memory
- In Parkinson’s disease there is:
a. Increased activity of the
direct pathway and
decreased activity of indirect
pathway
b. Increased activity of both
direct and indirect pathway
c. Diminished activity of both
direct and indirect pathway
d. Diminished activity of the
direct pathway and
increased activity of
indirect pathway
d. Diminished activity of the
direct pathway and
increased activity of
indirect pathway
- You were walking barefoot when
your right foot stepped on a thumb
tack. You noticed that you reflexively
pulled the right leg away while your
left leg extended to maintain your
upright position. This type of reflex
pattern is referred to as
a. Flexor reflex
b. Crossed-extensor reflex
c. Asymmetric tonic neck reflex
d. Withdrawal reflex
b. Crossed-extensor reflex
- Parkinson’s disease is due to which
of the following:
a. Loss of neural connections of
the cerebellum
b. Hypersecretion of
catecholamines in the basal
ganglia
c. Loss of dopaminergic
neurons in the substantia
nigra
d. Loss of cholinergic
stimulation to the basal
ganglia
c. Loss of dopaminergic
neurons in the substantia
nigra
- One of the ff is a manifestation of
Parkinson’s disease
a. Dysmetria
b. Tremors at rest
c. Ataxia
d. Dysdiadochokinesia
b. Tremors at rest
- Ne of facilitated neural pathways as
a result of changing basic sensitivity
of synaptic transmissions between
neurons as a result of previous
neural activity which results in
memory are called
a. Facilitation
b. Desensitization
c. Memory traces
d. Habituation
c. Memory traces
- A type of negative memory involving
the capability of the brain to lear to
ignore information that is of no
consequence is
a. Inhibition
b. Amnesia
c. Learning
d. Habitation
d. Habitation
- Degeneration of
dopamine-containing neurons in the
substantia nigra leads to which of
the ff?
a. Suppression of the direct
pathway and facilitate the
indirect pathway from the
striatum to the basal
ganglia output nuclei
b. Suppressed activity in the
subthalamic nucleus
c. Produce dyskinesias such as
chorea
d. Decrease activity in basal
ganglia output nuclei
a. Suppression of the direct
pathway and facilitate the
indirect pathway from the
striatum to the basal
ganglia output nuclei
- Which of the ff structures is/are
involved in proper activation of
muscles of the mouth, tongue, larynx
and vocal cords including timing and
intonation of articulated words?
a. Sensory cortex
b. Cerebellum
c. Basal ganglia
d. All of the choices are
correct
d. All of the choices are
correct