Chapter 6 Medulla: Clinical Correlates

Question 1

The following are components of the medial medullary syndrome or Dejerine’s anterior bulbar syndrome EXCEPT:
A. Ipsilateral LMN type paralysis of the tongue
B. Contralateral LMN type paralysis of the tongue
C. Contralateral UMN type paralysis of the extremities with sparing of the face
D. Contralateral loss of kinesthesia and discriminative touch

Answer 1

B. Contralateral LMN type paralysis of the tongue (p. 98)

Question 2

The following are components of the lateral medullary/PICA/Wallenberg syndrome EXCEPT
A. Ipsilateral loss of pain and temperature sensation from the face
B. Contralateral loss of pain and temperature sensation from the body
C. Ipsilateral loss of gag reflex, dysphagia, hoarseness, and dysarthria
D. Contralateral ataxia

Answer 2

D. Contralateral ataxia (p. 99)

Question 3

Medullary tegmental paralysis or the combined lateral and medial medullary syndrome is also known as
A. Dejerine's anterior bulbar syndrome
B. Wallenberg syndrome
C. Babinski-Nageotte syndrome
D. Collet-Sicard syndrome

Answer 3

C. Babinski-Nageotte syndrome (p. 101)

Question 4

The following are components of the dorsal medullary syndrome EXCEPT
A. Ipsilateral limb or gait ataxia
B. Ipsilateral gaze-evoked nystagmus
C. Contralateral gaze-evoked nystagmus
D. Vomiting and vertigo

Answer 4

C. Contralateral gaze-evoked nystagmus (p. 101)

Question 5

This syndrome is associated with unilateral extra-axial injury of cranial nerves IX, X, XI, and XII
A. Dejerine's anterior bulbar syndrome
B. Wallenberg syndrome
C. Babinski-Nageotte syndrome
D. Collet-Sicard syndrome

Answer 5

D. Collet-Sicard syndrome (p. 101)