Neuro 1 Flashcards

combination of GR post lec and LDCU post lec

1
Q

This great parasympathetic nerve supplies the thorax and abdomen.
a. Abducens
b. Hypoglossal
c Pelvic splanchnic
d. Vagus
e. Glossopharyngeal

A

D

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2
Q

The parasympathetic spinal outflow originating from the S2 ot S4 spinal segments is primarily responsible for mediating reflexogenic erection. The sympathetic output is primarily responsible for regulating ejaculation and psychogenic component of penile erection.

a. Both statements are correct
b. Both statements are incorrect
c. First statement is correct, second statement is incorrect
d. First statement is incorrect, second statement is correct

A

A

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3
Q

neurologic level crosses the anterior portion of the middle of the thigh:
a. L2
b. L1
c. L4
d. L3
e. S1

A

A

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4
Q

In root compression syndrome, the following statements are true, ЕХСЕРТ:
a. Paresthesia are common and are usually experienced distally, ni the hand or foot
b. Stretch reflexes whose arcs are largely or entirely incorporated in the involved root will b e exaggerated
c. Pain in the segment distribution of a root is the hallmark of these syndrome
d. Weakness and atrophy in the corresponding myotomal distribution result from prolonged or severe root compression.
e. Findings to confirm the syndrome are those which relate spinal movement to the radiating pain

A

A

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5
Q

the The following statements describe patellar reflex, EXCEPT:
a. While the reflex may be significantly diminished, it is rarely totally absent
b. A deep tendon reflex mediated through nerves emanating from L2, L3 and L4 neurologic levels
c. To test, the subject sits on a chair with one leg crossed over his knee
d. Even if the L4 nerve root is pathologically involved, the reflex may still be present
e. For clinical application, the patellar reflex is to be considered an L4 reflex

A

C

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6
Q

The autonomic nervous system innervates the following, EXCEPT:
I.Smooth muscles
II. Cardiac muscles
III. Glands
IV.Skeletal muscles
a. I, II, III
b. IandIII
c. Il and IV
d. Only IV
e. Al of these

A

D

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7
Q

The sympathetic postganglionic fibers to the sweat glands are classified as:
a. Cholinergic fibers
b. Adrenergic fibers
c. Both
d. Neither

A

B

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8
Q

A possible C7 nerve root lesion would include which manifestation?
a. Weak wrist extension
b. Present triceps reflex
c. Absent elbow extension
d. Present biceps reflex

A

D

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9
Q

Parasympathetic action of urinary bladder.
a. Relaxation of bladder; contraction of internal sphincter
b. Contraction of bladder; relaxation of internal sphincter
c. Contraction of bladder; contraction of internal sphincter
d. Relaxation of bladder; relaxation of internal sphincter.

A

B

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10
Q

Stimulation of parasympathetic nervous system will result in:
a. Tachycardia
b. Increased blood pressure
c. CVA
d. Bradycardia
e. Increase cardiac contractility

A

D

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11
Q

The key sensory area for S3 as specified by ASIA is the:
a. Perianal area
b. Ischial tuberosity
c. Lateral heel
d. Popliteal fossa

A

B

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12
Q

The d e e p tendon reflex mediated primarily by the C5 spinal cord level is the:
a. Triceps reflex
b. Jaw jerk
c. Biceps reflex
d. Brachioradialis reflex

A

C

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13
Q

Segmental development is evidence of the human torso’s nerve supply of an orderly series of spinal nerves; i.e. one pair of spinal nerve supplies this strip-like area of skin and is known as a:
a. Myotome
b. Terminal branches
c. Dermatome
d. Spinal nerves
E. Vertebral nerves

A

C

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14
Q

Supplied by the femoral nerve, this neurologic level spans the anterior thigh immediately at and above the knee joint:
a. L4
b. S1
c. L2
d. L3
e. S2

A

D

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15
Q

The following statements depict the distribution of some spinal segment and roots, EXCEPT:
a. The twelfth thoracic segment is at the groin level
b. The third thoracic segment is at nipple level
c. The sacral dermatomes innervate the saddle area
d. The tenth thoracic segment is at the umbilicus level
e. The anterior neck and upper shoulder are innervated by the cervical plexus, largely C4

A

B

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16
Q

Carries impulses to the CNS:
a. Efferent fibers
b. Both of these
c. None of these
d. Afferent fibers

A

D

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17
Q

Dermatome represented by the medial arm:
a. C7
b. C8
с. Т1
d. T2
e. Т5

A

C

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18
Q

The brachial plexus is formed by the:
a. Anterior rami of C5-T1
b. Anterior rami of C6-T1
c. Posterior rami of C5-T1
d. Posterior rami of C6-T1

A

A

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19
Q

Constricts pupil and is involved in light and accommodating reflexes due to their connections with
postganglionic neurons.
a. Facial nerve
b. Trigeminal nerve
c. Optic nerve
d. Trochlear nerve
e. Oculomotor nerve

A

E

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20
Q

Sensation to the middle finger is
supplied by neurologic lèvel:
a. C8
b. C5
c. C7
d. T1
e. C6

A

C

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21
Q

The paired spinal nerves are as follows:
a. 8cervical, 12 thoracic, 5lumbar, 5 sacral and 1coccygeal pair of spinal nerve
b. 7cervical, 12 thoracic, 5lumbar, 5 sacral and 1coccygeal pair of spinal nerve
c. 8 cervical, 10 thoracic, 5 lumbar, 5 sacral and 1coccygeal pair of spinal nerve
d. 8cervical, 12 thoracic, 5lumbar, 5 sacral and 1coccygeal pair of spinal nerve

A

A

22
Q

This cranial nerve h a s NO connection with the parasympathetic
system:
a. CN VII
b. CN V
c. CN III
d. CN IX

A

B

23
Q

Stimulation of the vagus nerve may be expected to result in:
a. Decreased blood pressure and increased cardiac contractility
b. Vasodilation and bradycardia
c. Vasodilation and tachycardia
d. Vasoconstriction and increased
heart rate

A

A

24
Q

The following statement applies to the dorsal root ganglia:
a. Both of these
b. None of these
c. Origin of afferent sensory fibers
d. round cells with one process leaving the body

A

A

25
Q

Following statements are true of lesions of the posterior roots, ЕХСЕРТ:
a. Frequent cause of injury is herniation of nucleus pulposus
b. Injury usually result in pain and paresthesia that occur in the distribution of the affected roots
c. There is no loss of associated muscles reflex
d. Loss of sensation is a dermatomal distribution is apparent

A

C

26
Q

lliopsoas is represented by which myotomes?
a. T12 L1
b. L1 L2
c. L2 L3
d. L2, L3,

A

C

27
Q

When a reflex consists of more than two neurons, it is called…..
a. Monosynaptic
b. Polysynaptic
c. Both
d. Neither

A

B

28
Q

The spinal nerve innervating the skin over the thumb exits between these
two vertebrae:
a. C2-C3
b. C3-C4
c. C4-C5
d. C5-C6
e. C6-C7

A

D

29
Q

The blood vessels ni the following organs are constricted during sympathetic stimulation:
I.Lungs
II.Skin
III.Stomach
IV.Heart

a. All of these
b. I, Il and Ili
c. I a n d I I I
d. Il and V
e. None of these

A

B

30
Q

The spinal cord in the adult ends inferiorly at the level of the:
a. L5 vertebra
b. L3 vertebra
c. S2 to S3 vertebrae
d. T12 vertebra
e. L1 vertebra

A

E

31
Q

The following statements depict the distribution of some spinal segment and roots, EXCEPT:
a. The twelfth thoracic segment is at the groin level
b. The third thoracic segment is at nipple level
c. The sacral dermatomes innervate the saddle area
d. The tenth thoracic segment is at the umbilicus level
e. The anterior neck and upper shoulder are innervated by the cervical plexus, largely C4

A

B

32
Q

The origin of the parasympathetic preganglionic nerve fibers supplying the urinary bladder is:
a. Inferior mesenteric ganglion
b. Lumbar spinal cord segments 1, 2, 3
c. Dorsal motor nucleus of vagus nerve
d. Sacral spinal cord segments 2, 3, 4

A

D

33
Q

The parasympathetic division of the autonomic nervous system
originates from preganglionic neurons in:
I.Certain cranial nerve nuclei
II.The thoracic spinal segments
IIl. The second, third, and fourth sacral cord
IV. The upper lumbar spinal segments

a. I, Ili are correct
b. I lI are correct
c. II, IV are correct
d. Only iV
e. All are correct

A

A

34
Q

A42-year-old woman with metastatic breast cancer is known to have tumors in the intervertebral foramina between the 4th and 5th cervical vertebrae and between the 4th and 5th thoracic vertebrae. Which of the following spinal nerves may be damaged?
a. Fourth cervical and fourth thoracic
b. Fifth cervical and fifth thoracic
c. Fourth cervical and fifth thoracic
d. Fifth cervical and fourth thoracic
e. Third cervical and fourth thoracic

A

D

35
Q

A 39 y/o woman with headaches presents to her primary care physician with a possible herniated disc. Her MRI reveals that the posterolateral protrusion of the VI disk between L4-L5 vertebrae would most likely affect which of the following spinal nerves?
a. L3
b. L4
c. L5
d. S1
e. S2

A

C

36
Q

The medial hamstring reflex is represented by what neurological levels?
a. L5-S1
b. L3-L4
C. L4-L5
d. S1-S2
e. S2-S4

A

A

37
Q

The dorsal root of the spinal cord allows the passage of these fibers:
a. Somatic afferent fibers
b. Somatic efferent fibers
c. Visceral efferent fibers
d. Both Aand B
e. Both Band C

A

A

38
Q

The exit point of the First thoracic spinal nerve is:
a. Below the first thoracic vertebra
b. Below the eight cervical vertebra
c. Above the first thoracic vertebra
d. Above the second thoracic vertebra

A

D

39
Q

The portion of the brain which regulates peripheral ANS discharges, which is responsible for homeostatic mechanisms of body
water,temperature, and food intake as well as others is the:
a. Red nucleus
b. Hypothalamus
c. Hypophysis
d. Thalamus
e. Locus coeruleus

A

B

40
Q

The exit point of the First thoracic spinal nerve is:
a. Below the first thoracic vertebra
b. Below the eight cervical vertebra
c. Above the first thoracic vertebra
d. Above the second thoracic vertebra

A

D

41
Q

The blood vessels in the following organs are constricted during sympathetic stimulation:
I.Lungs
II.Skin
IlI. Stomach
IV.Heart

a. Al of these
b. I, Il and Ill
c. I and Ill
d. Il and IV
e. None of these

A

B

42
Q

A36-year-old man is being evaluated for left hand weakness. On examination, it is readily apparent that atrophy of the first dorsal interosseous muscle. This
may indicate damage to which of the following roots?

a. C5 and C6
b. C6 and C7
c. C7 and C8
d. C8 and T1
e. T1 and T2

A

A

43
Q

The parasympathetic spinal outflow originating from the S2 to S4 spinal segments is primarily responsible for mediating reflexogenic erection. The sympathetic output is primarily responsible for regulating ejaculation and psychogenic component of penile erection.
a. Both statements are correct
b. Both statements are incorrect
c. First statement is correct, second
statement is incorrect
d, First statement is incorrect, second statement is correct

A

A

44
Q

Apatient with a diagnosis of cervical radiculopathy reports numbness of the little finger. The therapist wil most likely to find a diminished téndon reflex in:
a. Deltoid
b. Brachioradialis
c. Biceps brachii
d. Triceps brachii

A

D

45
Q

Which of the following statements describe Horner’s syndrome?
I. Pupil of the eye on injured side is miotic due to dilator paralysis
II. Partial ptosis due to denervation of levator palpebrae superioris
Ill. Anhidrosis and vasodilation on affected side
IV. Complete ptosis and vasodilation on unaffected side

a. IIl only
b. II, Ill, and IV
c. I, II, and IlI
d. I aND VI
e. IV only

A

C

46
Q

The10th cranial nerve, its postganglionic fibers innervate cardiac and smooth muscles:
a. Accessory nerve
b. Vestibulocochlear nerve
c. Glossopharyngeal nerve
d. Vagus nerve

A

D

47
Q

In the jaw reflex involving the masseter and temporalis muscles, this cranial nerve mediates the reflex ARC:
a. Facial
b. Accessory
c. Hypoglossal
d. Glossopharyngeal e. Trigeminal

A

E

48
Q

What cranial nerve nucleus innervates the abdominal viscera?
a. Dorsal motor nucleus
b. Inferior salivatory nucleus
c. Superior salivatory nucleus
d. Edinger-Westphal nucleus
e. Nucleus ambiguous

A

A

49
Q

Sudden stretch of a skeletal muscle results in a reflex contraction of the
muscle mediated by a simple and usually monosynaptic reflex arc. The following statements are true of the reflex, EXCEPT:
a. Intramedullary fibers synapse on the motor neurons in the anterior horn of the spinal cord or on motor nuclei in the lower brainstem
b. The afferent side of the arc begins with muscles stretch receptors whose cell bodies are ni ventral root ganglia
c. Enhanced response in the reflex arc may mean disease of the cord, brainstem or hemisphere and is a basic characteristic of the spastic state
d. The stretch reflex will be exaggerated when normal function of the pyramidal tract suppressed or destroyed
e. The efferent side of the arc is the motor neuron with its axon and terminal structures which innervates the muscle

A

B

50
Q

Apossible C7 nerve root lesion would include which manifestation?
a. Weak wrist extension
b. Present triceps reflex
c. Absent elbow extension
d. Present biceps reflex

A

D