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Post Lec Exam > Neuro 2 > Flashcards

Neuro 2 Flashcards

1
Q

Dysphagia, dysphonia, and regurgitation of food into
the nose on swallowing is a result of bilateral lesion to
this nerve:
a. Glossopharyngeal
b. Vagus
c. Both A and B
d. None of these

A

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2
Q

Injury to the spinal accessory nerve results in the
following, except:
I. Weakness in rotating the head to the opposite side
II. Downward and outward rotation of the upper part
of the scapula
III. Sagging and weakness in shrugging the shoulder
IV. The tongue deviates to paralyzed side
a. All of these d. I and III
b. Only IV e. II and IV
c. I, II and III

A

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3
Q 
Ptosis of the upper eyelid is an abnormality which may
be due to which condition?
I. Myasthenia gravis
II. Third nerve paresis
III. Horner’s syndrome
IV. Edema due to infection, trauma or venous stasis
a. I, II and III d. All of these
b. I and III e. None of these
c. II and IV
A

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4
Q 
Lesion to the oculomotor nerve results in the following
conditions, except:
I. Ptosis
II. Miosis
III. External strabismus
IV. Diplopia
a. All of these d. II and IV
b. I, II and III e. Only IV
c. I and III
A

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5
Q

Upon observation, the patient has left facial weakness.
He is unable to show his teeth on the left side. However,
he is able to raise his left eyebrow. The therapist
suspects:
a. Peripheral cranial nerve 5 lesion
b. Central cranial nerve 5 lesion
c. Peripheral cranial nerve 7 lesion
d. Central cranial nerve 7 lesion

A

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6
Q 
Which of the following cranial nerve/s is/are
significantly affected by unilateral cerebral lesions?
I. Vagus
II. Hypoglossal
III. Accessory
IV. Glossopharyngeal
a. I and III d. Only IV
b. I, II and III e. None of these
c. All of these
A

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7
Q

Optic radiation lesions could result in the following
visual field defects, except:
I. Interruption of the entire radiation gives complete
loss of vision to the opposite side, homonymous
hemianopsia
II. The more posterior the lesion, the more nearly do
the visual field defects in the two eyes resemble
each other
III. Parietal lobe lesions result to a contralateral
homonymous inferior quadrantanopsia
IV. Temporal lobe lesions result to an ipsilateral
homonymous superior quadrantanopsia
a. All of these d. II and IV
b. None of these e. Only IV
c. I, II and III

A

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8
Q 
The vagal system includes the following cranial nerves,
except:
a. Glossopharyngeal
b. Vagus
c. Spinal portion of accessory
d. Facial
e. None of these
A

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9
Q

During cranial nerve testing, a light was directed on
your patient’s right eye. You observed that both pupils
remained dilated. To further confirm where the problem
was, the left eye was stimulated. You noted that both
pupils constricted. What nerve was possibly injured?
a. Right optic c. left optic
b. Left oculomotor d. right oculomotor

A

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10
Q

. A patient suffers from diplopia when he looks down to
the right. What cranial nerve is most probably injured?
a. Right CN 4 c. Right CN 6
b. Left CN 4 d. Left CN 6

A

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11
Q

Active extra-occular muscles when looking downward
and right
a. (L) superior rectus and ® inferior oblique
b. (L) inferior rectus and ® superior oblique
c. (L) inferior oblique and ® superior rectus
d. (L) superior oblique and ® inferior rectus

A

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12
Q 
A patient has diplopia when looking to the left. What
nerve is affected?
a. ® CN 4 d. (L) CN 6
b. (L) CN 4 e. NOTA
c. ® CN 6
A

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13
Q

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

A

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14
Q

. A 31-year-old hockey player is hit in the head. His
radiogram shows a fracture of the foramen rotundum.
Which of the following nerves would be damaged by
this event?
a. Opthalmic nerve d. Optic nerve
b. Mandibular nerve e. Trochlear nerve
c. Maxillary nerve

A

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15
Q

A 59-year-old woman with pain at the side of her skull
comes to the emergency department. An emergent CT
scan shows a large lesion in the internal auditory
meatus. This condition may progress and damage
which of the following pairs of structures?
a. CN 9 and 10
b. Internal carotid and vertebral arteries
c. CN 11 and 12
d. CN 7 and 8
e. CN 5 and 7

A

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16
Q
  1. A 57-year-old man comes to a local hospital with
    fever, headache, nausea and vomiting. Laboratory test
    reveals an infection and radiologic examination
    localizes the infection to the cavernous sinus. Which
    of the following nerves would be unaffected by this
    condition?
    a. Oculomotor nerve
    b. Abducens nerve
    c. Trochlear nerve
    d. Mandibular nerve
    e. Opthalmic nerve
A

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17
Q

A 20-year-old guard at the gate of the Chong Hua
Hospital blinks his eyes when a string wind hits the
cornea of this eye. The efferent fibers of the corneal reflex arc are carried by which of the following
nerves?
a. Optic nerve d. Trigeminal nerve
b. Oculomotor nerve e. Facial nerve
c. Abducens

A

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18
Q
  1. During surgery of a malignant parotid tumor, the main
    trunk of the facial nerve is lacerated. Which of the
    following muscles is paralyzed?
    a. Masseter muscle d. Stylohyoid
    b. Stylopharyngeus muscle e. Tensor Tympani
    c. Anterior belly of digastric
A

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19
Q 
9. Left CN 12 is affected, to where do you expect the
tongue to deviate?
a. To the right side
b. Contralateral side
c. To the left side
d. Away from the lesion site
A

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20
Q

Complete denervation of the trochlear nerve result in
the following:
a. The subject cannot turn the eyes outward
beyond the midline
b.Horizontal diplopia
c. Internal strabismus
d.Loss of downward movement ocular movement
when the eye is turned toward the nose

A

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21
Q

. Pain and temperature of the face are carried by what
nucleus?
a. The mesencephalic nucleus of CN V
b. The main sensory nucleus of CN V
c. The spinal nucleus of CN V
d. The nucleus of tractus solitarius of CN VII

A

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22
Q
  1. A patient with syringomyelia was found on physical
    examination to have impairment of pain and
    temperature sensation on the face but preservation of
    light touch. This dissociated sensory loss in the face
    can be explained by involvement of:
    a. The mesencephalic nucleus of CN V
    b. The main sensory nucleus of CN V
    c. The spinal nucleus of CN V
    d. The nucleus of tractus solitarius of CN VII
A

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23
Q
  1. What cranial nerves arise from the pons?
    a. Cranial nerves 5 and 7
    b. Cranial nerves 1 and 2
    c. Cranial nerves 3 and 4
    d. Cranial nerves 9 and 10
A

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24
Q
  1. What cranial nerves are acting if you told the patient to
    look to her left?
    a. (R) CN 3, (L) CN 3 c. (R) CN 3, (L) CN 6
    b. (R) CN 6, (L) CN 6 d. (L) CN 3, (R) CN 6
A

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25
Q

Abducens nerve is affected in which of the following?

a. Millard gubler c. weber
b. Wallenburg d. Benedikt

A

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26
Q

Tests for cochlear function of cranial nerve VIII:

a. Weber test
b. Rinne test
c. Both of these
d. None of these

A

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27
Q 
. A patient had a TBI. What bone is fractured if there is
loss of function of the olfactory nerve?
a. Vomer
b. Cribriform plate of ethmoid
c. Sphenoid
d. Superior orbital fissure
e. None of the above
A

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28
Q

. This condition is characterized by sudden, severe,
lancinating pain in the distribution of the trigeminal
nerve:
a. Mobius syndrome
b. Tic douloureux
c. Meniere’s disease
d. Lyme disease

A

.

29
Q

The following statements are true of the facial nerve,
EXCEPT:

I. It controls taste sensation from the
anterior part of the tongue and the floor of
the mouth and from the palate
II. It supplies the stylohyoid, posterior belly
of the digastric muscle of the neck, and
the stapedius muscle of the middle ear
III. It emerges as two roots from the anterior
surface of the hindbrain between the pons
and the medulla oblongata
IV. Supplies the submandibular and the
sublingual salivary glands
a. All of these d. Only IV
b. I, II, and III e. None of these
c. I and III

A

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30
Q 
Dysphagia would most likely occur in lesions involving
the:
a. Internal capsule
b. Pons
c. Parietal lobe
d. Medullary brainstem
e. None of these
A

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31
Q

. Lesions involving the right optic nerve and the optic
chiasm will produce:
a. Right monocular blindness
b. Right homonymous hemianopsia
c. Bitemporal hemianopsia
d. Right monocular blindness and a temporal
field defect in the other eye
e. Right monocular blindness and a nasal field
defect in the other eye

A

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32
Q 
The oculomotor nerve innervates these muscles of the
eye, except:
I. Superior rectus
II. Lateral rectus
III. Medial rectus
IV. Superior oblique
a. I & III d. I, III, IV
b. II & IV e. IV & V
c. II, IV. V
A

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33
Q

. True about jugular foramen syndrome, EXCEPT:

a. Loss of taste at the posterior tongue
b. Paralysis of vocal cords
c. Paralysis of the pharynx
d. None of these
e. All of these

A

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34
Q
  1. A physical therapist suspects a patient is developing
    Bells’ Palsy. The physical therapist wants to test the
    function of cranial nerve VII. Which of the following
    would be the most appropriate testing procedures?
    a. Test the taste sensation over the back of the
    tongue and activation of the facial muscles
    b. Test the taste sensation over the front of the
    tongue and activation of the facial muscles
    c. Test the sensation of the facial muscles and
    sensation of the back of the tongue
    d. Test the sensation of the facial muscles and
    sensation of the front of the tongue
A

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35
Q

Lesion of the seventh cranial nerve at the stylomastoid
foramen results in the following conditions, EXCEPT:
a. Cannot close the eye on the side of the
paralysis
b. Bell’s palsy
c. The buccinators is paralyzed, and the cheek
puff out during expiration
d. Total paralysis of facial expression muscles on
that side
e. None if these

A

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36
Q 
6. Not a true peripheral nerve, an evaginated fiber tract of
the diencephalon:
a. Olfactory
b. Optic
c. Oculomotor
d. Trochlear
A

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37
Q

A man is unable to move his eyes downward. The
lesion is most likely situated in the
a. Medulla d. Midbrain
b. basilar aspect of the pons e. cerebellum
c. pontine tegmentum

A

..

38
Q

Interruption of the fibers of the glossopharyngeal nerve
will produce all the following signs or symptoms
EXCEPT
a. loss of the gag reflex
b. loss of taste sensation from the posterior third
of the tongue
c. difficulties in swallowing
d. loss of the carotid sinus reflex
e. dysphonia

A

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39
Q

. A lesion of cranial nerve VII proximal to its entry into
the central nervous system will produce all the
following deficits EXCEPT:
a. impairment of lacrimation on the side of the
lesion
b. complete loss of taste over the anterior part of
the tongue
c. hyperacusis
d. loss of the corneal reflex on the side of the
lesion
e. increased difficulty in swallowing

A

..

40
Q
  1. The following statements are true of the trigeminal
    nerve:
    I. It branches into three major divisions: ophthalmic,
    maxillary and mandibular
    II. It is the sensory nerve of the face, mouth, teeth and
    nose
    III. This is also the fifth cranial nerve
    IV. It is the motor nerve to the four muscles of
    mastication
    a. All of these d. None of these
    b. I. II and III e. I and III
    c. II and IV
A

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41
Q

. Impaired far vision:

a. Anisocoaria c. presbyopia
b. Myopia d. meiopia

A

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42
Q
  1. Injury to the facial nerve at the Brainstem will result in:
    a. Impaired lacrimation
    b. hyperaccusis
    c. Loss of taste on anterior 2/3 of tongue
    d. facial palsy
    e. all of these
A

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43
Q
  1. The drummer of a local band presents to your clinic
    with hearing loss. Otoscopic examination reveals loss
    of contraction of the tensor tympani and the
    stapedius. These muscles are most likely controlled
    by which of the following nerves?
    a. CN 5 and 7 d. CN 7 and 1
    b. CN 8 and 7 e. CN 5 and 11
    c. CN 8 and 10
A

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44
Q
  1. A 53-year-old woman is diagnosed as having a
    pituitary tumor. If the tumor is large enough, she
    could exhibit which of the following disorders?
    a. Blindness
    b. Bitemporal hemianopsia
    c. Right nasal hemianopsia
    d. Left homonymous hemi
A

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45
Q 
45. Cranial nerve 8 dysfunction will manifest with the
following:
I. Vertigo
II. Nystagmus
III. Deafness
IV. Hyperacusis
a. All of these d. I and III
b. I, II and III e. Only IV
c. II and IV
A

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46
Q 
46. If the motor root of the trigeminal nerve is injured,
paralysis occurs in:
a. Mylohyoid
b. tensor tympani
c. All of these
d. Anterior belly of digastric muscles
A

.

47
Q

The following statements apply to the 7th cranial nerve,
EXCEPT:
a. Innervates the musculature of the face and
the anterior belly of digastric
b. The platysma is tested by pulling down the
corners of the subject’s mouth
c. Minor degrees of unilateral weakness are
often best seen at rest or during
expressional changes during
conversation and in blinking
d. This nerves via its division called the
chorda tympani conveys the taste from the
anterior tongue
e. The strength of the frontalis can be
estimated by smoothing the wrinkles with
the fingers

A

.

48
Q 
A 32-year-old woman has horseness in her voice, and
her uvula is deviated to the left on phonation. Which of
the following nerve is damaged?
a. Right trigeminal nerve
b. Left trigeminal nerve
c. Right vagus nerve
d. Left vagus nerve
e. Left glossopharyngeal nerve
A

..

49
Q

A pharyngeal (gag) reflex is the contraction of the
pharyngeal constrictor muscles that is elicited by
touching the back of the patient’s pharynx. Afferent
nerve fibers that innervated the pharyngeal mucosa
are branches of which of the following nerves?
a. Trigeminal nerve
b. Facial nerve
c. Glossopharyngeal nerve
d. Vagus nerve
e. Hypoglossal nerve

A

.

50
Q
  1. A 34-year-old man in a bar fight suffers a knife wound
    that severs the abducens nerve proximal to its
    entrance into the orbit. Which of the following
    conditions results from injury?
    a. Ptosis of the upper eyelid
    b. Loss of the ability to dilate the pupil
    c. External strabismus (lateral deviation)
    d. Loss of visual accommodation
    e. Internal strabismus (medial deviation)
A

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Post Lec Exam (14 decks)

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