Neuro Final Flashcards
The C-fibers are responsible for the :
A. Preganglionic autonomic
B. Postganglionic autonomic
C. Light touch
D. Localized pain
B. Postganglionic autonomic
The collection of root are originating from
A. Ventral root
B. Dorsal root
C. Ventral rami
D. Dorsal rami
C. Ventral rami
Patient has an over stretch at his upper limb. What is most likely damaged ?
A. Brachial
B. Sacral
C. Lumbar plexus
D. None of the above
A. Brachial
Ahmad was playing football. Then, his leg is fractured. This injury is classified as :
A. Thermal
B. Avulsion
C. Crush
D. Laceration
B. Avulsion
A 34 year old patient who had a lesion at posterior nerve root. The symptom :
A. Paralysis of muscle
B. Pain at muscle
C. All of the above
D. None of the above
B. Pain at muscle
One of the following is true :
A. Lesion at Clark’s nucleus causes impairment of NMS.
B. It is located at ventral horn
C. It starts at C8 to T1
A. Lesion at Clark’s nucleus causes impairment of NMS
Patient had a lesion at L5 segment . He lost the light touch and pressure sensation, where as pain is intact. The patient has a lesion at:
A. Lateral spinothalamic and its contra
B. Anterior spinothalamic and its contra
C. Anterior spinothalamic and its Ipsilateral
B. Anterior spinothalamic and its contra
The myelination process of PNS is done by:
A. Oligodendrocytes
B. Schwann cell
C. Astrocyte cell
D. None of the above
B. Schwann cell
Compression of the nerve and the epineurium and endoneurium are intact ?
A. Axonomtesis
B. Neuromtesis
C. Neuroaproxia
D. Neuroma
A. Axonomtesis
The patient who can not control his muscle length. He most likely has damage to :
A. Golgi spindle
B. Muscle spindle
C. A and B
D. None of the above
C. A and B
Radial tunnel syndrome is different than posterior interosseous syndrome through
A. Radial tunnel syndrome is lack of motor deficit
B. PIS is a syndrome of radial nerve compression
C. They are both motor and sensory
D. All of the above
A. Radial tunnel syndrome is lack of motor deficit
Clumsiness is a sign of
A. Positive sensory
B. Negative sensory
C. Motor
C. Motor
Ahmad is 7 years old and he had an X-ray. What is your expectation about his spinal cord ?
It ends at L3
A 22 year old male falls and hits his back on a rock while attempting to rock climb. He fractures his vertebral column. When tested in the hospital, he has no motor control on portions of his left lower extremity, most notably his left foot, as well as other neurologic deficits. The loss of motor control to his foot, but not his thigh musculature could be due to a specific contusion of the :
Lateral side of the anterior horn
Which tract ascend through the lateral funiculus ?
Spinalthalamic
One patient who was a fire man. He was exposed to the flame. After that, the doctor told him that he should do nerve graft procedure. Which of the following is true . This injury is:
Thermal
The neuroma happens after what injury ?
Crush injury
One patient did the nerve conduction velocity test. The result was ….
According to this figure, what is your evaluation ?
No myelination
One of the following about right optic tract complete lesion is true
Left visual fields of both eyes will be affected
A patient was unable to move the eyeball to the side and upward
Lesion in the midbrain
Myadriasis can be caused due to a lesion in one of the following nerves
Oculomotor
Which one of the following signs of Parkinson’s disease become more expressed in the LATE stage of the disease
Postural disturbances
Involuntary slow movements that stops at sleep is called
Athetosis
A patient complains of problems in standing upright against gravity with straight posture. The lesion is in one of the following tracts:
Vestibulospinal tract
Continuous resistance to passive stretch in bidirectional movements, which occur in normal range of motion is called:
Rigidity
(Spasticity is unidirectional)
Lesion in the midbrain can cause signs and symptoms of all of the following tracts except:
Olivocerebellar tract
One of the following answers is true about lesion of the facial nerve:
A. Loss of pain sensation of face.
B. Loss of the temperature sensation of the face.
C. Loss of the touch sensation of the face.
D. None of the above.
E. All of the above.
D. None of the above.
Iatrogenic parkinsonism can be caused as a side effect of one of the following:
Phenothiazines
A patient with high stepping gait, the lesion is located in:
Dorsal column lesions
One of the following is FALSE about lower motor neuron?
Ends in the posterior horn cells
(It ends in the anterior horn cells)
Diplegia is:
Paralysis of two corresponding limbs
In MRI, all of the following are correct about T2 image contrast EXCEPT:
Can show anatomical structures
Parkinson’s disease is:
A. Hyperkinetic disorder.
B. Hypokinetic disorder.
C. All of the above.
D. None of the above.
C. All of the above
Lesion in the pons can cause signs and symptoms in the reticulospinal and spinocerebellar tracts specify the exact tract:
Medial and anterior
In a patient with left hemiplegia, what part of the face might be paralyzed?
Only lower left part of the face
A blindness or reduction in vision occurs in one half of the visual field is called:
Homonymous hemianopsia
Lesion of the extrapyramidal tracts can cause all of the following except:
Babinski sign
Arnold Chieri phenomenon is a disease of:
Medulla oblongata
Lamination of the ascending tracts of the spinal cord show loss of temperature and pain LAST in:
Cervical
( FIRST in sacral)
One of the following answers is correct about Huntington’s disease
A. Autosomal abminant inherited disease.
B. There is a degeneration of GABA.
C. Has been traced to a single gene defect on chromosome 4
D. Cause choreform movements
E. All the above.
E. All of the above.
Medial medullary syndrome include:
A. Hemiparesis
B. upper motor neuron lesion signs
C. Paralysis of tongue muscles.
D. Involvement of the medial lemniscus.
E. All of the above.
E. All of the above.
The patient complains of loss of pain and temperature of the contralateral side of the lesion. He also complains of loss of tactile discrimination, vibratory and proprioceptive of the ipsilateral side of the lesion with ipsilateral band of cutaneous anesthesia in the segment of the lesion. This patient is suffering from?
Brown-squared syndrome
A patient MRI showed all lesion in the right side of the upper cervical region of the spinal cord, the patient will suffer from:
Loss of fine touch of the right side of the body
In hypoglossal lower motor neuron lesion, the tongue will
Be deviated toward the lesion side
Nystagmus is a sign of:
Brainstem
Loss of gag reflex in coma patient indicates
Brain death
A patient lost his fine skilled voluntary movements of the upper limbs (distal part), the lesion is on
Corticospinal tract
The symptoms of Parkinson’s disease result from the loss of dopaminergic cells in:
Substantia nigra
In a pt with syringomyelia, he might complain of all of the following EXCEPT:
Loss of touch sensation
A patient was unable to turn the head toward a painful stimulus is suffering from
Lesion in spinotectal tract
All of the following are false about the non-myelinated nerve fibers EXCEPT:
Covered by the mesaxon
Choreiform movement is
Quick jerky irregular movements
Sinus, slow writhing movement that affects the distal end of limbs is called
Athetosis
A disease of childhood in which there are rapid, irregular, involuntary movements of the limbs, face, and trunk is called
Sydenham chorea
A patient was unable to turn the head toward a visual stimulus is suffering from:
Lesion in tectospinal tract
One of the following is NOT an upper motor neuron disease symptom
Atrophy
In a pathological condition, a low Amplitude shape of a nerve conduction velocity is caused by
Damage of the Axons
Coma will immediately follow the lesion of the
Reticular formation of brainstem
Occlusion of vertebrobasilar causes all of the following EXCEPT:
Contralateral Horner syndrome
All of the following medications are used to treat severe pain EXCEPT
Codeine
The cerebellum contains the following signs and symptoms EXCEPT
Hypertonia
Thalamus relays sensation of all of the following EXCEPT
Olfactory
An occlusion of which of the following arteries can cause damage to medulla oblongata?
A. Anterior cerebellar
B. Superior cerebellar
C. PICA
D. All of the above
C. PICA
Patient lost half of his visual field after CVA, which of the following arteries is blocked
Choroidal artery
All of the following are signs of posterior cerebellar syndrome except
Nystagmus
A soldier lost his lower limb in the war. After 8 months, he still feels the pain in his lost limb
Phantom pain
Lesion in hippocampus causes
Alzheimer
Poikilothermic patient with pinpoint pupils have a lesion in:
Basilar artery that supplies pons
Ipsilateral pain and temperature of the face and contralateral of pain and temperature of the body caused by occlusion to:
Vertebrobasillar artery
All of the following are true about impairment of cerebral blood flow EXCEPT
Heart disease
Lateral medullary syndrome of Wallenberg contain the following signs and symptoms EXCEPT
Thermoanesthesia (Contralateral face)
Dysdiadochokinase :
Alternative movement
All of the following is the role of cerebellum EXCEPT?
Initiate the movement
Split brain syndrome can be caused by damage to:
Corpus callosum
Damage in long-term memory:
Hippocampus
All the following are speech areas EXCEPT:
A. 4
B. 22
C. 44
D. 45
E. 20
E. 20
Problem in the sight is due to lesion of all of the following areas EXCEPT?
A. 17
B. 18
C. 19
D. 8
E. 11
E. 11
Problem in the sight is due to lesion of all of the following areas EXCEPT :
A. 17
B. 18
C. 19
D. 8
E. 11
E. 11
A patient suffers from astereognosis , which area is affected
Area 5
Visceral pain is considered as:
Referred pain
Lesion in Broca’s area leads to
Expressive aphasia
Lesion in Wernicke’s area leads to
Receptive aphasia
All of the following are signs of cerebellar syndrome EXCEPT:
A. Dystonia
B. Athetosis
C. Spastic
D. Paresis
Loss of sensory somesthetic in one ARM is due to occlusion in which artery
Middle cerebral artery
Loss of sensory somesthetic in one LEG is due to occlusion in which artery
Anterior cerebral artery
One of the following is wrong about orbeture pain
Medial medullary syndrome includes
A. Hemiparesis
B. Upper motor neuron lesion sign
C. Paralysis of tongue muscles.
D. Involvement of the medial lemniscus.
E. All of the above.
E. All of the above.
Central pain is caused by a lesion in which area
Thalamus
Spastic paresis is which area
Area 4
Dysdiadochokinesia is a sign of lesion in ?
Cerebellum
Cerebellar tonsile herniation from foramen magnum is seen in
Arnold chair malformation
What are the common signs and symptoms of parietal lobe injury?
A. Sensory disturbances.
B. Astereognosia
C. Aphasia.
D. Agnosia.
E. All of the above.
E. All of the above.
In which area the patient has hearing problems
A. 41
B. 21
C. 22
D. 39
A. 41
Precentral (motor) gyrus lesion causes
Contralateral hemiparesis
Continuous resistance to passive stretch in bidirectional movements which occur in normal range of motion is called:
Rigidity
All of the following cause Pontine hemorrhage EXCEPT
The signs and symptoms of carpal tunnel syndrome may vary among patients, but they always result from compression of what structure in the carpal canal?
Median nerve
Patient who has a compression of the medium nerve around the elbow and palmar side of the forearm
A. Anterior interosseous syndrome
B. Carpal tunnel syndrome.
C. Pronator syndrome.
D. Posterior interosseous syndrome
Guyon’s canal syndrome is an entrapment of a nerve as it passes through a tunnel in the wrist called guyon’s canal. Which nerve is this?
Ulnar nerve
Numbness is one of the
Positive signs
Clumsiness is a sign of
Motor
Which tract ascends through the lateral funiculus
Spinalthalamic
Which of these ascending spinal tract neurons will decussate ?
A. First order.
B. Second order.
C. Third order.
D. None of the above.
B. Second order
How many plexus groups branch off the spinal cord?
A. 3
B. 4
C. 6
D. 2
D. 4
A 22-year-old patient had a car accident. He can’t turn his head while his brother was putting a light toward his eyes. He has a lesion at?
Spinotectal ?
A 34-year-old patient who had a lesion at posterior nerve root. The symptom:
A. Paralysis of muscle.
B. Pain at muscle.
C. All of the above.
D. None of the above.
B. Pain at muscle.
Patient had a lesion at L5 segment. He lost the light touch and pressure sensation , where as pain is intact. The patient has a lesion at:
Anterior spinothalamic and its contra
Posterior column right side
Occlusion of which of the following arteries can cause damage to the medulla oblongata
PICA
All of the following are signs of posterior cerebellar syndrome, EXCEPT
A. Visual agnosia
B. Impaired memory.
C. Nystagmus
D. CL hemianopia
C. Nystagmus
Lateral medullary syndrome of Wallenberg contain the following signs and symptoms EXCEPT
A. Dysphasia.
B. Dysarthria.
C. Analgesia (ipsilateral face)
D. Thermoanesthesia (contralateral face)
D. Thermoanesthesia (Contralateral face)
What are the common signs and symptoms of parietal lobe injury?
A. Sensory disturbances.
B. Astereognosis
C. Aphasia
D. Agnosia
E. All the following.
E. All of the following.
In which area does the patient have hearing problems?
Area 41
Medial medullary syndrome
All of the above
Astereognosis is which area
Area 5
Patient with deafness may have a lesion in all areas EXCEPT
Area 24
Lesion in the midbrain can cause signs and symptoms of all of the following tracts EXCEPT
A. Olivocerebellar tract
B. Spinotectal tract
C. Spinocerebellar tract
D. Vestibulospinal tract
E. Rubrospinal tract
A. Olivocerebellar tract
In MRI, all of the following are correct about T2 image contrast EXCEPT
Can shown anatomical structures
In patient with left hemiplegia , what part of the face might be paralyzed
Only lower left part of the face
Arnold chairi phenomenon is a disease of :
Medulla oblongata
Nystagmus is a sign of
Brainstem
A patient was unable to turn the head toward a visual stimulus is suffering from
Lesion is tectospinal
A patient was unable to turn the head toward a painful stimulus is suffering from
Lesion in the spinotectal
The cerebellum contain the following signs and symptoms EXCEPT:
Hypertonia
Speech area except
A. 4
B. 22
C. 44
D. 45
E. 20
E. 20