Question Bank (Mixed)

Question 1

You are caring for a patient who has suffered a stroke and has issues comprehending spoken language. Branches of which artery are the most likely to have been compromised?

A. Anterior cerebral artery

B. Middle cerebral artery

C. Posterior spinal artery

D. Anterior spinal artery

E. Posterior cerebral artery

Answer 1

B. Middle cerebral artery

Question 2

A neurologic examination of a 55 year old woman indicated that she had weaknesses and loss of discriminative touch and vibratory sense on the left side of her body. When she attempted to protrude her tongue, it deviated to the right. The blood supply of which one of the following arteries may be occluded in this patient?

A. Posterior Cerebral Artery

B. Anterior Spinal Artery

C. Anterior Cerebral Artery

D. Posterior Inferior Cerebellar Artery(PICA)

E. Anterior Inferior Cerebellar Artery (AlCA)

Answer 2

B. Anterior Spinal Artery

Question 3

Describe the Effects of the pictured Alternating Hemiplegia

Answer 3

CN III: LMN sx, L sided ptosis, L eye lateral at rest, Can’t move eye up, down, medial

Rubrospinal/Corticospinal Pathway: Contralateral UMN sx

Question 4

A 71 year old man suffering from loss of motor control and sensation in her left leg was examined by the neurologist. Subsequent angiographic procedures performed on the patient revealed that one of the arteries supplying the brain was 80% occluded. Which of the following artery most likely was occluded in this patient?

A. Right anterior cerebral artery

B. Posterior communicating artery

C. Right anterior inferior cerebellar artery

D. Left anterior cerebral artery

E. Posterior cerebral artery

Answer 4

A. Right anterior cerebral artery

Question 5

What is the primary cause of autonomic dysreflexia?

Answer 5

Bladder distention

Question 6

The MCA supplies which of the following areas of the brain?

A. Orbital and medial branches of frontal lobe

B. Lateral motor strip, lateral sensory strip. Temporal, frontal, parietal lobes. Broca’s and Wernicke’s areas

C. Cerebellum, diencephalon, spinal cord, occipital, temporal lobes, medial cortex, limbic structures

D. Occipital lobe and some inferior parts of temporal, the midbrain, the thalamus

Answer 6

B. Lateral motor strip, lateral sensory strip. Temporal, frontal, parietal lobes. Broca’s and Wernicke’s areas

Question 7

A 65 years old man suffering from lack of coordination in speech and disturbance of articulation was referred to a neurologist by his primary physician. The neurologist diagnosed the patient to be suffering from Wallenberg’s syndrome and sent him for angiography. Which of the following arteries is most likely occluded in this patient?

A. Anterior Cerebral Artery

B. Posterior Inferior Cerebellar Artery(PICA)

C. Anterior Spinal Artery

D. Posterior Cerebral Artery

E. Anterior Inferior Cerebellar Artery (AlCA)

Answer 7

B. Posterior Inferior Cerebellar Artery(PICA)

Question 8

If a lesion occurs in the middle cerebral artery, which of the following deficits are MOST LIKELY to occur?

A. Dysarthria, Dysphagia, Locked-In Syndrome

B. Contralateral Hemiplegia and sensation loss of the leg, Cognitive and Emotional Changes

C. Dyslexia, Memory Impairments, Hemianopsia, Cortical Blindness

D. Contralateral hemiplegia and somatosensory loss in the UE, speech problems

Answer 8

D. Contralateral hemiplegia and somatosensory loss in the UE, speech problems

Question 9

When is a CN classified as a LMN?

Answer 9

If it has any kind of motor component (pure motor or mixed)

Question 10

Describe the Effects of the pictured Alternating Hemiplegia

Answer 10

CN VI: LMN sx, L eye medial at rest, Can’t ABD eye

Corticospinal Pathway: Contralteral UMN sx

Question 11

Which of the following statements regarding to Circle of Willis is correct?

A. It is the primary source of blood supply for pons and medulla

B. It includes two vertebral arteries

C. It surrounds the optic chiasm and pituitary

D. The superior cerebral artery arises from this circle of arteries

E. It is the site where most of the cerebral spinal fluid is formed

Answer 11

C. It surrounds the optic chiasm and pituitary

Question 12

The anterior cerebral artery and the middle cerebral artery arise from which artery?

A. The internal carotid artery

B. Labyrinthine artery

C. Basilar artery

D. The vertebral artery

Answer 12

A. The internal cartoid artery

Question 13

Which cerebral artery supplies the lateral portion of the brain, frontal lobe, temporal lobe, parietal lobe, mouth, face, and UE?

Answer 13

Middle Cerebral Artery (MCA)

Question 14

Describe the Effects of the pictured Alternating Hemiplegia

Answer 14

CN XII: LMN sx, Difficulty swallowing, slurred speech, tongue deviates left

Corticospinal Pathway: Contralateral UMN sx

Question 15

What is the name, location, and function of the “6th lobe” of the brain?

Answer 15

Name: Insular Lobe

Location: Between temporal and parietal lobes

Function: Emotional tone and regulation

Question 16

Who is at higher risk for autonomic dysreflexia?

Answer 16

Those with SCI at T6 or higher

Question 17

If a lesion occurs in the posterior cerebral artery, which of the following deficits are MOST LIKELY to occur?

A. Contralateral hemiplegia and somatosensory loss in the UE, speech problems

B. Contralateral Hemiplegia, loss of memory, Apraxia, Aphasia

C. Dysarthria, Dysphagia, Locked-In Syndrome

D. Hemianopsia, Cortical Blindness, Weber’s syndrome

Answer 17

D. Hemianopsia, Cortical Blindness, Weber’s syndrome

Question 18

5 Functions of Glial Cells

Answer 18

1. Provide structure
2. Transmit Information
3. Involved in Neural Development
4. Repair s/p Brain Damage
5. Maintain Blood/Brain Barrier

Question 19

T/F: The size of the lesion is direclty related to the impact on function.

Answer 19

False: The size doesn’t translate to impact - smaller more central lesions can be worse that larger lesions on the outer edge of the cortex

Question 20

The 4 D’s

Answer 20

1. Dysphagia (difficulty swallowing)
2. Dysarthria (difficulty speaking)
3. Diplopia (double vision)
4. Dysmetria (difficulty coordinating motor movement

Question 21

Which of the following statement is not true?

A. Circle of Willis consist of anterior communicating, anterior cerebral, posterior communicating, and posterior cerebral arteries

B. Hydrocephalus is a condition in which the primary characteristic is excessive accumulation of CSF in the brain.

C. The venous sinuses drain cerebral spinal fluid, deoxygenated blood from the brain and veins in the scalp

D. The Cerebral aqueduct is a narrow channel running from the 2nd ventricle to the 3rd ventricle.

Answer 21

D. The Cerebral aqueduct is a narrow channel running from the 2nd ventricle to the 3rd ventricle.

Question 22

Central cord lesions are common with what MOI?

Answer 22

Hyperextension (esp. in the eldery)

Other MOI include compression/diving and tumors

Question 23

Which cerebral artery supplies the medial portion of the brain, frontal lobe, parietal lobe, and LE?

Answer 23

Anterior Cerebral Artery