SOAL-SOAL UNTUK UJIAN NASIONAL 29 JANUARI 2005 FK UNAIR/RSU DR. SOETOMO SURABAYA SOAL 41 -75

Question 1

41. A comatose patient’s head is elevated 30from the horizontal. Cold water is injected into the left external auditory meatus. If the brainstem is intact, which one of the following ocular reflexes would you see ? A. Horizontal nystagmus to the left B. Vertical upper nystagmus C. Horizontal nystagmus to the right D. Deviationn of the eyes to the left E. Deviation of the eyes to the right

Answer 1

JAWABANNYA : D

Question 2

42. Is the most common cause of recurrent vertigo A. Ménière’s disease B. Benign positional vertigo C. Labyrinthitis D. MLF syndrome E. Multiple sclerosis

Answer 2

JAWABANNYA : B

Question 3

43. Is an inner ear desease associated with increased endolymphatic fluid pressure A. Ménière’s disease B. Benign positional vertigo C. Labyrinthitis D. MLF syndrome E. Multiple sclerosis

Answer 3

JAWABANNYA : A

Question 4

44. Presumably is due to cuprolithiasis of a semicircular canal A. Ménière’s disease B. Benign positional vertigo C. Labyrinthitis D. MLF syndrome E. Multiple sclerosis

Answer 4

JAWABANNYA : B

Question 5

45. Is the most common cause of internucleaar opthalmoplegia A. Ménière’s disease B. Benign positional vertigo C. Labyrinthitis D. MLF syndrome E. Multiple sclerosis

Answer 5

JAWABANNYA : E

Question 6

46. Consists of lateral gaze palsy and monocular nystagmus A. Ménière’s disease B. Benign positional vertigo C. Labyrinthitis D. MLF syndrome E. Multiple sclerosis

Answer 6

JAWABANNYA : D

Question 7

47. The cavernous sinus contains all of the following structures EXCEPT the A. opthalmic nerve B. mandibular nerve C. abducent and trochlear nerves D. postganglionic sympathetic fibers E. pregangliionic parasympathetic fibers

Answer 7

B

Question 8

48. The superior orbital fissure contains all of the following structures EXCEPT the A. opthalmic veins B. opthalmic nerve C. trochlear nerve D. abducent nerve E. optic nerve

Answer 8

E

Question 9

49. All of the following statements concerning the optic nerve are correct EXCEPT A. it enters the skull via the superior orbital fissure B. it is the afferent limbb of the pupillary light reflex C. there is no regeneration after injury D. it lies within the subarachnoid space E. its axons are myelinated by oligodendrocytes

Answer 9

A

Question 10

50. All of the following statements concerning the facial nerve are correct EXCEPT A. it innervates the lacrimal gland B. it innervates the stapedius muscle C. it innervates the posterior belly of the digastric muscle D. it provides the efferent limb for the corneal reflex E. it projects to the otic ganglion

Answer 10

E

Question 11

51. Innervates the paarotid gland

Answer 11

A

Question 12

52. Is the efferent limb of the corneal reflex

Answer 12

D

Question 13

53. Is the efferent limb of the gag reflex

Answer 13

E

Question 14

54. Innervates the infratentorial dura

Answer 14

E

Question 15

55. Is a pure motor nerve

Answer 15

B

Question 16

56. All of the following statements concerning the posterior inferior cerebellar artery (PICA) are correct EXCEPT it A. is a branch of the vertebral artery B. supplies the vestibular nuclei in the medulla C. supplies the medical lemniscus in the medulla D. supplies the inferior cerebellar peduncle E. supplies the laterall spinothalamic tract

Answer 16

C

Question 17

57. All of the following statements concerning the anterior inferior cerebellar artery (AICA) are correct EXCEPT it A. gives rise, in most cases, to the labyrinthine artery B. supplies the cochlear nuclei C. supplies the faciall nucleus D. supplies the medial longitudinal fasciculus (MLF) E. supplies the spinal trigeminal tract and nucleus

Answer 17

D

Question 18

58. The most common cerebellar tumor in children is A. astrocytoma B. ependymoma C. glioblastoma multiforme D. oligodendrocytoma E. medulloblastoma

Answer 18

A

Question 19

59. Sign of cerebellar dysfunction include all of the following EXCEPT A. hypotonia B. slurred or scanning speech C. resting static pill-rolling tremor D. dysdiadochokinesia E. decomposition of movement

Answer 19

C

Question 20

60. Infarction of the right internal capsule could result in all of the following defects EXCEPT A. left hypesthesia B. right homonymous hemianopia C. left facial weakness D. tongue deviates to left side E. plantar reflex extensor on left side

Answer 20

B

Question 21

61. All of the following statements concerning the optic chiasm are correct EXCEPT A. its primary blood supply is from the anterior cerebral and internal carotid arteries B. it lies dorsal to the diaphragma sellae C. the midsagittal section results in binasal hemianopia D. it contains uncrossed fibers from the temporal hemiretinae E. it contains pupillary fibbers en route to the pretectum

Answer 21

C

Question 22

62. All of the following statements concerning the optic nerve are correct EXCEPT A. it is a myelinated tract of the central nervous system (CNS) B. it is a true peripheral nervve C. it is invested by leptomeninges D. it is incapable of regenerationn E. its cells of origin are found in the ganglion cell layer of the retina

Answer 22

B

Question 23

63. Sympathectomy of the superior cervical ganglion results in all of the following signs EXCEPT A. vasodilation of the cutaneous vessels of the face B. miosis C. hemianhidrosis D. exophtallmos E. ptosis

Answer 23

D

Question 24

64. Sympathetic stimulation results in all of the following responses EXCEPT A. dilation of the pupil B. contraction of the bladder C. dilation of the bronchial lumina D. increased perspiration E. ejaculation

Answer 24

B

Question 25

65. Results from increased parasympathetic stimulation A. Hirschsprung’s disease B. Horner’s syndrome C. Peptic ulcer disease D. Riley-Dday syndrome E. Raynaud’s diseasse

Answer 25

C

Question 26

66. Is a painful vasospastic disorder affecting the digits A. Hirschsprung’s disease B. Horner’s syndrome C. Peptic ulcer disease D. Riley-Dday syndrome E. Raynaud’s diseasse

Answer 26

E

Question 27

67. Is an autosomal recessive trait characterized by abnormal sweating and blood pressure instability A. Hirschsprung’s disease B. Horner’s syndrome C. Peptic ulcer disease D. Riley-Dday syndrome E. Raynaud’s diseasse

Answer 27

D

Question 28

68. Results from congenital absence of ganglion cells in the myenteric plexus A. Hirschsprung’s disease B. Horner’s syndrome C. Peptic ulcer disease D. Riley-Dday syndrome E. Raynaud’s diseasse

Answer 28

A

Question 29

69. Consists of anisocoria and lack of sweating A. Hirschsprung’s disease B. Horner’s syndrome C. Peptic ulcer disease D. Riley-Dday syndrome E. Raynaud’s diseasse

Answer 29

B

Question 30

70. Is a vasodilator A. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 30

E

Question 31

71. Is the neurotransmitter of the small intensely fluorescent (SIF) cells A. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 31

B

Question 32

72. Innervates apocrine sweat glands A. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 32

D

Question 33

73. Innervates eccrine (merocrine) sweat glands A. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 33

A

Question 34

74. Is the transmitter responsible for penile erectionA. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 34

C

Question 35

75. Is the neurotransmitter of the arrector pili muscles A. Acetylcholine (Ach) B. Dopamine C. Nitric oxide D. Norepinephrine E. Vasoactive intestinal polypeptide (VIP)

Answer 35

D