Вы находитесь на странице: 1из 9

Neurology 1

1st Long exam


1. Patient go to the ER unable to speak, He cant understand or express
himself. The lesion would be:
a. Wernickes Aphasia
b. Brocas Aphasia
c. Global Aphasia
d. All
2. Somatosensory Thalamic neurons are located in the ventral posterior
complex, which includes the sensory inputs from the trunk and extremity
a. Ventral posterolateral nucleus
b. Ventral posteromedial nucleus
c. Fasciculus cuneatus
d. Fasciculus Gracilis
3. Hypotonia can be seen?
a. Lesion of corticospinal tract
b. Lesion of cerebellum
c. Lesion of peripheral nerve
d. Lesion of anterior horn cell
4. Acetylcholine local
a. Dorsal tegmentum of pons and midbrain
5. Which of the following structures do not contribute to motor control and
integrity?
a. Thalamus
b. Basal ganglia
c. Cerebellum
d. Prefrontal cortex
6. Areas of brain that contributes to motor incorrectly paired?
a. Precentral gyrus- BA 4
b. Frontal eyefield- - BA 8
c. Brocas area – 321
d. Premotor cortex – BA6
7. True about FC except:
a. FC can see through all spinal cord
b. FC see only lower extremities
c. For proprioception
8. Narrowest portion of CSF
a. Lateral Ventricle
b. Foramen of monro
c. Aqueduct of sylvius
d. Foramen of Magendie
9. Following structures are part of consciousness except:
a. Cerebral cortex
b. Thalamic Nucleus
c. Forebrain Bundle
d. NOTA
10.Three questions usually asked to a patient to check his neurologic disorder
except:
a. If you feel depressed
11.Acetylcholine is the neurotransmitter released by these neurons in the
spinal cord?
a. Terminal endings of pyramidal tract
b. Terminal endings of renshaw cells
c. Terminal endings of alpha motor neurons
d. Terminal endings of gamma motor neurons
12.Degree of altered level of consciousness wherein the patient is easily
aroused and shows appropriate verbal and motor responses to sensory
stimuli but when the stimulus stops, the patient drifts back to sleep.
a. Coma
b. Stupor
c. Somnolence
d. Confusion
e. Obtundation
13.The pacemaker located at the suprachiasmatic nuclei of the hypothalamus
that controls the circadian rhythm
a. Wall clock
b. Biological clock
c. Botany clock
d. Diccion clock
e. NOTA
14.Motor cortex except
a. Motor sequencing and programming in premotor area
b. Motor cortex in BA 6
c. Fibers of corticospinal tract at layer 5
d. Motor language center located in dominant side of brain
15.This sensory symptom is describe as spontaneous sensations of prickling
and tingling
a. Allodynia
b. Paresthesia
c. Hypesthesia
d. Dysesthesia
16.A patient came in for consult of right sided extremity weakness, left eye
deviated downward; outward. Lesion?
a. Right pons
b. Left pons
c. Right midbrain
d. Left midbrain
17.A type of projectional pathway that modulates the action of cortex and
thalamus.
a. Thalamocorticospinal tract
b. Cerebello cortical
c. Extra thalamic
d. Spinocortical
e. Hypothalocortica
18.It supplies the lower extremity for the motor cortex
a. Inferior frontal lobe
b. Middle frontal lobe
c. Convexity of cerebral cortex
d. Medial side of the motor cortex
19.A type of potential generated by the neurons that occur only when
membrane is depolarized beyond the threshold level
a. Synaptic
b. Action
c. Dendritic
d. Somatic
e. A & C
20.The consciousness system is responsible for:
a. Regulation of wake-sleep state
b. Maintenance of consciousness
c. Maintenance of attention
d. AOTA
e. NOTA
21.True regarding motor cortex except
a. Origin of corticospinal tract
b. Receives input from basal ganglia and cerebellum
c. Inferior to sylvian fissure
d. Corresponds to BA 4,6,8
22.A bilateral CN IV paresis suggest:
a. Brain tumor
b. Increased ICP
c. Astigmatism
d. Bilateral mass lesion
e. B & D
23.Spasticity- where is the lesion?
a. Pyramidal tract
24.Initial manifestation of sphingomyelin.
a. Bilateral loss of motor weakness
b. Bilateral loss of pain and temp
c. Bilateral loss of proprioception
d. Bilateral loss of reflexes
25.True about arachnoid granulation.
a. Discernible in newborn
b. Widely disseminated in third or fourth year of life
c. Most common along superior sagittal sinus
d. AOTA
26.Somatosensory cortex
a. Ventro posterolateral
27.All of the following are components of CNS except:
a. Ulnar nerve
b. Neuromuscular junction
c. Medulla
d. Muscle
e. None
28.Rate of change in muscle stretch
a. Muscle spindle
29.CSF in lower subarachnoid space reach basal cistern by
a. 1 hour
b. 2 hours
c. 3 hours
d. 4 hours
30.The gateway of cerebral cortex
a. Hypothalamus
b. Basal ganglia
c. Thalamus
d. Putamen
e. Caudate nucleus
31.Sharp pain level is usually indicative of lesion in?
a. Brainstem
b. Medulla
c. Spinal cord
d. Peripheral nerve
32.Meningeal irritation except:
a. Nuchal rigidity
b. Brudzinski’s sign
c. Chaddocks sign
d. NOTA
33.The following decreases CSF except:
a. Acute hydrocephalus
b. Acetazolamide
34.Lesion in right cerebral peduncle?
a. Midbrain is above lesion
35.Direct pathway?
a. Spinothalamic tract
b. Lemniscal pathway
36.True of brown sequard syndrome, except?
a. Ipsilateral motor deficit
b. Ipsilateral dorsal column deficit
c. Contralateral loss of pain
d. Light touch
37.The following cranial nerve is infratentorial in location except?
a. Trigeminal
b. Oculomotor
c. Optic
d. Hypoglossal
e. NOTA
38.Diplopia secondary to increase ICP is due to compression of which cranial
nerve?
a. Facial
b. Trochlear
c. Abducens
d. Any of the above
39.CSF is finally absorbed in the?
a. Arachnoid granulations
40.Shallow right nasolabial fold?
a. Left cerebrum
41.Afferent impulse from taste and smell would come from?
a. SVA
42.The transient abolition of the excitability of a sensory receptor in response
to repetitive stimulation?
a. Receptor fatigue
43.GLUT-1 transporter is responsible for transportation of what substance?
a. Glucose
44.Primary somatosensory cortex is located in?
a. Parietal lobe
45.Characteristics of the polymodal nociceptive type except?
a. Fast pain
46.Causes decrease in CSF production except?
a. Acute hydrocephalus
b. Acetazolamide
c. Hyoerventilation due to increase PCO2
d. Corticosteroids
47.Most consistent in CSF analysis in infection?
a. Increase protein
b. Positive CSF culture
c. Pleocytosis
d. Decrease sugar
48.Factors that facilitate CSF circulation?
a. Drift
b. Ossilation
c. Pulsatile movement
d. AOTA
49.A diffuse multineuronal, polysynaptic system located in the brainstem,
diencephalon and the cerebral hemisphere?
a. Consciousness system
50.Which of the following is true regarding corticospinal tract?
a. Weakness is at the internal capsule
51.Greatest concentration of sodium?
a. CSF
52.Decussation of corticospinal tract occupy which of the following areas of
spinal cord?
a. Lateral funiculi
b. Anterior funiculi
c. Posterior cuniculi
d. Center cord
53.The conversion of impulse from environment to action potential?
a. Transduction
54.After the foramen of monro, the CSF flows to?
a. Third ventricle
55.Diffusion is the primary mechanism of transport for the following
substances except:
a. Water
b. Ethanol
c. Diazepam
d. Glucose
56.Parietal association area?
a. Lateral posterior
57.Crossed anesthesia= ipsilateral loss of pain and temperature in the trunk
and extremities?
a. Medulla
58.Infratentoria; structure except:
a. Lamina IX
b. Cerebral
c. Midbrain
59.Except in skin?
a. Golgi mazzoni
66.The rate of csf production is at?

a.140 ML/Day.

b.500 ml/day.

c.0.35 ml/hr.

d.20ml/minute.

Ans= B.

66.the greatest gray matter is largest in the what spinal segments?


a.cervical and thoracic.
b.thoracic and lumbar.
c.cervical and lumbar.
d.lumbar and sacral.
e.cervical and lumbosacral.
ANS= B.

Вам также может понравиться