Neuro Midterm 4 Practice

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Jan 9, 2024

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D. Basement membrane pericytes A patient presents to the hospital while you are on rotations and after your incredible presentation during rounds, your attending wants to rule out aneurysm. They ask you what imaging should be done, and identify which blood vessel on the following diagram is at most risk of aneurysm? (Bonus: identify all the arteries on the diagram) A. Digital Subtraction angiography , 2 B. MRI brain without contrast , 5 C. Digital Subtraction angiography, 5 D. MRI brain without contrast, 2 You diagnose a patient in your clinic with a neuropathy of cranial nerve VIII. Which of the following correctly pairs the primary action(s) and fiber type(s) of CN VIII? (bonus: identify which cranial nerves each answer choice describes) A. Control striated muscles related to eye movement and intrinsic pupillary light reflex, general somatic efferent and general visceral efferent B. Control the superior oblique muscle of the eye, general somatic efferent C. Control the skeletal muscles of facial expression and allow for sense of taste, general somatic efferent and special visceral afferent D. Allow for sense of hearing and carry information for proprioception, special sensory afferent You are rotating on neurology and your attending tries to pimp you by asking you to identify which cranial nerves are visible on the MRI
A. Hypoglossal B. Facial C. Vestibulocochlear D. A and B E. B and C What is the function of the cells pointed to in this histology slide? A. Form myelin sheaths B. Secrete Ca C. Antigen presenting cells D. Communicate via gap junctions A patient presents to the emergency room after an MVC and receives the following X ray. What
spinal structure is defected (marked by red arrow) A. Spinous process B. Facet joint C. Pars articularis D. Pedicle A patient presents to your clinic after surviving a gunshot wound to the head. The damage was somehow only localized to the thalamus, and the patient is now unfortunately deaf. What part of the thalamus was most likely damaged? A. Medial geniculate B. Lateral geniculate C. Mediodorsal D. Lateral dorsal A stillborn infant exhibited severe facial abnormalities and upon autopsy it was discovered that the brain lacked significant gyri and sulci. At this point, the most likely diagnosis is: A. Anencephaly B. Chiari malformation C. Craniorachischisis D. Holoprosencephaly E. Spina bifida During the second trimester of a pregnant 24-year-old, abnormally high levels of alpha-fetoprotein are found in her blood. Such elevated levels may be indicative of what fetal abnormality? A. Chiari malformation B. Failure of neural crest migration
C. Holoprosencephaly D. Hydrocephalus E. Neural tube defect Failure of the metencephalon to develop correctly will have the greatest effect on: A. Memory and learning B. Motor functions C. Personality D. Reflex withdrawal E. Vision Failure of proper neural crest migration will have the greatest impact on: A. Microglia B. Myelination in the PNS C. Pituitary gland development D. Secondary afferent fibers that cross the midline E. Flow of CSF through the ventricles An older woman slips on the ice and smacks the back of her head on the sidewalk. What function/characteristic is most likely to be compromised from an injury to the posterior aspect of the cerebrum? A. Hearing B. Olfaction C. Personality D. Somatosensation E. Vision A hemisection lesion of the thoracic spinal cord (Brown-Sequard) produces the following deficit: A. Bilateral loss of reflex activity below the level of the lesion B. Contralateral loss of fine touch superior to the level of the lesion C. Contralateral loss of pain and temperature above the level of the lesion D. Ipsilateral loss of pain and temperature below the level of the lesion E. Ipsilateral loss of voluntary motor activity below the level of the lesion Choose the equivalent pairing of terms with regard to terms of orientation in the brain. A. Anterior/dorsal B. Caudal/inferior C. Posterior/inferior
D. Rostral/superior E. Superior/dorsal An older patient with a cerebellopontine angle tumor is most likely to have deficits associated with which cranial nerve? A. III B. V C. VII D. X E. XII A patient reports to his physician with difficulty swallowing and slurred speech upon waking one morning. The physician asks the patient to “stick out” his tongue, upon which the tongue deviates to the right. The most likely site of injury is the: A. Left facial motor nucleus B. Left nucleus ambiguus C. Medial longitudinal fasciculus on the left D. Right hypoglossal nucleus E. Trigeminal motor nucleus on the right A patient with a history of uncal herniation, in which the midbrain is compressed against the tentorial notch, is most likely to present with: A. Dry mouth B. Lack of pain sensation on one side of the face C. Difficulty swallowing D. Problems moving the eyes E. Vertigo An individual with a tumor that compresses (only) the oculomotor nerve, will present with: A. Constricted pupils B. Diminished corneal blink reflex C. Dry eye D. Lack of taste over the anterior two-thirds of the tongue E. The eyes pointed down and out The cell bodies responsible for control of the muscles of mastication are found in the: A. Facial motor nucleus
B. Mesencephalic nucleus C. Nucleus ambiguus D. Solitary nucleus E. Trigeminal motor nucleus Damage to which of the following would cause flaccid paralysis and hyporeflexia? A. Abducens nucleus B. Internal capsule C. Motor cortex D. Spinothalamic tract E. Thalamus Most CSF is resorbed from the subarachnoid space into the: A. Confluence of the sinuses B. Epidural space C. Internal jugular vein D. Lateral ventricle E. Superior sagittal sinus The resting membrane potential for a typical neuron within the peripheral and central nervous system is? A. +50 mV B. 0 mV C. -50 mV D. -70 mV E. - 90 mV This resting membrane potential from the question above is partly due to… A. Increased Na+ ions outside of the neuron B. Increased K+ ions outside of the neuron C. Increased Cl- ions outside of the neuron D. Increased Ca+2 ions outside of the neuron
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