Waxman: Neuroanatomy Self-Assessment

Neuroanatomy: 100 questions from Clinical Neuroanatomy, 25e
Question 1 of 100 You incorrectly answered . The correct answer is B

The basic neuronal signaling unit is– A. the equilibrium potential B. the action potential C. the resting potential D. the supernormal period The answer is B. Question 2 of 100 You incorrectly answered . The correct answer is C

Generation of the action potential– A. depends on depolarization caused by the opening of K+ channels B. depends on hyperpolarization caused by the opening of K+ channels C. depends on depolarization caused by the opening of Na+ channels D. depends on hyperpolarization caused by the opening of Na+ channels E. depends on second messengers The answer is C. Question 3 of 100 You incorrectly answered . The correct answer is B

The equilibrium potential for K+ in neurons is ordinarily nearest– A. the equilibrium potential for Na+ B. resting potential

C. reversal potential for the EPSP D. the peak of the action potential The answer is B. Question 4 of 100 You incorrectly answered . The correct answer is B

ATP provides an essential energy source in the CNS for– A. division of neurons B. maintenance of ionic gradients via ATPase C. generation of action potentials D. EPSPs and IPSPs The answer is B. Question 5 of 100 You incorrectly answered . The correct answer is C

The peripheral nervous system– A. includes the spinal cord B. is sheathed in fluid-filled spaces enclosed by membranes C. includes cranial nerves D. does not include spinal nerves E. is surrounded by bone The answer is C. Question 6 of 100 You incorrectly answered . The correct answer is D

The somatic nervous system innervates the– A. blood vessels of the skin B. blood vessels of the brain C. muscles of the heart

D. muscles of the body wall E. muscles of the viscera The answer is D. Question 7 of 100 You incorrectly answered . The correct answer is A

Myelin is produced by– A. oligodendrocytes in the CNS and Schwann cells in the PNS B. Schwann cells in the CNS and oligodendrocytes in the PNS C. oligodendrocytes in both CNS and PNS D. Schwann cells in both CNS and PNS The answer is A. Question 8 of 100 You incorrectly answered . The correct answer is A

Astrocytes– 1. may function to buffer extracellular K+ 2. are interconnected by gap junctions 3. can proliferate to form a scar after an injury 4. migrate to the CNS from bone marrow One or more answers may be correct. Select– A. if 1, 2, and 3 are correct B. if 1 and 3 are correct C. if 2 and 4 are correct D. if only 4 is correct E. if all are correct The answer is A. Question 9 of 100 You incorrectly answered . The correct answer is B

The cell layer around the central canal of the spinal cord– 1. is called the ventricular zone 2. is the same as the pia 3. encloses cerebrospinal fluid 4. is called the marginal zone One or more answers may be correct. Select– A. if 1, 2, and 3 are correct B. if 1 and 3 are correct C. if 2 and 4 are correct D. if only 4 is correct E. if all are correct The answer is B. Question 10 of 100 You incorrectly answered . The correct answer is A

A spinal motor neuron in an adult– 1. maintains its membrane potential via the active transport of sodium and potassium ions 2. synthesizes protein only in the cell body and not in the axon 3. does not synthesize DNA for mitosis 4. does not regenerate its axon following section of its peripheral portion One or more answers may be correct. Select– A. if 1, 2, and 3 are correct B. if 1 and 3 are correct C. if 2 and 4 are correct D. if only 4 is correct E. if all are correct The answer is A. Question 11 of 100 You incorrectly answered . The correct answer is A

is the site of the cell nucleus 4. 2. if 1 and 3 are correct C. if 1. if only 4 is correct E. if all are correct The answer is E. and 3 are correct B. if all are correct The answer is A. contains synaptic vesicles One or more answers may be correct. 2. if 1. Select– A. The correct answer is E The myelin sheath is– 1. interrupted periodically by the nodes of Ranvier 4. Select– A. if 2 and 4 are correct D. if 2 and 4 are correct D. if only 4 is correct E. and 3 are correct B. composed of spirally wrapped plasma membrane One or more answers may be correct. cannot divide in the adult 2. produced within the peripheral nervous system by Schwann cells 3. Question 13 of 100 . if 1 and 3 are correct C. Question 12 of 100 You incorrectly answered .The cell body of most neurons– 1. is the main site of protein synthesis in the neuron 3. produced within the CNS by oligodendrocytes 2.

maintains the gradients of Na and K ions across neuronal membranes 4. 2. acts as an ion pump 3. neurotransmitter(s) 4. Select– A. if 1 and 3 are correct C. synaptic vesicles 2. 2. if 1. if only 4 is correct E. if 1. The correct answer is A Most synaptic terminals of axons that form chemical synapses in the CNS contain– 1. utilizes ATP 2. if all are correct The answer is A. and 3 are correct B. The correct answer is E Na. consumes more than 25% of cerebral energy production One or more answers may be correct. if 2 and 4 are correct D. Question 14 of 100 You incorrectly answered . Select– A. if only 4 is correct E. K-ATPase– 1. and 3 are correct B. . presynaptic densities 3.You incorrectly answered . rough endoplasmic reticulum One or more answers may be correct. if 2 and 4 are correct D. if 1 and 3 are correct C. if all are correct The answer is E.

Select– A. acetylcholine 2. if all are correct The answer is E. if 2 and 4 are correct D. if 1 and 3 are correct C. and 3 are correct B. norepinephrine 3. The correct answer is E In axoplasmic transport– 1. dopamine 4. mitochondria move along the axon 3. 2. if only 4 is correct E.Question 15 of 100 You incorrectly answered . if only 4 is correct E. some types of molecules move toward the cell body at rates of up to 300 mm per day One or more answers may be correct. if all are correct . The correct answer is E Neurotransmitters found in the brain stem include– 1. and 3 are correct B. if 1 and 3 are correct C. if 1. Select– A. if 2 and 4 are correct D. 2. microtubules seem to be involved 4. Question 16 of 100 You incorrectly answered . serotonin One or more answers may be correct. if 1. some macromolecules move away from the cell body at rates of several centimeters per day 2.

telencephalon One or more answers may be correct. and 3 are correct B. and 3 are correct B.The answer is E. medulla oblongata 4. Select– A. 2. Question 18 of 100 You incorrectly answered . is a major inhibitory transmitter in the CNS 4. if 1 and 3 are correct C. The correct answer is A The brain stem includes– 1. may be involved in excitotoxicity 3. the midbrain (mesencephalon) 2. Question 17 of 100 You incorrectly answered . if only 4 is correct E. if 1 and 3 are correct C. The correct answer is C Glutamate– 1. is a major excitatory transmitter in the CNS One or more answers may be correct. if only 4 is correct . if 2 and 4 are correct D. if 2 and 4 are correct D. is the transmitter at the neuromuscular junction 2. if all are correct The answer is A. 2. if 1. Select– A. if 1. pons 3.

if 1 and 3 are correct C. layer of similar cells in the cerebral cortex 4. is the transmitter at the neuromuscular junction 2. Question 19 of 100 You incorrectly answered . if all are correct The answer is C. if 1. and 3 are correct B. The correct answer is C Glutamate– 1. Question 18 of 100 You incorrectly answered . and 3 are correct B. Select– A. Select– A. part of the basal ganglia 2. if 2 and 4 are correct D. if 1. is a major inhibitory transmitter in the CNS 4. if all are correct The answer is C. The correct answer is D A ganglion is defined as a– 1. if 1 and 3 are correct C. if only 4 is correct E. 2. if 2 and 4 are correct .E. 2. group of nerve cell bodies outside the neuraxis One or more answers may be correct. is a major excitatory transmitter in the CNS One or more answers may be correct. group of nerve cell bodies within the hypothalamus 3. may be involved in excitotoxicity 3.

if all are correct The answer is A. Question 21 of 100 You incorrectly answered . if 2 and 4 are correct D. if 1 and 3 are correct C. Question 20 of 100 You incorrectly answered . and 3 are correct B. gracile tract The answer is A. if 1. lateral corticospinal tract B. sympathetic nervous trunk 2. if only 4 is correct E. The correct answer is A Norepinephrine is found in the– 1. neuromuscular junction One or more answers may be correct. locus ceruleus 3. Lissauer's tract D. The correct answer is A The lateral column of the spinal cord contains the– A. lateral tegmentum of the midbrain 4.D. Select– A. Question 22 of 100 . if only 4 is correct E. direct corticospinal tract C. if all are correct The answer is D. 2.

Select– A. ventral spinocerebellar tract C. is produced by neurons that project from the substantia nigra to the caudate and putamen . if 2 and 4 are correct D. if only 4 is correct E. cuneate tract B. reticulospinal tract The answer is E. Question 24 of 100 You incorrectly answered . The correct answer is B The neurotransmitter dopamine– 1. horizontal connections crossing within the CNS from the dominant to nondominant side 4. The correct answer is D Decussations are– 1. if 1. 2. fiber bundles in a spinal nerve 3. spinoreticular tract E. vertical connections crossing within the CNS from left to right or vice versa One or more answers may be correct. and 3 are correct B. if all are correct The answer is D. Question 23 of 100 You incorrectly answered . aggregates of tracts 2. spinothalamic tract D. The correct answer is E The following fiber systems in the spinal cord are ascending tracts except for the– A.You incorrectly answered . if 1 and 3 are correct C.

if only 4 is correct E. Select– A. 2. ipsilateral dorsal nucleus (of Clarke) One or more answers may be correct. 2. Question 25 of 100 You incorrectly answered . ipsilateral lamina V of the dorsal horn 4. is the major excitatory transmitter in the CNS One or more answers may be correct. The correct answer is A Fine-diameter dorsal root axons of L5 on one side terminate in the– 1. marginal layer of the ipsilateral dorsal horn 2. if 2 and 4 are correct D. if 1 and 3 are correct C. is depleted in Parkinson's disease 4. and 3 are correct B. if only 4 is correct E. Select– A. if 1 and 3 are correct C. if 1. and 3 are correct B. The correct answer is B A sign of an upper-motor-neuron lesion in the spinal cord is– .2. if all are correct Question 26 of 100 You incorrectly answered . mediates transmission at the neuromuscular junction 3. if 2 and 4 are correct D. if 1. if all are correct The answer is B. ipsilateral substantia gelatinosa 3.

and stereognosis of all extremities. flaccid paralysis D. The correct answer is C A patient complains of unsteadiness. dorsal columns of the spinal cord. bilaterally B. He is unable to stand without wavering for more than a few seconds when his eyes are closed. bilaterally E. within the spinal cord. corticospinal tracts Question 29 of 100 You incorrectly answered . in the medial lemniscus Question 28 of 100 You incorrectly answered .A. inferior cerebellar peduncles. hyperactive deep tendon reflexes C. absence of pathologic reflexes E. bilaterally D. in the medullary decussation B. The correct answer is D Axons in the spinothalamic tracts decussate– A. Examination shows a marked diminution of position sense. lateral columns of the spinal cord. five to six segments above the level where they enter D. within one to two segments of the level where they enter E. within the spinal cord. The lesion most likely involves the– A. The correct answer is B . in the medullary lemniscus C. vibration sense. bilaterally C. absence of withdrawal responses Question 27 of 100 You incorrectly answered . spinothalamic tracts. There are no other abnormal findings. severe muscle atrophy B.

Select– A. decussate within the spinal cord. within one or two segments of their origin 4. if only 4 is correct E. and 3 are correct B. if 1 and 3 are correct C. synapse in the gracile and cuneate nuclei One or more answers may be correct. terminates at the L2 segment C. terminates in the ipsilateral cerebellum E. receives contralateral input from dorsal root ganglia B. The correct answer is D The dorsal nucleus (of Clarke) in the spinal cord– A. lumbar radicular artery B. The correct answer is D The subclavian artery gives rise directly to the– A.Axons in the spinothalamic tract– 1. if 1. anterior spinal artery D. 2. if all are correct Question 30 of 100 You incorrectly answered . receives fibers from the external cuneate nucleus Question 32 of 100 . vertebral artery Question 31 of 100 You incorrectly answered . if 2 and 4 are correct D. great ventral radicular artery C. carry information about pain (lateral spinothalamic tract) and temperature (anterior spinothalamic tract) 3. carry information about pain and temperature (lateral spinothalamic tract) and light touch (anterior spinothalamic tract) 2. terminates in the midbrain D.

and 3 are correct B. terminate in lamina V of the dorsal horn . The correct answer is A A-delta and C peripheral afferent fibers– 1. if 1 and 3 are correct C. the C4 and T2 dermatomes are contiguous over the anterior trunk 2. if 2 and 4 are correct D. ends at the cauda equina D. and C8 dermatomes. middle finger. Select– A. terminate in laminas I and II of the dorsal horn 2. if all are correct Question 33 of 100 You incorrectly answered . lies between the pachymeninx and the arachnoid B. communicates with the peritoneal space E. if only 4 is correct E. respectively 4. if 1. convey the sensation of pain 3. the nipple is at the level of C8 3. and 5th digit are within the C6. the umbilicus is at the level of L2 One or more answers may be correct. The correct answer is B The following rules about dermatomes are correct– 1.You incorrectly answered . The correct answer is B The spinal subarachnoid space normally– A. is adjacent to the vertebrae Question 34 of 100 You incorrectly answered . 2. C7. the thumb. lies between the pia and the arachnoid C.

if 2 and 4 are correct D. 2. the deltoid and triceps are innervated via the C5 root 3. if only 4 is correct E. arises principally from neurons of the same side of the cord 4. the diaphragm is innervated via the C3 and C4 roots 2. the spinothalamic tract– 1. Select– A. The correct answer is B The following are correct– 1. mediates information about pain and temperature One or more answers may be correct. if 1 and 3 are correct C. Question 36 of 100 You incorrectly answered . if 2 and 4 are correct D. Question 35 of 100 You incorrectly answered . Select– A. and 3 are correct B. the biceps are innervated via the C5 root . if all are correct The answer is A. if only 4 is correct E. if 1. if 1 and 3 are correct C. if all are correct The answer is C. exhibits topographic organization 3. if 1.4. convey the sensation of light touch One or more answers may be correct. and 3 are correct B. The correct answer is C In humans. carries information from the ipsilateral side of the body 2. 2.

arises in the dorsal nucleus of Clarke and. 2. if only 4 is correct E. if 1. if 1 and 3 are correct C.4. carries information arising in the muscle spindles. Select– A. if all are correct The answer is B. The correct answer is A The long-term consequences of a left hemisection of the spinal cord at midthoracic level would include– 1. above C8. Question 37 of 100 You incorrectly answered . if only 4 is correct E. if 2 and 4 are correct D. the gastrocnemius is innervated via the L4 root One or more answers may be correct. Question 38 of 100 You incorrectly answered . ascends to terminate in the cerebellar cortex 4. and 3 are correct B. loss of voluntary movement of the left leg . 2. Select– A. and 3 are correct B. if all are correct The answer is A. projects without synapses to the basal ganglia and cerebellum One or more answers may be correct. Golgi tendon organs. in the accessory cuneate nucleus 2. touch and pressure receptors 3. if 2 and 4 are correct D. if 1 and 3 are correct C. if 1. The correct answer is A The dorsal spinocerebellar tract– 1.

diminished deep tendon reflexes in the left leg One or more answers may be correct. can arise from Clarke's column cells (dorsal nucleus) . The correct answer is C Gamma-efferent motor neurons– 1.2. if 1. Question 39 of 100 You incorrectly answered . if 2 and 4 are correct D. if only 4 is correct E. if 1. loss of pain and temperature sensation in the right leg 3. are modulated by axons in the vestibulospinal tract One or more answers may be correct. cause contraction of intrafusal muscle fibers 3. if all are correct The answer is A. if 1 and 3 are correct C. if only 4 is correct E. Select– A. if 1 and 3 are correct C. The correct answer is B The fibers carrying information from the spinal cord to the cerebellum– 1. and 3 are correct B. Question 40 of 100 You incorrectly answered . and 3 are correct B. if all are correct The answer is C. diminished position and vibration sense in the left leg 4. if 2 and 4 are correct D. provide vasomotor control to blood vessels in muscles 4. are located in the intermedial lateral cell column of the spinal cord 2. 2. Select– A. 2.

if 1 and 3 are correct C. exit above the corresponding vertebral bodies in the cervical spine 3. exit below the corresponding vertebral bodies in the lower spine One or more answers may be correct. if 1 and 3 are correct C. if only 4 is correct E. if 1. 2.2. are important elements in the conscious sensation of joint position One or more answers may be correct. exit below the corresponding vertebral bodies in the cervical spine 2. exit above the corresponding vertebral bodies in the lower spine 4. if 2 and 4 are correct D. and 3 are correct B. can arise from cells of the external cuneate nucleus 4. Select– A. if only 4 is correct E. Question 41 of 100 You incorrectly answered . represent the contralateral body half in the dorsal spinocerebellar tract 3. The correct answer is A The intermediolateral gray column– 1. if 2 and 4 are correct D. and 3 are correct B. The correct answer is C The spinal nerve roots– 1. Select– A. if 1. if all are correct Question 42 of 100 You incorrectly answered . contains preganglionic neurons for the autonomic nervous system . 2. if all are correct The answer is B.

and 3 are correct B. cross within the pyramidal decussation 4. cross within the lemniscal decussation 3. if 1. convey information about pain and temperature 2. if all are correct The answer is A. Select– A. if all are correct The answer is D. 2. if 1 and 3 are correct C. and 3 are correct B. 2. The correct answer is C In adults– . Question 43 of 100 You incorrectly answered . if 1. The correct answer is D Second-order neurons in the dorsal column system– 1. if 1 and 3 are correct C. if 2 and 4 are correct D. two-point discrimination. Question 44 of 100 You incorrectly answered . vibration. is prominent in upper lumbar regions 4. and proprioception One or more answers may be correct. convey well-localized sensations of fine touch. if only 4 is correct E. is prominent in the thoracic region 3. if only 4 is correct E. Select– A. if 2 and 4 are correct D.2. is prominent in cervical regions One or more answers may be correct.

if only 4 is correct E. if only 4 is correct E. Select– A. if 1 and 3 are correct C. if 2 and 4 are correct D. Question 45 of 100 You incorrectly answered . ipsilateral cuneate nucleus 4. Select– A. the spinal cord terminates at the level of the L1 or L2 vertebra One or more answers may be correct. if all are correct The answer is C. ipsilateral dorsal nucleus (of Clarke) One or more answers may be correct. if 1. 2. if all are correct The answer is C. if 1 and 3 are correct C. The correct answer is C Large-diameter dorsal root axons of one side of L5 terminate in the– 1. the dorsal columns and lateral columns are heavily myelinated 3. there is very little myelin in the spinal cord 2. and 3 are correct B. Question 46 of 100 You incorrectly answered . 2. if 2 and 4 are correct D. and 3 are correct B. ipsilateral gracile nucleus 3. the spinal cord terminates at the level of the S5 vertebrae 4. if 1. The correct answer is C Inhibitory transmitters in the CNS include– .1. marginal layer of the ipsilateral dorsal horn 2.

and 3 are correct B. if 1 and 3 are correct C. if 2 and 4 are correct D. 2. if only 4 is correct E. is essential for normal two-point discrimination on that side 2. GABA (presynaptic inhibition) 3. rapidly conducting axons One or more answers may be correct. if 2 and 4 are correct D. Question 48 of 100 You incorrectly answered . glutamate (presynaptic inhibition) 2. synapses on neurons of the ipsilateral gracile and cuneate nuclei 4. Select– A. if all are correct The answer is E. if 1 and 3 are correct C. if all are correct The answer is C. myelinated.1. The correct answer is E The dorsal column system of one side of the spinal cord– 1. if only 4 is correct E. arises from both dorsal root ganglion cells and dorsal horn neurons 3. glutamate (postsynaptic inhibition) 4. if 1. Select– A. and 3 are correct B. The correct answer is A The vagus (X) nerve contains– . consists primarily of large. 2. if 1. Question 47 of 100 You incorrectly answered . GABA (postsynaptic inhibition) One or more answers may be correct.

A single lesion most likely to produce all these signs would be located in the– A. visceral afferent fibers 2. The correct answer is B Examination of a patient revealed a drooping left eyelid. if 1. together with weakness of adduction and elevation of the left eye. hypoactive deep tendon reflexes and hyporeflexia 3. branchial efferent fibers 4. basomedial region of the left cerebral peduncle C. and 3 are correct B. Question 49 of 100 You incorrectly answered . if only 4 is correct E. Question 50 of 100 You incorrectly answered . The correct answer is B Signs of upper-motor-neuron lesions include– 1. dorsolateral region of the medulla on the left side E. 2. superior region of the left mesencephalon D. visceral efferent fibers 3. if all are correct The answer is A. Select– A. spastic paralysis .1. somatic efferent fibers One or more answers may be correct. periaqueductal gray matter on the left side The answer is B. and weakness of the limbs and lower facial muscles on the right side. medial region of the left pontomedullary junction B. if 2 and 4 are correct D. loss of the pupillary light reflex in the left eye. Babinski's sign 2. if 1 and 3 are correct C.

Golgi cells B. if 2 and 4 are correct D. granule cells D. vestigial nucleus cells C. Select– A. The correct answer is A Hemiplegia and sensory deficit on the right side of the body may be caused by infarction in the territory of the– A.4. and 3 are correct B. Purkinje cells E. left posterior cerebral artery D. Question 53 of 100 . severe muscle atrophy One or more answers may be correct. if 1. if 1 and 3 are correct C. 2. if only 4 is correct E. pyramidal cells The answer is D. Question 51 of 100 You incorrectly answered . Question 52 of 100 You incorrectly answered . anterior communicating artery The answer is A. right anterior cerebral artery C. left middle cerebral artery B. The correct answer is D The efferent axons of the cerebellar cortex arise from– A. left superior cerebellar artery E. if all are correct The answer is B.

The correct answer is D < Previous question Next question > A lesion in the nucleus of cranial nerve IV would produce a deficit in the– A. left posterior inferior cerebellar artery D. vertebral and anterior spinal arteries C. posterior spinal and posterior inferior cerebellar arteries E. Question 55 of 100 You incorrectly answered . This syndrome could be expected from infarction in the territory of the– A. upward gaze of the contralateral eye C. left superior cerebellar artery The answer is C. The correct answer is B Structures in the ventromedial regions of the medulla receive their blood supply from the– A. posterior and anterior inferior cerebellar arteries The answer is B. upward gaze of the ipsilateral eye B. downward gaze of the contralateral eye D. larynx. downward gaze of the ipsilateral eye . Question 54 of 100 You incorrectly answered . and hiccuping. basilar artery B. ataxia on the left side. The correct answer is C A neurologic syndrome is characterized by loss of pain and thermosensitivity on the left side of the face and on the right side of the body from the neck down. partial paralysis of the soft palate. posterior spinal and posterior cerebral arteries D. right posterior inferior cerebellar artery C.You incorrectly answered . right superior cerebellar artery E. and pharynx on the left side. posterior spinal and superior cerebellar arteries B.

The correct answer is C < Previous question Next question > Within the internal capsule. are located in front of fibers for the arm. the vestibulocochlear (VIII) nerve B. the facial (VII) nerve for the entire tongue C. are located posterior to the fibers for the leg. Question 58 of 100 You incorrectly answered . respectively . are located in front of the fibers for the arm. each of the following may result except for– A. The correct answer is C < Previous question Next question > Sensory input for taste is carried by– A. dilation of the pupil D. synapse in the capsular nucleus The answer is C. partial ptosis B. in the posterior half of the posterior limb C. travel within the corticovestibular tract E. The correct answer is D < Previous question Next question > If the oculomotor nerve (III) is sectioned. descending motor fibers for the face– A. abduction of the eyeball C.The answer is D. Question 56 of 100 You incorrectly answered . paralysis of the ciliary muscle The answer is D. in the anterior part of the posterior limb D. impairment of lacrimal secretion E. Question 57 of 100 You incorrectly answered . in the anterior part of the anterior limb B. the facial (VII) and glossopharyngeal (IX) nerves for the anterior two thirds and posterior one third of the tongue.

paralysis of contralateral facial muscles except the frontalis and orbicularis occuli The answer is E. if 1.D. receives input from the lateral geniculate body 4. and 3 are correct B. paralysis of ipsilateral facial muscles except the buccinator D. Select– A. if all are correct The answer is B. Question 61 of 100 You incorrectly answered . Question 60 of 100 You incorrectly answered . is also termed the striate cortex 2. receives input from the medial geniculate body One or more answers may be correct. the glossopharyngeal (IX) and vagus (X) nerves for the anterior two thirds and posterior one third of the tongue. paralysis of all contralateral facial muscles C. The correct answer is A < Previous question Next question > . The correct answer is B < Previous question Next question > Cortical area 17– 1. Question 59 of 100 You incorrectly answered . paralysis of all contralateral muscles except the buccinator E. The correct answer is E < Previous question Next question > In central facial paralysis resulting from damage of the facial (VII) nucleus there is– A. is involved in the processing of auditory stimuli 3. if 1 and 3 are correct C. if 2 and 4 are correct D. paralysis of all ipsilateral facial muscles B. if only 4 is correct E. respectively The answer is C. 2.

myasthenia gravis 2. if 1. and urinary incontinence. if only 4 is correct E. and hyperactive deep tendon reflexes with a Babinski reflex on the right. the man was admitted to the hospital with dysarthria. The correct answer is D < Previous question Next question > A healthy 25-year-old man had an episode of blurred vision in the left eye that lasted 2 weeks and then resolved. primary motor cortex B. intention tremor of the left arm. Examination showed decreased visual acuity in the left eye. Question 62 of 100 You incorrectly answered . if 2 and 4 are correct D. if 1 and 3 are correct C. The clinical features are consistent with– 1.Brodmann's area 4 corresponds to the– A. Select– A. and 3 are correct B. Six months later he developed difficulty walking. Broca's area D. Question 63 of 100 You incorrectly answered . primary sensory cortex E. multiple sclerosis One or more answers may be correct. loss of vibratory sensation and position sense at the toes and knees bilaterally. premotor cortex C. striate cortex The answer is A. nystagmus. Three years later. a series of strokes 3. 2. The correct answer is B < Previous question Next question > . a cerebellar tumor 4. if all are correct The answer is D.

weakness and sensory loss are most severe in the contralateral face and arm C. 2. Select– A. if only 4 is correct E. Question 64 of 100 You incorrectly answered . the globus pallidus . if 1 and 3 are correct C. if 2 and 4 are correct D. the caudate nucleus 2. efferents from the deep cerebellar nuclei project to the contralateral red nucleus and thalamic nuclei One or more answers may be correct. akinetic mutism is often seen The answer is B. if all are correct The answer is E. if 1. weakness and sensory loss are most severe in the ipsilateral face and arm E. Purkinje cells provide the primary output from the cerebellar cortex 3. weakness and sensory loss are most severe in the contralateral leg B. Question 65 of 100 You incorrectly answered . Purkinje cells project to the ipsilateral deep cerebellar nuclei 4.In a stroke affecting the territory of the middle cerebral artery– A. The correct answer is E < Previous question Next question > Within the cerebellum– 1. The correct answer is B < Previous question Next question > The striatum includes– 1. weakness and sensory loss are most severe in the ipsilateral leg D. and 3 are correct B. climbing fibers and mossy fibers carry afferent information 2.

ventral anterior One or more answers may be correct. Question 67 of 100 You incorrectly answered . a lesion is most likely in the– . superior geniculate 3. the substantia nigra One or more answers may be correct. if 1. The correct answer is B < Previous question Next question > Sensory nuclei of the thalamus include– 1. and 3 are correct B. if 1. if all are correct The answer is B. if 1 and 3 are correct C.3. The correct answer is D < Previous question Next question > In a patient with hemiparkinsonism (unilateral Parkinson's disease) affecting the right arm. if 2 and 4 are correct D. if 1 and 3 are correct C. ventral posterior. Question 66 of 100 You incorrectly answered . if only 4 is correct E. if only 4 is correct E. if 2 and 4 are correct D. the putamen 4. and 3 are correct B. Select– A. lateral 4. lateral geniculate 2. 2. Select– A. 2. if all are correct The answer is B.

right subthalamic nucleus B. if 1. if 2 and 4 are correct D. cuneate fasciculus . if all are correct The answer is C.A. dense neglect of stimuli on the left side 2. right substantia nigra D. Select– A. Question 69 of 100 You incorrectly answered . hemiplegia involving the right arm and leg 3. 2. if 1 and 3 are correct C. left globus pallidus The answer is D. and 3 are correct B. right globus pallidus F. gracile fasciculus 3. the following might be expected– 1. hemiplegia involving the left arm and leg 4. if only 4 is correct E. aphasia One or more answers may be correct. optic nerve (II) fibers from the temporal halves of the two retinas 2. The correct answer is C < Previous question Next question > In a patient with a missile wound involving the left cerebral hemisphere. left substantia nigra E. The correct answer is D < Previous question Next question > Axon pathways that decussate before they terminate include the– 1. Question 68 of 100 You incorrectly answered . left subthalamic nucleus C.

if all are correct The answer is D. if only 4 is correct E. receives axons from neurons located in the contralateral cuneate nucleus in the medulla . Question 70 of 100 You incorrectly answered . in the left cerebellar hemisphere 4. if all are correct The answer is C.4. a stroke 2. in the right cerebellar hemisphere One or more answers may be correct. The correct answer is C < Previous question Next question > A 55-year-old patient presented with an 8-month history of gradually progressive incoordination in the right arm and leg. if 1 and 3 are correct C. The most likely diagnosis is– 1. if 2 and 4 are correct D. 2. Examination revealed hypotonia and ataxia in the limbs on the right side. a tumor 3. The correct answer is D < Previous question Next question > The ventroposterior medial nucleus of the thalamus– 1. Select– A. 2. if 1. if 1 and 3 are correct C. and 3 are correct B. and 3 are correct B. if only 4 is correct E. if 2 and 4 are correct D. Select– A. if 1. olivocerebellar fibers One or more answers may be correct. Question 71 of 100 You incorrectly answered .

if all are correct The answer is B. Question 73 of 100 You incorrectly answered . Select– A. ipsilateral spinal motor neurons 3. 2. ipsilateral facial (VII) nerve One or more answers may be correct. if 1 and 3 are correct C. and 3 are correct B. if only 4 is correct E. if all are correct The answer is D. if 2 and 4 are correct D. if 2 and 4 are correct D. Select– A. receives axons from neurons located in area 4 on the medial surface of the ipsilateral cerebral hemisphere 3. if only 4 is correct E. if 1. if 1 and 3 are correct C. Question 72 of 100 You incorrectly answered . and 3 are correct B. if 1. contralateral facial (VII) nerve 4. contains neurons whose axons project to the somatosensory cortex of the ipsilateral cerebral hemisphere One or more answers may be correct. contralateral spinal motor neurons 2. contains neurons that respond to olfactory stimuli applied ipsilaterally 4. The correct answer is B < Previous question Next question > Lesions of the cerebral cortex on one side can result in a deficit in muscles innervated by the– 1. 2. The correct answer is D < Previous question Next question > The solitary nucleus– .2.

if 2 and 4 are correct D. and 3 are correct B. 2. and 3 are correct B. Question 74 of 100 You incorrectly answered . if all are correct The answer is D. Question 75 of 100 You incorrectly answered . Select– A. sensory axons distal to the cut survive. if 1. if only 4 is correct E. gives rise to preganglionic parasympathetic axons 3. if 1 and 3 are correct C. Select– A. if all are correct The answer is D. if 1 and 3 are correct C. surviving axons of the proximal stump will send out new growth cones to attempt regeneration One or more answers may be correct. receives axons running with nerve VII One or more answers may be correct. mediates pain arising from the heart during myocardial ischemia 4. motor neurons whose axons were cut degenerate and disappear 4. but motor axons degenerate 3. The correct answer is D < Previous question Next question > After transection of the peripheral nerve. if only 4 is correct E. The correct answer is A < Previous question Next question > Wernicke's aphasia is usually caused by– . if 2 and 4 are correct D. if 1. 2. axons and Schwann cells distal to the cut undergo degeneration and disappear 2. none of which are consciously perceived 2.1. the– 1. serves visceral functions.

receives projections of axons coursing with nerve X One or more answers may be correct. if 2 and 4 are correct D. lesions in the midbrain E. if all are correct The answer is A. has somatic afferent components 2. 2.A. a lesion in the superior temporal gyrus B. if only 4 is correct E. if 1. The correct answer is A < Previous question Next question > The trigeminal nuclear complex– 1. Select– A. depolarize by 20 mV C. depolarize by about 10 mV B. Question 76 of 100 You incorrectly answered . if 1 and 3 are correct C. has a branchial efferent component 4. Question 77 of 100 You incorrectly answered . then the motor neuron would– A. and an inhibitory synapse produces an IPSP of 5 mV. and 3 are correct B. a lesion in the inferior temporal gyrus C. If both the EPSP and IPSP occur simultaneously. The correct answer is A < Previous question Next question > In a motor neuron at rest. depolarize by more than 20 mV . participates in certain reflex responses of cranial muscles 3. an excitatory synapse produces an EPSP of 15 mV. a lesion in the inferior frontal gyrus of the dominant hemisphere D. alcohol abuse The answer is A.

all of the above The answer is B.D. retinal ganglion cells C. it has a major synaptic delay in the thalamus D. change its potential by less than 1 mV The answer is A. the upper part of the ipsilateral visual field D. it has a major synaptic delay in the inferior olivary nucleus . rods and cones B. the upper part of the contralateral visual field B. the lower part of the ipsilateral visual field The answer is A. The correct answer is B < Previous question Next question > Axons in the optic nerve originate from– A. Question 80 of 100 You incorrectly answered . The correct answer is A < Previous question Next question > Meyer's loop carries optic radiation fibers representing– A. the lower part of the contralateral visual field C. amacrine cells D. The correct answer is D < Previous question Next question > Which of the following statements about the auditory system is not true? A. the lateral lemniscus carries information from both ears B. Question 78 of 100 You incorrectly answered . Question 79 of 100 You incorrectly answered . it has a major synaptic delay in the midbrain C.

double vision (diplopia) B. The correct answer is D < Previous question Next question > The hippocampal formation consists of the– A. posterior thalamic nuclei .E. hippocampus B. impaired gaze to the right C. mamillary bodies C. Question 82 of 100 You incorrectly answered . dilated pupils E. no disturbances of the ocular motor system The answer is C. Question 81 of 100 You incorrectly answered . crossing fibers pass through the trapezoid body The answer is D. impaired gaze to the left D. The correct answer is C < Previous question Next question > A lesion of the right frontal cortex (area 8) produces– A. The correct answer is C < Previous question Next question > Which of the following is not part of the Papez circuit? A. dentate gyrus B. Question 83 of 100 You incorrectly answered . hippocampus C. all of the above The answer is D. subiculum D.

medial lemniscus One or more answers may be correct. The correct answer is B < Previous question Next question > Auditory stimuli normally cause impulses to pass through the– 1. The correct answer is C < Previous question Next question > . it is the major outflow nucleus of the corpus striatum D. Question 85 of 100 You incorrectly answered . Question 84 of 100 You incorrectly answered . trapezoid body 2.D. inferior olivary nucleus 3. cingulate gyrus E. if 1. The correct answer is B < Previous question Next question > Which of the following statements about the globus pallidus is not true? A. and 3 are correct B. Select– A. if all are correct The answer is B. Question 86 of 100 You incorrectly answered . parahippocampal gyrus The answer is C. if 2 and 4 are correct D. if only 4 is correct E. medial geniculate nucleus 4. if 1 and 3 are correct C. it sends inhibitory axons to the thalamus The answer is B. it receives excitatory axons from the caudate and putamen C. 2. it is located adjacent to the internal capsule B.

sacral roots S2–4 4. if 1. and 3 are correct B. The correct answer is A < Previous question Next question > Parasympathetic fibers are carried in– 1. thoracic roots T8–12 One or more answers may be correct. 2. if only 4 is correct E. if 1 and 3 are correct C. only when presented at one location in the visual field C. Question 87 of 100 You incorrectly answered . respond to lines or edges with a specific orientation.Complex cells in the visual cortex have receptive fields that– A. Select– A. presented anywhere within the visual field D. neurofibrillary tangles 2. are smaller than the receptive fields of simple cells B. The correct answer is E < Previous question Next question > Alzheimer's disease is characterized by– 1. if 2 and 4 are correct D. cranial nerves IX and X 3. Question 88 of 100 You incorrectly answered . cranial nerves III and VII 2. loss of neurons in the basal forebrain (Meynert) nucleus . respond to lines or edges with a specific orientation. contain "on" or "off" centers The answer is C. if all are correct The answer is A.

Question 90 of 100 You incorrectly answered . Select– A. if 1 and 3 are correct C. acetylcholine 4. gamma-aminobutyric acid One or more answers may be correct. senile plaques 4. 2. if 1. if 1 and 3 are correct C. if all are correct The answer is A. if 2 and 4 are correct D. severe pathology in CA1 One or more answers may be correct. if all are correct The answer is E. epinephrine 2. and 3 are correct B. dilated right pupil 2. Select– A. Question 89 of 100 You incorrectly answered . The correct answer is D < Previous question Next question > Destruction of the lower cervical and upper thoracic ventral roots on the left side leads to– 1. and 3 are correct B. if only 4 is correct E.3. if only 4 is correct E. constricted right pupil . 2. if 1. norepinephrine 3. if 2 and 4 are correct D. The correct answer is A < Previous question Next question > The principal neurotransmitter(s) released by synaptic terminals of sympathetic axons is/are– 1.

the lateral and anterior columns of the spinal cord One or more answers may be correct. if 1 and 3 are correct C. The correct answer is A < Previous question Next question > The extrastriate cortex– 1. the internal capsule 2. if all are correct The answer is D. if 1. if 1 and 3 are correct C. if only 4 is correct E. if 2 and 4 are correct D. dilated left pupil 4. receives input from area 17 . if 2 and 4 are correct D. if 1. 2. the crus cerebri 3. 2.3. the pyramids of the medulla 4. constricted left pupil One or more answers may be correct. Question 92 of 100 You incorrectly answered . Select– A. and 3 are correct B. is Brodmann's areas 18 and 19 2. and 3 are correct B. The correct answer is E < Previous question Next question > The corticospinal tract passes through– 1. if only 4 is correct E. Question 91 of 100 You incorrectly answered . Select– A. if all are correct The answer is E.

is the primary auditory cortex One or more answers may be correct. is seen in patients with lesions of the anterior thalamus One or more answers may be correct. Question 94 of 100 You incorrectly answered . is characterized by psychic blindness and personality changes 3. is seen in patients with bilateral temporal lobe lesions 4. Select– A. if only 4 is correct E. is carried by small myelinated and unmyelinated (A-delta and C) axons . if 1. Select– A.3. if 1. The correct answer is C < Previous question Next question > Pain sensation– 1. if only 4 is correct E. if all are correct The answer is A. if 1 and 3 are correct C. is the visual association cortex 4. if 2 and 4 are correct D. Question 93 of 100 You incorrectly answered . and 3 are correct B. is characterized by hyperorality and hypersexuality 2. The correct answer is A < Previous question Next question > The Klüver-Bucy syndrome– 1. 2. 2. if all are correct The answer is A. if 1 and 3 are correct C. and 3 are correct B. is carried in large myelinated (A-alpha) axons 2. if 2 and 4 are correct D.

telencephalon and midbrain C. Select– . left angular gyrus One or more answers may be correct. 2. telencephalon and diencephalon D. is carried upward in the dorsal columns of the spinal cord 4. brain stem and prosencephalon E. if 1. left visual cortex 4. if only 4 is correct E. if all are correct The answer is C. Broca's area 3.3. Examination revealed that he could write normally but could not read. The correct answer is B < Previous question Next question > A 68-year-old teacher with hypertension complained of a severe headache and was taken to the hospital. corpus callosum 2. The lesion(s) most likely involved the– 1. Question 95 of 100 You incorrectly answered . if 1 and 3 are correct C. if 2 and 4 are correct D. Select– A. is carried upward in the spinothalamic tract and spinoreticulothalamic system One or more answers may be correct. and 3 are correct B. His speech was normal. The correct answer is C < Previous question Next question > The cerebrum consists of the– A. cerebellum and prosencephalon The answer is C Question 96 of 100 You incorrectly answered . thalamus and basal ganglia B.

and 3 are correct B. Question 97 of 100 You incorrectly answered . if 1 and 3 are correct C. His speech was normal. if 1. and 3 are correct B. if all are correct The answer is B. The correct answer is C < Previous question Next question > A 68-year-old teacher with hypertension complained of a severe headache and was taken to the hospital. Question 98 of 100 You incorrectly answered . Examination revealed that he could write normally but could not read. if only 4 is correct E. Select– A. there was probably a right homonymous hemianopia 3. if 2 and 4 are correct D. 2. if only 4 is correct E. the left posterior cerebral artery was probably involved One or more answers may be correct. who worked until the day of his illness. was found on the floor. if 2 and 4 are correct D. if 1. if all are correct The answer is C. with a right hemiparesis (arm and face more severely affected than the leg) and severe aphasia. the left anterior cerebral artery was probably involved 2. The correct answer is E < Previous question Next question > A 54-year-old accountant. The diagnosis is most likely– . the left middle cerebral artery was probably involved 4.A. The lesion(s) most likely involved the corpus callosum and left visual cortex and– 1. if 1 and 3 are correct C. 2.

contains decussating axons that arise in the temporal halves of the retinas 4. if only 4 is correct E. if 2 and 4 are correct D. if all are correct The answer is B. Question 99 of 100 You incorrectly answered . The correct answer is C < Previous question The optic chiasm– 1. contains decussating axons that arise in the nasal halves of the retinas . Question 100 of 100 You incorrectly answered . Select– A. contains magnified representations of the face and hand 2. a stroke involving the left anterior cerebral territory The answer is E. a large tumor of the left cerebral hemisphere C. is located close to the pituitary and is often compressed by pituitary tumors 3. represents the face highest on the convexity of the hemisphere 3. a tumor involving the thalamus on the left B. if 1. a stroke involving the right anterior cerebral territory E. The correct answer is B < Previous question Next question > The homunculus in the motor cortex– 1. a stroke involving the left middle cerebral territory F.A. is located close to the pineal and is often compressed by pineal tumors 2. a stroke involving the right middle cerebral territory D. gives rise to all of the axons that descend as the corticospinal tract One or more answers may be correct. is located largely within the territory of the middle cerebral artery 4. 2. if 1 and 3 are correct C. and 3 are correct B.

and 3 are correct B. .In the following question. if 2 and 4 are correct D. if 1 and 3 are correct C. if only 4 is correct E. 2. if 1. Select– A. One or more answers may be correct. select the single best answer. if all are correct The answer is C.

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