Unit XI The Nervous System: C.

Motor and Integrative Neurophysiology

82. Evaluation of a patient reveals the following deficits: 87. Nasal, lacrimal, salivary, and gastrointestinal glands are
(1) decreased aggressiveness and ambition and inap- stimulated by which substance?
propriate social responses; (2) inability to process se- A) Acetylcholine
quential thoughts in order to solve a problem; and (3) B) Norepinephrine
inability to process multiple bits of information that C) Epinephrine
could then be recalled instantaneously to complete a D) Serotonin
thought or solve a problem. Damage to which brain re- E) Dopamine
gion could be responsible for such deficits?
A) Premotor cortex 88. The neurons located in the locus coeruleus release
B) Parieto-occipital cortex in the nondominant hemi- which neurotransmitter at their synaptic terminals?
sphere A) Norepinephrine
C) Broca’s area B) Dopamine
D) Limbic association cortex C) GABA
E) Prefrontal association cortex D) Acetylcholine
E) Serotonin
83. A lesion in Wernicke’s cortical area in the dominant
hemisphere is most likely to produce which symptoms? 89. Which of the following reflexes best describes incom-
A) Impaired language skills ing pain signals that elicit movements performed by
B) Impaired motor skills antagonistic muscle groups on either side of the body?
C) Inability to form new memories A) Crossed extensor reflex
D) Inability to plan future movements B) Withdrawal reflex
E) Reduced cerebellar activity C) Reciprocal inhibition
F) Reduced cerebral cortex activity D) Autogenic inhibition

84. Which of the following represents the structural basis 90. Which portion of the cerebellum functions in the plan-
of the blood-CSF barrier? ning of sequential movement?
A) Tight junctions between the ependymal cells form- A) Vermis and fastigial nucleus
ing the ventricular walls B) Intermediate zone and fastigial nucleus
B) Arachnoid villi C) Lateral hemisphere and interposed nucleus
C) Tight junctions between adjacent choroid plexus D) Cerebrocerebellum and dentate nucleus
cells E) Spinocerebellum and interposed nucleus
D) Astrocyte foot processes
E) Tight junctions between adjacent endothelial cells 91. Which reflex is correctly paired with the sensory struc-
of brain capillaries ture that mediates the reflex?
A) Autogenic inhibition—muscle spindle
85. The withdrawal reflex is initiated by stimulation deliv- B) Reciprocal inhibition—Golgi tendon organ
ered to which receptor? C) Reciprocal inhibition—Pacinian corpuscle
A) Muscle spindle D) Stretch reflex—muscle spindle
B) Joint capsule receptor E) Golgi tendon reflex—Meissner corpuscle
C) Cutaneous free nerve ending
D) Golgi tendon organ 92. Damage to which brain area leads to the inability to
E) Pacinian corpuscle comprehend the written or the spoken word?
A) Insular cortex on the dominant side of the brain
86. A 21-year-old woman is a right-handed musician of B) Anterior occipital lobe
considerable talent. Which brain structure is most like- C) Junction of the parietal, temporal, and occipital lobes
ly to have been physically larger in the dominant hemi- D) Medial portion of the precentral gyrus
sphere compared with the nondominant hemisphere at E) Most anterior portion of the temporal lobe
birth?
A) Anterior temporal lobe 93. A computed tomography scan of a newborn boy shows
B) Posterior temporal lobe agenesis of the corpus callosum. Which of the follow-
C) Premotor cortex ing is most likely to occur in this child during the next
D) Primary motor cortex 5 years as he matures?
E) Primary somatosensory area A) Inability to form new memories
F) Sensory association area B) Inability to understand spoken words
C) Inability to verbally express words
D) Reduction in communication between the two
hemispheres
E) Tameness and inability to recognize expressions of
fear
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