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Can Vara Till Qolloq 1 T 2
Can Vara Till Qolloq 1 T 2
16.
17.
18.
26.
27.
28.Cortical balance centre is located in:
a) Corpus geniculatum laterale
b) Nucleus anterior thalami
c) Gyrus temporalis superior
d) Gyrus temporalis medius
36.
37.
38.
39.
40.
41.Spatium subarachnoidale is:
a) Filled with fat
b) Filled with liquor cerebrospinalis
c) Above pia mater
d) Under dura mater
42.Falx cerebelli:
a) Is formation of pia mater
b) Attaches to the lower surface of tentorium cerebelli
c) Goes to foramen magnum
d) Posterior margin contains sinus occipitalis
54.
55.
56.
57.Fasciculus gracilis is responsible for:
a) Deep proprioreceptors
b) Conducting impulses from lower part of trunk and lower limbs
c) Conducting impulses from upper part of trunk and upper limbs
d) Epicritic sensibility
• Telenencephalon
• Diencephalon
• Mesenencephalon
• Rhombenencephalon
• Nucleus thoracicus
• Nucleus proprius
• Nucleus intermediomedialis
• Nucleus intermediolateralis
• Precuneus X
• Gyrus cinguli X
• Sulcus calcarinus X
• Gyrus angularis
• Gyrus precentralis
• Lobulus parietalis superior
• Gyrus postcentralis X
• Sulcus calcarinus
• Gyrus angularis
• Gyrus temporalis superior X
• Gyrus temporalis medius
• Lobulus parietalis superior
• Gyrus angularis
• Gyrus supermarginalis
• Gyrus frontalis inferior
• Gyrus temporalis superior X
Where is the cortical center of the motor analyzer of the articulation of oral
speech situated?
• Gyrus fornicatus
• Uncus X
• Gyrus occipitiotemporalis lateralis
• Gyrus postcentralis
Where is the cortical center of the acoustical analyzer of oral speech situated?
Gyrus supramarginalis X
• Gyrus fornicatus
Gyrus angularis X
• Gyrus postcentralis
• Gyrus dentaus
• Gyrus cinguli X
• Istmus X
• Gyrus papahippocampalis X
• Gyrus denatus
• Trigonum olfactorium X
• Gyrus fornicatus
• Bulbus olfactorius X
• Oliva
• Thalamus X
• Corpus mamillaris X
• Chiasma opticum X
Which parts of the brain participate in formation of walls of the third ventricle?
• Hypothalamus X
• Columnae fornicis X
• Thalamus X
• Corpus callosum
• Substantia nigra X
• Pedunculi cerebri X
• Corpus trapezoideum
• Velum medullary superius
N. vagus X
27 Liquor cerebrospinalis is produced by
pexus coronoideus
Wernicke’s area
Brainstem
41 The vital centers for the control of visceral activities (heart rate, breathing,
ect.) are located in
pons, medulla oblongata
n. trigemini
1. Which tracts form the trapezoid body?
a. Corticospinalis (pyramidal)
b. Tr. Cochlearis
c. Leminiscus medialis
d. Tr. Pontocerebellaris
157. Falx cerebri goes: between the cerebri, fissura longitundalae cerebri
158. Diaphragma sellae is present: over sella turcica
159. Confluens sinuum is: sinus sagittalis superior and rectus
160. Spatium sinuum is: space for the sinuses?
161. Spatium subarachnoidale is: between arachnoida mater and pia mater
162. Falx cerebelli: is on the posterior side of cranium and is sagital between the
cerebelli
163. How many pairs of spinal nerves emerge from spinal cord? 12
164. Fibers that form fasciculus gracilis cross at the: dec. lemnisci
165. The 1st neuron of the tractus corticospinalis lies: cortex
166. Nucleus posterior thalami is:
167. How many openings has IV-th ventricle: 3
168. Through funiculus anterior medullae spinalis pass:
169. Through funiculus lateralis medullae spinalis pass:
170. Pedunculi cerebellares inderiorres connect cerebellum with: medulla
171. The 2nd neuron of the tractus spinocerebellaris posterior lies at the:
172. In brain basal nuclei are:
173. Nervus glossopharyngeus and nervus vagus have common nuclei: ambiguus
174. Branches of the spinal nerve are:
175. Structure of the medulla oblongata is: s. anterolateralis o posterolateralis,
pyramis, oliva ...
176. 2nd neurons of the fasciculus gracilis et cuneatus are in:
177. Fasciculus gracilis is responsible for: sensory for lower thorasic sacral spinal
nerves
178. Uncus is center of: smell
179. Tractus Cerebellorubralis pass through:
180. Nerve, that exists on the dorsal surface of the brain out. Is nerve with number:
181. Part of diencephalon isn’t:
Belarus:
2. During phylogenesis the tubular nervous system for the first time has
appeared:
1. At the coelenterates;
2. At molluscums;
3. At chordates;
4. At fishes;
3. Specify, which part of the brain develops under influence of the olfactory
receptor:
1. Prosencephalon;
2. Mesencephalon;
3. Metencephalon;
4. Myelencephalon;
4. Which part of the brain develops under influence of the visual receptor?
1. Prosencephalon;
2. Mesencephalon;
3. Rhombencephalon;
4. Myelencephalon;
5. Which part of the brain develops under influence of the acoustical analyzer?
1. Telencephalon;
2. Diencephalon;
3. Mesencephalon;
4. Rhombencephalon;
11. Specify, in which part of nervous tube the internuncial neurons of the simple
reflex arc develop:
1. Dorsal part;
2. Ventral part;
3. Lateral part of the gray matter of nervous tube;
4. Brainstaim;
2
12. Specify, from which part of nervous tube the neurones for formation of
nervous ganglion develop:
1. Dorsal part;
2. Ventral part;
3. Lateral part of the gray matter of nervous tube;
4. Brainstaim;
16. What are the parts of the white matter of the spinal cord?
1. Funiculus anterior;
2. Funiculus lateralis;
3. Funiculus posterior;
4. Comissura alba;
17. Specify anatomical formations of the spinal cord, which are the remnants of
the cavity of nervous tube:
1. Filum terminale;
2. Ventriculus terminalis;
3. Canalis centralis;
4. Cavitas subarachnoidalis;
3
19. Specify nuclei of the posterior horns of the spinal cord:
1. Nucleus thoracicus;
2. Nuclei proprii;
3. Nucleus intermediomedialis;
4. Nucleus intermediolateralis;
20. On which level the lateral horn of spinal cord can be found?
1. II-IV Cervical;
2. Thoracic;
3. II-IV sacral;
4. Coccygeal;
4
27. What are the parts of the cerebrum?
1. Insula;
2. Corpus callosum;
3. Rhinencephalon;
4. Basal nuclei;
5
34. Where is the cortical center of motor analyzer situated?
1. Lobulus paracentralis;
2. Gyrus postcentralis;
3. Gyrus parahippocampalis;
4. Gyrus precentralis;
40. Where is the cortical center of the motor analyzer responding for combined
turn of the head and eyes situated?
1. Gyrus postcentralis;
2. Gyrus precentralis;
3. Gyrus frontalis medius;
4. Gyrus angularis;
6
41. Where is the cortical center of the motor analyzer responding for complex
professional and sports locomotions situated?
1. Gyrus angularis;
2. Gyrus supramarginalis;
3. Gyrus frontalis inferior;
4. Gyrus temporalis superior;
43. Where is the cortical center of the motor analyzer of the articulation of oral
speech situated?
1. Gyrus frontalis medius;
2. Gyrus frontalis inferior;
3. Pars opercularis;
4. Pars triangularis;
44. Where is the cortical center of the motor analyzer of written speech
situated?
1. Gyrus frontalis medius;
2. Gyrus frontalis inferior;
3. Pars opercularis;
4. Pars triangularis;
45. Where is the cortical center of the acoustical analyzer of oral speech
situated?
1. Gyrus temporalis superior;
2. Gyrus temporalis medius;
3. Gyrus frontalis medius;
4. Gyrus frontalis inferior;
46. Where is the cortical center of the visual analyzer of written speech situated?
1. Gyrus temporalis superior;
2. Gyrus frontalis inferior;
3. Lobulus parietalis inferior;
4. Gyrus angularis;
7
48. What are the parts of the fornix?
1. Corpus fornicis;
2. Crura fornicis;
3. Genu couporis callosi;
4. Columnae fornicis;
57. Which anatomical structures take part in formation of walls of the inferior
horn of the lateral ventricle?
1. Fibria hippocampi;
2. Corpus callosum;
3. Crura fornicis;
4. Hippocamp;
60. Which parts of the brain participate in formation of walls of the third
ventricle?
1. Hypothalamus;
2. Columnae fornicis;
3. Thalamus;
4. Corpus callosum;
9
63. Specify nuclei locating in tegmentum of the mesencephalon:
1. Nucleus of VI pair of cranial nerves (n. abducens);
2. Nuclei rubri;
3. Nucleus mesencephalicus n. trigemini;
4. Nucleus of IV pair of cranial nerves (n. trochlearis);
64. Which conducting tracts pass through the basis pedunculi cerebri?
1. Tr. frontopontinus;
2. Tr. spinothalamicus anterior;
3. Tr. corticospinalis (pyramidalis);
4. Tr. cochlearis;
68. Which anatomical structures are in the ventral part of the pons situated?
1. Tr. corticospinalis;
2. Tr. pontocerebellaris;
3. Nuclei proprii;
4. N. pontinus n. trigemini;
69. The nuclei of which cranial nerves are in the pons situated?
1. VII pair (n. facialis);
2. IX pair (n. glossopharyngeus);
3. VI (n. abducens);
4. X pair (n. vagus);
72. To which part of the brain do the inferior cerebellar pedunculi pass?
1. Pons;
2. Medulla oblongata;
3. Cerebellum;
4. Mesencephalon;
76. For which cranial nerves the solitarius nucleus is the common?
1. N. hypoglossus;
2. N. glossopharingeus;
3. N. acessorius;
4. N. vagus;
11
79. Specify nuclei of vagus nerve:
1. Nucl. ambiguous;
2. Nucl. solitarius;
3. Nucl. spinalis;
4. Nucl. dorsalis n. vagi;
82. Which conducting tracts pass through the posterior funiculi of the spinal
cord?
1. Fasciculus longitudinalis posterior;
2. Fasciculus gracilis;
3. Tr. Spinocerebellaris posterior;
4. Fasciculus cuneatus;
83. Which conducting tracts pass through the lateral funiculi of the spinal cord?
1. Tr. spinothalamicus lateralis;
2. Tr. spinocerebellaris anterior;
3. Tr. vestibulospinalis;
4. Tr. rubrospinalis;
84. Which conducting tracts pass through the anterior funiculi of the spinal cord?
1. Tr. spinothalamicus anterior;
2. Tr. tectospinalis;
3. Tr. corticospinalis anterior;
4. Tr. vestibulospinalis;
86. Which conducting tracts pass through the inferior cerebellar pedunculi?
1. Tr. spinocerebellaris posterior;
2. Fasciculus longitudinalis posterior;
3. Fibrae arcuatae interni;
4. Fibrae arcuatae externi;
12
87. Which tracts form the ventral decussation of tegmentum of the
mesencephalon?
1. Fasciculus longitudinalis posterior;
2. Tr. corticospinalis;
3. Tr. rubrospinalis;
4. Lemniscus medialis;
89. Specify conducting tracts passing through the genu of internal capsula:
1. Tr. spinothalamicus anterior;
2. Tr. corticothalamicus;
3. Tr. frontopontinus;
4. Tr. corticonuclearis;
91. Specify conducting tracts passing through anterior crus of internal capsula:
1. Tr. spinothalamicus anterior;
2. Tr. corticothalamicus;
3. Tr. frontopontinus;
4. Tr. cochlearis;
92. Through which anatomical structures does the corticospinal tract pass?
1. Capsula interna;
2. Basis pedunculi cerebri;
3. Tegmentum;
4. Pedunculi cerebelli inferiores;
93. Through which parts of the spinal cord does the corticospinal tract pass?
1. Funiculus lateralis;
2. Funiculus anterior;
3. Funiculus posterior;
4. Comissura alba;
13
94. Specify second neurones of pyramidal tracts:
1. Vegetative nuclei of the brainstem;
2. Motor nuclei of the brainstem (nuclei anteriores);
3. Nuclei of lateral horns of the spinal cord;
4. Nuclei of anterior horns of the spinal cord;
98. From which cavity of the brain does the cerebrospinal fluid flow out in
subarachnoid space?
1. From the fourth ventricle (ventriculus quartus);
2. From the third ventricle (ventriculus tertius);
3. From lateral ventricles (ventriculi laterales);
4. From aqueductus cerebri;
99. Specify foramens connecting the cavity of the fourth ventricle and
subarachnoid space:
1. Apertura aqueductus cerebri;
2. Aperturae laterales;
3. Apertura mediana;
4. Foramina interventricularia;
100. Specify subarachnoid cysterns locating on the basal surface of the brain:
1. Cisterna interpeduncularis;
2. Cisterna cerebellomedullaris;
3. Cisterna fossae lateralis cerebra;
4. Cisterna chiasmatis;
14
101. What is true for the dura mater of the brain?
1. Close fusing with bones of the base of skull;
2. Presence of sinus venosus;
3. Presence of processes;
4. Presence of ligamenta dentata;
102. Specify sinuses of the dura mater, which form confluens sinuum:
1. Sinus transversus;
2. Sinus sigmoideus;
3. Sinus sagittalis superior;
4. Sinus rectus;
105. Specify parameters describing age features of the dura mater of the brain
in newborn:
1. The dura mater thin, is dense fised with bones of the skull;
2. The processes of the dura materl are advanced weakly;
3. Sinuses rather wide;
4. Sinuses project the same as at the adult;
107. Specify fibers passing through the middle pedunculi of the cerebellum:
1. Tr. spinocerebellaris anterior;
2. Tr. cerebellotegmentalis;
3. Tr. pontocerebellaris;
4. Fibrae arcuatae externae;
16
1
1)Intumescentia cervicalis from the 3rd cervical to the 2nd thoracic segments
2. Intumescentia lumbosacralis from the 12th thoracic segment to conus medullaris.
Comment:
Noggrann förberedelse med palpation av stickställe. LP görs i L3-L4 som finns i linje mellan de båda crista iliaca,
eller L4-L5, L5-S1. Vid behov kan LP göras i L2-L3 men ej högre (ryggmärgen slutar ungefär vid L1).
Specify anatomical formations of the spinal cord, which are the remnants of the cavity of the nervous tube?
a) Filum terminale (part of pia matter that arrives from mesodermal mesenchyme)
b) Ventriculus terminalis
c) Canalis centralis (neural tube)
d) Spatium subarachnoidale
Comments;
Those nuclei in the posterior horn are;
- Nucleus marginalis
- Substantia gelatinosa
- Nucleus propius
2
Comment according to the RSU Script (L1 to /or L2 hence b right answer)
a) Liquor cerebrospinalis
b) Plexus venosi vertebralis interni
c) Fatty tissue
d) Cartilages
Comment: Areolar tissue containing the internal vertebral venous plexus in the epidural space
Comment; telencephalon = cerebrum consists of Cerebral Cortex, white matter basal Ganglia (Globus Pallidus,
putamen, Nucleus Caudatus)
Snell; the cerebrum, the largest part of the brain, consists of two cerebral hemispheres, which are connected by a
mass of white matter called
the corpus callosum
Which anatomical structures are on the medial surface of hemispheres of cerebrum present?
a) Precuneus
b) Gyrus Cinguli
c) Sulcus Calcarinus
d) Gyrus precentralis
The postcentral gyrus includes the primary somatosensory cortex (Brodmann areas 3, 2 and 1) collectively
referred to as S1.
BA3 receives the densest projections from the thalamus. BA3a is involved with the sense of relative position of
neighboring body parts and amount of effort being used during movement. BA3b is responsible for distributing
somatosensory information, it projects texture information to BA1 and shape and size information to BA2.
Comment; the auditory cortex is located between the Gyrus angularis & the gyrus temporalis superior
The uncus houses the olfactory cortex which includes the piriform cortex (posterior orbitofrontal cortex),
amygdala, olfactory tubercle, and parahippocampal gyrus.
Where is the cortical center responding for complex professional skills situated?
a) Gyrus angularis
b) Gyrus supramarginalis
c) Gyrus frontalis inferior
d) Gyrus temporalis superior
Where is the cortical center of the motor analyzer of the articulation of oral speech situated?
a) Gyrus frontalis medius
b) Gyrus frontalis inferior
c) Gyri occipitales
Comment
Where is the cortical center of the acoustical analyzer of oral speech situated?
a) Gyrus temporalis superior
b) Gyrus temporalis medius
c) Gyrus frontalis inferior
From which cavity of the brain does the cerebrospinal fluid circulate in subarachnoid space?
a) From the fourth ventricle (ventriculus quartus)
b) From the third ventricle (ventriculus tertius)
c) From lateral ventricles (ventriculi laterales)
d) From aquaeductus cerebri
d) Sinus rectus
Which parts of the brain participate in formation of walls of the third ventricle?
a) Hypothalamus
b) Columnae fornicis
c) Thalamus
d) Corpus callosum
Nerve, that exists on the dorsal surface of the brain (out) is nerve with number:
a) CN IV
b) CN X
c) CN V
Falx cerebelli:
- Is a small triangular process between cerebellar hemispheres attached to the lower surface of tentorium
cerebelli.
- Arises from protuberantia occipitalis interna and goes along crista occipitalis interna to foramen magnum.
The posterior margin of it contains sinus occipitalis.
How many pairs of spinal nerves emerge from the spinal cord?
- 31 pairs.
10
Cerebellum is connected to the other parts of the brain by three pairs of peduncles:
Part of diencephalon :
Parts of diencephalon are:
Thalamus;
- Subthalamus
- Epithalamus
- Metathalamus
- Hypothalamus
Vermis connects:
- The two hemispheres of cerebellum.
Insula is:
- Small and triangular region of the cerebral cortex located deep within the lateral sulcus, which is a large
fissure that separates the frontal and parietal lobes from the temporal lobe.
- Insula has gyrus longus insulae and gyri breves insulae.
Of the cranial nerve pairs listed below, which nerve, along with XI and XII, relays only on somatic motor
impulses?
a) I
b) II
c) IV
d) V
Damage to which cranial nerve pairs can cause difficulties in speech and swallowing?
a) IV
b) IX
c) XI
d) XII
Which cranial nerve pair, similar to the cranial nerve II, runs through a canal that hears the same name?
a) IV
b) VIII
c) XI
d) XII
Damage to which cranial nerve pair can cause problems with equilibrium?
a) IV
b) V
c) VIII
d) XI
Which of these cranial nerve pairs pass through the superior orbital fissure?
a) N. abducentis
b) N. opticus
c) N. oculomotoris
d) N. trochlearis
Which cranial nerve pair has two sensory branches which both pass through the internal acoustic meatus?
14
a) I
b) II
c) V
d) VIII
Which cranial nerve pair along with the vagus nerve and glossopharyngeal nerves, exit through the jugular
foramen?
a) V
b) VIII
c) XI
d) XII
Sensory fibers of which cranial nerve pair pass through the cribriform plate of the ethmoid bone?
a) VIII
b) II
c) I
What cranial nerves have fibers that relay on somatic motor impulses to pharyngeal muscles during
swallowing?
a) I and II
b) V and XII
c) VI and VIII
d) IX and X
d) Nucl. Motorius
Which tracts pass through the lateral funiculi of the spinal cord?
a) Tr. Spinothalamicus lateralis
b) Tr. Spinocerebellaris anterior
c) Tr. Vestibulospinalis
d) Tr. Rubrospinalis
Which tracts pass through the tegmentum of mesencephalon?
a) Tr. Corticospinalis (pyramidalis)
b) Lemniscus medialis
c) Tr. Spinocerebellaris anterior
d) Tr. Corticonuclearis
Indicate levels of position of sacral and coccygeal segments in the vertebral canal:
a) Bodies of 10th and 11th thoracic vertebrae
b) Body of 12th thoracic vertebra
c) Body of 1st lumbar vertebra
d) Body of 1st sacral vertebra
Through which parts of the spinal cord does the corticospinal tract pass?
a) Funiculus lateralis
b) Funiculus anterior
c) Funiculus posterior
Specify foramens connecting the cavity of the fourth ventricle and subarachnoid space:
a) Apertura aqueductus cerebri
b) Aperturae laterales
c) Apertura mediana
d) Foramina interventricularia
b) Ventriculus quartus
c) Aqueductus mesencephali
d) Ventriculus lateralis
a) Nucleus lentiformis
b) Corpus callosum
c) Claustrum
d) Nucleus caudatus
a) Pedunculi cerebri
b) Pedunculi cerebellares superiores
c) Pedunculi cerebellares medii
d) Pedunculi cerebellares inferiores
b) IV
c) II
d) VIII
In
a) Genu
b) Crus anterior
c) Rostrum
d) Crus posterius
Rostrum has:
a) Gyrus cinguli
b) Corpus callosum
c) Gyrus supermarginalis
d) Gyrus angularis
a) Epiphysis
b) Adhesio interthalamica
c) Habenulae
d) Hypophysis
Process that carries nerve impulses away from the cell body are called:
a) Dendrites
b) Axons
c) Motor neuron
d) Effector
Which of the following meninges forms the loose, mid layer brain covering?
a) Pia mater
b) Dura mater
c) Arachnoidea
d) Falx cerebri
b) Colliculi superiores
c) Corpus geniculatum mediale
The vital centres for the control of visceral activities (heart rate, breathing, etc.) are located in:
a) Pons
b) Cerebellum
c) Mesencephalon
d) Medulla oblongata
c) 21
d) 31
N. opticus includes:
a) Tractus opticus
b) Lamina tecti
c) Tuber cinereum
d) Insula
d) N. vestibulocochlearis
Which anatomical structures are in the ventral part of the pons situated?
a) Tr. corticospinalis
b) Tr. pontocerebellaris
c) Nuclei motorii
Which tracts pass through the posterior funiculi of the spinal cord:
a) Fasciculus longitudinalis posterior
b) Fasciculus gracilis
24
Which tracts pass through the anterior funiculi of the spinal cord?
a) Tr. spinothalamicus lateralis
b) Tr. tectospinalis
c) Tr. corticospianlis anterior
d) Tr. vestibulospinalis
Identify the columns of white matter that run along the sides of the spinal cord between the nerve roots.
a) funiculus lateralis
b) funiculus anterior
c) canalis centralis
d) nucleus parasymphatici sacrales
e) nucleus intermediolateralis
Identify the small bulges of grey matter that occur between the dorsal and ventral horns in spinal segments C5-
L2:
a) cornu anterior
b) cornu laterale
c) cornu posterior
Axons:
a) receive messages
b) send messages
c) process information
d) insulate neurons
Where in the white matter of the spinal cord is located tractus corticospinalis anterior?
a) funiculus lateralis
b) funiculus anterior
c) funiculus posterior
Which part of the brain is responsible for hearing and sensory speech?
a) occipital lobe
b) cerebellum
c) temporal lobe
d) frontal lobe
Identify two ways, how venous blood from confluens sinuum can achieve foramen magnum?
a) through sinus transversus et sigmoideus
28
Name the cisterna where opens aperture mediana et lateralis ventriculi quatri (IV)?
a) cisterna cerebellomedullaris
b) cisterna chiasmatica
c) cisterna pericallosa
d) cisterna pontis s. pantocerebellaris
What is the difference between pathways that reach subcortical centres from those who reach cortical centres?
a) there is no difference
b) pathways that reach cortical centres responsible for conscous feelings/movements subcortical unconsious
c) pathways that reach costical centres are crossing subcortical-do not cross
e) tractus rubrospinalis
Fornix connects:
- Corpus mamillare and uncus.
d. Metencephalon
How many pairs of spinal nerves emerge from the cervical part of the spinal cord:
a. 7
b. 12
c. 5
d. 8
a. N.facialis (VII) (between pons + medulla oblongata but also white matter of pons)
b. N.glossopharyngeus (IX)
c. N. abducens (VI) (between pons + medulla oblongata but also white matter of pons)
d. N. vagus (X)
c. Pons
d. Upper segments of medulla spinalis
Insula is:
a. Cavity of the brain
b. Olfactory part of the brain
c. Lobe of the brain
d. Subcortical nucleus
Which parts of the brain take part in formation of the 3rd ventricle:
a. Hypothalamus
b. Columnae fornicis
c. Thalamus
d. Corpus callosum
c. S1-S5
d. Th12-L2
Hypothalamus includes:
a. Tractus opticus
b. Fornix
c. Tuber cinereum
d. Hypophysis
Through which part of the spinal cord does tractus corticospinalis pass:
a. Funiculus anterior (corticospinalis anterior 20%)
b. Funiculus lateralis (corticospinalis lateralis 80%)
c. Funiculus posterior
d. Commissura alba
c. Nuclei motorii
d. Nucleus proprius
a. Ramus meningeus
b. Ramus ventralis
c. Rammus communicantes albus
d. Ramus collateralis
40
Open questions:
The medulla Oblongata is 3cm in length and 2 cm in diameter. The superior border against
pons stats superior and posteriorly at the level of the Pedunculi cerebellaris inferior thus forming the inferior half
of Ventriculus Quartus.
The inferior border of the medulla spinalis and medulla oblongata is at the roots of the first Cervical Spinal Nerve
C1.
Posteriorly:
Here Tuberculum Gracile and Cuneatus can be found, formed by the axons of faciculus gracilis and Cuneatus.
44
At the level of medulla oblongata several ascending and descending tracts can be seen and some nuclei.
Nueclei:
Nucleus gracilis; formed by the second order neurons that receive impulses from the faciculus Gracilis from lower
limb (I-order neuron) of fine touch, vibration localization and positioning.
Nucleus Cuneatus: formed by the second order neurons that receive impulses from the faciculus Cuneatus from
upper limb (I-order neuron) of fine touch, vibration localization and positioning.
Spinal Nucleus of N. Trigemini CN V. ; The spinal trigeminal nucleus is a nucleus in the medulla that receives
information about deep/crude touch, pain, and temperature from the ipsilateral face. In addition to the
trigeminal nerve (CN V), the facial (CN VII), glossopharyngeal (CN IX), and vagus nerves (CN X) also convey pain
information from their areas to the spinal trigeminal nucleus.[1] Thus the spinal trigeminal nucleus receives input
from cranial nerves V, VII, IX, and X.
Dorsal Vagal Nucleus CN X(nucleus dorsalis nervi vagi): lies ventral to the floor of the fourth ventricle. It mostly
serves parasympathetic vagal functions in the gastrointestinal tract, lungs, and other thoracic and abdominal
vagal innervations. The cell bodies for the preganglionic parasympathetic vagal neurons that innervate the heart
reside in the nucleus ambiguus.
Nucleus Ambiguus:
A group of large motor neurons, situated deep in the medullary reticular formation named by Jacob Clarke.[
Nucleus N. Hypoglossus CN IX ;
Tracts:
The medial longitudinal fasciculus fasciculus longuitudinalis medialis) carries information about the direction that
the eyes should move. It connects the cranial nerve nuclei III (N. occulomotorius CN III), IV ( nervus Trochlearis)
and VI (Nervus Abducens) together, and integrates movements directed by the gaze centers (frontal eye field) and
information about head movement (from cranial nerve VIII, Vestibulocochlear nerve). It is an integral component
of saccadic eye movements as well as vestibulo-ocular and optokinetic reflexes. It also carries the descending
tectospinal tract and medial vestibulospinal tracts into the cervical spinal cord, and innervates some muscles of
the neck and upper limbs.
of a chain of neurons:
1st order neuron Neurons from the motor cortex in the parietal, frontal, occipital and temporal sites; the axons
of the latter descend as tractus parietopontinus, tractus temporopontinus, tractus corticopontinus (tractus
frontopontinus, tractus occipitopontinus, they pass through capsula interna (telencephalon), crus cerebri and carry
information to the pons;
2d neuron nuclei pontis; axons of them form tractus pontocerebellaris, which is crossed and run to cortex
cerebelli via pedunculi cerebellares medii;
3rd neuron neural cells of cortex cerebelli; they are connected with nucleus dentatus;
4th neuron nucleus dentatus; axons from it run as tractus cerebellorubralis via pedunculi cerebellares superiores,
are crossed in velum medullare superius and reach nucleus ruber (mesencephalon);
5th neuron nucleus ruber; axons of it are crossed (decussatio tegmentalis anterior) and descend as tractus
rubrospinalis;
6th neuron nuclei motorii of the anterior horns of the spinal cord; axons form spinal nerves.
Pons as the whole brainstem contains many axons of several descend and ascending tracts( white matter) and
they can be subdivided between those that are part of the tegmentum and those of the basilar part such as;
The axons of the tegmentum of pons are composed of afferent and efferent tracts.
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Tractus ascendentes:
1. lemniscus medialis; formed after medulla by fasciulus gracilis et cuneatus carries impulses with information
about ; Touch & proprioception
2. lemniscus spinalis ; It carries fibers of tractus spinothalamicus anterior and lateralis concerning
temperature and pain ( lateralis ) & touch and pressure ( anterior)
3. lemniscus trigeminalis fibres from the sensory nuclei of the Vth cranial nerve; they are crossed;
4. tractus spinocerebellaris anterior; Unconscious muscle sense joint, Unconscious proprioceptive pathway
5. lemniscus lateralis and corpus trapezoideum are parts of the auditory pathway.
Tractus descendentes:
1. tractus tectospinalis; start approx. at the level of superior colliculus Unconscious coordination of head and
eye movements.
2. tractus rubrospinalis; has also its start at nucleus ruber at the level superior colliculus ( I-order) to cornu
anterius ( II-order) to facilitate flexor muscle and inhibit extensor activity.
3. tractus reticulospinalis; starts from medulla oblongata and pons reticular nucleus ( formation) continues in
lateral white enters cornu anterior they inhibit/facilitate - - motor neuron activity in that way
they influence voluntary movements and reflex activity.
4. tractus vestibulospinalis; receive fibers from inner ear through n.vestibularis( concerning balance at
N.vestibularis), they descend in anterior white uncrossed corny anterius lower motor neuron convey
balance and posture to skeletal muscle.
5. fasciculus longitudinalis medialis; this is the main pathway that connects the Vestibular & cochlear (CN VIII)
nuclei with the extra ocular muscle nuclei of ( n. abducens CN VI, n.trochlearis CN IV & CN III
occulomotorius).
Origin: pyramidal cells from primary motor cortex, (motor homunculus of gyrus precentralis); their axons pass
through corona radiata capsula interna (telencephalon) and descend as two tracts tractus corticonuclearis &
tractus corticospinalis. This tract forms the swelling at medulla oblongata called pyramis and their cross over
decussation.
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Interaction: most fibers cross at the level of medulla oblongata at ( they form the cross over =decussation
decussation) decussatio of pyramids and descend 20 % as anterior tractus corticospinalis & 80% tr.
Corticospinalis lateralis; is the one that crosses over and forms decussation pyramidum descends in funiculus
lateralis of spinal cord.
Second order neuron: descending fibers enter spinal cord at the motor nuclei at cornu anterius(nuclei motorii
) - - motor neurons, only a small part
of the tract synapses directly with the lower motor neuron. The second order neuron exits the cornu anterius to
target skeletal muscle fibers.
Function: Voluntary control; rapid, skilled, voluntary movements, especially distal ends of limbs.
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1. sulcus medianus
2. sulcus limitans
3. eminentia medialis
4. colliculus facialis
5. striae medullares ventriculi quarti
6. area vestibularis
7. trigonum nervi hypoglossi
8. trigonum nervi vagi
9. pedunculus cerebellaris superior
10. pedunculus cerebellaris inferius
11. pedunculus cerebellaris medius
12. lamina tecti (mesencephalon)
13. nucleus n. oculomotorii
14. nuclei accessorii n.oculomotorii
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Origin: I-order neuron, Faciculus gracilis receives impulses from lower limb; Fasciculus Cuneatus receives
impulses from upper body and limb. They receive signals from mechano receptors (Vater- Pacini Corpuscles)
Second order neuron; both fasciculus gracilis and cuneatus synapse at a second order neuron at the medulla
oblongata
Third order neuron; Nucleus postero- lateralis thalami (VPL) fasciculi thalamocorticales -> capsula interna ->are
part of corona radiata reach cortex cerebri gyrus post centralis ends.
Interactions: This tract cross the midline at the level of medulla oblongata at their respective Nuclei and forms
part of the decussatio lemnisci medialis medial lemeniscal Tract (tractus Lemeniscus medialis)
Function: conscious vibration sensation, touch sensation, localization, and positioning. Proprioception. (Touch,
Pressure, vibration, proprioception)
Faciculus Gracilis and Cuneatus aslo called the epicritic sensibility pathway.
Pia Mater
Arachnoida mater
Dura mater
Afferent tracts;
Externally at the mesencephalon anteriorly you can see the fossa intepeducularim the tuber cinerum, corpora
mamillaria (part olfactory), the emergent nervus trochlearis IV & peduculus cerebri. Posteriorlly colliculus
superior- corpus geniculatum laterale ( sub-cortical visual nucleus) and inferior goes to corpus geniculatum
mediale (auditory sub-cortical nucleus).
1. Gyrus temporalis superior Bordered by sulcus lateralis superiorly and inferiorly by sulcus temporalis
superior and gyrus temporalis medius the posterior half is the primary auditory cortex.
In this gyrus the sensory area of speech is also located, called Wernicke's area.
2. Gyrus temporalis medius separated by sulcus temporalis superior and sulcus temporalis inferior ->
balance center.
3. gyrus temporalis inferior sulcus temporalis inferiorsuperiorly .
Lobus occipitalis;
From script;
lobus frontalis
The sulci divide the surface into the gyri; one gyrus is surrounded by one or more sulci:
lobus frontalis
4. gyrus precentralis it lies between sulcus centralis and sulcus precentralis; medially it continues into
lobulus paracentralis; this gyrus represents the primary motor cortex;
the map of this area is called motor homunculus with the leg located close to the midline, the hand and
face area near the bottom of the gyrus; the lips, parts of the face and hands are especially large areas.
The precentral gyrus contains giant pyramidal neurons, which send long axons to the controlateral motor
nuclei of the cranial nerves (tractus corticonuclearis) and to the motor nuclei of the spinal cord (tractus
corticospinalis);
5. gyrus frontalis superior it lies above sulcus frontalis superior,
6. gyrus frontalis medius it lies between sulcus frontalis superior et inferior; there are writing and drawing
areas located,
7. gyrus frontalis inferior it lies below sulcus frontalis inferior; in posterior part of the inferior frontal gyrus
is located motor area of the speech (Broca's area) that is involved in language processing, speech
production and comprehension. Broca's area is unilateral on the left side for right-handed. People
suffering from damage of this area may show a condition called motor aphasia, which makes them unable
to create complex sentences; their speech is described as telegraphic and contains little content of words;
lobus parietalis
8. gyrus postcentralis limited by sulcus postcentralis and sulcus centralis; it is the location of primary
somatosensory cortex the main receptive area for sense and touch; the map of this area is called sensory
homunculus the face is near the bottom of the gyrus, the hands and arms are along the middle of the
area and the trunk and legs fold over the midline; lips and hands are enlarged;
9. lobulus parietalis superior region above sulcus intraparietalis,
10. lobulus parietalis inferior region below sulcus intraparietalis divided into two:
a. gyrus supramarginalis arches over the end of sulcus lateralis,
b. gyrus angularis arches over the end of sulcus temporalis superior; it is location of reading center
the possibility to understand the written words; the area is responsible for understanding
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metaphors;
lobus temporalis
11. gyrus temporalis superior it is limited by sulcus lateralis above and sulcus temporalis superior below.
In posterior half of the gyrus is primary auditory cortex.
More posteriorly to it on the left superior temporal gyrus is located sensory area of the speech (Wernicke's
area). People suffering from the damage of this area may show a condition called receptive or Wernicke's
aphasia speech remains normal grammatically, but has no recognisable meaning,
12. gyrus temporalis medius it is limited by sulcus temporalis superior and sulcus temporalis inferior; it is
location of balance center,
13. gyrus temporalis inferior it is limited by sulcus temporalis inferior above.
1. sulcus corporis callosi it runs above corpus callosum on the medial surface,
2. sulcus hippocampi the continuation of the previous sulcus on the inferior surface,
3. sulcus cinguli it runs parallel to sulcus corporis callosi; the posterior end of sulcus cinguli goes upward
ramus marginalis,
4. sulcus paracentralis spreads form sulcus cinguli in front of ramus marginalis as branch of sulcus
cinguli,
5. sulcus subparietalis backward continuation of sulcus cinguli,
6. sulcus parietooccipitalis separates lobus parietalis and lobus occipitalis,
7. sulcus calcarinus at the posterior part of the medial surface; around it is located the primary visual
cortex, that receives the information directly from corpus geniculatum laterale,
8. sulcus collateralis it runs in parallel to sulcus hippocampi on the lower surface,
9. sulcus occipitotemporalis runs laterally to the previous sulcus.
4. gyrus fornicatus (lobus limbicus) curves around corpus callosum and diencephalon; it is subdivided
into four parts:
a) gyrus cinguli it is limited by sulcus corporis callosi, sulcus cinguli and sulcus subparietalis, it is a
part of the limbic system,
b) isthmus gyri cinguli on the inferior surface next to splenium corporis callosi,
c) gyrus parahippocampalis it is limited by sulcus hippocampi and sulcus collateralis, it is a part of
the limbic system,
d) uncus it is a hook-like anterior extremity of gyrus parahippocampalis; it is a part of the olfactory
cortex. The limbic system is a set of brain structures which supports a variety of funtions including
emotion, behaviour, long term memory and olfaction. The structures of the limbic system are gyrus
fornicatus, the hippocampus, the fornix, the amygdaloid body, the hypothalamus with the mammilary
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On the inferior surface of lobus frontalis there is sulcus olfactorius. It runs parallel to fissura longitudinalis cerebri.
There are also sulci orbitales running into different directions. Between sulcus olfactorius and fissura
longitudinalis cerebri is gyrus rectus. Between sulci orbitales there are gyri orbitales.
Deep in sulcus lateralis is insula with gyrus longus insulae and gyri breves insulae.
Some definitions:
Metencephalon:
The metencephalon is the embryonic part of the hindbrain that differentiates into the pons and the cerebellum. It
contains a portion of the fourth ventricle and the trigeminal nerve (CN V), abducens nerve (CN VI), facial nerve
(CN VII), and a portion of the vestibulocochlear nerve (CN VIII).
Pallium: In neuroanatomy, pallium refers to the layers of grey and white matter that cover the upper surface of
the cerebrum in vertebrates. The non-pallial part of t he telencephalon builds the subpallium.
Latin: Pallium, or cortex cerebri
1. The spinal cord: external description, segment of spinal cord, spinal nerve.
8. Ventriculus IV.
9. Mesencephalon: external description, internal features.
2. During phylogenesis the tubular nervous system for the first time has
appeared:
1. At the coelenterates;
2. At molluscums;
3. At chordates;
4. At fishes;
3. Specify, which part of the brain develops under influence of the olfactory
receptor:
1. Prosencephalon;
2. Mesencephalon;
3. Metencephalon;
4. Myelencephalon;
4. Which part of the brain develops under influence of the visual receptor?
1. Prosencephalon;
2. Mesencephalon;
3. Rhombencephalon;
4. Myelencephalon;
5. Which part of the brain develops under influence of the acoustical analyzer?
1. Telencephalon;
2. Diencephalon;
3. Mesencephalon;
4. Rhombencephalon;
11. Specify, in which part of nervous tube the internuncial neurons of the simple
reflex arc develop:
1. Dorsal part;
2. Ventral part;
3. Lateral part of the gray matter of nervous tube;
4. Brainstaim;
2
12. Specify, from which part of nervous tube the neurones for formation of
nervous ganglion develop:
1. Dorsal part;
2. Ventral part;
3. Lateral part of the gray matter of nervous tube;
4. Brainstaim;
16. What are the parts of the white matter of the spinal cord?
1. Funiculus anterior;
2. Funiculus lateralis;
3. Funiculus posterior;
4. Comissura alba;
17. Specify anatomical formations of the spinal cord, which are the remnants of
the cavity of nervous tube:
1. Filum terminale;
2. Ventriculus terminalis;
3. Canalis centralis;
4. Cavitas subarachnoidalis;
3
19. Specify nuclei of the posterior horns of the spinal cord:
1. Nucleus thoracicus;
2. Nuclei proprii;
3. Nucleus intermediomedialis;
4. Nucleus intermediolateralis;
20. On which level the lateral horn of spinal cord can be found?
1. II-IV Cervical;
2. Thoracic;
3. II-IV sacral;
4. Coccygeal;
4
27. What are the parts of the cerebrum?
1. Insula;
2. Corpus callosum;
3. Rhinencephalon;
4. Basal nuclei;
5
34. Where is the cortical center of motor analyzer situated?
1. Lobulus paracentralis;
2. Gyrus postcentralis;
3. Gyrus parahippocampalis;
4. Gyrus precentralis;
40. Where is the cortical center of the motor analyzer responding for combined
turn of the head and eyes situated?
1. Gyrus postcentralis;
2. Gyrus precentralis;
3. Gyrus frontalis medius;
4. Gyrus angularis;
6
41. Where is the cortical center of the motor analyzer responding for complex
professional and sports locomotions situated?
1. Gyrus angularis;
2. Gyrus supramarginalis;
3. Gyrus frontalis inferior;
4. Gyrus temporalis superior;
43. Where is the cortical center of the motor analyzer of the articulation of oral
speech situated?
1. Gyrus frontalis medius;
2. Gyrus frontalis inferior;
3. Pars opercularis;
4. Pars triangularis;
44. Where is the cortical center of the motor analyzer of written speech
situated?
1. Gyrus frontalis medius;
2. Gyrus frontalis inferior;
3. Pars opercularis;
4. Pars triangularis;
45. Where is the cortical center of the acoustical analyzer of oral speech
situated?
1. Gyrus temporalis superior;
2. Gyrus temporalis medius;
3. Gyrus frontalis medius;
4. Gyrus frontalis inferior;
46. Where is the cortical center of the visual analyzer of written speech situated?
1. Gyrus temporalis superior;
2. Gyrus frontalis inferior;
3. Lobulus parietalis inferior;
4. Gyrus angularis;
7
48. What are the parts of the fornix?
1. Corpus fornicis;
2. Crura fornicis;
3. Genu couporis callosi;
4. Columnae fornicis;
57. Which anatomical structures take part in formation of walls of the inferior
horn of the lateral ventricle?
1. Fibria hippocampi;
2. Corpus callosum;
3. Crura fornicis;
4. Hippocamp;
60. Which parts of the brain participate in formation of walls of the third
ventricle?
1. Hypothalamus;
2. Columnae fornicis;
3. Thalamus;
4. Corpus callosum;
9
63. Specify nuclei locating in tegmentum of the mesencephalon:
1. Nucleus of VI pair of cranial nerves (n. abducens);
2. Nuclei rubri;
3. Nucleus mesencephalicus n. trigemini;
4. Nucleus of IV pair of cranial nerves (n. trochlearis);
64. Which conducting tracts pass through the basis pedunculi cerebri?
1. Tr. frontopontinus;
2. Tr. spinothalamicus anterior;
3. Tr. corticospinalis (pyramidalis);
4. Tr. cochlearis;
68. Which anatomical structures are in the ventral part of the pons situated?
1. Tr. corticospinalis;
2. Tr. pontocerebellaris;
3. Nuclei proprii;
4. N. pontinus n. trigemini;
69. The nuclei of which cranial nerves are in the pons situated?
1. VII pair (n. facialis);
2. IX pair (n. glossopharyngeus);
3. VI (n. abducens);
4. X pair (n. vagus);
72. To which part of the brain do the inferior cerebellar pedunculi pass?
1. Pons;
2. Medulla oblongata;
3. Cerebellum;
4. Mesencephalon;
76. For which cranial nerves the solitarius nucleus is the common?
1. N. hypoglossus;
2. N. glossopharingeus;
3. N. acessorius;
4. N. vagus;
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79. Specify nuclei of vagus nerve:
1. Nucl. ambiguous;
2. Nucl. solitarius;
3. Nucl. spinalis;
4. Nucl. dorsalis n. vagi;
82. Which conducting tracts pass through the posterior funiculi of the spinal
cord?
1. Fasciculus longitudinalis posterior;
2. Fasciculus gracilis;
3. Tr. Spinocerebellaris posterior;
4. Fasciculus cuneatus;
83. Which conducting tracts pass through the lateral funiculi of the spinal cord?
1. Tr. spinothalamicus lateralis;
2. Tr. spinocerebellaris anterior;
3. Tr. vestibulospinalis;
4. Tr. rubrospinalis;
84. Which conducting tracts pass through the anterior funiculi of the spinal cord?
1. Tr. spinothalamicus anterior;
2. Tr. tectospinalis;
3. Tr. corticospinalis anterior;
4. Tr. vestibulospinalis;
86. Which conducting tracts pass through the inferior cerebellar pedunculi?
1. Tr. spinocerebellaris posterior;
2. Fasciculus longitudinalis posterior;
3. Fibrae arcuatae interni;
4. Fibrae arcuatae externi;
12
87. Which tracts form the ventral decussation of tegmentum of the
mesencephalon?
1. Fasciculus longitudinalis posterior;
2. Tr. corticospinalis;
3. Tr. rubrospinalis;
4. Lemniscus medialis;
89. Specify conducting tracts passing through the genu of internal capsula:
1. Tr. spinothalamicus anterior;
2. Tr. corticothalamicus;
3. Tr. frontopontinus;
4. Tr. corticonuclearis;
91. Specify conducting tracts passing through anterior crus of internal capsula:
1. Tr. spinothalamicus anterior;
2. Tr. corticothalamicus;
3. Tr. frontopontinus;
4. Tr. cochlearis;
92. Through which anatomical structures does the corticospinal tract pass?
1. Capsula interna;
2. Basis pedunculi cerebri;
3. Tegmentum;
4. Pedunculi cerebelli inferiores;
93. Through which parts of the spinal cord does the corticospinal tract pass?
1. Funiculus lateralis;
2. Funiculus anterior;
3. Funiculus posterior;
4. Comissura alba;
13
94. Specify second neurones of pyramidal tracts:
1. Vegetative nuclei of the brainstem;
2. Motor nuclei of the brainstem (nuclei anteriores);
3. Nuclei of lateral horns of the spinal cord;
4. Nuclei of anterior horns of the spinal cord;
98. From which cavity of the brain does the cerebrospinal fluid flow out in
subarachnoid space?
1. From the fourth ventricle (ventriculus quartus);
2. From the third ventricle (ventriculus tertius);
3. From lateral ventricles (ventriculi laterales);
4. From aqueductus cerebri;
99. Specify foramens connecting the cavity of the fourth ventricle and
subarachnoid space:
1. Apertura aqueductus cerebri;
2. Aperturae laterales;
3. Apertura mediana;
4. Foramina interventricularia;
100. Specify subarachnoid cysterns locating on the basal surface of the brain:
1. Cisterna interpeduncularis;
2. Cisterna cerebellomedullaris;
3. Cisterna fossae lateralis cerebra;
4. Cisterna chiasmatis;
14
101. What is true for the dura mater of the brain?
1. Close fusing with bones of the base of skull;
2. Presence of sinus venosus;
3. Presence of processes;
4. Presence of ligamenta dentata;
102. Specify sinuses of the dura mater, which form confluens sinuum:
1. Sinus transversus;
2. Sinus sigmoideus;
3. Sinus sagittalis superior;
4. Sinus rectus;
105. Specify parameters describing age features of the dura mater of the brain
in newborn:
1. The dura mater thin, is dense fised with bones of the skull;
2. The processes of the dura materl are advanced weakly;
3. Sinuses rather wide;
4. Sinuses project the same as at the adult;
107. Specify fibers passing through the middle pedunculi of the cerebellum:
1. Tr. spinocerebellaris anterior;
2. Tr. cerebellotegmentalis;
3. Tr. pontocerebellaris;
4. Fibrae arcuatae externae;
16