99 年第一次神解期中考 Lecture

1. Tectum is a structure of which of the followings?

A. Telencephalon
B. Diencephalon
C. Mesencephalon
D. Metencephalon
E. Myelencephalon
2. Which of the following ventricles arises from the neural tube that developed into
diencephalon?
A. Lateral ventricle of the left hemisphere
B. Lateral ventricle of the right hemisphere
C. Third ventricle
D. Fourth ventricle
3. Which of the following is most likely to contain a lots of neurons?
A. Column
B. Fasciculus
C. Tract
D. Nucleus
E. Lemniscus
4. Where does T1 spinal nerve exits?
A. Between VT1 and VT2
5. (有誤)Which of the following about sympathetic nerves is not true?
A. Preganglionic fibers is usually long
B. Preganglionic cell bodies are usually located in the wall of the innervated
structures
C. Preganglionic fibers use acetylcholine as a neurotransmitter
D. Preganglionic fibers use norepinephrine as a neurotransmitter
6. Which of the following is not a feature of the symmetrical synapses?
A. Contain pleomorphic vesicles
B. Contain exclusively small round clear vesicles
C. Inhibitory synapses
D. Gray type II synapses
7. Which of the following separates the fromtal from the parietal lobe?
A. Central sulcus
B. Lateral sulcus
C. Supramarginal gyrus
D. Collateral sulcus
8. Parahippocampal gyrus is visible from which of the following views of the brain?
 A. Dorsal view
B. Lateral view
C. Ventral view
D. Posterior view
9. Superior longitudinal fasciculus consists of:
A. Projection fibers
B. Commissural fibers
C. Associational fibers
D. Thalamocortical fibers (the projection from thalamus to cortex)
10. Which of the following belongs to agranular cortex?
A. Primary motor cortex
B. Primary visual cortex
C. Prefrontal cortex
D. Cingulate gyrus
11. Which of the following is located in the temporal lobe?
12. The outer band of Baillarger is located in which layers of the cortex?
13. Which of the following statements is not true?
14. Which of the following connects between motor and sensory speech area?
15. Substantia gelatinosa means:
A. Lamina II in gray matter of spinal cord
B. Lamina III in gray matter of spinal cord
C. Lamina IV in gray matter of spinal cord
D. Lamina V in gray matter of spinal cord
16. Cuneate fasciculus is abscent in:
A. Spinal levels L1-S2
B. Spinal levels T1-T4
C. Spinal levels C4-C8
D. Spinal levels C1-C3
17. Intermediolateral cell column contains:
A. Sympathetic postganglionic neurons
B. Sympathetic preganglionic neurons
C. Parasympathetic postganglionic neurons
D. Parasympathetic preganglionic neurons
18. Which of the following sensations is not conducted through dorsal columns of
spinal cord?
A. Fine touch
B. Proprioception
C. Pain
 D. Vibration
19. Which type of nerve fiber conducts impulse into dorsal root ganglion (DRG) in
flexor reflex?
A. Ia
B. Ib
C. Aδ or C
D. Aβ
20. Which of the following supplies the spinal roots and the dorsal root ganglion?
A. Artery of Adamkiewicz
B. Posterior spinal artery
C. Radicular artery
D. Central branch of anterior spinal artery
21. Which of the following routes conveying general visceral afferent (GVA) into
spinal cord is correct?
A. Splanchnic nerve → sympathetic ganglion → gray ramus communicans →
spinal nerve → dorsal root → laminae I, V~VII
B. Splanchnic nerve → sympathetic ganglion → white ramus communicans →
spinal nerve → dorsal root → laminae I, V~VII
C. Splanchnic nerve → white ramus communicans → sympathetic ganglion →
spinal nerve → dorsal root → laminae I, V~VII
D. Splanchnic nerve → sympathetic ganglion → spinal nerve → gray ramus
communicans → dorsal root → laminae I, V~VII
22. Anterolateral system (ALS) contains:
A. Lateral corticospinal tract
B. Spinothalamic tract
C. Gracile fasciculus
D. Spinocerebellar tract
23. A patient had a small tumor that obstructed the upper part of the cerebral
aqueduct. Which part of the ventricular system would be likely to expand as a
result of this tumor? (two answers)
A. Lateral ventricle
B. Third ventricle
C. Cerebral aqueduct
D. Fourth ventricle
E. Subarachnoid space
24. The foramen Magendie is:
A. The channel through which a lateral ventricle communicates with the third
ventricle
 B. The channel in the midbrain through which the third and fourth ventricles
communicate
C. An opening in the roof of the third ventricle near the pineal gland
D. An opening in the roof of the fourth ventricle in the open medulla
E. An opening in the roof of the fourth ventricle in the closed medulla
25. Choroid plexus is found in all of the following location except the:
A. Anterior horn of the lateral ventricle
B. Body of the lateral ventricle
C. Roof of the third ventricle
D. Posterior half roof of the fourth ventricle
26. A lipid-insoluble dye injected into an artery supplying choroid plexus would:
A. Not able to leak out of the choroidal capillaries
B. Leak across the choroid plexus, but be stopped by the ependymal lining of
the ventricle
C. Leak across the choroid plexus, but be stopped by the arachnoid villi
D. Leak across the choroid capillaries, but be stopped by the choroid
epithelium
27. Which of the following is least important in the maintenance of the shape and
position of the CNS?
A. Denticulate ligaments
B. Arachnoid trabeculae
C. Mechanical rigidity of the CNS
D. Parietal flotation effect of the cerebralspinal fluid in the subarachnoid
space
E. Physical attachment of the arachnoid to the dura
28. Real spaces within the cranium includes:
A. Epidural space
B. Subdural space
C. Subarachnoid space
D. A & C
E. B & C
29. Cerebrospinal fluid moves into venous blood by:
A. Diffusing through the dural walls of venous sinuses
B. Being actively transported across the arachnoid
C. Passing through functional holes in the arachnoid villi (arachnoid
granulation)
D. Passing directly across the walls of veins in the arachnoid space
E. Passing through the choroid epithelium
30. During a surgical procedure to remove an ependymoma from the 4th ventricle of
a 7-year-old boy, the surgeon notes that the tumor has invaded the floor of the
medullary portion of the ventricle just lateral to the sulcus limitans, which of the
following nuclei is most likely to be involved in this leision?
A. Spinal trigeminal nucleus
B. Dorsal motor vagal nucleus
C. Vestibular nuclei
D. Mescencephalic trigeminal nucleus
E. Hypoglossal nucleus
31. Which of the following is not true?
A. Oculomotor n. receives nerve fibers from medial longitudinal fasciculus
B. The afferent fibers of the mesencephalic trigeminal nucleus bypass the
trigeminal ganglion
C. All sensory fibers from the cranial nerve synapses with neurons in the
thalamus
D. MLF can be observed in all sections of the brainstem
32. Damage to which of the following medullary structures would most likely be
responsible for the sensory deficits (loss of pain & thermal sensation) affecting
the patient’s face?
A. Medial lemniscus
B. Antereolateral system
C. Spinal trigeminal nucleus
D. Nucleus of the solitary tract
E. Principal sensory nucleus
33. Which of the following is not true?
A. Neurons of nucleus ambiguous innervates skeletal muscles that originates
from 3rd pharyngeal arch
B. Neurons of hypoglossal nucleus innervates skeletal muscles that originates
from 1st pharyngeal arch
C. The cerebral aqueduct contains no choroid plexus
D. The topography of the left medial lemniscus in the medulla is arm, trunk,
and leg, from posterior to anterior
34. Motor neurons for the larynx and pharynx are located in:
A. Dorsal motor vagal nucleus
B. Nucleus ambiguous
C. Nucleus of solitary tract
D. Trigeminal motor nucleus
E. Facial motor nucleus
The following case is “medial medullary syndrome”, an occlusion of left vertebral
artery or anterior spinal artery: (injured area is painted in black)

35. Which of the following is true?

A. Contralateral hemiparesis
B. Ipsilateral hemiparesis
C. Weakness of contralateral lower face
D. Weakness of ipsilateral lower face
36. Which of the following is true?
A. Paralysis of left side of tongue
B. Paralysis of right side of tongue
C. Difficulty in swallowing
D. Difficulty in right eye movement
E. Difficulty in left eye movement
37. Which of the following is true?
A. Loss of pain & temperature sensation over the contralateral body
B. Loss of pain & temperature sensation over the ipsilateral body
C. Tactile deficits over the contralateral body
D. Tactile deficits over the ipsilateral body
The following case is “lateral medullary syndrome”, an occlusion of left vertebral
artery or PICA: (injured area is painted in black)

38. Which of the following is true?

A. Tactile deficits over the left face
B. Tactile deficits over the right face
C. Pain deficits over the left face
D. Pain deficits over the right face
39. Which of the following is true?
A. Paralysis of left side of tongue
B. Paralysis of right side of tongue
C. Difficulty in swallowing
D. Difficulty in right eye movement
E. Difficulty in left eye movement
40. Which of the following is true?
A. Loss of pain & temperature sensation over the contralateral body
B. Loss of pain & temperature sensation over the ipsilateral body
C. Tactile deficits over the contralateral body
D. Tactile deficits over the ipsilateral body