Neuro Practice (6&7)

Put the process of converting sound to neural signals in the correct order
Sound waves strike ear drum
Ossicles move, causing vibration of membrane at opening of upper chamber
Movement of fluid in upper chamber
Vibration of basilar membrane and attached hair cells
Hairs bend because the tips are embedded in the immobile tectorial membrane. Hair cells depolarize
Cochlear nerve endings activated
Match the following cortical areas with their auditory function
Auditory association cortex
Compares sounds with memories of other sounds, then categorizes the sounds as language, music, or noise
Wernicke's area
Comprehension of spoken language
Primary auditory cortex
Conscious awareness of the intensity of sounds
What is the afferent limb of the gag reflex?
CN5
CN7
CN9
CN10
CN 10 is the efferent limb of both gag and swallowing reflexes.
True
False
Bell's palsy can only be diagnosed if there is no known cause of the symptoms.
True
False
An upper motor neuron lesion on facial muscles causes what?
Affected ipsilateral facial muscles
Affected contralateral upper face
Affected contralateral lower face
Affected ipsilateral lower face muscles
Which cranial nerve can bypass the thalamus and transmit information directly to the cortex?
CN 1- Olefactory
CN 2- Optic
CN 5- Trigeminal
CN 10- Vagus
Match the trigeminal lesion with its deficits.
Mandibular branch lesion
Jaw deviates toward involved side when the mouth opens
Trigeminal neuralgia
Afferent limb of blink reflex; no blink response to touch
Opthalamic branch lesion
Severe, sharp, stabbing pain along the distribution of the nerves branches
Someone who is experiencing problems with tongue control that leads to difficulty swallowing and speaking most likely has a lesion to which cranial nerve?
CN 5
CN 7
CN 8
CN 12
A lesion in which cranial nerve results in paralysis of ipsilateral facial expression muscles and incomplete closure of ipsilateral eyelid?
CN 5
CN 7
CN 8
CN 12
A lesion to cranial nerve 1 will result is what deficit?
Smell
Vision
Vestibulo-ocular reflex
Chewing
What is true of the cerebellum? (select all that apply)
Adjusts posture and coordinates movements
Always nonconscious functions
No direct connection to lower motor neurons
Plays a role in equilibrium
Upper motor neurons begin in the spinal cord.
True
False
Match the functional region of the cerebellum with its function.
Spinocerebellum
Gross movement of limbs
Vestibulocerebellum
Timing, cognitive functions, coordination and planning of precise, distal voluntary movements
Cerebrocerebellum
Eye movements, balance, equilibrium
The posterior spinocerebellar pathway and the cuneocerebellar pathway are both high-accuracy and remain ipsilateral.
True
False
The tract that transmits proprioceptive information from the lower limb and lower trunk to the cerebellum via the inferior peduncle is what?
Posterior spinocerebellar pathway
Cuneocerebellar pathway
In the cuneocerebellar pathway, 1st order neurons travel to what structure in order to synapse with second order neurons?
Cerebellar peduncle
Midbrain
Pons
Medulla
Internal feedback tracts monitor the activity of the spinal cord and of descending motor signals from the cerebral cortex and brainstem.
True
False
What is the only tract in the cerebellum that decussates?
Posterior spinocerebellar
Cuneocerebellar
Anterior spinocerebellar
Rostrospinocerebellar
Select what is true about the rostrospinocerebellar tract.
Transmits information from the cervical spinal cord and T1
Enters the cerebellum via the inferior and superior cerebellar peduncles.
Remains ipsilateral
Has a bilateral projection
The anterior spinocerebellar tract send information to both cerebellar hemispheres for the purpose of coordination.
True
False
At what structure does the anterior spinocerebellar tract divide?
Superior peduncle
Midbrain
Pons
Medulla
Why are the deficits caused by cerebellar lesions ipsilateral? (Select all that apply)
Cerebellar efferents remain ipsilateral due to tracts
Afferents bring in information from ipsilateral sources
Cerebellar efferents project to the contralateral cerebral cortex producing ipsilateral movements
They are not ipsilateral
If a persons balance improves with their eyes open versus closed, they most likely have what type of lesion?
Somatosensory
Cerebellar
What are the signs associated with cerebellar pathology? (Select all that apply)
Dysdiadochokinesia
Dysmetria
Action tremor
Receptive aphasia
Ataxia
Nystagmus
Slurred speech
Hypotonia
Inability to rapidly alternate movements is known as what?
Dysarthria
Ataxia
Dysdiadochokinesia
Dysmetria
A person with dysmetria may have what clinical implication?
Slurred speech
Inability to rapidly alternate movement
Inability to accurately move intended distance
Shaking of limb during voluntary movement
Women are at a higher risk for TBI.
True
False
Cerebral palsy is an example of what kind of brain injury?
Acquired brain injury
Congenital brain injury
Traumatic brain injury
CVA
An acquired brain injury is any brain injury that is not congenital or degenerative.
True
False
Lack of oxygen or blood flow to a part of the brain is best know as what?
Acquired brain injury
Congenital brain injury
Traumatic brain injury
CVA
Match the correct type of injury.
Hypoxic brain injury
Injury due to a lack of oxygen to the brain
Anoxic brain injury
Injury due to no oxygen reaching the brain
A person with a malignant, rapidly growing brain tumor most likely has what?
Arteriovenous malformation
Meningioma
Glioblastoma Multiforme
Agnosia
An individual took a blow to the head. They had no loss of consciousness, but experienced confusion, difficulty focusing and planning for 15 hours. What grade of concussion do they have?
Grade 1
Grade 2
Grade 3
What makes spasticity unique from general hypertonia?
Involvement of upper motor neurons
There is too much muscle tone
Involvement of lower motor neurons
Velocity dependent
Hypotonia is defined as having too little muscle tone and is involved with lower motor neurons.
True
False
The following conditions can all result from brain damage. Match each with their potential deficits.
Astereognosis
Inability to produce or understand spoken language
Apraxia
Inability to recognize and identify common objects through tactile manipulation
Agnosia
Inability to carry out skilled movements despite having the physical ability and the desire to do so
Aphasia
Inability to identify or recognize things by using the special senses
An individual is asked to imitate putting a key into a lock and turning it, but they are unable to produce the motion even though they have full physical function and know how to open a lock with a key. They most likely have what?
Ideomotor apraxia
Ideational apraxia
Asterognosis
Agnosia
A parietal lobe lesion would most likely cause what?
Agnosia
Astereognosis
Aphasia
Apraxia
An occipito-temporal lobe lesion would most likely result in what?
Agnosia
Astereognosis
Aphasia
Apraxia
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