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Question 1
Incorrect
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A 50-year-old woman comes to the clinic with complaints of memory problems, frequent falls, and disrupted REM sleep. What is the most probable diagnosis?
Your Answer: Progressive supranuclear palsy
Correct Answer: Lewy body dementia
Explanation:In addition to fluctuating cognition and visual hallucinations, Lewy body dementia often involves sensitivity to neuroleptics. Patients may also experience falls and REM sleep disorder as common symptoms.
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This question is part of the following fields:
- Neurosciences
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Question 2
Incorrect
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Which of these is a feature of Balint's syndrome?
Your Answer: Left-right disorientation
Correct Answer: Simultagnosia
Explanation:Simultagnosia is a condition where an individual is unable to focus on more than one aspect of a complex scene at a time. This condition, along with optic ataxia and oculomotor apraxia, is part of Balint’s syndrome.
Gerstmann syndrome is characterized by four symptoms: dysgraphia/agraphia, dyscalculia/acalculia, finger agnosia, and left-right disorientation. This syndrome is linked to a lesion in the dominant parietal lobe, specifically the left side of the angular and supramarginal gyri. It is rare for an individual to present with all four symptoms of the tetrad.
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This question is part of the following fields:
- Neurosciences
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Question 3
Incorrect
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Which of the following symptoms is not associated with Gerstmann's syndrome?
Your Answer:
Correct Answer: Prosopagnosia
Explanation:Gerstmann’s Syndrome: Symptoms and Brain Lesions
Gerstmann’s syndrome is a condition that is characterized by several symptoms, including dyscalculia, dysgraphia, finger agnosia, and right-left disorientation. Patients with this syndrome have been found to have lesions in areas such as the left frontal posterior, left parietal, temporal, and occipital lobes. The left angular gyrus, which is located at the junction of the temporal, occipital, and parietal lobes, seems to be the main area of overlap. Although the function of the angular gyrus is not well understood, it is believed to be involved in various functions such as calculation, spatial reasoning, understanding of ordinal concepts, and comprehension of metaphors.
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This question is part of the following fields:
- Neurosciences
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Question 4
Incorrect
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What is the term used to describe the condition where a person cannot identify faces?
Your Answer:
Correct Answer: Prosopagnosia
Explanation:Agnosia is a condition where a person loses the ability to recognize objects, persons, sounds, shapes, of smells, despite having no significant memory loss of defective senses. There are different types of agnosia, such as prosopagnosia (inability to recognize familiar faces), anosognosia (inability to recognize one’s own condition/illness), autotopagnosia (inability to orient parts of the body), phonagnosia (inability to recognize familiar voices), simultanagnosia (inability to appreciate two objects in the visual field at the same time), and astereoagnosia (inability to recognize objects by touch).
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This question is part of the following fields:
- Neurosciences
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Question 5
Incorrect
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What characteristic is unique to neurons and not present in other types of cells?
Your Answer:
Correct Answer: Nissl substance
Explanation:Nissl bodies are sizable granules present in neurons that contain rough endoplasmic reticulum and free ribosomes, where protein synthesis occurs. These structures were named after Franz Nissl and exhibit a distinctive purple-blue hue when exposed to Cresyl violet solution, although the reason for this selective staining remains unknown.
Melanin
Melanin is a pigment found in various parts of the body, including the skin, hair, and eyes. It is produced by specialized cells called melanocytes, which are located in the skin’s basal layer. The function of melanin in the body is not fully understood, but it is thought to play a role in protecting the skin from the harmful effects of ultraviolet (UV) radiation from the sun. Additionally, melanin may be a by-product of neurotransmitter synthesis, although this function is not well established. Overall, the role of melanin in the body is an area of ongoing research.
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This question is part of the following fields:
- Neurosciences
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Question 6
Incorrect
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Mirror neurons provide a biological framework for comprehending what concept?
Your Answer:
Correct Answer: Imitation learning
Explanation:Mirror Neurons: A Model for Imitation Learning
Mirror neurons are a unique type of visuomotor neurons that were first identified in the premotor cortex of monkeys in area F5. These neurons fire not only when the monkey performs a specific action but also when it observes another individual, whether it is a monkey of a human, performing a similar action. This discovery has led to the development of a model for understanding imitation learning.
Mirror neurons offer a fascinating insight into how humans and animals learn by imitation. They provide a neural mechanism that allows individuals to understand the actions of others and to replicate those actions themselves. This process is essential for social learning, as it enables individuals to learn from others and to adapt to their environment.
The discovery of mirror neurons has also led to new research in the field of neuroscience, as scientists seek to understand how these neurons work and how they can be used to improve our understanding of human behavior. As we continue to learn more about mirror neurons, we may be able to develop new therapies for individuals with social and communication disorders, such as autism.
Overall, mirror neurons are a fascinating area of research that has the potential to revolutionize our understanding of human behavior and learning. By studying these neurons, we may be able to unlock new insights into how we learn, communicate, and interact with others.
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This question is part of the following fields:
- Neurosciences
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Question 7
Incorrect
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What is a true statement about the prion protein (PrPc)?
Your Answer:
Correct Answer: It can be broken down by protease
Explanation:The prion protein has two forms: the normal form (PrPc) and the infectious form (PrPSc). The normal form can be broken down by proteases, while the infectious form is resistant to proteases.
Prion Protein and its Role in Disease
Prion protein is a type of infective agent that is composed of protein. It is made up of proteins called PrP, which exist in two forms: a normal form (PrPC) and an abnormal form (PrPSc). The abnormal form is resistant to protease, which means it cannot be broken down in the body. This abnormal form can change adjacent normal PrPC into the abnormal form, which is how the infection spreads.
PrPC is a normal component of cell membranes and has an alpha-helical structure. However, in PrPSc, much of the alpha-helical structure is replaced by a beta-sheet structure. This change in structure causes PrPSc to aggregate into plaques in the extracellular space of the central nervous system, disrupting normal tissue structure.
Prions cause disease by this disruption of normal tissue structure, leading to neurological symptoms and ultimately death. Understanding the structure and behavior of prion proteins is crucial in developing treatments and preventative measures for prion diseases.
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This question is part of the following fields:
- Neurosciences
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Question 8
Incorrect
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What gas functions as a neurotransmitter?
Your Answer:
Correct Answer: Carbon monoxide
Explanation:It’s important to differentiate between nitrogen and nitrous oxide, as they have distinct properties. Nitrogen is not a neurotransmitter, while nitrous oxide is sometimes used for its anesthetic and analgesic effects.
Neurotransmitters are substances used by neurons to communicate with each other and with target tissues. They are synthesized and released from nerve endings into the synaptic cleft, where they bind to receptor proteins in the cellular membrane of the target tissue. Neurotransmitters can be classified into different types, including small molecules (such as acetylcholine, dopamine, norepinephrine, serotonin, and GABA) and large molecules (such as neuropeptides). They can also be classified as excitatory or inhibitory. Receptors can be ionotropic or metabotropic, and the effects of neurotransmitters can be fast of slow. Some important neurotransmitters include acetylcholine, dopamine, GABA, norepinephrine, and serotonin. Each neurotransmitter has a specific synthesis, breakdown, and receptor type. Understanding neurotransmitters is important for understanding the function of the nervous system and for developing treatments for neurological and psychiatric disorders.
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This question is part of the following fields:
- Neurosciences
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Question 9
Incorrect
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What is located within Brodmann area 22?
Your Answer:
Correct Answer: Wernicke's area
Explanation:Broca’s and Wernicke’s are two types of expressive dysphasia, which is characterized by difficulty producing speech despite intact comprehension. Dysarthria is a type of expressive dysphasia caused by damage to the speech production apparatus, while Broca’s aphasia is caused by damage to the area of the brain responsible for speech production, specifically Broca’s area located in Brodmann areas 44 and 45. On the other hand, Wernicke’s aphasia is a type of receptive of fluent aphasia caused by damage to the comprehension of speech, while the actual production of speech remains normal. Wernicke’s area is located in the posterior part of the superior temporal gyrus in the dominant hemisphere, within Brodmann area 22.
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This question is part of the following fields:
- Neurosciences
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Question 10
Incorrect
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Which brain structure is located next to Broca's and Wernicke's areas?
Your Answer:
Correct Answer: Sylvian sulcus
Explanation:Understanding the sylvian (lateral) sulcus is crucial in comprehending the perisylvian language area and distinguishing between perisylvian and extrasylvian types of aphasias.
Aphasia is a language impairment that affects the production of comprehension of speech, as well as the ability to read of write. The areas involved in language are situated around the Sylvian fissure, referred to as the ‘perisylvian language area’. For repetition, the primary auditory cortex, Wernicke, Broca via the Arcuate fasciculus (AF), Broca recodes into articulatory plan, primary motor cortex, and pyramidal system to cranial nerves are involved. For oral reading, the visual cortex to Wernicke and the same processes as for repetition follows. For writing, Wernicke via AF to premotor cortex for arm and hand, movement planned, sent to motor cortex. The classification of aphasia is complex and imprecise, with the Boston Group classification and Luria’s aphasia interpretation being the most influential. The important subtypes of aphasia include global aphasia, Broca’s aphasia, Wernicke’s aphasia, conduction aphasia, anomic aphasia, transcortical motor aphasia, and transcortical sensory aphasia. Additional syndromes include alexia without agraphia, alexia with agraphia, and pure word deafness.
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This question is part of the following fields:
- Neurosciences
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