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  • Question 1 - Which neuron secretes glutamate as its neurotransmitter? ...

    Incorrect

    • Which neuron secretes glutamate as its neurotransmitter?

      Your Answer: Stellate

      Correct Answer: A delta and C pain fibers

      Explanation:

      A delta and C fibers use glutamate as their primary neurotransmitter where it acts as a fast acting localized neurotransmitter.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      13.5
      Seconds

  • Question 2 - The following is true about the carotid arterial supply to the brain: ...

    Incorrect

    • The following is true about the carotid arterial supply to the brain:

      Your Answer: The 6 most important branches arise prior to the circle of Willis

      Correct Answer: Following carotid occlusion, precapillary anastomoses are unable to prevent infarction

      Explanation:

      The brain has two sources of blood supply; the internal carotid arteries which are the anterior segment or the main artery that supplies the anterior portion of the brain, and the vertebral arteries which is the posterior segment which supplies the posterior portion of the brain. The internal carotid arteries branch and form two major arteries anterior and middle cerebral arteries. The right and left vertebral arteries fuse together at the level of the pons on the anterior surface of the brainstem to form the midline basilar artery. The basilar artery joins the blood supply from the internal carotids in an arterial ring at the base of the brain called the circle of Willis. The anterior and posterior communicating arteries conjoin the two major sources of cerebral vascular supply via the circle of Willis improving the chances of any region of the brain continuing to receive blood if one of the major arteries becomes occluded.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      38.8
      Seconds

  • Question 3 - The thalamic nuclei that project over wide regions of the neocortex are: ...

    Incorrect

    • The thalamic nuclei that project over wide regions of the neocortex are:

      Your Answer: None of the above

      Correct Answer: Specific relay nuclei

      Explanation:

      The thalamus is considered the relay station for sensory and motor stimuli. There are three basic types of thalamic nuclei: relay nuclei, association nuclei and non-specific nuclei. Relay nuclei receive very well defined inputs and project this signal to functionally distinct areas of the cerebral cortex. These include the nuclei that relay primary sensations and also the nuclei involved in feedback of cerebellar signals and basal gangliar output.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      93.9
      Seconds

  • Question 4 - Which dorsal (sensory) root is responsible for umbilical area sensation? ...

    Correct

    • Which dorsal (sensory) root is responsible for umbilical area sensation?

      Your Answer: T10

      Explanation:

      The area of skin supplied by one nerve is called a dermatome. T10 supplies sensory neurons to the area of the umbilicus. C3 and C4 supply the neck and the shoulder, T4 supplies the dermatome at the level of the nipple, S3 supplies the inguinal region and L5 supplies the lateral aspect of the leg and the medical aspect of the dorsum of the feet plus the first 3 toes.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      33.6
      Seconds

  • Question 5 - The inverse stretch reflex causing muscle relaxation when excessive force is applied to...

    Correct

    • The inverse stretch reflex causing muscle relaxation when excessive force is applied to a muscle is mediated by which sensory organ?

      Your Answer: Golgi tendon organ

      Explanation:

      Both the muscle spindle and Golgi tendon body are proprioceptors. The Golgi tendon reflex is a normal component of the reflex arc of the peripheral nervous system. In a Golgi tendon reflex, skeletal muscle contraction causes the antagonist muscle to simultaneously lengthen and relax. This reflex is also called the inverse myotatic reflex, because it is the inverse of the stretch reflex.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      72.2
      Seconds

  • Question 6 - The midbrain, medulla and pons, contain the following cranial nerve nuclei? ...

    Incorrect

    • The midbrain, medulla and pons, contain the following cranial nerve nuclei?

      Your Answer: CN 1 - 12

      Correct Answer: CN 3 - 12

      Explanation:

      The cranial nerves (with the exception of I and II) originate in the brainstem, which includes the midbrain, the pons, and the medulla.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      27.1
      Seconds

  • Question 7 - Afferent A δ fibers from nociceptors terminate primarily on neurons in which lamina:...

    Incorrect

    • Afferent A δ fibers from nociceptors terminate primarily on neurons in which lamina:

      Your Answer: III, IV, V, VI

      Correct Answer: I and V

      Explanation:

      Nociceptors are receptors of pain sensation. There are 2 primary afferent/sensory pain fibers which transmit impulses from the receptor to the CNS, specifically to the dorsal horn of the spinal cord. The two fibers are A δ and C fibers. The dorsal horn of the spinal cord is the relay centre for sensory information converging from the periphery. Grey matter of the dorsal horn is subdivided in to laminae based on cytoarchitecture. C fibers terminate in lamina II the substantia gelatinosa. A δ fibers terminate primarily in lamina I but some project more deeply to terminate in lamina V.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      337.2
      Seconds

  • Question 8 - Efferent innervation of the muscle spindle is supplied by which type of motor...

    Correct

    • Efferent innervation of the muscle spindle is supplied by which type of motor neuron?

      Your Answer: Gama – motor neuron

      Explanation:

      The muscle spindle is supplied by both sensory and motor nerves. Sensory supply is via Type Ia fibers whereas the motor supply is via gamma motor neurons.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      249.3
      Seconds

  • Question 9 - Functions of the glossopharyngeal nerve include the following except: ...

    Incorrect

    • Functions of the glossopharyngeal nerve include the following except:

      Your Answer: Transmission of afferent impulses from the carotid baro- and chemoreceptors to the nucleus tractus solitarius in the medulla

      Correct Answer: Proprioceptive input from muscles of the tongue and larynx

      Explanation:

      The glossopharyngeal nerve is a mixed nerve consisting of both sensory and motor fibers. It has several branches and five distinct general functions:Branchial motor- Special visceral efferent- supplies the Stylopharyngeus muscle and superior constrictor muscle.Visceral motor- general visceral efferent- provides parasympathetic innervation of the parotid gland.Visceral sensory- general visceral afferent- carries visceral sensory information from the carotid sinus and carotid body.General sensory- general somatic afferent- provides general sensory information from the inner surface of the tympanic membrane, upper pharynx and posterior one third of the tongue.Visceral afferent- special visceral afferent- provides taste sensation from the posterior one third of the tongue including the circumvallate papillae.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      739.6
      Seconds

  • Question 10 - The thalamus is a large collection of neuronal groups within the diencephalons which...

    Correct

    • The thalamus is a large collection of neuronal groups within the diencephalons which participates in:

      Your Answer: Sensory, motor and limbic

      Explanation:

      The thalamus has multiple functions. It is the relay station for every sensory system (except olfactory, regulates the sleep-wake cycle and consciousness and also relays motor information.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      190.9
      Seconds

  • Question 11 - The premotor cortex is: ...

    Correct

    • The premotor cortex is:

      Your Answer: Brodmann area 6

      Explanation:

      A Brodmann area in the brain is defined by cytoarchitecture, histology and organization of cells:Primary Sensory 3,1,2Primary Motor 4Premotor 6Primary Visual 17Primary Auditory 41Brocas 44

    • This question is part of the following fields:

      • Medicine
      • Neurology
      53.9
      Seconds

  • Question 12 - In humans, the rate of CSF production per day is: ...

    Correct

    • In humans, the rate of CSF production per day is:

      Your Answer: 450-600 mls

      Explanation:

      CSF is produced around 20-25 ml per hour or 480-600ml per day.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      260.1
      Seconds

  • Question 13 - What landmark divides the frontal and parietal lobes? ...

    Correct

    • What landmark divides the frontal and parietal lobes?

      Your Answer: Central sulcus

      Explanation:

      The central sulcus divides the frontal lobe from the parietal lobe. It contains the motor cells for the movement function of the body.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      37.3
      Seconds

  • Question 14 - Visual pathways - Choose the true statement: ...

    Incorrect

    • Visual pathways - Choose the true statement:

      Your Answer: The parvocellular pathway carries signals for detection of movement

      Correct Answer: The lateral geniculate nucleus, magnocellular & parvocellular pathways project to the primary visual cortex

      Explanation:

      The optic chiasm is made by the decussation of optic fibers on the nasal side. The magnocellular pathway carries signals for detection of movement. The parvocellular pathway carries cells for detection of shape, size, colour and clarity. The lateral geniculate nucleus (LGN) is the relay centre in the thalamus for he visual pathway. It has layers of magnocellular cells and parvocellular cells that are interleaved with layers of koniocellular cells. The LGN is the main central connection for the optic nerve to the occipital lobe, particularly the primary visual cortex.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      18.3
      Seconds

  • Question 15 - Corticospinal tracts are located in the ___ of the white matter. ...

    Correct

    • Corticospinal tracts are located in the ___ of the white matter.

      Your Answer: Anterior and lateral funiculi

      Explanation:

      The corticospinal tract is a descending or a motor tract which projects nerve fibers from the cortex of the cerebrum down to different levels of the spinal cord. The descending corticospinal tract descends from the origin, through the corona radiata, posterior half of the lateral ventricle, and enters the midbrain through the cerebral peduncle. In the medulla they form the medullary pyramids on either side of midline as lateral and anterior fibers.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      145.1
      Seconds

  • Question 16 - The cavernous sinus is? ...

    Incorrect

    • The cavernous sinus is?

      Your Answer: Medial to the body of the sphenoid

      Correct Answer: Lateral to the body of the sphenoid

      Explanation:

      It is a venous sinus which creates a cavity called the lateral sellar compartment bordered by the temporal bone and the sphenoid bone. There are 2 on either side. It is about 1cm wide and extends from the posterior aspect of the orbit to the petrous part of the temporal bone. They sit on either side or lateral to the sphenoid bone.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      120.6
      Seconds

  • Question 17 - The layers of the neocortex from the 1st to the 6th are arranged...

    Incorrect

    • The layers of the neocortex from the 1st to the 6th are arranged as follows:

      Your Answer: External granular, external pyramidal, internal granular, internal pyramidal, molecular, multiform

      Correct Answer: Molecular, external granular, external pyramidal, internal granular, internal pyramidal, multiform

      Explanation:

      The layers of neocortex from outermost to innermost include: the molecular, external granular layer, external pyramidal, internal granular, internal pyramidal and multiform layer.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      174.4
      Seconds

  • Question 18 - The ependyma fuse with which of the following to from the choroid plexus?...

    Incorrect

    • The ependyma fuse with which of the following to from the choroid plexus?

      Your Answer: Tentorium cerebella

      Correct Answer: Tela choroidea

      Explanation:

      The choroid plexus produces the cerebrospinal fluid (CSF) in the ventricles of the brain. It consists of modified ependymal cells. Tela choroidea is a region of pia mater of the meninges and underlying ependyma that’s a part of the choroid plexus. It is a very thin layer of the connective tissue of pia mater that overlies and covers the ependyma.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      185.3
      Seconds

  • Question 19 - Which receptor type is associated with bronchial muscle relaxation? ...

    Incorrect

    • Which receptor type is associated with bronchial muscle relaxation?

      Your Answer: M2

      Correct Answer: β2

      Explanation:

      β2-adrenoceptors are widely distributed in the respiratory tract. When they are activated, an intracellular response induces the activation of cyclic AMP; this, in turn, produces airway relaxation through phosphorylation of muscle regulatory proteins and modification of cellular Ca2+concentrations.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      220.6
      Seconds

  • Question 20 - In the basal ganglia, the Lentiform nucleus is formed by which two nuclei?...

    Incorrect

    • In the basal ganglia, the Lentiform nucleus is formed by which two nuclei?

      Your Answer: Caudate and Globus pallidus

      Correct Answer: Putamen and Globus pallidus

      Explanation:

      The Basal Ganglia are composed of the following structures: Caudate, putamen, Globus pallidus, subthalamic nucleus and substantia nigra.

      The Lentiform nucleus is a biconvex structure located within the basal ganglia of the brain. It is composed of two nuclei:

      1. Putamen: This is the outer part of the Lentiform nucleus and is involved in regulating movements and various types of learning.
      2. Globus pallidus: This is the inner part of the Lentiform nucleus and is divided into two segments: the external segment (GPe) and the internal segment (GPi). It plays a key role in the regulation of voluntary movement.

      These two structures together form the Lentiform nucleus, which is an integral part of the basal ganglia system involved in motor control.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      31.9
      Seconds

  • Question 21 - Which part of the cerebellum is primarily responsible for equilibrium and eye movements?...

    Correct

    • Which part of the cerebellum is primarily responsible for equilibrium and eye movements?

      Your Answer: Vestibulocerebellum

      Explanation:

      The vestibulocerebellum develops at the same time as the vestibular apparatus in the inner ear. Its regulates balance between agonist and antagonist muscle contractions of the spine, hips, and shoulders during rapid movements.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      598.3
      Seconds

  • Question 22 - Which statement is incorrect regarding nociceptor C fibers… ...

    Correct

    • Which statement is incorrect regarding nociceptor C fibers…

      Your Answer: They are thinly myelinated

      Explanation:

      Group C nerve fibers are unmyelinated and have a small diameter, which means they conduct impulses at a low velocity. They carry sensory information and nociception.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      148.3
      Seconds

  • Question 23 - The Afferent neuron that supplies all sensory elements of the muscle spindle is...

    Incorrect

    • The Afferent neuron that supplies all sensory elements of the muscle spindle is what type of sensory neuron?

      Your Answer: Iv

      Correct Answer: Ia

      Explanation:

      Muscle spindle is supplied by both sensory and motor nerves. Sensory supply is Type Ia fibers whereas motor supply is gamma motor neurone.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      161.9
      Seconds

  • Question 24 - Which of the following tracts are involved in the control of vital functions?...

    Incorrect

    • Which of the following tracts are involved in the control of vital functions?

      Your Answer: Tectospinal

      Correct Answer: Reticulospinal

      Explanation:

      Reticulospinal tract pass down from the reticular formation of the mid brain, pons and medulla. It descends in the lateral white column. Both sets of fibers enter the anterior grey column and may facilitate or inhibit the gamma and alpha neurons. By this means the reticulospinal tract controls voluntary and reflex activities. It also contains the descending autonomic fiber, thus providing a pathway for the hypothalamus to control the sympathetic and parasympathetic pathways.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      379.1
      Seconds

  • Question 25 - Increase Gamma motor neuron activity produces what effect on the muscle spindle sensitivity?...

    Incorrect

    • Increase Gamma motor neuron activity produces what effect on the muscle spindle sensitivity?

      Your Answer: No effect

      Correct Answer: Increase

      Explanation:

      The muscle spindle is supplied by both sensory and motor nerves. Sensory supply is Type Ia fibers whereas motor supply is via gamma motor neurons. These neurons also play a role in adjusting the sensitivity of muscle spindles. Increased neuron activity increases the muscle spindle sensitivity.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      94.3
      Seconds

  • Question 26 - The superior orbital fissure is the site of entry/exit for which of the...

    Incorrect

    • The superior orbital fissure is the site of entry/exit for which of the following group of nerves?

      Your Answer: CN II, III, V1, VI

      Correct Answer: CN III, IV, V1, VI

      Explanation:

      The superior and inferior divisions of oculomotor nerve (III), trochlear nerve (IV), lacrimal, frontal and nasociliary branches of ophthalmic V1 and the abducens nerve (VI)

    • This question is part of the following fields:

      • Medicine
      • Neurology
      32.1
      Seconds

  • Question 27 - Concerning the sleep-wake cycle, Melatonin is secreted by which structure in the brain...

    Incorrect

    • Concerning the sleep-wake cycle, Melatonin is secreted by which structure in the brain following which environmental conditions?

      Your Answer: Pineal gland, light

      Correct Answer: Pineal gland, darkness

      Explanation:

      Melatonin is secreted by the pineal gland located in the midline attached to the posterior roof of the third ventricle in the brain. Melatonin affects circadian rhythm in the body or the sleep wake cycle. The precursor to melatonin is serotonin and the rate limiting enzyme that converts serotonin to melatonin is low during the day time and reaches its peak during the night.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      83.1
      Seconds

  • Question 28 - The pontine tegmentum as part of the midbrain, contains which cranial nerve nuclei?...

    Incorrect

    • The pontine tegmentum as part of the midbrain, contains which cranial nerve nuclei?

      Your Answer: CN 1 to 5

      Correct Answer: CN 5 to 8

      Explanation:

      The pontine tegmentum also known as dorsal pons is located within the brain stem. Several cranial nerve nuclei are located in the pontine tegmentum. The nuclei of CN V, CN VI, CN VII and CNVIII are located in the pontine tegmentum.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      118
      Seconds

  • Question 29 - Where are the cell bodies of preganglionic neurons located? ...

    Incorrect

    • Where are the cell bodies of preganglionic neurons located?

      Your Answer: Ventral root

      Correct Answer: Lateral column

      Explanation:

      The cell bodies of the preganglionic neurons are located in the lateral grey column of the spinal cord and in the motor nuclei of the 3rd, 7th, 9th and 10th cranial nerves.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      189.7
      Seconds

  • Question 30 - Regarding CSF: ...

    Incorrect

    • Regarding CSF:

      Your Answer:

      Correct Answer: Disruption of arachnoid villi function results in a communicating hydrocephalus

      Explanation:

      In normal adults CSF volume is around 125ml to 150ml. Turnover of the entire volume of cerebrospinal fluid is about 3 to 4 times a day. Composition of CSF is similar to that of plasma except that CSF is nearly protein-free compared with plasma and has different electrolyte levels. Blockage of the foramina causes an obstructive or non-communicating hydrocephalus. Communicating hydrocephalus or non-obstructive hydrocephalus is caused by impaired CSF reabsorption in the absence of any CSF flow obstruction.

    • This question is part of the following fields:

      • Medicine
      • Neurology
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Medicine (15/29) 52%
Neurology (15/29) 52%
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