71. Scheme of the brainstem with the nuclei of the cranial nerves, lateral and medial lemniscus (Gray-713)

Henry Vandyke Carter [Public domain], via Wikimedia Commons




70. CSF opening pressure measurement

    1. Normal range: 6 – 25 cm H2O. (T/F?)
    2. Bacterial meningitis: elevated. (T/F?)
    3. Viral meningitis: normal or elevated. (T/F?)
    4. Subarachnoidal hemorrhage : normal. (T/F?)
    5. Multiple sclerosis: elevated. (T/F?)
    6. Dehydration: decreased. (T/F?)

  1. T
  2. T
  3. T
  4. F
  5. F
  6. T

69. Neurons and nuclei in the spinal cord

  1. Onuf’s nucleus is located in Rexed’s lamina IX of the sacral region of the spinal cord and supplies the perineal muscles and the anal and urethral sphincters. (T/F?)
  2. The posteromarginal nucleus and the substantia gelatinosa are structures in the spinal cord where first order neurons of the spinothalamic tract synapse. (T/F?)
  3. Onuf’s nucleus is the origin of the  preganglionic parasympathetic fibers. (T/F?)
  4. The intermediolateral nucleus of the spinal cord contains all the preganglionic neurons of the sympathetic autonomic system of the body. (T/F?)
  5. Onuf’s nucleus is sexually dimorphic, males have more motoneurons in them than females. (T/F?)
  6. Neurons of the Clarke’s columns give rise to the spinothalamic tract. (T/F?)

  1. T
  2. F
  3. F
  4. T
  5. T
  6. F

68. Rexed laminae

  1. The posteromarginal nucleus  is located in Rexed’s  lamina I. (T/F?)
  2. Rexed’s laminae II and III contain substantia gelatinosa (T/F?)
  3. Nucleus proprius is located in lamina II. (T/F?)
  4. Motor nuclei are located in lamina IX. (T/F?)
  5. The spinal accessory nucleus of the accessory nerve is located in lamina VIII in cervical segments. (T/F?)
  6. Posterior thoracic nucleus (Clarke’s column) is located in lamina VII in thoracic and lumbal segments. (T/F?)

  1. T
  2. F
  3. F
  4. T
  5. F
  6. T

67. Vertebral artery and its branches

  1. The vertebral artery commonly arises from the subclavian artery. (T/F?)
  2. After it passes through the foramen magnum and perforates dura mater, the vertebral artery travels along the medulla oblongata, posterior to the hypoglossal nerve. (T/F?)
  3. It joins the vertebral artery of the opposite side at the pontomedullary sulcus to form the basilar artery. (T/F?)
  4. The anterior spinal artery if formed from two branches that originate from corresponding vertebral arteries. (T/F?)
  5. The posterior spinal artery usually originates from the anterior inferior cerebellar artery and sometimes directly from the vertebral artery. (T/F?)
  6. The posterior inferior cerebellar artery is the largest branch of the vertebral artery. (T/F?)

  1. T
  2. F
  3. T
  4. T
  5. F
  6. T

66. Astrocytomas and their WHO grades

  1. Pilocytic astrocytoma: WHO grade I. (T/F?)
  2. Subependymal giant cell astrocytoma:  WHO grade I. (T/F?)
  3. Diffuse astrocytoma, IDH mutant: WHO grade II. (T/F?)
  4. Pleomorphic xanthoastrocytoma: WHO grade II. (T/F?)
  5. Anaplastic astrocytoma, IDH mutant: WHO grade III. (T/F?)
  6. Anaplastic pleomorpic xanthoastrocytoma: WHO grade III. (T/F)

  1. T
  2. T
  3. T
  4. T
  5. T
  6. T

63. Pupillary reflexes

  1. The consensual light response is reflexive constriction of both pupils when only one eye is illuminated. (T/F?)
  2. Direct light response is normally slightly more vigorous and more marked than indirect, consensual response. (T/F?)
  3. Afferent limb of light reflex arch consist of small fraction of optic tract axons that synapse on the neurons in the Edinger-Westphal nuclei. (T/F?)
  4. Neurons of the Edinger-Westphal nuclei give postganglonic parasympathetic fibers that travel further in the oculomotor nerve. (T/F?)
  5. The tonic (Adie) pupil is larger than unaffected pupil. (T/F?)
  6. Argyll-Robertson pupils show light-near dissociation. (T/F?)

  1. T
  2. T
  3. F
  4. F
  5. T
  6. T

62. Complete oculomotor nerve palsy will result in:

  1. Ptosis of the ipsilateral eyelid. (T/F?)
  2. Displacement of the affected eye laterally and downwards. (T/F?)
  3. Dilatation of the pupil of the affected eye. (T/F?)
  4. Unresponsiveness to light of the dilated pupil. (T/F?)
  5. Inability to gaze downwards with the affected eye. (T/F?)
  6. Normal ability to gaze laterally with affected eye and normal reaction of affected pupil to accommodation.(T/F?)

  1. T
  2. T
  3. T
  4. T
  5. T
  6. F