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Open Source Multiple Choice Questions in Neurology. With answers. Most of them.

Category: Anatomy

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91. Function of the trochlear nerve

  1. The trochlear nerve innervates only one muscle, the superior oblique muscle of the eye. (T/F?)
  2. The superior oblique muscle abducts, depresses and externaly rotates the eye. (T/F?)
  3. An injury to the trochlear nerve causes horizontal diplopia. (T/F?)
  4. An injury to the trochlear nucleus will result in symptoms in the eye on the same side. (T/F?)
  5. An injury to the trochlear nerve, after it exits the mesencephalon, will result in symptoms in the eye on the same side. (T/F?)
  6. An eye affected with the trochlear nerve palsy is positioned upwards relative to the unaffected eye. (T/F?)

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

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90. Transverse section through the sensory decussation (Gray714)

Henry Vandyke Carter [Public domain], via Wikimedia Commons

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Hypoglossal nerve

Anterior median fissure

Anterior corticospinal tract

Sensory decussation

Gracile nucleus

Bases of the posterior gray column

Cuneate nucleus

Posterior median sulcus

Medial lemniscus

Head and base of the anterior gray column

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89. The tarts

The cranial nerves passing through the superior orbital fissure in order from top to bottom:

  1. Lacrimal nerve. (T/F?)
  2. Frontal nerve. /T/F?)
  3. Trochlear nerve. (T/F?)
  4. Superior branch of the oculomotor nerve. (T/F?)
  5. Nasocilliary nerve. (T/F?)
  6. Abducens nerve. (T/F?)
  7. Inferior branch of the oculomotor nerve. (T/F?)

Answers...

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

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88. Entry and exit points of cranial nerves, arteries and veins (II)

  1. Anterior ethmoidal artery:  Foramen cecum. (T/F?)
  2. Ophtalmic artery: Superior orbital fissure. (T/F?)
  3. Ophtalmic nerve: Superior orbital fissure. (T/F?)
  4. Superior ophtalmic vein: Superior orbital fissure. (T/F?)
  5. Maxillary nerve: Foramen rotundum. (T/F?)
  6. Glossopharyngeal nerve: Jugular foramen. (T/F?)

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

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87. Corpus callosum

  1. On the superior surface of the corpus callosum lies a thin layer of grey matter. (T/F?)
  2. Septum pellucidum is situated beneath the splenium of the corpus callosum. (T/F?)
  3. The forceps major connects parts of the frontal lobes and its fibers pass through the genu of the corpus callosum. (T/F?)
  4. The occipital lobes are connected through the splenium of the corpus callosum. (T/F?)
  5. The temporal lobes are connected by the anterior commissure. (T/F?)
  6. The kangaroos don’t have a corpus callosum. (T/F?)

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

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85. Sensory decussation (Gray759)

Henry Vandyke Carter [Public domain], via Wikimedia Commons


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Sensory decussation

Medial lemniscus

Fasciculus cuneatus

Nucleus cuneatus

Fasciculus gracilis

Posterior nerve roots

Nucleus gracilis

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84. Decussations [X]

  1. The lateral corticospinal tracts decussate in the pyramids of the lower medulla. (T/F?)
  2. The posterior spinocerebellar tracts   decussate one to two levels above their entry points in the spinal cord.  (T/F?)
  3. The fibers of the anterior corticospinal tract decussate in the pyramids of the lower medulla. (T/F?)
  4. The lateral spinothalamic tracts decussate in the lower medulla. (T/F?)
  5. The anterior spinocerebellar tracts do not decussate. (T/F?)
  6. The dorsal column tracts decussate in the lower medulla. (T/F?)

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

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83. Spinal nerves and anatomical landmarks

  1. Nipple – T4. (T/F?)
  2. Umbilicus – T10. (T/F?)
  3. Thumb – C5. (T/F?)
  4. Medial malleolus – L4. (T/F?)
  5. Little finger – C7. (T/F?)
  6. Middle finger – C6. (T/F?)

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

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81. One and a half syndrome

  1. The one and a half syndrome is characterized by a conjugate horizontal gaze palsy in one direction and an impairment of the abduction of the eyes in the other. (T/F?)
  2. Horizontal gaze palsy is seen on looking away from the side of the lesion. (T/F?)
  3. The ipsilateral eye has no horizontal movement. (T/F?)
  4. The most common cause of the one-and-a-half syndrome in the young people is Miller-Fisher syndrome. (T/F?)
  5. The most common cause of the one-and-a-half syndrome in older people is multiple sclerosis. (T/F?)
  6. When the lesion that causes a damage to PPRF or abducens nucleus and medial longitudinal fasciculus, also affects the facial nerve, we can talk about an eight-and-a-half syndrome. (T/F?)

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

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80. Corticospinal tract (Gray764)

Henry Vandyke Carter [Public domain], via Wikimedia Commons

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Geniculate fibers

Motor area of cortex

Anterior nerve roots

Lateral corticospinal tract

Internal capsule

Decussation of pyramids

Anterior corticospinal tract

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Abducens nerve Abducens nerve nucleus AICA Anterior cerebral artery Anterior spinocerebellar tract Basal nuclei Brain tumor Caudate nucleus Cerebellum Corticospinal tract Cranial nerves CSF Deep cerebellar nuclei Drugs GABA Glutamate Internal carotid artery Internuclear ophthalmoplegia Lab Levodopa Medial longitudinal fasciculus Middle cerebral artery MS Myasthenia gravis Nerves Neural pathways Neurotransmitters Oculomotor nerve Olfactory nerve Ophtalmoplegia Optic nerve Optic neuritis Parkinson's disease PICA Posterior cerebral artery Posterior spinocerebellar tract Putamen Signs and symptoms Spinal cord Spinal cord trauma Striatum Tremor Trigeminal nerve Trochlear nerve WHO grade

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