Chapter 1 Osteo1ogy.............................1 Chapter 2



Download 1.11 Mb.
Page12/21
Date16.05.2018
Size1.11 Mb.
1   ...   8   9   10   11   12   13   14   15   ...   21

104. Dentate nucleus projects fiber to .

A. globus pallidus

B. substantia nigra

C. spinal cord

D. pons

E. dorsal thalamus



105. Which Is correct about the vestibulocerebellum?

A. receives fibers from spinal cord

B. receives fibers from pontocerebellar

C. receives fibers from vestibular nuclei and vestibular nerves

D. receives fibers from midbrain

E. receives fibers from cerebrum

106. Lesion of left cerebellar hemisphere will result in .

A. consciousness proprioceptive sense loss at right side of body

B. consciousness proprioceptive sense loss at left side of body

C. locomotor ataxia at left limbs

D. hard paralysis at left limbs

E. tendon hyperreflexia at left limbs

107. Which is correct about the cerebellum?

A. located at middle cranial fossa

B. flocculonodular lobe belongs to neocerebellum

C. tonsil of cerebellum locates behind cerebellar hemisphere

D. tonsil of cerebellum nears to pons

E. connection with pons by the middle cerebellar peduncle

108. Hypothalamus is a part of the .

A. basal nuclei

B. diencephalon

C. cerebrum

D. cerebellum

E. telencephalon

109. Which fibers are received by the ventral posteromedial nucleus?

A. trigeminal lemniscus

B. medial lemniscus

C. spinal lemniscus

D. optic radiation

E. acoustic radiation

110. Lateral geniculate body is the subcortical center of .

A. audition

B. vision

C. pain and thermal

D. deep sensation

E. visceral sensation

111. Medial geniculate body is the subcortical center of .

A. audition

B. vision

C. algesia and thalposis

D. deep sensation

E. visceral sensation

112. Which of the following combinations is not correct?

A. corpus callosum-diencephalon

B. corpora quadrigemina-midbrain

C. cortex-cerebellum

D. thalamus-diencephalon

E. vermis-cerebellum

113. Which is correct about dorsal thalamus?

A. located lateral to internal capsule

B. the minimum gray matter in diencephalon

C. its function is related to motion conduction

D. all of sensory pathways terminate here

E. receives deep and superficial sensation of the body

114. Which is wrong about lateral geniculate body?

A. belongs to metathalamus

B. receive lateral lemniscus

C. laminate structurelly

D. relay station of vision pathway

E. project to occipital cortex

115. Which is wrong about medial geniculate body?

A. belongs to metathalamus

B. receives lateral lemniscus

C. receives medial lemniscus

D. relay station of acoustic pathway

E. project to transverse temporal gyri

116. Which nucleus does belong to specific relaying nuclei?

A. nucleus dorsomedialis

B. dorsal lateral nucleus

C. pulvinar

D. intralaminar nucleus

E. ventral posterolateral nucleus

117.Which structure is damaged, the symptoms occur at the opposite side?

A.ventral posterolateral nucleus

B.anterior horn of spinal cord

C.posterior spinocerebellar tract

D.fasciculus gracilis

E.spinal tract of trigeminal nerve

118. Which structure does belong to hypothalamus?

A. inferior colliculus

B. tuber cinereum

C. pineal body

D. red nucleus

E. optic nerve

119. Which sensation pathway doesn't relay in diencephalon?

A. audition

B. vision

C. algesia and thalposis

D. deep sensation

E. olfactory

120. Which structure does belong to dorsal thalamus?

A. pulvinar

B. habenular trigone

C. pineal body

D. mammillary body

E. lateral geniculate body

121. Which specific relaying nucleus is related to motion?

A. medial geniculate body

B. lateral geniculate body

C. ventral anterior nucleus

D. ventral posterior nucleus

E. intralaminar nuclei

122. Which structure doesn't belong to epithalamus?

A. pineal body

B. habenular trigone

C. habenular commissure

D. thalamic medullary stria

E. anterior commissure

123. About the lateral sulcus of the cerebral hemisphere, which statement is right?

A. It separates the precentral gyrus and the postcentral gyrus.

B. It separates the temporal lobe and the frontal lobe.

C. The temporal lobe is below the sulcus.

D. The temporal is behind the sulcus.

E. None of above.

124. The angular gyrus situates in .

A. frontal lobe

B. temporal lobe

C. parietal lobe

D. occipital lobe

E. insula lobe

125. The lower part of the precentral gyms is controlled of .

A. the movement of the head the face

B. the movement of the trunk

C. the movement of the lower limb

D. the movement of the upper limb

E. the movement of the body

126. Which is none of the language area?

A. the motor area

B. the motor speech area

C. the writing area

D. auditory speech area

E. visual speech area

127. When the somatic motor area in one side is hurt, can be found.

A. paralysis in the same side of the body

B. paralysis in contralateral side of the body

C. paralysis in the whole body

D. paralysis only in the lower limb

E. none of above

128. The nucleus on the auditory pathway forming a swelling beneath the pulvinar is .

A. medial geniculate body

B. anterior nucleus

C. lateral geniculate body

D. ventral posterior

E. none of above

129. The left ventral lateral nucleus of the thalamus receives input mainly from the .

A. right dentate nucleus

B. left globus pallidus

C. left dentate nucleus

D. right globus pallidus

E. substantia nigra

130. The frontal lobe does not include:

A. the premotor area

B. orbita gyri

C. the uncus

D. the motor area

E. Broca's area

131. The main projection of the general sensory cortex is from the .

A. ventral posterior nucleus of thalamus

B. motor and premotor cortical areas

C. medial thalamic nucleus

D. dorsal tier of thalamic nuclei

E. parietal association cortex

132. The auditory area lies in the .

A. precentral gyrus

B. postcentral gyrus

C. superior frontal gyrus

D. transverse temporal gyrus

E. inferior temporal gyrus

133. The auditory speech area lies in the .

A. transverse temporal gyrus

B. posterior part of superior temporal gyrus

C. anterior part of middle temporal gyrus

D. posterior part of inferior temporal gyrus

E. anterior part of superior temporal gyrus

134. The writing area locates in the .

A. angular gyrus

B. supramarginal gyrus

C. posterior part of the middle frontal gyrus

D. anterior part of the superior frontal gyrus

E. posterior part of the inferior frontal gyrus

135. The gustatory area situates in the .

A. inferior part of the precentral gyrus

B. inferior part of the postcentral gyrus

C. superior parietal lobule

D. middle frontal gyrus

E. inferior frontal gyrus

136. The internal medullary lamina divides the thalamus into gray masses.

A. 'two


B. five

C. three


D. six

E. four


137. The sequential relations of certain hemispherical structures in a medial to lateral direction, are as followings:

A. internal capsule, putamen, globus pallidus, extreme capsule, claustrum, external capsule

B. internal capsule, globus pallidus, putamen, external capsule, claustrum, extreme capsule, insula

C. internal capsule, globus pallidus, putamen, extreme capsule, claustrum, insula

D. internal capsule, globus pallidus, putamen, claustrum, external capsule, extreme capsule

E. internal capsule, globus pallidus, external capsule, putamen, claustrum, external capsule, insula

138. Which of the following combinations of structures include only telencephalic components of the limbic system of the brain?

A. hippocampus, corpus striatum, cingulated gyms, insula

B. cingulated gyms, amygdaloid nucleus, claustrum

C. cingulated gyms, hippocampus, amygdaloid nucleus, dentate gyrus

D. hippocampus, dentate gyms, mammillary body, amygdaloid nucleus

E. cingulated gyrus, anterior thalamic nucleus, claustrum, hippocampus

139. Ablation of the arm region of the first motor area of the left hemisphere, or destruction of this region by natural muses, results in

A. voluntary muscle paralysis of the right arm, without flaccidity of the affected muscle

B. impairment of voluntary movements in both arms, with the more pronounced motor deficit on the right side

C. progressive atrophy of the muscles of the right arm

D. insignificant motor deficits from the start, owing to compensation by intact pyramidal and extrapyramidal neurons

E. permanent spastic paralysis of most of the musculature of the right arm

140. About the telencephalon, which is incorrect?

A. It is the highest level of the central nervous system.

B. It is composed of cerebral hemisphere.

C. There are many gyri on the surface of the telencephalon.

D. There are some nuclei of cranial nerves in it.

E. There are many fibers in it.

141. Which does not pass the posterior limb of the internal capsule?

A. corticospinal tract

B. corticorubral tract

C. frontopontine tract

D. corticopontine tract

E. central thalamic radiation

142. The internal capsule lies among .

A. thalamus, caudate nucleus and lenticular nucleus

B. lenticular nucleus, caudate nucleus and thalamus

C. caudate nucleus, lenticular nucleus and thalamus

D. thalamus, lenticular nucleus and caudate nucleus

E. All of the above are wrong.

143. The following statements concerning the caudate nucleus are correct except:

A. It is C-shaped.

B. It lies laterally to the thalamus.

C. It has a head, a body and and a tail.

D. The body lies in the root of the lateral ventricle.

E. The tail terminates anteriorly in the amygdaloid nucleus.

144. Concerning the first motor area:

A. It controls the contraction of groups of muscles.

B. It is concerned with the performance of specific movements on the opposite side of the body.

C. The movement areas of the body are represented in an inverted form in the precentral gyrus.

D. There is an extensive area representing the movements of the thumb and fingers.

E. All of the above are correct.

145. The insula of the cerebrum is located in which area?

A. medial to the corpus stratum

B. in the longitudinal fissure

C. in the parietal lobe

D. deep to the lateral fissure between the parietal and the temporal lobes

E. between the temporal and occipital lobes

146. Lesions of the posterior part of the parietal lobe of the right hemisphere may result in .

A. paralysis of the left side of the face

B. anesthesia of the left arm

C. receptive aphasia

D. paralysis of the right leg

E. inability to recognize objects in the left visual half-fields

147. The olfactory association cortex includes the .

A. parahippocampal gyrus

B. superior temporal gyrus

C. hypothalamus

D. paracentral gyrus

E. cuneus

148. The corticospinal tracts originate from .

A. piriform cells

B. pyramidal cells

C. horizontal cells

D. stellate cells

E. Golgi type cells

149. The cerebral cortex is an essential component of the pathway included in .

A. pupillary light reflex

B. consensual light reflex

C. corneal reflex

D. Gag reflex

E. accommodation reflex

150. Stimulation of the middle frontal lobe of the cerebral cortex would most likely produce .

A. contraction of the muscles of the contralateral leg

B. visual agnosia

C. auditory hallucination

D. conjugate eye movements

E. fasciculations in the muscles of the ipsilateral hand

151. Which of the following regions of the body has the largest representation in Brodmarm' s area 4?

A. trunk muscles

B. muscles of forearm

C. muscles of mastication

D. muscles of the thumb

E. muscles of the foot

152. Representation of the body parts (somatotopic representation) is found in the .

A. postcentral gyrus

B. angular gyrus

C. primary visual area

D. Wernicke's area

E. hippocampal gyrus

153. The following statements concerning the position of the basal nuclei are correct except:

A. The lentiform nucleus is related medially to the internal capsule.

B. The putamen lies medial to the globus pallidus.

C. The head of the caudate nucleus lies medial to the internal capsule.

D. The head of the caudate nucleus is connected to the putamen.

E. The amygdaloid nucleus is situated in the temporal lobe of the cerebral hemisphere.

154. The following statements concerning the basal nuclei are correct except:

A. The insula forms part of the basal nuclei.

B. The corpus striatum is made up of the caudate nucleus and the lentiform nucleus.

C. The pulvinar of the thalamus is not part of the basal nuclei.

D. The neostriatum is formed by the caudate nucleus and the putamen.

E. The basal nuclei are formed of masses of gray matter buried deep in the white matter of the cerebral hemispheres.

A2

1. The patient had found some things when he waked up in the morning: disappeared left nasolabial groove, the mouth deviates rightward, the frontal wrinkles exist; the tongue deviated leftward when it was extended; the limbs were normal. What structure is injured by the lesion?



A. left facial nucleus

B. left hypoglossal nucleus

C. right corticonuclear tract

D. right corticospinal tract

E. left motor nucleus of trigeminal nerve

2. After stroke a patient has been found suddenly: the right eye is deviated rightward and dilated pupil, the tongue is deviated leftward, mimetic paralysis below the eye on the left side of the face, and the left limbs are rigidity paralysis. The question is what structure isn't included in the injured structures possible?

A. right corticonuclear tract

B. right corticospinal tract

C. right cerebral peduncle

D. right oculomotor nerve

E. right trochlear nerve

3. One body was ill. Clinical examinations showed: the left limbs are anesthesia to passive movement, but the pain and thermal sensibility exist. No additional sighs and symptoms. What structure is involved by the lesion?

A. right gracile and cuneate fasciculi in spinal cord

B. left gracile and cuneate fasciculi in middle segments of spinal cord

C. left medial lemniscus in brainstem

D. right medial lemniscus in brainstem

E. right gracile nucleus

4. A patient had suffered from hemorrhage of brainstem. Physical examinations revealed: right mimetic paralysis, the mouth deviated leftward, frontal wrinkles exist; the tongue deviated rightward when it is extended; difficult to active movement of right limbs, tendon hyperreflexia. Where is damaged most possible?

A. crus cerebri of midbrain

B. ventral part of pons

C. pyramid of medulla oblongata

D. ventral part of medulla oblongata

E. dorsal part of pons

5. Male, 63 years old, suddenly coma two days ago, recovering from coma two days later, but the limbs on the right side are paralysis, the sensory for the whole body is normal. According to the case above, what this patient may be suffering from?

A. Posterior limb of internal capsule on the left side is hurt.

B. Precentral gyrus on the left side is hurt.

C. Posterior limb of internal capsule on the right side is hurt.

D. Pyramidal tract on the on right side is hurt.

E. Corticonuclear tract on the left side is hurt.

6. A 71-year-old man was seen by his physician because of tremor of the left arm. The patient also noticed that the muscles of his limbs sometimes felt stiff. Examination revealed that the patient rarely smiled and spoke with a weak voice. At rest, the fingers of the left hand alternately contracted and relaxed and there was a fine tremor of the wrist and elbow. There was no sensory or motor loss. A diagnosis of Parkinson' s disease was made. The following statements concerning this patient are correct except:

A. The stiffness of the muscles of the limbs, the unsmiling face, and the weak voice are due to loss of influence of the basal nuclei on the motor areas in the brainstem.

B. The absence of sensory and motor losses is due to the fact that the ascending sensory pathways and the main descending motor tracts are unaffected by this disease.

C. Neuronal degeneration is probably present in the substantia nigra and to a lesser extent in the globus pallidus, putamen, and caudate nucleus.

D. The release of dopamine within the corpus striatum is reduced.

E. The dopamine receptors in the postsynaptic neurous in the striatum are unchanged in Parkinson's disease.

7. A 64-yesr-old man was examined by a doctor for a suspected brain tumor, with the patient's eyes closed, a spoon was placed in her right hand and she was asked to recognize the object. After moving the spoon around in her hand, she was unable to recognize it. However, on opening her eyes the patient was embarrassed and immediately recognized what was in her hand. This patient was demonstrating astereognosis. In this condition the following facts could be correct except:

A. This patient has a lesion involving the left parietal lobe.

B. The tumor involves the left superior parietal lobule.

C. This area of the cerebral cortex is known as the somesthetic association area.

D. It is unnecessary for the patient to move the spoon around in her right hand in order to recognize the object.

E. The association area is where the sensations of touch, pressure, and proprioception are integrated.

8. A 71-year-old man was walking along the street when he suddenly collapsed. On admission to the Emergency Department of the local hospital he was found to have paralysis on the right side of his body, mainly involving the right leg. There was also some sensory loss of the right foot and ankle. The sudden onset of herniplegia and hemianesthesia made the diagnosis of a cerebrovascular accident most probable. The following considerations in this patient are correct except:

A. The lesion may involve the left cerebral hemisphere.

B. The right side hemiplegia most probably involves the left precentral gyrus.

C. Since the signs of the paralysis are limited to the right leg and foot, the vascular defect probably involves the upper part of the precentral gyrus and the paracentral lobule.

D. The loss of cutaneous sensation on the right foot and ankle may be due to alesion of the left postcentral gyrus and the paracentral lobule.

E. The right middle cerebral artery or one of its branches may be blocked by a thrombus or an embolus.

9. A 47-year-old man was diagnosed as having a rapidly growing intracranial tumor. One of the clinical findings was paralysis and sensory loss of the right foot and ankle. In this condition which following fact could be correct?

A. The location of the intracranial tumor is near the paracentral lobule on the left side.

B. The location of the intracranial tumor is near the paracentral lobule on the right side.

C. The location of the intracranial tumor is near lower part of the precentral gyrus and postcentral gyrus on the left side.

D. The location of the intracranial tumor is near lower part of the precentral gyrus and postcentral gyrus on the right side.

E. The location of the intracranial tumor is near supramarginal gyrus on the left side.

10. A 15-year-old boy was seen by a neurologist. Examination also revealed writing loss. The sensory and motor for the whole body are normal. An MRI revealed a tumor in brain. This patient may be suffering from:

A. Postcentral gyrus on the right side is hurt.

B. Precentral gyrus on the right side is hurt.

C. Visual area is hurt.

D. Writing area is hurt.

E. Visual speech area is hurt.

11. A 35-year-old man, two days ago he suddenly can not read the news paper, he don't understand what the paper meanings, an examination is given, no visual block revealed, what may be the matter with the patient?

A. Visual area is hurt.

B. Auditory area is hurt.

C. Writing area is hurt.

D. Visual speech area is hurt.

E. Auditory speech area is hurt.

12. A 42-year-old man was involved in a automobile accident resulting in a fracture of skull. 2 clays later he recovered consciousness, the patient was found to have some sensory loss on the left side of the body, the motor for the whole body is normal. In this condition which following fact could be correct?

A. The location of the fracture of skull is near postcentral gyrus on the right side.

B. The location of the fracture of skull is near preeentral gyrus on the right side.

C. The location of the fracture of skull is near inferior frontal gyrus on the right side.

D. The location of the fracture of skull is near superior temtx)ral gyms on the right side.

E. The location of the fracture of skull is near supramarginal gyrus on the right side.

13. A 48-year-old man was examined by a neurologist for his face paralyzed. Examination revealed that his left angle of his mouth was sag, saliva tended to dribble from the left corner of his mouth and had difficulty exposing his teeth fully on the left side. In this condition the following facts could be correct except:

A. Left facial nerve is hurt.

B. Nucleus of facial nerve on the left side is hurt.

C. Genu of internal capsule on the right side is hurt.

D. Genu of internal capsule on the left side is hurt.

E. Precentral gyrus on the right side is hurt.

B1

A. superior salivatory nucleus



B. inferior salivatory nucleus

C. dorsal nucleus of vagus nerve

D. accessory nucleus of oculomotor nerve

E. nucleus ambiguus

1. Which nucleus is related to the secretion of lacrimal gland?

2. Which nucleus is related to the secretion of parotid gland?

3. Which nucleus supplies the thyroid gland?

A. motor nucleus of trigeminal nerve

B. nucleus of abducent nerve

C. solitary nucleus

D. nucleus of cochlear nerve

E. sensory nucleus of trigeminal nerve

4. Which nucleus belongs to the special visceral motor nucleus?

5. Which nucleus belongs to the general visceral sensory nucleus?

6. Which nucleus belongs to the special somatic sensory nucleus?

A. lateral lemniscus

B. medial lemniscus

C. trigeminal lemniscus

D. corticonuclear tract

E. spinothalamic lenmiscus

7. Which tract conducts the deep sensation of trunk and limbs on contralateral side of the body?




Share with your friends:
1   ...   8   9   10   11   12   13   14   15   ...   21


The database is protected by copyright ©dentisty.org 2019
send message

    Main page