Central Nervous System MCQs - Section 1 & 2
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Questions and Answers

Which statement about anterior nerve roots is accurate?

  • They contain only afferent fibers
  • Anterior roots join with posterior roots at the intervertebral foramen
  • They contain efferent fibers only (correct)
  • All roots contain motor fibers only
  • Which muscle is NOT supplied by the posterior rami of spinal nerves?

  • Scalene posterior (correct)
  • Erector spinae
  • Semispinalis capitis
  • Levator costae
  • The lateral half of the ankle is primarily supplied by which dermatome?

  • L4
  • D1
  • L5
  • S1 (correct)
  • Which myotome is responsible for plantar flexion of the ankle?

    <p>S1/2</p> Signup and view all the answers

    Which reflex test is most associated with the S1 segment?

    <p>Ankle jerk reflex</p> Signup and view all the answers

    Where does the superior cerebral vein lie?

    <p>In the arachnoid mater</p> Signup and view all the answers

    Which of the following statements about the circle of Willis is correct?

    <p>Anterior communicating unites middle and anterior cerebral</p> Signup and view all the answers

    Which artery gives off the ophthalmic artery?

    <p>Internal carotid artery</p> Signup and view all the answers

    What does the internal carotid artery primarily supply?

    <p>Both cortexes and other structures</p> Signup and view all the answers

    Which statement is true regarding the anterior cerebral artery?

    <p>It has significant connections to the anterior communicating artery</p> Signup and view all the answers

    Which part of the brain has a blood-brain barrier?

    <p>Anterior pituitary</p> Signup and view all the answers

    Which is the largest branch of the internal carotid artery?

    <p>Middle cerebral artery</p> Signup and view all the answers

    Where do the cell bodies for the motor supply of the trigeminal nerve lie?

    <p>Midbrain</p> Signup and view all the answers

    Which structure contains the cell bodies for the motor supply of the facial nerve?

    <p>Pons</p> Signup and view all the answers

    The brain stem does NOT include which of the following structures?

    <p>Diencephalon</p> Signup and view all the answers

    Which cranial nerve lies at the junction between the pons and medulla?

    <p>Facial nerve (VII)</p> Signup and view all the answers

    What is true about the lumbar plexus?

    <p>The femoral nerve is formed from L2, 3, 4</p> Signup and view all the answers

    Which is the smallest cranial nerve?

    <p>Trochlear nerve (IV)</p> Signup and view all the answers

    Which statement about bladder innervation is correct?

    <p>Parasympathetic innervation comes from S2-S4 segments of the spinal cord</p> Signup and view all the answers

    Which of the following statements about spinal cord blood supply is accurate?

    <p>The anterior spinal artery arises from the vertebral artery</p> Signup and view all the answers

    Which midbrain cells are involved in general light reflexes?

    <p>Superior colliculus</p> Signup and view all the answers

    The medulla oblongata passes through which anatomical feature?

    <p>Foramen magnum</p> Signup and view all the answers

    What is the typical diameter range of a motor nerve fiber?

    <p>20-50 micrometre</p> Signup and view all the answers

    Which structure does NOT receive supply from the occulomotor nerve?

    <p>Inferior oblique</p> Signup and view all the answers

    Which dermatome supplies the index finger?

    <p>C6</p> Signup and view all the answers

    Where are the motor nuclei of the facial nerve located?

    <p>Pons</p> Signup and view all the answers

    Which statement about the sensory root of the facial nerve is true?

    <p>It supplies the mucous membrane of the posterior third of the tongue.</p> Signup and view all the answers

    Which of the following is not a branch of the trigeminal nerve?

    <p>Great auricular nerve</p> Signup and view all the answers

    Which cranial nerve is responsible for the function of the superior oblique muscle?

    <p>Trochlear nerve</p> Signup and view all the answers

    What is true regarding the trigeminal nerve?

    <p>It exits the skull entirely through the foramen ovale.</p> Signup and view all the answers

    Which of the following best describes a dermatome?

    <p>A continuous area of skin supplied by a single spinal nerve root.</p> Signup and view all the answers

    Which myotome is responsible for shoulder abduction?

    <p>C5, 6</p> Signup and view all the answers

    Which of the following is not a branch of the ophthalmic division of the trigeminal nerve?

    <p>Infraorbital nerve</p> Signup and view all the answers

    Which pathway is not concerned with posture and movement?

    <p>Tractus solitarius</p> Signup and view all the answers

    Which of the following is transmitted by the posterior column?

    <p>Afferent tendon stretch impulses</p> Signup and view all the answers

    Which nerve is responsible for supplying sensation to the vertex of the scalp?

    <p>Greater occipital</p> Signup and view all the answers

    Which ganglion does corneal sensation synapse in?

    <p>Geniculate</p> Signup and view all the answers

    What describes the effect of damage to Broca's area?

    <p>It results in motor aphasia.</p> Signup and view all the answers

    What is the role of the anterior cerebral artery?

    <p>Supplies blood to the contralateral leg</p> Signup and view all the answers

    Which nerve supplies the skin of the lower eyelid?

    <p>Infraorbital nerve</p> Signup and view all the answers

    Which option correctly describes the function of Wernicke's area?

    <p>Involves auditory comprehension</p> Signup and view all the answers

    What is the primary function of the third occipital nerve?

    <p>Innervates the back of the head</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Central Nervous System MCQs - Section 1

    • Blood-brain barrier: The median eminence of the hypothalamus has a blood-brain barrier.
    • Largest branch of internal carotid artery: The middle cerebral artery is the largest branch of the internal carotid artery.
    • Brain stem exclusions: The diencephalon is not part of the brain stem.
    • Pontine/Medullary junction: The abducent nerve (cranial nerve VI) lies in the junction between the pons and medulla.
    • Smallest cranial nerve: The trochlear nerve (cranial nerve IV) is the smallest cranial nerve.
    • Midbrain reflexes: The superior colliculus in the midbrain is involved in general light reflexes.

    Central Nervous System MCQs - Section 2

    • Medulla oblongata functions: The medulla oblongata passes through the foramen magnum, and receives blood supply from the internal carotid artery.
    • Oculomotor nerve exclusions: The lateral rectus muscle is not supplied by the oculomotor nerve.
    • Central cord syndrome: Central cord syndrome includes loss of movement and sensation below the injured segment, and paralysis with loss of touch sensation on one side, and loss of pain and temperature, with spasticity in the limbs.
    • Circle of Willis encirclement: The circle of Willis encircles the pituitary stalk.

    Central Nervous System MCQs - Section 3

    • Trigeminal nerve cell bodies: Cell bodies for the motor supply of the trigeminal nerve are located in the pons area.
    • Facial nerve cell bodies: Cell bodies for the motor supply of the facial nerve in the pons.
    • Lumbar plexus: The lumbar plexus is found medial to the inferior vena cava. The femoral nerve is part of the lumbar plexus.
    • Bladder innervation: Parasympathetic bladder innervation is via the pelvic splanchnic nerves.
    • Spinal cord blood supply: The anterior spinal artery arises from the vertebral artery. Only one posterior spinal artery is found.
    • Motor nerve fibre diameters: The diameter of a motor nerve fibre ranges from 1-50 μm.

    Central Nervous System MCQs - Section 4

    • Myotomal nerve supply: Opponens pollicis is supplied by C8.
    • Sneeze reflex afferent path: The ophthalmic nerve carries the sensory information for the sneeze reflex.
    • Facial nerve nuclei: The facial nerve nuclei are located in the medulla oblongata.
    • Dermatome for great toe: The dermatome supplying the great toe is usually S1.
    • Regarding Cranial Nerve VII (Facial): The facial nerve supplies muscles for facial expression.
    • Thoracic and abdominal cutaneous innervation: Skin above the second rib is supplied by the cervical plexus (C4), the anterior primary rami of thoracic spinal nerves (T1-L1) supply the skin of the thorax and abdomen.

    Central Nervous System MCQs - Section 5

    • Whiplash injury symptoms: A prolapsed 5th cervical disc impinging on C6 root is a potential cause.
    • Wernicke's encephalopathy involvement: Receptive dysphasia is involved.
    • Pancreatitis referred pain: Referred pain from pancreatitis is often felt at the T7/8 level.
    • Corneal sensation ganglion: Corneal sensations synapse in the trigeminal ganglion.
    • Parasympathetic nervous system characteristics: Parasympathetic system fibers originate in brainstem and sacral regions.
    • Spinal cord hemi-section (Brown-Sequard syndrome): The syndrome results in motor paralysis on the same side as the lesion and loss of pain, touch, and temperature sensation in the opposite side. The spinal cord blood supply, at each level, is in danger due to poor anastamoses.

    Central Nervous System MCQs - Section 6

    • Vagus nerve characteristics: The vagus nerve has both motor and sensory fibers. It arises from the medulla, also receiving some fibers from the accessory nerve.
    • Facial nerve sensory root: The sensory root of the facial nerve is the nervus intermedius and emerges from the base of the skull via the internal acoustic meatus.
    • Trigeminal nerve branches: The great auricular nerve is not a branch of the trigeminal nerve.
    • Cranial nerve IV (Trochlear): The trochlear nerve supplies the superior oblique muscle.
    • Trigeminal nerve divisions: The mandibular division of the trigeminal nerve is primarily motor.
    • Cervical sympathetic trunk path: The cervical sympathetic trunk descends from the upper portion of the posterior triangle to the first rib. It lies behind the carotid sheath.

    Central Nervous System MCQs - Section 7

    • Myotome for hip abduction: The S1 myotome supplies hip abduction.
    • Myotome for shoulder abduction: C5-6 myotome provides shoulder abduction.
    • Branches of ophthalmic division (trigeminal): The infraorbital, supraorbital, and supratrochlear nerves are part of the ophthalmic division.
    • Maxillary nerve branch: The zygomaticofacial nerve is a branch of the maxillary nerve.
    • Midbrain structures: The midbrain is located between the pons and upper spinal cord, it contains oculomotor nuclei and trigeminal nuclei.
    • Cerebrospinal fluid flow path: Cerebrospinal fluid communicates with the subarachnoid space via the 4th ventricle.

    Central Nervous System MCQs - Section 8

    • Pathways not involved in posture/movement: The Tractus solitarius is not involved in posture or movement.
    • Posterior column transmission: The posterior column transmits afferent tendon stretch impulses.
    • Nerve supplying the nose bridge: The infraorbital nerve supplies the bridge of the nose.
    • Nerve for vertex scalp: The greater occipital nerve supplies the vertex.
    • Speech center location: Broca's area is typically in the left hemisphere of the brain. Damage to Wernicke's area results in receptive aphasia.
    • Optic pathway (ocular movements): Combined action of superior rectus and inferior oblique muscles causes upward gaze.

    Central Nervous System MCQs - Section 9

    • Cerebral cortex blood supply: The middle cerebral artery supplies contralateral arm, leg, and speech areas.
    • Nasal cavity septum innervation: The nasopalatine nerve from cranial nerve V2 innervates the septum.
    • Fifth cranial nerve (trigeminal) distributions: The trigeminal nerve provides sensory supply to the skin of the tip of the nose (via the external nasal branch), earlobe (via the auriculotemporal nerve), and skin over the occiput.
    • Ear cutaneous innervation: The lesser auricular nerve innervates the ear.
    • Ophthalmic division of trigeminal: The ophthalmic division of the trigeminal nerve enters through the inferior orbital fissure. It supplies sensation to the forehead and upper eyelid.
    • Location of superior cerebral vein: The superior cerebral vein lies between the dura and skull.

    Central Nervous System MCQs - Section 10 & 11

    • Anterior nerve roots components: Anterior nerve roots consist of efferent motor fibers and fibers of the sympathetic nervous system.
    • Posterior rami muscle supply: Levator costae muscles are supplied by posterior rami.
    • Dermatome for lateral ankle half: The lateral half of the ankle is supplied by the S1 dermatome.

    Central Nervous System MCQs - Section 12

    • Ankle jerk testing: The ankle jerk tests the L5 and S1 segments.
    • Anal reflex segment: The anal reflex mainly depends on the S3-S5 segments.

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    Description

    Test your knowledge on the Central Nervous System with these multiple-choice questions covering key concepts such as the blood-brain barrier, cranial nerves, and brain stem functions. This quiz is designed to challenge your understanding of anatomy and physiology, making it perfect for students or professionals in the field.

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