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 (B)</p> Signup and view all the answers

    Which reflex test is most associated with the S1 segment?

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

    Where does the superior cerebral vein lie?

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

    Which artery gives off the ophthalmic artery?

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

    What does the internal carotid artery primarily supply?

    <p>Both cortexes and other structures (B)</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 (C)</p> Signup and view all the answers

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

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

    Which is the largest branch of the internal carotid artery?

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

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

    <p>Midbrain (B)</p> Signup and view all the answers

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

    <p>Pons (C)</p> Signup and view all the answers

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

    <p>Diencephalon (B)</p> Signup and view all the answers

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

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

    What is true about the lumbar plexus?

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

    Which is the smallest cranial nerve?

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

    Which midbrain cells are involved in general light reflexes?

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

    The medulla oblongata passes through which anatomical feature?

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

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

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

    Which structure does NOT receive supply from the occulomotor nerve?

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

    Which dermatome supplies the index finger?

    <p>C6 (C)</p> Signup and view all the answers

    Where are the motor nuclei of the facial nerve located?

    <p>Pons (B)</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. (C)</p> Signup and view all the answers

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

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

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

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

    What is true regarding the trigeminal nerve?

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

    Which myotome is responsible for shoulder abduction?

    <p>C5, 6 (C)</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 (B)</p> Signup and view all the answers

    Which pathway is not concerned with posture and movement?

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

    Which of the following is transmitted by the posterior column?

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

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

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

    Which ganglion does corneal sensation synapse in?

    <p>Geniculate (C)</p> Signup and view all the answers

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

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

    What is the role of the anterior cerebral artery?

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

    Which nerve supplies the skin of the lower eyelid?

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

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

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

    What is the primary function of the third occipital nerve?

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

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    Flashcards

    What is the blood-brain barrier?

    The blood-brain barrier (BBB) is a highly selective semipermeable membrane that separates the circulating blood from the brain's extracellular fluid in the central nervous system (CNS).

    Which artery is the largest branch of the internal carotid artery?

    The middle cerebral artery is the largest branch of the internal carotid artery. It supplies a large portion of the brain, including the lateral surface of the cerebral hemisphere.

    What part of the brain is NOT included in the brain stem?

    The diencephalon is not part of the brain stem. It is situated above the brain stem and is responsible for regulating several crucial homeostatic functions.

    Where does the abducent nerve emerge?

    The abducens nerve (VI) emerges from the junction between the pons and medulla. It is responsible for controlling the lateral rectus muscle of the eye, which helps with eye movement.

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    What is the smallest cranial nerve?

    The trochlear nerve (IV) is the smallest cranial nerve, responsible for controlling the superior oblique muscle of the eye, which helps with downward and outward eye movement.

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    Which part of the brain is involved in general light reflexes?

    The superior colliculi are located in the midbrain and are specifically involved in general light reflexes. They receive input from the retina and help with visual processing and orienting the eyes towards stimuli.

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    What is the medulla oblongata?

    The medulla oblongata is the lowermost part of the brainstem, connecting to the spinal cord. It passes through the foramen magnum, the opening at the base of the skull.

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    Which eye muscle does NOT receive supply from the occulomotor nerve?

    The lateral rectus muscle is the only eye muscle that is NOT controlled by the oculomotor nerve (III). It is controlled by the abducens nerve (VI) and helps with eye movements to the side.

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    Where are the motor nuclei for the trigeminal nerve located?

    The motor nuclei for the trigeminal nerve (CN V) are located in the pons, specifically posterior to the cerebral aqueduct.

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    Where are the motor nuclei for the facial nerve located?

    The motor nuclei for the facial nerve (CN VII) are located in the pons.

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    What forms the lumbar plexus, and what is the femoral nerve composed of?

    The lumbar plexus is formed by the ventral rami of the L1-L4 spinal nerves. The femoral nerve, which controls hip flexion and knee extension, is formed by L2-L4.

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    What is the innervation of the bladder?

    The parasympathetic innervation of the bladder comes from the pelvic splanchnic nerves. Sympathetic innervation comes from the L1-L2 spinal segments. Sympathetic innervation is excitatory to the bladder, while parasympathetic innervation is inhibitory.

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    What is the anterior spinal artery and where does it get its blood supply?

    The anterior spinal artery is a single artery that supplies the anterior aspect of the spinal cord. It receives blood from vertebral arteries.

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    What is the typical diameter of a motor nerve fiber?

    Motor nerve fibers are typically larger than sensory fibers. This is because they need to conduct signals more quickly over longer distances.

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    What are the dermatomes for the index finger, nipple, and umbilicus?

    The dermatome for the index finger is C7. The nipple is supplied by T4-T6. The umbilicus is supplied by T10.

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    What are the myotomes for the opponens pollicis, shoulder abduction, and elbow extension?

    The opponens pollicis muscle is innervated by the median nerve (C8, T1). Shoulder abduction is mainly controlled by the axillary nerve (C5, C6). Elbow extension is primarily controlled by the radial nerve (C7, C8) and the triceps brachii muscle.

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    Location of the Superior Cerebral Vein

    The superior cerebral vein travels within the arachnoid mater, lying close to the brain's surface.

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    Which nerve controls eye abduction?

    The abducens nerve (VI) controls the lateral rectus muscle, responsible for moving the eye outward (abduction).

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    What is the connection between the internal carotid artery and eye blood supply?

    The circle of Willis is a network of arteries at the base of the brain. The ophthalmic artery, supplying the eye, branches off from the internal carotid artery.

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    Where does the superior sagittal sinus reside in relation to the falx cerebri?

    The falx cerebri is a fold of dura mater that separates the two cerebral hemispheres. The superior sagittal sinus, which collects venous blood from the brain, lies in the margins of the falx.

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    What is NOT part of the brain stem?

    The brain stem consists of the midbrain, pons, and medulla oblongata. Unlike the diencephalon (which controls vital functions), it is NOT part of the brain stem.

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    What is the sensory root of the facial nerve called?

    The sensory root of the facial nerve is responsible for taste sensation from the anterior two-thirds of the tongue. It is part of the facial nerve complex but has separate functions.

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    Which division of the trigeminal nerve contains motor fibers?

    The trigeminal nerve is a mixed nerve with sensory and motor components, responsible for innervation to the face, teeth, and scalp. The mandibular division is the only one that contains motor fibers.

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    What does the cervical sympathetic trunk do?

    The cervical sympathetic trunk is responsible for sympathetic innervation to the head and neck, including vasoconstriction, sweating, and pupil dilation.

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    What is a dermatome?

    A dermatome is a specific area of skin innervated by a single spinal nerve root. Each dermatome is associated with a single spinal nerve.

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    What is a myotome?

    Myotomes are groups of muscles that are innervated by a single spinal nerve root. They help control specific movements.

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    Where is the midbrain located?

    The midbrain, located between the pons and the upper spinal cord, contains crucial nuclei for eye movement and other important functions.

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    How does cerebrospinal fluid communicate with the subarachnoid space?

    The cerebrospinal fluid, a clear fluid that protects and nourishes the brain and spinal cord, circulates through the ventricles and the subarachnoid space. It communicates with the subarachnoid space through the 4th ventricle and subarachnoid granulations.

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    Which pathway is not involved in posture and movement?

    The spinocerebellar pathway is responsible for conveying sensory information from the spinal cord to the cerebellum, playing a crucial role in posture and coordination, while the vestibulospinal pathway is involved in regulating balance and movements.

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    What does the posterior column transmit?

    The posterior column carries information about proprioception, touch, and vibration sensations.

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    What does the infratrochlear nerve supply?

    The infratrochlear nerve supplies sensation to the medial part of the lower eyelid, the bridge of the nose, and the conjunctiva.

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    Which nerve supplies the vertex of the scalp?

    The greater occipital nerve supplies the vertex of the scalp, which is the highest point of the head.

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    Where does corneal sensation synapse?

    Corneal sensation synapses in the ciliary ganglion, which is a collection of nerve cells that relay sensory signals.

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    What is the consequence of damage to Broca's area?

    Damage to Broca's area results in motor aphasia, making it difficult to produce speech.

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    What happens to the eye when the trochlear nerve is paralyzed?

    The trochlear nerve (IV) controls the superior oblique muscle, which allows the eye to look downwards and outwards.

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    What does the middle cerebral artery supply?

    The middle cerebral artery supplies the contralateral arm, leg, and speech areas.

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    What innervates the septum of the nasal cavity?

    The septum of the nasal cavity is innervated by the nasopalatine nerve, which is a branch of the maxillary nerve (V2).

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    What do anterior nerve roots carry?

    Anterior nerve roots carry signals AWAY from the spinal cord, responsible for movement and other motor functions. They are part of the peripheral nervous system.

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    Which muscles are supplied by the posterior rami of spinal nerves?

    The posterior rami of spinal nerves supply muscles in the back, like those involved in posture and movement of the spine.

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    What dermatome supplies the lateral ankle?

    The dermatome for the lateral half of the ankle is S1. This means that the skin in this area is supplied by the S1 spinal nerve.

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    Which myotome is responsible for shoulder abduction?

    The myotome for shoulder abduction is C5. This means that the muscle responsible for raising your arm away from your body is supplied by the C5 spinal nerve.

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    Which myotome is responsible for hip extension?

    The myotome for hip extension is L4/L5, which means the muscles responsible for extending your leg backward are supplied by these spinal nerves.

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    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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