Clinical Neuroscience Quiz 3 Review - Weeks 10-12 #2

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Questions and Answers

Which of the following is a primary function of the cerebellum?

  • Coordination of movement and balance (correct)
  • Initiation of voluntary movement
  • Processing of sensory information from the skin
  • Regulation of heart rate and breathing

The cerebellum is attached to the pons via the:

  • Superior cerebellar peduncle
  • Cerebral aqueduct
  • Inferior cerebellar peduncle
  • Middle cerebellar peduncle (correct)

Information from proprioceptors in the limbs reaches the cerebellum primarily via which of the following tracts?

  • Corticospinal tract
  • Spinocerebellar tracts (correct)
  • Spinothalamic tract
  • Dorsal column medial lemniscus system

Which of the following is the sole efferent output neuron of the cerebellar cortex?

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

Planning, initiating, controlling, and correcting voluntary movements are primarily the responsibility of which deep cerebellar nucleus?

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

The vestibulocerebellum (flocculonodular lobe) primarily receives input from:

<p>Vestibular nuclei and CN VIII (B)</p> Signup and view all the answers

Damage to the vestibulocerebellum is most likely to result in which of the following signs?

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

Goal-directed movements of the limbs are primarily coordinated by the:

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

Challenges with rapid alternating movements (dysdiadochokinesia) are most commonly associated with damage to the:

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

The cerebellum contributes to the timing of movements. Lesions in the cerebellum often result in deficits in timing and what other characteristic of movement execution?

<p>Smoothness and coordination (A)</p> Signup and view all the answers

The primary role of the vestibular system is to detect:

<p>Head motion and position (C)</p> Signup and view all the answers

Angular acceleration of the head is detected by the:

<p>Semicircular canals (A)</p> Signup and view all the answers

Linear acceleration and head tilt are primarily detected by the:

<p>Otolith organs (utricle and saccule) (C)</p> Signup and view all the answers

The sensory receptors within the semicircular canals are hair cells located in the:

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

The gelatinous structure that embeds the hair cells within the ampullae is called the:

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

In the push-pull relationship of the vestibular system, a head rotation to the left typically causes:

<p>Increased firing on the left and decreased firing on the right vestibular nerve (C)</p> Signup and view all the answers

The vestibulo-ocular reflex (VOR) ensures that when the head turns to the right, the eyes will:

<p>Turn to the left (D)</p> Signup and view all the answers

Benign Paroxysmal Positional Vertigo (BPPV) is characterized by otoconia becoming displaced into the:

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

The primary auditory cortex is located in which lobe of the brain?

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

The organ responsible for transducing sound waves into neural signals is the:

<p>Organ of Corti (D)</p> Signup and view all the answers

Photoreceptor cells responsible for color vision and high visual acuity are called:

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

Photoreceptor cells that are highly sensitive to light and responsible for vision in low-light conditions are called:

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

The axons of which cells form the optic nerve?

<p>Retinal ganglion cells (D)</p> Signup and view all the answers

At the optic chiasm, fibers from the nasal retina of each eye:

<p>Decussate (cross over) to the contralateral side (B)</p> Signup and view all the answers

The primary visual cortex is located in which lobe of the brain?

<p>Occipital lobe (D)</p> Signup and view all the answers

A lesion of the left optic nerve anterior to the optic chiasm would result in:

<p>Blindness in the left eye (A)</p> Signup and view all the answers

A lesion at the optic chiasm that selectively damages the crossing fibers would result in:

<p>Bitemporal hemianopsia (A)</p> Signup and view all the answers

A lesion of the right optic tract posterior to the optic chiasm would result in:

<p>Left homonymous hemianopsia (C)</p> Signup and view all the answers

The dorsal processing stream of visual information is primarily involved in:

<p>Spatial awareness and motion processing (&quot;Where is it?&quot;) (A)</p> Signup and view all the answers

Unilateral spatial neglect is most commonly associated with damage to the:

<p>Right parietal lobe (C)</p> Signup and view all the answers

The fovea is the region of the retina with the highest visual acuity due to its high concentration of:

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

The "blind spot" in the visual field is due to the absence of photoreceptors at the:

<p>Optic disc (A)</p> Signup and view all the answers

The ciliary muscle controls the shape of the:

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

The iris regulates the amount of light entering the eye by controlling the size of the:

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

In the visual pathway, the first synapse occurs in the:

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

The optic radiations project to the primary visual cortex through which cerebral lobe?

<p>Temporal (inferior fibers) and Parietal (superior fibers) (A)</p> Signup and view all the answers

Difficulty recognizing faces (prosopagnosia) can result from damage to which visual processing stream?

<p>Ventral stream (D)</p> Signup and view all the answers

The primary role of the cornea is to:

<p>Refract (bend) light as it enters the eye (C)</p> Signup and view all the answers

Visual motion sensitivity or motion sickness is thought to be due to a conflict between sensory input from the:

<p>Visual and vestibular systems (A)</p> Signup and view all the answers

A patient presents with loss of vision in the temporal field of the left eye and the nasal field of the right eye. Where is the most likely location of the lesion?

<p>Right optic tract (A)</p> Signup and view all the answers

A patient recovering from a cerebellar stroke exhibits intention tremors, particularly when reaching for objects. This symptom primarily reflects impaired function of which cerebellar region and deep nuclei?

<p>Cerebrocerebellum and dentate nucleus, disrupting the planning and timing of movements. (D)</p> Signup and view all the answers

During a neurological exam, a patient is asked to rapidly alternate between pronation and supination of their hand. The patient performs the movements slowly and clumsily. This finding suggests impairment within which neural structure?

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

A person is spun around in a chair. Which of the following describes the activity of the semicircular canals and the resulting vestibulo-ocular reflex (VOR) that allows them to maintain focus on a fixed point?

<p>The canal ipsilateral to the direction of spin increases firing, while the contralateral canal decreases firing; VOR moves the eyes opposite to the direction of spin. (D)</p> Signup and view all the answers

A patient reports difficulty seeing objects clearly in their peripheral vision, particularly in low light conditions, but they can see fine details when looking directly at an object in bright light. Which of the following best explains this patient's vision problems?

<p>Degeneration of rods in the peripheral retina. (C)</p> Signup and view all the answers

A patient suffers a stroke that damages the optic tract on the left side. Which specific visual field deficit is most likely to result from this lesion?

<p>Right homonymous hemianopia (C)</p> Signup and view all the answers

Flashcards

Cerebellum Function

Coordinates movement, maintains posture, and ensures balance.

Middle Cerebellar Peduncle

Attaches the cerebellum to the pons.

Spinocerebellar Tracts

Carry proprioceptive information from the limbs to the cerebellum.

Purkinje Cell

The sole output neuron of the cerebellar cortex.

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Dentate Nucleus

Responsible for planning, initiating, correcting voluntary movements.

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Vestibulocerebellum Input

Receives input from vestibular nuclei and cranial nerve VIII.

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Vestibulocerebellum damage

Impaired balance and nystagmus (involuntary eye movement).

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Spinocerebellum Function

Coordinates goal-directed movements of the limbs.

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Dysdiadochokinesia Cause

Challenges with rapid alternating movements.

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Cerebellar Lesion Effects

Timing, smoothness, and coordination deficits.

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Vestibular System Role

Detects head motion and position in space.

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Angular Acceleration

Detected by the semicircular canals.

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Linear Acceleration Detection

Detected by the otolith organs (utricle and saccule).

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Semicircular Canals Receptors

Hair cells located in the ampullae.

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Cupula

Gelatinous structure embedding hair cells within the ampullae.

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Left Head Rotation

Increased firing on the left and decreased firing on the right vestibular nerve.

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Vestibulo-Ocular Reflex (VOR)

Turn to the left.

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BPPV Cause

Otoconia becoming displaced into the semicircular canals.

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Primary Auditory Cortex

Located in the temporal lobe.

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Sound Transduction

Organ of Corti

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Cones

Responsible for color vision and high visual acuity.

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Rods

Highly sensitive to light and responsible for vision in low-light conditions.

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Optic Nerve Axons

Retinal ganglion cells

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Optic Chiasm

Decussate (cross over) to the contralateral side

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Primary Visual Cortex Location

Located in the occipital lobe.

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Left Optic Nerve Lesion

Blindness in the left eye

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Optic Chiasm Lesion

Bitemporal hemianopsia

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Right Optic Tract Lesion

Left homonymous hemianopsia

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Dorsal Processing Stream

Spatial awareness and motion processing ("Where is it?").

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Unilateral Spatial Neglect

Right parietal lobe

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Fovea Acuity

Cones

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Blind Spot Cause

Optic disc

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Ciliary Muscle Control

Lens

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Iris Regulation

Pupil

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First Visual Synapse

Retina

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Optic Radiations

Temporal (inferior fibers) and Parietal (superior fibers)

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Prosopagnosia Cause

Ventral stream

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Cornea's Role

Refracts (bends) light as it enters the eye

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Motion Sickness Cause

Visual and vestibular systems

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Temporal left, Nasal right loss

Right optic tract

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Study Notes

Cerebellum Function

  • The primary function is coordination of muscle movements and maintaining posture and balance.
  • Attached to the pons via the middle cerebellar peduncle.
  • Limb proprioceptors transmit information to the cerebellum via the spinocerebellar tracts.
  • Purkinje cell is the sole efferent output neuron of the cerebellar cortex.
  • The dentate nucleus is responsible for planning, initiating, controlling, and correcting voluntary movements.

Vestibulocerebellum

  • Receives input primarily from the vestibular nuclei and CN VIII.
  • Damage can result in impaired balance and nystagmus.

Spinocerebellum

  • Coordinates goal-directed movements of the limbs.

Cerebrocerebellum

  • Damage is commonly associated with challenges in rapid alternating movements (dysdiadochokinesia).

Cerebellar Lesions

  • Often result in deficits in the timing, smoothness, and coordination of movements.

Vestibular System

  • Detects head motion and position.
  • Angular acceleration of the head is detected by the semicircular canals.
  • Linear acceleration and head tilt are primarily detected by the otolith organs (utricle and saccule).
  • The sensory receptors within the semicircular canals are hair cells located in the ampullae.
  • The cupula is the gelatinous structure that embeds the hair cells within the ampullae.
  • In the push-pull relationship, a head rotation to the left typically causes increased firing on the left and decreased firing on the right vestibular nerve.
  • The vestibulo-ocular reflex (VOR) ensures that when the head turns to the right, the eyes turn to the left.
  • Benign Paroxysmal Positional Vertigo (BPPV) is characterized by otoconia becoming displaced into the semicircular canals.
  • The primary auditory cortex is located in the temporal lobe.
  • The organ of Corti transduces sound waves into neural signals.

Visual System - Photoreceptors

  • Cones are responsible for color vision and high visual acuity.
  • Rods are highly sensitive to light and responsible for vision in low-light conditions.

Visual System - Optic Nerve & Chiasm

  • Axons of retinal ganglion cells form the optic nerve.
  • Fibers from the nasal retina of each eye decussate (cross over) to the contralateral side at the optic chiasm.

Visual System - Primary Cortex

  • The primary visual cortex is located in the occipital lobe.
  • A lesion of the left optic nerve anterior to the optic chiasm would result in blindness in the left eye.
  • A lesion at the optic chiasm that selectively damages the crossing fibers would result in bitemporal hemianopsia.
  • A lesion of the right optic tract posterior to the optic chiasm would result in left homonymous hemianopsia.

Visual System - Processing Streams

  • The dorsal processing stream of visual information is primarily involved in spatial awareness and motion processing ("Where is it?").
  • Unilateral spatial neglect is most commonly associated with damage to the right parietal lobe.

Visual System - Retina

  • The fovea is the region of the retina with the highest visual acuity due to its high concentration of cones.
  • The "blind spot" in the visual field is due to the absence of photoreceptors at the optic disc.

Visual System - Eye Anatomy

  • The ciliary muscle controls the shape of the lens.
  • The iris regulates the amount of light entering the eye by controlling the size of the pupil.
  • The first synapse in the visual pathway occurs in the retina.
  • Optic radiations project to the primary visual cortex through the temporal (inferior fibers) and parietal (superior fibers) lobes.
  • Difficulty in recognizing faces (prosopagnosia) can result from damage to the ventral stream.
  • The primary role of the cornea is to refract (bend) light as it enters the eye.
  • Visual motion sensitivity/motion sickness is thought to be due to a conflict between sensory input from the visual and vestibular systems.
  • Loss of vision in the temporal field of the left eye and the nasal field of the right eye indicates a lesion in the right optic tract.

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