Y2S2 - 2012
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Questions and Answers

To be defined as a classical neurotransmitter a substance must be:

  • either an amino acid or an amine
  • present in the cytoplasm of neurons
  • synthesised by enzymic processes present in the presynaptic neuron (correct)
  • present at high concentrations in the brain

In meningitis due to Haemophilus influenzae:

  • the route of infection of the organism to the meninges is via both blood and peripheral nerves
  • the infection affects newborns more frequently than infants and toddlers
  • the CSF shows elevated neutrophil counts, decreased glucose levels and an increase in the protein concentration (correct)
  • the CSF cell count and glucose and protein concentrations are within normal levels

Which of the following viruses is transmitted to humans by mosquitoes?

  • Enterovirus 71
  • Herpes simplex virus
  • Poliovirus
  • Japanese encephalitis virus (correct)

Which of the following statements regarding the targeting of neurotransmitter systems by therapeutic agents is CORRECT?

<p>Blockade of 5-hydroxytryptamine (5-HT) re-uptake is the basis for a class of anti-depressant agents (B)</p> Signup and view all the answers

Chlamydia trachomatis is:

<p>An obligate intracellular bacterial pathogen that causes genital, systemic and eye infections (C)</p> Signup and view all the answers

This drug is used intravenously (iv) to control status epilepticus.

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

This drug is used exclusively in the treatment of absence (petit mal) seizures.

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

Which proximally placed structure would have been damaged first if the wall of the tube was accidentally damaged?

<p>Levator palati muscle (A)</p> Signup and view all the answers

Consumption of grapefruit juice may cause important interactions with drugs (e.g., statins, calcium channel blockers). This is due to which of the following?

<p>Downregulation of the liver enzyme CYP3A4 (A)</p> Signup and view all the answers

The basic role of the middle ear bones is:

<p>to amplify sound energy to the cochlea. (B)</p> Signup and view all the answers

With regard to Treponema pallidum infection which of the following statements is CORRECT?

<p>Chancre is a highly infectious lesion found in primary syphilis. (B)</p> Signup and view all the answers

What is the most effective measure to reduce the spread of infections?

<p>Regular hand washing (C)</p> Signup and view all the answers

The perception of touch on a particular body region is PRIMARILY enabled by which of the following cortical regions?

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

A 60‐year‐old alcoholic patient is found unconscious on the road side. On examination he has a GCS of 8; his left pupil is dilated, sluggishly reacting to light. There is motor weakness on the right side of his body. He deteriorates slowly. A CT scan reveals a diffuse hyperdense lesion over the left parietal region. What is the MOST LIKELY cause of his unconsciousness?

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

A 25‐year‐old football player is involved in a head on collision. After a few minutes of unconsciousness he recovers and is sent to the dressing room. He becomes unconscious again after a few hours. His left pupil is dilated and does not react to light and there is weakness of the right side of his body.

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

Ray is a 79‐year‐old man who has been admitted to hospital following a stroke. The stroke has affected his speech and processing of language. Damage to which of the following brain regions is MOST LIKELY to produce Ray’s post-stroke difficulties in both comprehending and expressing language?

<p>Wernicke’s area (C)</p> Signup and view all the answers

Which of the following statements is MOST CORRECT in relation to snoring in the adult population?

<p>Snoring does not increase the risk of obstructive sleep apnoea unless there is also a history of the patient being seen to stop breathing overnight. (C)</p> Signup and view all the answers

In a standard polysomnography study, which of the following best describes the main purpose of the electrooculogram (EOG)?

<p>To detect rapid eye movement (A)</p> Signup and view all the answers

With regard to movements of the neck, which one of the following is CORRECT?

<p>Lateral flexion occurs at multiple levels. (C)</p> Signup and view all the answers

Which of the following pharmacological agents would most likely be associated with an idiosyncratic drug reaction?

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

Which of the following statements is MOST CORRECT in relation to obstructive sleep apnoea (OSA)?

<p>OSA is associated with an increased incidence of cerebrovascular disease. (B)</p> Signup and view all the answers

Which of the following is a side effect of benzodiazepines?

<p>Poor concentration and confusion (A)</p> Signup and view all the answers

In Parkinson’s disease, there is reduced dopaminergic input from the substantia nigra pars compacta to the striatum. This results in:

<p>Hypokinesia, because inhibitory activity of D1 neurons in the direct pathway is reduced, ultimately reducing activity in the cortex (C)</p> Signup and view all the answers

Patients with widespread cerebellar lesions often display:

<p>Diminished ability to generate movements using sensory information (D)</p> Signup and view all the answers

The most likely role for the vagus nerve (CN10) in speech and language function is:

<p>Control of the laryngeal folds during speech (D)</p> Signup and view all the answers

Following damage to axons in the descending lateral corticospinal tract, motor reflexes:

<p>Are initially lost, but return at an exaggerated level due to the loss of descending inhibition (D)</p> Signup and view all the answers

Chlorpromazine is:

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

Haloperidol results in:

<p>Strong extrapyramidal side effects such as bradykinesia (C)</p> Signup and view all the answers

The surface area of the primary motor cortex that is devoted to controlling a myotatic unit is proportional to:

<p>The level of fine control required of the muscles (C)</p> Signup and view all the answers

The fastest conducting sensory axons in humans are principally devoted to which type of sensory information?

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

The cranial nerve, shown in red and indicated by the arrow, is the:

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

Mrs. Doubtfire woke up with stabbing-like pain in parts of her face. She was later diagnosed as suffering from Tic Douloureux. The cranial nerve affected in this patient is?

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

Lesion of the posterior thalamus and optic radiations on the left side of the brain will lead to:

<p>Blindness in the right half of the visual field, irrespective of which eye is open (A)</p> Signup and view all the answers

A lesion of the posterior parietal cortex on the right side of the brain is likely to lead to:

<p>Inability to pay attention to objects and events in some parts of the visual field (C)</p> Signup and view all the answers

A patient has a tumor in the cerebellum. They are most likely to present with which of the following?

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

Which of the following clinical signs would suggest damage to the oculomotor nerve?

<p>Ptosis and pupillary dilation (A)</p> Signup and view all the answers

A lesion to the facial nerve (CN VII) will most likely result in:

<p>Difficulty in eye closure and loss of corneal reflex (A)</p> Signup and view all the answers

Which of the following is involved in the processing of olfactory information?

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

Inability to recognize faces (prosopagnosia) is typically caused by damage to:

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

Which cranial nerve is responsible for accommodation of the lens in the eye?

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

Inflammation of which of the following structures is responsible for Bell’s palsy?

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

Which of the following is an essential component of the basal ganglia?

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

Which of the following neurotransmitters is most closely associated with motor control and Parkinson's disease?

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

Please select the cognitive domain most prominently affected in each of the following scenarios: When handed a piece of paper and a pen and asked to draw a cube, Eric Smalls, aged 79, writes down his name and address.

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

Please select the cognitive domain most prominently affected in each of the following scenarios: Despite your encouragement, Doug Colts, aged 66, cannot put the numbers in the correct positions for a clock face.

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

Transduction of sweet, bitter, and umami flavors is principally mediated by:

<p>G-protein coupled receptors (C)</p> Signup and view all the answers

What process contributes most heavily to the probability of an olfactory receptor neuron reaching threshold membrane potential for action potential firing?

<p>The conformation of the olfactory receptor protein binding pocket (D)</p> Signup and view all the answers

Mr. John Striker is a 78-year-old male who developed progressive paralysis of the left arm and legs. His MRI scan showed a lesion affecting the part of the medulla oblongata that conveys fibers from the primary motor cortex to the spinal cord. Identify the likely site of the lesion.

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

Hashim Idris, a 50-year-old fisherman with diabetes mellitus for the last 20 years, presents with palpitations. His pulse is irregularly irregular. What is the most likely finding of the P wave on Hashim’s ECG?

<p>Absent P waves (A)</p> Signup and view all the answers

Which of the following statements concerning the use of L-dopa for Parkinsonian patients is CORRECT?

<p>It has a short half-life (3-4 hrs) (D)</p> Signup and view all the answers

When examining a patient’s eyes with an ophthalmoscope:

<p>Dilation of the pupils should not be performed on patients with shallow anterior chambers (B)</p> Signup and view all the answers

With regards to Clinical Breast Examination, it has a:

<p>Low sensitivity and high specificity (A)</p> Signup and view all the answers

Papilloedema (swelling around the optic nerve head) is an important clinical sign because it:

<p>Indicates the patient has high intracranial pressure (A)</p> Signup and view all the answers
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