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Questions and Answers

A 58-year-old patient suffered a left middle cerebral artery stroke affecting the primary motor cortex controlling right hand movement. Six months later, MRI studies show increased activity in the supplementary motor area during right hand movement tasks, despite this area not being previously involved in fine motor control of the hand. This phenomenon BEST represents:

  • Neuronal Recovery
  • Neuronal Compensation (correct)
  • Functional Recovery
  • Functional Compensation

A 45-year-old man presented to the ophthalmology clinic with complaints of progressive vision loss over the past six months. He reported difficulty seeing objects on the outer sides of his visual field, often bumping into things while walking. On examination, his visual acuity was normal, but a visual field test revealed a loss of vision in the temporal halves of both eyes. The patient was diagnosed with a pituitary adenoma, a common cause of this type of visual field defect

  • Bitemporal Hemianopsia (correct)
  • Homonymous Hemianopsia
  • Diabetic Retinopathy
  • Glaucoma

A 47-year-old patient presents with diplopia and ptosis of the right eyelid. The pupil is dilated and nonreactive to light. All other eye movements and visual functions. Which cranial nerve is most likely affected?

  • CN II (Optic Nerve)
  • CN III (Oculomotor Nerve) (correct)
  • CN IV(Trochlear Nerve)
  • CN VI (Abducens Nerve)

Visual agnosia, the inability to recognize objects despite intact basic visual abilities, is most commonly associated with damage to:

<p>Ventral Visual Stream (A)</p> Signup and view all the answers

Which type of photoreceptor is most abundant in the peripheral retina and functions in low light conditions?

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

Most retinal ganglion cell axons that form the optic nerve will go on to project to which structure in the diencephalon?

<p>Lateral Geniculate Nucleus (D)</p> Signup and view all the answers

The optic chiasm is where:

<p>Fibers from the nasal retina cross to the opposite side (B)</p> Signup and view all the answers

A 67-year-old patient presents to the emergency room with severe dizziness and spinning when lying flat however only lasts for a few seconds. CT and MRI scan demonstrated no evidence of hemorrhage or structural abnormalities. NIHSS was 0. What is the most likely cause of the dizziness based on the information?

<p>Benign Paraoxysmal Positional Vertigo (A)</p> Signup and view all the answers

A 65-year-old patient presents with hearing loss in the right ear. During examination, the Weber test shows lateralization to the right ear. Which type of hearing loss does this patient most likely have?

<p>Right conductive hearing loss (B)</p> Signup and view all the answers

Which of the following statements is true regarding nystagmus?

<p>Nystagmus is a rhythmic oscillation of the eyes characterized by a slow phase in one direction followed by a fast phase in the opposite direction; it typically beats (fast phase) toward the more neurally active or &quot;good&quot; ear (C)</p> Signup and view all the answers

Which statement about the vestibulo-ocular reflex (VOR) and gaze stability is FALSE

<p>VOR occurs when tracking a moving target that moves with the head (D)</p> Signup and view all the answers

Which of the following is LEAST likely to be a direct function of the vestibular system?

<p>Processing auditory information for sound localization (C)</p> Signup and view all the answers

Which of the following semicircular canals is oriented perpendicular to the others?

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

When the head rotates in the plane of a specific semicircular canal, what happens?

<p>The ipsilateral canal is primarily stimulated (B)</p> Signup and view all the answers

Based on the pictured head CT scan, what impairment is this patient likely to demonstrate?

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

Flashcards

Capital of France (example flashcard)

Paris

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