Neuroanatomy and Neurology Quiz
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Questions and Answers

Which of the following progressions from primary vesicle to secondary vesicle to adult derivative is correct?

  • mesencephalon to rhomboencephalon to medulla
  • rhomboencephalon to myelencephalon to pons
  • prosencephalon to diencephalon to midbrain
  • prosencephalon to telencephalon to thalami (correct)
  • Which of the following layers of the meninges characteristically has numerous tight junctions between its cells?

  • Meningeal dura
  • Dura + arachnoid
  • Arachnoid mater (correct)
  • Pia mater
  • In a patient with a neurodegenerative disease characterized by CAG repeats, which brain structure is most likely diminished leading to enlarged ventricles?

  • Body of the caudate nucleus (correct)
  • Anterior nucleus of thalamus
  • Hippocampus proper
  • Amygdaloid nucleus
  • What is the typical closure timeframe for the posterior neuropore of the neural tube to prevent spina bifida?

    <p>30 days</p> Signup and view all the answers

    Which cellular component is especially abundant in the choroid plexus to facilitate cerebrospinal fluid production?

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

    Which structure is most likely damaged if a patient presents with ptosis, miosis, and anhidrosis on one side of the face?

    <p>Superior cervical ganglion</p> Signup and view all the answers

    What is the most likely route for the spread of infection that leads to cavernous sinus thrombophlebitis from the anterior tip of the nose?

    <p>Ophthalmic vein</p> Signup and view all the answers

    If a bony overgrowth compresses the third part of the maxillary artery, which artery will also likely have reduced blood flow?

    <p>Sphenopalatine artery</p> Signup and view all the answers

    In the case of facial nerve paralysis, which muscle retains its function?

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

    A young girl presents with mild ptosis and miosis after lymphangioma resection. Which structure is likely affected?

    <p>Thoracic anterior roots</p> Signup and view all the answers

    Study Notes

    Brachial Plexus Lesion

    • Lesions of the brachial plexus are most likely to occur from penetrating wounds.
    • The specific labeled areas on the diagram determine the likely location of the injury.

    Cranial Nerve Exit

    • The cranial nerve that exits the cranium via the opening in the CT scan is the glossopharyngeal nerve.

    Oculomotor Nerve Damage

    • Damage to the superior division of the oculomotor nerve can cause ptosis, miosis, anhidrosis, flushing of the face, and a narrowed palpebral fissure on the affected side.

    Pterygomaxillary Fissure Compression

    • A bony overgrowth narrowing the pterygomaxillary fissure can reduce blood flow to the sphenopalatine artery, which is a branch of the maxillary artery.

    Facial Nerve Paralysis

    • The buccinator muscle will continue to function despite facial nerve paralysis.

    Cavernous Sinus Thrombophlebitis

    • A single acne-like lesion on the anterior tip of the nose can lead to cavernous sinus thrombophlebitis.
    • The ophthalmic vein is the most likely route for the spread of the infection to the cavernous sinus.

    Lesion in the Right Lung

    • A lesion involving the thoracic anterior roots in the right lung may cause ptosis and miosis of the right eye.

    Cervical Region Stab Wound

    • A 22-year-old man's stab wound in the anterior cervical region (C2 vertebral level), superior to the hyoid bone, can damage the hypoglossal nerve, causing dysarthria (difficulty speaking).

    Occipital Eye Field

    • The occipital eye field is a relatively small area.
    • Lesions in this area cause transient deviation of the eyes away from the affected side.
    • Patients with occipital eye field lesions can direct their eyes to a particular location on command.

    Intracranial Dura Innervation

    • The intracranial dura is innervated by cranial nerve V, upper cervical spinal nerves, and cranial nerve X.

    Anterior Choroidal Artery

    • The anterior choroidal artery supplies portions of the amygdala, globus pallidus, and internal capsule, but not the hypothalamus.

    Dentate Nuclei Fibers

    • Efferent fibers from the dentate nuclei influence the activity of motor neurons in the contralateral cerebral cortex.
    • The fibers leave the cerebellum via the middle cerebellar peduncle.

    Supplemental Motor Cortex

    • Some of the neurons of the supplemental motor cortex (MII) project directly to the spinal cord.
    • The body is somatopically represented in the supplemental motor cortex.
    • The neurons in this area show movement-related activity only if the task is performed with the contralateral limbs.
    • The threshold for stimulation is higher than for the primary motor cortex (MI).

    Dorsolateral Spinal Cord Fibers

    • Root fibers of spinal ganglia separate into a medial and a lateral bundle.
    • The central processes of each dorsal root ganglion divide into both ascending and descending branches.
    • The lateral bundle conveys impulses from free nerve endings.
    • The medial bundle consists of thinly myelinated or unmyelinated fibers.
    • The medial bundle conveys impulses from Golgi tendon organs.

    Medulla Transverse Section

    • Accessory cuneate nucleus
    • Dorsal nucleus of X
    • Nucleus ambiguus
    • Nucleus of the solitary tract
    • Superior vestibular nucleus

    Secondary Somatic Sensory Area

    • The secondary somatic sensory area (SII) is located on the superior bank of the lateral sulcus.

    External Urethral Sphincter Innervation

    • The external urethral sphincter is innervated by parasympathetic pelvic nerves.

    Optic Tract Fibers

    • Uncrossed fibers of the optic tract terminate in layers 1, 4, and 6 of the lateral geniculate.

    Cranial Nerve and Regions

    • Various structures, such as cranial nerves, are associated with specific regions of the brain, and injury to these can cause symptom patterns depending on the affected area.

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    Description

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