Neuroanatomy Quiz: Upper Motor Neurons & More

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Questions and Answers

The upper motor neurons are located in which of the following?

  • pre central gyrus (correct)
  • auditory cortex
  • post central gyrus
  • visual cortex

Regarding the white matter of the cerebral hemisphere, all of the following are examples of association type of fibers except:

  • optic radiation (correct)
  • superior longitudinal fasciculus
  • fronto-occipital fasciculus
  • uncinated fasciculus

Lateral ventricle is the cavity of:

  • Metencephalon
  • Diencephalon
  • Telencephalon (correct)
  • Mesencephalon

Which cerebral lobe is located immediately posterior to central sulcus & superior to lateral sulcus?

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

Which of the following is a branch of internal carotid artery?

<p>Posterior communicating artery (C)</p> Signup and view all the answers

Meckel's cartilage of 1st pharyngeal arch gives rise to all of the following except:

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

Thyroid gland during its development descends in front of the following structures except

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

The nasolacrimal duct is formed along the line of fusion of lateral nasal process & maxillary process by invagination of:

<p>Mesoderm &amp; ectoderm (A)</p> Signup and view all the answers

In skeletal muscles, which of the following is correct?

<p>Troponin is at specific active site (C)</p> Signup and view all the answers

Which type of epithelium lines the bronchi of lungs?

<p>Pseudostratified columnar ciliated (A)</p> Signup and view all the answers

Which of the following co... is responsible for anaphylactic shock?

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

Regarding transverse section of spinal cord which of the following is true:

<p>The anterior horn is more prominent (D)</p> Signup and view all the answers

Pituitary basophils are characteristically PAS-positive because of the following structural characteristics?

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

Section of sympathetic ganglion can be identified by the presence of which of the following

<p>Large pseudo-unipolar neurons (B)</p> Signup and view all the answers

Which bone forms part of the roof of the orbit?

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

Which nerve provides motor innervation to the superior oblique muscle?

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

The ciliary ganglion is located between which two structures?

<p>Lateral rectus and optic nerve (C)</p> Signup and view all the answers

Which of the following is a derivative of the sympathetic root of the ciliary ganglion?

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

What is the primary arterial supply to the orbit?

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

Which bone contributes to both the lateral wall and floor of the orbit?

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

A patient presents with a restriction in upward gaze after a blow to the orbit. Which structure is most likely trapped in a floor fracture?

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

Which clinical condition is characterized by infection of the lacrimal sac?

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

Which of the following statements about lacrimation is FALSE?

<p>The lacrimal sac is located in the lateral orbital wall. (A)</p> Signup and view all the answers

A patient reports diplopia and inability to look laterally in the affected eye. Which nerve is most likely damaged?

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

A 45-year-old patient with chronic sinusitis develops a medial wall orbital fracture. Which sinus is most likely involved?

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

A patient has a dilated pupil unresponsive to light but reacts to accommodation. Dysfunction in which structure is most likely?

<p>Parasympathetic root of the ciliary ganglion (B)</p> Signup and view all the answers

A patient presents with excessive tearing and a swelling at the medial aspect of the lower eyelid. Which condition should be suspected?

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

A lesion in the Edinger-Westphal nucleus affects which function?

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

Which of the following is part of the outer fibrous coat of the eyeball?

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

What is the primary function of the cornea?

<p>Refracting light for focusing (A)</p> Signup and view all the answers

Which muscle is responsible for elevating the upper eyelid?

<p>Levator palpebrae superioris (C)</p> Signup and view all the answers

Which nerve supplies the lateral rectus muscle?

<p>Abducens nerve (CN VI) (D)</p> Signup and view all the answers

The superior oblique muscle is responsible for which primary action?

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

Which artery is the main blood supply to the eyeball and orbit?

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

A lesion affecting the oculomotor nerve (CN III) would result in all of the following EXCEPT:

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

A patient presents with diplopia and difficulty looking downward while reading. Which muscle is likely paralyzed?

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

Which vein drains venous blood from the orbit into the cavernous sinus?

<p>Inferior ophthalmic vein (A)</p> Signup and view all the answers

A patient exhibits drooping of the upper eyelid and difficulty elevating the eye. Which nerve is most likely affected?

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

A child presents with misaligned eyes due to an imbalance in extraocular muscle action. This condition is called:

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

A patient with a cavernous sinus thrombosis may exhibit all of the following EXCEPT:

<p>Vision loss due to optic nerve compression (C)</p> Signup and view all the answers

A 60-year-old patient has double vision and cannot move their left eye laterally. Which cranial nerve is most likely affected?

<p>Abducens nerve (CN VI) (A)</p> Signup and view all the answers

A lesion in the sympathetic fibers supplying the levator palpebrae superioris muscle would result in:

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

Which structure primarily converts light into electrical signals for transmission to the brain?

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

Flashcards

Where are upper motor neurons located?

Upper motor neurons are the nerve cells that originate in the cerebral cortex and control voluntary movement.

What type of fibers are NOT association fibers?

Association fibers connect different areas within the same cerebral hemisphere.

What is the cavity of the Telencephalon?

The lateral ventricle is the largest fluid-filled cavity within the brain, located within the telencephalon.

Which lobe sits behind the central sulcus and above the lateral sulcus?

The parietal lobe is posterior to the central sulcus and superior to the lateral sulcus. It is responsible for sensory processing.

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Which artery is a branch of the internal carotid?

The labyrinthine artery is a branch of the internal carotid artery that supplies blood to the inner ear.

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What does Meckel's cartilage not give rise to?

Meckel's cartilage is a temporary structure that contributes to the development of the mandible, malleus, and incus.

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Which structure does the thyroid gland NOT descent in front of?

The thyroid gland descends in front of the mandible, trachea, and pharyngeal gut during development.

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What forms the nasolacrimal duct?

The nasolacrimal duct forms from the invagination of mesoderm and ectoderm, during the fusion of the lateral nasal process and maxillary process.

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What is found at the active site in skeletal muscle?

Troponin is a protein found in skeletal muscle that binds to calcium and facilitates muscle contraction.

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What type of epithelium lines the bronchi?

The bronchi of lungs are lined with pseudostratified columnar ciliated epithelium. This type of epithelium consists of multiple layers of cells with cilia, which help move mucus and debris out of the airway.

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Which component is responsible for anaphylactic shock?

Eosinophils are white blood cells that play a crucial role in allergic reactions and parasitic infections. They release inflammatory mediators that can contribute to anaphylactic shock.

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What is TRUE about a tranverse section of the spinal cord?

In a transverse section of the spinal cord, there are three distinct horns: the anterior horn, the posterior horn, and the lateral horn.

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Why are pituitary basophils PAS-positive?

Pituitary basophils, a type of cell in the anterior pituitary gland contain granules filled with glycoproteins.

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What is the defining feature of a sympathetic ganglion?

Sympathetic ganglia are characterized by the presence of large pseudo-unipolar neurons, which are responsible for relaying signals from the sympathetic nervous system.

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Which bone forms part of the roof of the orbit?

The frontal bone forms a significant part of the roof of the orbit, protecting the delicate structures of the eye.

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Which nerve supplies the superior oblique muscle?

The trochlear nerve (CN IV) controls the superior oblique muscle, which is responsible for intorsion (rotating the eye inward) and depression of the eye.

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Where is the ciliary ganglion located?

The ciliary ganglion is located between the lateral rectus muscle and the optic nerve. It plays a key role in controlling the pupil's size and lens accommodation.

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Which muscle is a derivative of the sympathetic root of the ciliary ganglion?

The dilator pupillae muscle is responsible for widening the pupil.

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What is the primary arterial supply to the orbit?

The ophthalmic artery is the main arterial branch of the internal carotid artery that supplies blood to the eye, orbit, and surrounding structures.

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Which bone contributes to both the lateral and floor of the orbit?

The zygomatic bone contributes to both the lateral wall and floor of the orbit.

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Which muscle is most likely trapped in an orbital floor fracture?

A blow to the orbit can easily trap the inferior rectus muscle, restricting upward gaze.

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Which condition is caused by an infection of the lacrimal sac?

Dacryocystitis is an infection of the lacrimal sac, often presenting as a painful swelling near the inner corner of the eye.

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Which statement about Lacrimation is FALSE?

The lacrimal sac is located at the inner corner of the eye, NOT the lateral orbital wall.

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Damage to which nerve causes difficulty looking laterally?

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

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Which sinus is most likely involved in a medial wall orbital fracture?

The ethmoidal sinus is located between the eyes and is the most common sinus involved in medial wall orbital fractures.

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What structure is most likely affected by a dilated pupil that doesn't react to light?

A lesion affecting the parasympathetic root of the ciliary ganglion would result in a dilated pupil that reacts to accommodation but not light.

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What condition is suspected with excessive tearing and swelling at the medial aspect of the lower eyelid?

Dacryocystitis is a condition characterized by excessive tearing and swelling in the medial aspect of the lower eyelid.

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What function is affected by a lesion in the Edinger-Westphal nucleus?

The Edinger-Westphal nucleus is responsible for controlling pupil constriction.

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Which structure is part of the outer fibrous coat of the eyeball?

The sclera is the tough, white outer layer of the eyeball that provides structural support.

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What is the primary function of the cornea?

The cornea's primary function is to refract (bend) incoming light, allowing images to focus on the retina.

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Which muscle is responsible for lifting the upper eyelid?

The levator palpebrae superioris muscle is responsible for raising the upper eyelid.

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Which nerve supplies the lateral rectus muscle?

The abducens nerve (CN VI) innervates the lateral rectus muscle, which is responsible for moving the eye outward.

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What is the superior oblique muscle responsible for?

The superior oblique muscle's primary action is intorsion, which is the inward rotation of the eye.

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Which artery is the main blood supply to the eyeball and orbit?

The ophthalmic artery is the main artery supplying the eye and orbital structures.

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What would a lesion affecting the oculomotor nerve NOT result in?

A lesion affecting the oculomotor nerve (CN III) would cause ptosis (drooping eyelid), impaired elevation, and loss of adduction (inward eye movement), but NOT impaired abduction (outward movement).

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Which muscle is likely paralyzed if the patient is having difficulty looking downwards?

A patient with difficulty looking downward while reading likely has a paralyzed superior oblique muscle, as it is responsible for intorsion and depression of the eye.

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Which vein drains venous blood from the orbit into the cavernous sinus?

The inferior ophthalmic vein is the main vein that drains blood from the orbit into the cavernous sinus.

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Which nerve is most likely affected if a patient has drooping eyelids and difficulty elevating the eye?

A patient with drooping of the upper eyelid and difficulty lifting the eye likely has a damaged oculomotor nerve (CN III), which controls the levator palpebrae superioris muscle.

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What is the condition caused by misaligned eyes due to an imbalance in extraocular muscle action?

Strabismus, also known as crossed eyes, is a condition caused by misaligned eyes due to an imbalance in extraocular muscle action.

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What would a patient with a cavernous sinus thrombosis NOT exhibit?

A cavernous sinus thrombosis is a serious condition that can cause ophthalmoplegia (paralysis of eye muscles), loss of sensation in the ophthalmic nerve distribution, and ptosis, but not vision loss due to optic nerve compression.

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Which cranial nerve is most likely affected in a patient with double vision and inability to move the eye laterally?

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

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What would a lesion in sympathetic fibers supplying the levator palpebrae superioris result in?

A lesion in the sympathetic fibers supplying the levator palpebrae superioris muscle would cause partial ptosis (drooping eyelid) because the muscle is only partially innervated by sympathetic fibers.

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Which structure primarily converts light into electrical signals?

The retina is the innermost layer of the eye and is responsible for converting light into electrical signals that are sent to the brain.

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Study Notes

Upper Motor Neurons Location

  • Upper motor neurons are located in the pre-central gyrus.

Cerebral Hemisphere White Matter

  • The uncinated fasciculus, superior longitudinal fasciculus, and fronto-occipital fasciculus are all examples of association fibers in the cerebral hemisphere's white matter.
  • The optic radiation is not an association fiber.

Lateral Ventricle Cavity

  • The lateral ventricle is a cavity of the telencephalon.

Cerebral Lobe Location

  • The parietal lobe is located immediately posterior to the central sulcus and superior to the lateral sulcus.

Branches of Internal Carotid Artery

  • The internal carotid artery's branch is the ophthalmic artery, not the superior cerebellar artery, posterior communicating artery, or inferior cerebellar artery.

Meckel's Cartilage

  • Meckel's cartilage of the first pharyngeal arch does not give rise to the incus.

Thyroid Gland Development

  • The thyroid gland develops in front of the trachea but not the mandible.

Nasolacrimal Duct Formation

  • The nasolacrimal duct forms from the fusion of the lateral nasal process and maxillary process by the invagination of endoderm and ectoderm.

Skeletal Muscles

  • Skeletal muscle characteristics include multiple peripheral nuclei, a troponin active site, but the H-band is within the I band, not in between two bands.

Bronchi Epithelium

  • The bronchi of the lungs are lined with pseudostratified columnar ciliated epithelium.

Anaphylactic Shock

  • Mast cells are responsible for anaphylactic shock.

Spinal Cord Transverse Section

  • The anterior horn in a spinal cord transverse section is more prominent, and the gray matter is centrally located.

Pituitary Basophils

  • Pituitary basophils are PAS-positive due to granules containing glycoproteins.

Sympathetic Ganglion Section

  • Sympathetic ganglia sections are identifiable by well-developed satellite cells.

Orbit Roof Bone

  • The frontal bone forms part of the orbit's roof.

Orbit Motor Innervation Nerve

  • The trochlear nerve (CN IV) provides motor innervation to the superior oblique muscle.

Ciliary Ganglion Location

  • The ciliary ganglion is located between the lateral rectus and optic nerve.

Primary Arterial Supply to Orbit

  • The ophthalmic artery supplies the orbit.

Orbit Bone Contribution

  • The zygomatic bone contributes to both the lateral wall and floor of the orbit.

Floor Fracture Entrapment

  • The inferior rectus muscle is most likely trapped in an orbital floor fracture.

Lacrimal Sac Infection

  • Dacryocystitis is characterized by infection of the lacrimal sac.

Oculomotor Nerve Dysfunction

  • Dysfunction of the oculomotor nerve will cause ptosis (drooping eyelid), impaired eye elevation and adduction. The eye won't have impaired abduction.

Eye Movement Muscle Dysfunction

  • The superior oblique muscle is responsible for intorsion, not depression, elevation, or adduction.
  • A lesion in the superior oblique muscle causes difficulty looking downward.
  • A lesion in the abducens nerve causes difficulty looking laterally.
  • A lesion in the oculomotor nerve causes eyelid drooping (ptosis), and difficulty moving the eye up, down, and inwards.
  • A lesion in the trochlear nerve affects the superior oblique muscle, which enables the eye to look down and in.

Venous Blood Drainage from Orbit

  • Venous blood from the orbit drains to the cavernous sinus via the inferior ophthalmic vein.

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