Sensory and Motor Losses in Disease Process
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Questions and Answers

Which type of touch is primarily detected by Meissner corpuscles?

  • Light touch (correct)
  • Position and movement
  • Discriminative touch
  • Vibration

Where do the 1st order neurons synapse in the lower medulla?

  • Nucleus gracilis
  • Nucleus cuneatus (correct)
  • Ventral posterior nucleus of thalamus
  • Dorsal cord

What is the consequence of damage to the dorsal columns?

  • Increased sensation of fine touch
  • Loss of proprioception above the level of lesion (correct)
  • Sensory ataxia
  • Contralateral symptoms

Which receptors are responsible for detecting tactile and vibration stimuli?

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

What is the function of the 2nd order neurons in the sensory pathway?

<p>Ascend contralaterally to the thalamus (B)</p> Signup and view all the answers

What clinical syndrome is caused by a severe deficit in touch and proprioception due to destruction of dorsal root ganglion cells?

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

Damage to the spinothalamic tract would MOST likely result in:

<p>Bilateral loss of pain and temperature sensation (C)</p> Signup and view all the answers

Where do the 2nd order neurons decussate in the sensory pathways?

<p>Anterior white commissure (B)</p> Signup and view all the answers

In Brown-Sequard Syndrome, what is the key sensory loss pattern?

<p>Contralateral loss of touch, vibration, and proprioception (A)</p> Signup and view all the answers

Where do the 3rd order neurons in the sensory pathways travel after leaving the thalamus?

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

What is the consequence of syringomyelia on the sensory pathways?

<p>Bilateral loss of pain and temperature sensation (C)</p> Signup and view all the answers

Which structure is primarily responsible for transmitting pain and temperature sensations from the spinal cord to the brain?

<p>Ventral posterior lateral thalamic nucleus (D)</p> Signup and view all the answers

Where do we find loss of sensations for all somatosensory modalities at the level of the lesion?

<p>On the ipsilateral side (A)</p> Signup and view all the answers

Which sensory modalities are lost on the contralateral side below the level of the lesion?

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

Where are pain and temperature sensations lost starting about one or two segments below the lesion?

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

Which tract is responsible for carrying pain and temperature sensations?

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

Where do we find loss of fine touch and conscious proprioception?

<p>On the ipsilateral side at a level above the lesion (C)</p> Signup and view all the answers

Where should damage be located to result in loss of fine touch and conscious proprioception at T6 on the left hand side?

<p>T6 on the right side (D)</p> Signup and view all the answers

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