Spinal Cord and Tracts in Brain and Nervous System
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Questions and Answers

Which region of the spinal cord is associated with a lesion if a patient presents with a dermatomal pattern of sensory loss in the sacral dermatome?

  • Cervical
  • Sacral
  • Lumbar (correct)
  • Thoracic
  • What is the major arterial supply of the spinal cord?

  • Vertebral artery
  • Internal iliac artery
  • Superior mesenteric artery
  • Anterior spinal artery (correct)
  • Which structure of the spinal cord is responsible for transmitting sensory information to the brain?

  • Dorsal root (correct)
  • Ventral horn
  • Dorsal horn
  • Ventral root
  • Damage to the corticospinal tract would most likely result in which impairment?

    <p>Impaired fine motor skills</p> Signup and view all the answers

    Which ascending pathway carries information related to discriminative touch and proprioception?

    <p>Dorsal column pathway</p> Signup and view all the answers

    In which descending pathway do motor fibers decussate at the medullary pyramids?

    <p>Corticospinal tract</p> Signup and view all the answers

    Which tracts transmit sensory information from the upper body and lower body, respectively?

    <p>Fasciculus cuneatus and lateral spinothalamic tract</p> Signup and view all the answers

    Which pathway is responsible for contralateral hemiparesis/paralysis?

    <p>Lateral corticospinal tract</p> Signup and view all the answers

    Which neuron is located in the ventral horn of the spinal cord?

    <p>Primary neuron</p> Signup and view all the answers

    Which sensory pathway involves the gracilis and cuneate nuclei as secondary neurons?

    <p>Dorsal column pathway</p> Signup and view all the answers

    Damage to which cranial nerves may result in contralateral lower facial paralysis?

    <p>CN V or CN VII</p> Signup and view all the answers

    Which motor tract originates from the motor cortex in Brodmann area 4?

    <p>Lateral corticospinal tract</p> Signup and view all the answers

    Which of the following best describes the clinical features associated with a herniated lumbar nucleus pulposus affecting the L5-S1 disc?

    <p>Pain over sacroiliac joint, hip, lateral thigh and leg</p> Signup and view all the answers

    In a spinal cord lesion affecting the lumbar region, what motor function may be impacted leading to difficulty walking on heels?

    <p>Dorsiflexion of great toe and foot</p> Signup and view all the answers

    Which of the following regions is innervated by the first sacral nerve root?

    <p>Over sacroiliac joint, hip, posterolateral thigh and leg to heel</p> Signup and view all the answers

    Which of the following is a common clinical feature in herniated lumbar nucleus pulposus that affects the L5 nerve root?

    <p>Plantar flexion of foot and great toe affected; difficulty walking on toes</p> Signup and view all the answers

    Which of the following sensory tracts is responsible for transmitting sensations of fine touch and vibration?

    <p>Posterior tracts</p> Signup and view all the answers

    In a spinal cord lesion affecting the lumbar region, which reflex may be diminished or absent?

    <p>Ankle jerk reflex</p> Signup and view all the answers

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