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

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

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

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

<p>Corticospinal tract (C)</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 (D)</p> Signup and view all the answers

Which pathway is responsible for contralateral hemiparesis/paralysis?

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

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

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

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

<p>Dorsal column pathway (D)</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 (B)</p> Signup and view all the answers

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

<p>Lateral corticospinal tract (A)</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 (D)</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 (A)</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 (A)</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 (C)</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 (A)</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 (B)</p> Signup and view all the answers

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