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35. The following statements describe a lower motor neuron paralysis, EXCEPT:
a. Babinski sign is not present
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b. Both of these
d. Lateral fissure of Sylvius
50. This thick plate of commissural fibers unite the two cerebral hemispheres:
a. Corpus Callosum
c. Gyrus cinguli
b. Uncus
d. Parahippocampal gyrus
51. Involuntary, but slower, twisting movements causing transient, odd and unnatural posturing, most evident in distal
parts:
a. Tremor
d. Hyperkinesia
b. Chorea
e. Hypoclonus
c. Athetosis
52. The following statements describe Parkinsons Disease, EXCEPT:
a. It affects mostly the elderly
b. Bradykinesia and rigidity are characteristics of the disease
c. It is due to the degeneration of the dopaminergic neurons
d. Its clinical manifestations include tremors
e. It can be completely reversed by giving L-dopa
53. The following statements apply to Percussion and Vibration, EXCEPT: # 20 1998
a. Recommended for patients with impaired cognition or poor coughing ability
b. Recommended for the patient who is intubated and mechanically ventilated
c. Used to enhance mucociliary clearance from both central and peripheral airways
d. The exact mechanism of action of chest percussion is unknown, but there is some evidence that physical
stimulation alters airflow and is associated with the release of pulmonary chemical mediators
e. Alterations in airway diameter and airflow may increase the viscosity of mucus, making percussion more
effective in mobilizing secretions that are adherent to the bronchial walls
54. Taste impulses from the anterior 2/3 of the tongue are transmitted via: #23 1998
a. Trigeminal nerve
d. facial nerve
b. Oculomotor nerve
e. vagus nerve
c. Glossopharyngeal nerve
55. Tumor located at the premotor cortex will give rise to: #25 1998
a. Incoordination of the contralateral side
d. spasticity of the ipsilateral side
b. Paralysis of the contralateral side
e. Paralysis of the ipsilateral side
c. Tremors of the ipsilateral side
56. Innervates the lateral rectus eye muscle: #29 1998
a. Trigeminal nerve
c. Oculomotor nerve
b. Trochlear nerve
d. Abducens nerve
57. In radial nerve paralysis, the following happens, EXCEPT: #38 1998
a. Extension in drop-wrist position is due to tendon action, not active contraction
b. Wrist drop develops
c. Grip strength may be good if the wrist is supported in extension by means of a splint
d. The wrist can be actively extended or stabilized for effective grasp
58. The following statements apply to the ulnar nerve, EXCEPT: #41 1998
a. Innervates the hypothenar, all interossei, two medial lumbricals, the adductor pollicis and part of the flexor
pollicis brevis via its deep palmar branch in the hand
b. Innervates the flexor carpi ulnaris and the flexor digitorum profundus to the 4th and 5th digits in the forearm
c. Carries fibers from the C8 and T1 roots.
d. In early or minimal lesions of the ulnar nerve, there is atrophy of the first dorsal interosseus and sensory loss
distally in the fifth digit
e. Paralysis causes the grip to be fairly weak but finger abduction and adduction will be nearly lost
59. The nerve most likely to be injured in wrist slashing is: #44 1998
a. Median nerve
d. Musculocutaneous nerve
b. Ulnar nerve
e. radial nerve
c. Radio-ulnar nerve
60. The following statements apply to the 11th cranial nerve, EXCEPT: #52 1998
a. Lifting the shoulders up toward the ear then resisting the movement from above tests the trapezius
b.
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This combined motor and sensory nerve innervates the sternocleidomastoid and the upper portion of the
trapezius muscles
c. Testing the function of the 11th nerve also tests for involvement of functions by motor neuron disease and
dystrophy
d. Testing the function of the 11th nerve will detect weakness of either central or peripheral nuclei of origin
e. The nuclei of origin of the various parts of this nerve are not adjacent and differential paresis may occur from
central nuclear lesions
Supplied by the femoral nerve, this neurologic level crosses the anterior portion of the middle of the thigh: #56 1998
a. L2
d. L3
b. L1
e. S1
c. L4
The neurological basis for sexual dysfunction in men with spinal cord injury (SCI) are as follows: EXCEPT: #59 1998
a. The parasympathetic spinal outflow originating from the S-2 to S-4 spinal segments is primarily responsible for
mediating reflexogenic erection
b. The T-10 to S-2 spinal segments contain the reflex are that receives sensory afferents from the genitals
c. The neural output from the hypothalamus to the sexual organs courses in the anterolateral columns to terminate
in the intermediolateral cell columns of T-10 to L-3
d. In men, the sympathetic output is primarily responsible for regulating ejaculation and psychogenic component of
penile erection
e. Supraspinal component of the motor pathways descends with the corticospinal tracts to the S-2 to S-4 segments
of the sacral cord
In root compression syndrome, the following statements are true, EXCEPT: #65 1998
a. Paresthesia are common and are usually experienced distally, in the hand or foot
b. Stretch reflexes whose arcs are largely or entirely incorporated in the involved root will be exaggerated
c. Pain in the segment distribution of a root is the hallmark of these syndrome
d. Weakness and atrophy in the corresponding myotomal distribution result from prolonged or severe root
compression
e. Findings to confirm the syndrome are those which relate spinal movement to the radiating pain
Stimulation of the anterior hypothalamus causes all of the following, EXCEPT: #74 1998
a. Sweating
c. Increased respiration
b. Cutaneous vasodilatation
d. Shivering
This reflex, with a C6 component, primarily indicates the neurologic integrity of C5: #92 1998
a. Triceps reflex
d. Brachioradialis reflex
b. Biceps reflex
e. Symmetric tonic neck reflex
c. Flexor reflex
The following statements describe Parkinsons Disease, EXCEPT: #102 1998
a. Functional limitations in bed mobility, transfers, and gait may becomes severely disabling as the disease
progresses
b. Results from neurotransmitter imbalances associated with degeneration of the substantia nigra
c. Mobility of the neck, torso, and extremities is lost
d. The primary impairments typically are rigidity, bradykinesia, tremor and postural instability
e. Presents stooped, flexed posture, characterized by excessive lumbar kyphosis and loss of thoracic lordosis
The following statements apply to the common peroneal nerve, EXCEPT: #105 1998
a. Subject is able to walk on his toes and Achilles reflex is preserved
b. Interruption of the nerve results in loss of dorsiflexion of ankle and toes and in loss of eversion of the foot
c. There is foot drop with hypotonia and atrophy of muscle but not sensory loss
d. Received fibers from the L4, L5, S2, and S2 roots
e. There is varying sensory loss along the lateral aspect of the dorsum of the foot
To test this nerve, the subject protrudes the tongue and moves it from side to side: #106 1998
a. Hypoglossal nerve
b. Vagus nerve
c. Spinal accessory nerve
d. Glossopharyngeal nerve
Despite the presence of third cranial nerve paralysis, upon examination it was determined that the eyes is able to
rotate inward, indicating that the superior oblique muscle is intact. This indicates: #111 1998
a. All of these
d. Cranial nerve IV is intact
b. Cranial nerve II is only partially denervated
e. Cranial nerve IV is also denervated
c. None of these
70. Functional limitations observed in patients with cerebellar dysfunction may include the following, EXCEPT: #117 1998
a. Hypertonicity
d. Dyssynergia
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b. Gait ataxia
e. postural instability
c. Fatigability and weakness
The following statements apply to lower lumbar root compression, EXCEPT: #127 1998
a. Atrophy of the gastrocnemius may be seen
b. Severe foot drop is unlikely, but toe drop is common with atrophy of the anterior compartment
c. Percussion by fist or hammer over the lower lumbar segments may aggravate pain in the thigh or leg
d. Ankle jerk reflex is commonly diminished or absent in S1 root impingement but may be normal in L5 root
syndromes
e. Test of straight-leg-raising frequently shows marked limitation in range of thigh flexion on the good side
The following statements describe the patellar reflex, EXCEPT: #128 1998
a. While the reflex may be significantly diminished, it is rarely totally absent
b. A deep tendon reflex mediated through nerves emanating from L2, L3 and L4 neurologic levels
c. To test, the subject sits on a chair with one leg crossed over his knee
d. Even if the L4 nerve root is pathologically involved, the reflex may still be present
e. For clinical application, the patellar reflex is to be considered an L4 reflex
In the jaw reflex involving the masseter and temporalis muscles, this cranial nerve mediates the reflex are:
a. Facial
d. Glossopharyngeal
b. Accessory
e. Trigeminal
c. Hypoglossal
The Babinski sign is the single most important sign in neurology. The following statements apply to Babinski sign,
EXCEPT:
a. The normal response is flexion with adduction of the toes
b. When the sign is absent, then the system is diseased
c. When present after age 12-16 months, it indicates dysfunction of the corticospinal motor system
d. About one second is an appropriate time for the stimulus
e. The abnormal response is dorsiflexion of the great toe and fanning of the others with withdrawal at the knee and
hip
The following are characteristics of Myasthenia Gravis, EXCEPT:
a. Involvement is often selective and asymmetric
b. There is weakness and excessive fatigability of muscle
c. Dysfunction arises from imperfect neuromuscular transmission
d. The degree of paresis does not vary during the day
e. Incidence is highest in young women and elderly men
The following are characteristics of fasciculations, EXCEPT:
a. Refers to low-voltage potentials which results from independent contractions of single, denervated muscle
b. Especially prominent in end characteristics of chronic, progressive, motor neuron disease
c. When infrequent and not accompanied by atrophy, are not necessarily evidence of progressive disease
d. A result of almost any disorder of a motor neuron resulting in spontaneous, irregular, recurrent contraction
e. Occasionally occurs in otherwise normal subjects
So that fibers conveying impulse from a visual field accompany one another to the same cortical center, fibers from
each retina cross behind the eyeball in what is known as:
a. Visual Path
c. Macula Lutea
b. Optic chiasm
d. Optic Tract
Following statements are true of the corticospinal or pyramidal tract, EXCEPT:
a. Concerned with skilled movements of the distal muscles of the limb
b. About 1/3 of the axons in the pyramidal tract arise from the primary motor cortex in areas 4 and 6
c. About 90% of the tracts decussate to the opposite side at the lower level of the medulla
d. The fibers arise from the neurons in the ventral part of area 4 on the lateral surface of the hemisphere and from
area 8
The most common inhibitory neurotransmitter in the cerebral cortex is:
a. Dopamine
d. GABA
b. Noradrenaline
e. none of the above
c. Glycine
80. Following spinal cord injury (SCI), myths as to whether men can biologically father children abound. The following
statements are true of male fertility following SCI, EXCEPT:
a.
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High immotile sperm count is caused by lifestyle factors (such as elevated scrotal temperature, or ejaculation
frequency)
b. Immotile sperm count may be due to factors within the seminal plasma
c. Semen can be obtained from almost all men with SCI through the use of vibratory or electrical stimulation
d. Most men with SCI experience impairments in erectile and ejaculatory functions
e. While their ejaculated often have normal sperm counts, more immotile sperm are found than men
A patient with long thoracic nerve injury will have the most difficulty in:
a. Folding blanket
d. washing his face
b. Reaching at shoulder level
e. eating
c. Combing his hair
Sensation to the middle finger is supplied by neurologic level:
a. C8
d. T1
b. C5
e. C6
c. C7
The following statements apply to the radial nerve, EXCEPT:
a. Extension of the distal phalanges, which appears to be absent in wrist drop, will be found to be possible if ulnar
and median nerves are intact
b. Classically paralyzed by ischemia from pressure in the drunken and comatose and also in lead poisoning
c. Abduction and adduction of fingers are not weakened
d. Partly mediates flexion and supination at the elbow through innervations of the bronchioradialis muscle
e. A finger drop may result when a penetrating injury of the dorsal forearm spares branches that mediate
dorsiflexion of the wrist but sever the posterior interosseus branch that mediates extension of the thumb and
fingers
Lesion of the seventh cranial nerve at the stylomastoid foramen results in the following conditions, EXCEPT:
a. Can still close the eye on the side of the paralysis
b. Bells palsy
c. The buccinators is paralyzed, and the cheek puff out during expiration
d. Total paralysis of facial expression muscles on that side
The Radial Nerve innervates the following muscle
a. Extensor Indicis Propius
d. Flexor Digitorum Communis
b. The Medial Lumbricals
e. Abductor Pollicis Brevis
c. Two Radial Lumbricals
Denervation hypersensitivity
a. Is due to an increased in the number of receptors
b. Is due to a decrease in the sensitivity of receptors.
c. Is due to an increase in the amount of neurotransmitters released
d. Results from avulsion of the nerve
e. Is due to an increased sensitivity to neurotransmitter.
Area of skin supplied by one dorsal root.
a. Erector pili
d. Epidermis
b. Dermatome
e. Dermis
c. Myotome
Proximal side to side tremor found on heel thin or finger-nose testing:
a. Cerebellar tremor
c. Myoclonus
b. Parkisonian tremor
d. Senile Tremor
The following statements describe the Median Nerve, EXCEPT:
a. It is formed from the lateral and medial cords of the brachial plexus.
b. It accompanies the axillary and brachial arteries.
c. As it passes the cubital fossa, it gives off a deep branch, the anterior interosseous nerve
d. It gives off branch only until it reaches the elbow region
e. It enters with the long tendons and supplies the three thenar muscles and all lumbricals
The following statement characterize the Radial Nerve, EXCEPT:
a. A little father down the arm, it passes obliquely lateral wards to run behind the humerus in its spiral groove, deep
to the Triceps
b. As it crosses the elbow joint, it supplies the muscles arising from the lateral supracondylar ridge: the
Brachioradialis and Extensor Carpi Radialis Brevis
c. It is the largest nerve of the upper limb
d. Its nerve divides include C5, C6, C7, C8 and T1
e. The nerve divides into a long Superficial Branch and Deep Branch or Posterior Interosseous Nerve.
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Repetitive friction accounts for the absorb thickening of the fibrous sheath and resultant contraction of the
tendons
c. Attributed to excessive friction between two thumb tendons and their common sheath
d. Affects the tendons on the side of the wrist and at the base of the thumb
e. The tendons affected are connected to the muscles on the back of the forearm that contract to pull the thumb
back and away from the hand.
These procedures stretch the spinal cord and reproduce pain. The patient is in supine and asked to forcibly flex his
head onto this chest with his hands behind his head. The result may be pain in cervical spine, and occasionally in the
low back or down the legs indicating meningeal irritation, nerve root involvement or irritation of the dural covering of
the nerve root.
a. Kernig Test
d. Hoover Test
b. Milgram Test
e. Naffziger Test
c. Gaeslans Sign
Deep tendon reflexes are
a. Polysynaptic nerve response
d. Excitatory presynaptic potential
b. Excitatory transmission
e. Bisynaptic reflex pressure
c. Monosynaptic reflex response
A pathway of communication between the two hemispheres to created as these fibers cross the midline from one
hemisphere to the other.
a. Transhemisphere
d. Superior Longitudinal Bundle
b. Projection
e. Association
c. Commissural
Nerve cells at rest are positively charged on the outside and negatively charged on the inside
a. Active Potentials
d. Depolarization
b. Action Potential
e. Resting membrane potential
c. Hyperpolarization
Transaction of the pituitary stalk will produce
a. Increased LH Ant.
d. increased FSH
b. Decreased TSH Ant.
e. increased ACTH
c. Decrease prolactin
The following statements apply to Duchenne (pseudohypertrophic) dystrophy, EXCEPT:
a. Subject is still able to rise from a forward flexed position without using his hands to assist the movement
b. Contractures are common and patients seldom survive into the third decade
c. The enlargement of the muscles is due to fatty infiltration and the muscles are weak.
d. A primary, genetic disorder characterized by early weakness and enlargement of the musculature of the calves,
thighs, hips and shoulders
e. Onset is in the first five years of life and occurs almost exclusively in boys
Following statements are true of upper motor neurons, EXCEPT:
a. Provides final direct link with muscles through myoneural junctions
b. Synapse directly on alpha, beta and gamma motorneuron in the spinal cord and cranial nerve nuclei.
c. Completely contained within the central nervous system
d. Synonymous to corticospinal tract
e. Lesion results in exaggerated deep reflexes and muscle rigidity.
The following statements are true of the Pituitary Gland, EXCEPT:
a. Its rich blood supply is derived from the small branches of the Right and Left Internal Carotid Arteries
b. It is made of the Anterior and Posterior Lobe that function differently
c. It is a pea-size gland hanging by a stalk, the infundibulum, from the floor of the third ventricle of the brain, just
behind the optic chiasm
d. Its shape and appearance resembles a miniature pine cone, projecting backwards from the back of the roof of the
ventricle.
This great parasympathetic nerve supplies the thorax and abdomen.
a. Abducens
d. Vagus
b. Hypoglossal
e. Glossopharyngeal
c. Pelvic Splanchnic
The following statements characterize carpal tunnel syndrome, EXCEPT
a. Pain, numbness and tingling of the hands
b. Advanced cases may include wasting of the hypothenar eminence and an apparent clumsiness of the hand
c. Condition may affect both hands or only the dominant hand
d. Symptoms are most often acute while sleeping
e. Uncomfortable sensations are usually felt on the first three fingers and the base of the thumb
Shortly after the brachial plexus exit the vertebral bodies and pass between the scalenus anticus and medius
muscles, the nerve roots of C5 and C6 join to form
a. The middle trunk
d. the upper trunk
b. The posterior cord
e. the lower trunk
c. The lateral cord
103. Coordination disturbances are usually assessed through the following methods, EXCEPT:
a. finger-to-nose test
d. unilateral tapping tracking tasks
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b. Can result from damage to the afferent pontine of peripheral nerves and the dorsal column of the spinal cord.
c. Can result from damage to several different motor or sensory regions of the central nervous system.
d. Can result in high amplitude tremor that accompanies movement
e. Damage in one cerebellar hemisphere is manifested contralateral to the lesion
Constricts the pupil and is involved in light and accommodating reflexes due to their connections with postganglionic
neurons.
a. Facial Nerve
d. Trochlear nerve
b. Trigeminal Nerve
e. Oculomotor nerve
c. Optic Nerve
Occupies an extensive area n the medial aspect of the hemisphere, this lobe of the lateral surface of the hemisphere
is caudal to an arbitrary line drawn from the parieto-occipital fissures to the pre-occipital notch and
a. Temporal
d. Parietal lobe
b. Frontal lobe
e. Occipital lobe
c. Insular lobe
Chiasmal lesions could result in the following visual defects, EXCEPT:
a. Lesion involving both the optic nerve and the optic chiasm produces ipsilateral blindness and a temporal field
defect in the other eye
b. Transaction of the optic nerve results in ipsilateral monocular blindness
c. Lesion on the right optic tract results in right homonymous hemianopsia
d. Chiasmal lesion produces bitemporal hemianopsia
Lesion on the right optic tract would result to what visual field defect?
a. Right nasal and left temporal hemianopsia
c. Left nasal and temporal hemianopsia
b. Bilateral quadrantinopsia
d. Bilateral blindness
During cranial nerve testing, a light was directed on your patients left eye. You observed that both pupils remained
dilated. To further confirm where the problem was, the right eye was stimulated. You noted that both pupils
constricted. What nerve was possibly injured?
a. Right optic
c. left optic
b. Left oculomotor
d. right oculomotor
The brachial plexus is formed by the
:
a. Anterior rami of C5-T1
c. posterior rami of C5-T1
b. Anterior rami of C6-T1
d. posterior rami of C6-T1
If the lateral cord of the brachial plexus is severed, which muscle is expected to be weak?
a. Pectoralis minor
c. pectoralis major
b. Latissimus dorsi
d. serratus anterior
An isolated lesion on this nerve results in vertical diplopia and tilting of head to align the eyes:
a. Trochlear nerve
c. facial nerve
b. Oculomotor nerve
d. abducens nerve
Center for respiration, blood pressure and heart rate regulation:
a. Midbrain
d. diencephalon
b. Pons and medulla
e. cerebral cortex
c. Hypothalamus
Tic douloreux is involvement of :
a. Trigeminal nerve
c. abducens nerve
b. Facial nerve
e. Oculomotor nerve
Spasticity is produced in this correct sequence:
I. discharge of Ia and II endings
II. uninhibited discharge of gamma motor neurons
III. contraction of the ends of the muscle spindle
IV. contraction of the extrafusal muscle
V. impulses will reach the spinal cord innervating the alpha motor neuron
a. II, I, III, V, IV
d. I, V, II, III, IV
b. III, II, I, V, IV
e. I, II, III, IV, V
c. II, III, I, V, IV
The tapered end of the spinal cord is called as
:
a. Conus medullaris
c. denticulate ligament
b. Cauda equine
d. sacral cord segment
Lenticulostriate artery is a branch of
:
a. Middle meningeal artery
d. middle cerebral artery
b. Anterior cerebral artery
e. vertebrobasilar artery
c. Posterior cerebral artery
Hemiballismus is a movement disorder involving the
:
a. Basal ganglia
d. subthalamic nucleus
b. Posterior limb of internal capsule
e. corpus callosum
c. Pyramidal tract
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147. The following are tests for testing pathology involving either median or ulnar nerves, EXCEPT:
a. Wartenbergs sign
c. Pinch grip test
a. Fibrillation
b. Titanic contraction
c. Convulsion
d. Fasciculation
e. Twitch
163. Differentiation of these vesicles at the costal end of the neural tube initiates brain development.
a. Prosencephalon, mesencephalon & metencephalon
d. Mesencephalon, Rhombencephalon & Metencephalon
b. Telencephalon, Mesencephalon & Rhombencephalon
e. Prosencephalon, Rhombencephalon & Myelencephalon
c. Prosencephalon, Mesencephalon & Rhombencephalon
164. Deep somatic pain is transmitted by
a. C fibers
c. B fibers
b. D fibers
d. A fibers
165. The following statements apply to salutatory conduction except:
a. Conserves energy for the axons
b. Action potential occurs at the nodes of Ranvier
c. While there is an increase in nerve conductions, energy is wasted on the axons
d. The mechanism increases nerve transmission velocity in myelinated fibers as much as 5 to 60 times
166. The PT completed lower extremity ROM activities with an SCI patient. While exercising the patient, the PT notices that
the patients urine is extremely dark and has a distinctive foul smelling odor. Which of the following is the most
appropriate thing to do?
a. Verbally report the observation of the client physician
b. Verbally report the observation to the client nurse
c. Document and verbally report the observation to the client nurse
d. Document and verbally report the observation to the director of the rehabilitation
167. All of the following are tested under perception except:
a. (L) and (R) disorientation
c. Sterognosis and 2 point discrimination
b. Vibration
d. Homonymous Hemianopsia
168. Denervation hypersensitivity
a. Due to increased number of receptor
b. Due to decreased sensitivity of the receptor
c. Due to an increase in the amount of neurotransmitter release
d. Results from avulsion of the nerve
e. Due to increase sensitivity of the neurotransmitter
169. Transection of the pituitary stalk will produce:
a. Increased LH
d. Increased FSH
b. Decreased TSH
e. Increased ACTH
c. Decreased Prolactin