USAHS CLINICAL NEUROSCIENCE EXAM 2
NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
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What are the three types of MS in order from least severe to
most severe? - ✔✔✔ Correct Answer > Relapsing-remitting,
secondary-progressive, and primary progressive
_________ _________ diseases affect UMNs and LMNs or both
without sensory deficits. Most are degenerative. - ✔✔✔
Correct Answer > Motor neuron
___________ strokes usually have a worse prognosis for
survival or recovery. May involve coma, lesions of CNs, lesions
of descending motor or ascending sensory pathways. - ✔✔✔
Correct Answer > Brainstem
The prognosis of a brainstem stroke depends on what? - ✔✔✔
Correct Answer > Location and size of lesion as well as amount
of collateral blood flow and early medical care
,The four D's with crossed findings? - ✔✔✔ Correct Answer >
Diplopia, dysarthria, dysphagia, and dizziness (ipsilateral)
______________ pathways send information from the brain to
the periphery (motor). - ✔✔✔ Correct Answer > Descending
______________ pathways send sensory information from the
periphery to the brain. - ✔✔✔ Correct Answer > Ascending
What make up the posterior column medial leminiscus? - ✔✔✔
Correct Answer > The fasciculus cuneatus and fasciculus gracilis
The fasciculus gracilis carries sensory information from the
__________ extremities. - ✔✔✔ Correct Answer > Lower
The fasciculus cuneatus carries sensory information from the
___________ extremities. - ✔✔✔ Correct Answer > Upper
The _______________ pathway predominantly provides our
protective sensations and pain. - ✔✔✔ Correct Answer >
Anterolateral
,The dorsal and ventral spinocerebellar tracts send information
from the __________ to the ______________. - ✔✔✔ Correct
Answer > Spine, cerebellum
The posterior column medial leminiscus, anterolateral system
(spinothalamic, spinoreticular, spinomesencephalic), ventral
and rostral cerebellar, dorsal spinocerebellar, and
cuneocerebellar are all ________________ tracts. - ✔✔✔
Correct Answer > Ascending
What makes up the anterolateral system? - ✔✔✔ Correct
Answer > Spinothalamic, spinoreticular, and
spinomesencephalic tracts
The _______ is responsible for sensory (vibration, joint
position, and fine touch). - ✔✔✔ Correct Answer > PCML
Where does the PCML cross over? - ✔✔✔ Correct Answer >
Internal arcuate fibers (lower medulla)
, The anterolateral pathway is responsible for ________,
________________, and _________ ________. - ✔✔✔ Correct
Answer > Pain, temperature, crude touch
Where does the anterolateral pathway cross over? - ✔✔✔
Correct Answer > Anterior commissure in the spinal cord
What is the difference between the spinothalamic, reticular,
and spinomesenteric tracts? - ✔✔✔ Correct Answer >
Spinothalamic: ex. feeling that you stepped on something sharp
Meissner's corpuscle vs Merkel's? - ✔✔✔ Correct Answer >
Meissners: light touch
Merkerls: two point discrimination
Pacinian corpuscles and ruffini endings deal with __________
and ________ ________. - ✔✔✔ Correct Answer > Vibration
and deep touch
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