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Wittich CNS exam 2
FML
Question | Answer |
---|---|
Parasympathetics to the heart | ambiguus |
Parasympathetics to the ileum | dorsal motor nucleus |
Fibers terminate on the pterygopalatine ganglion | superior salivatory/lacrimal |
Sensory nuclei supplied by the posterior inferior cerebellar artery | nucleus of the spinotrigeminal tract |
Receives afferents from the ipsilateral lateral gaze center | abducens |
Parasympathetic fibers join the glossopharyngeal nerve | inferior salivatory |
Motor to skeletal muscle of the larynx, pharynx, and esohpagus | ambiguus |
Receives chemoreceptor and barroreceptor afferents | solitarius, inferior part |
Receives afferents from pretectal nuclei | Edinger - Westphal |
Receives taste afferents | Solitarius, superior part |
Supplied by the anterior spinal artery | hypoglossal |
Parasympathetics to the stomach | Dorsal motor nucleus |
Receives afferents from the fastigial nucleus | Vestibular |
Motor to skeletal muscles of the larynx | ambiguus |
parasympathetics to the heart | ambiguus |
Receives afferents from the tongue | Solitarius, superior part |
Efferent fibers terminate on the pterygopalatine ganglion | Superior salivatory/lacrimal |
Fibers terminate on the inferior colliculus | Cochlear nuclei, dorsal and ventral |
fibers terminate on the ventral posterior medial nucleus of the thalamus | Solitarius, superior part |
Receives fibers from pretectal nuclei in the pupillary light response | Edinger - Westphal |
Efferent Fibers join the glossopharyngeal nerve | Inferior Salivatory & ambiguus |
Motor to muscles derived from arches III-VI | ambiguus |
Fibers pass posterior to the abducens nucleus | Facial motor |
Located at the same brainstem level as the superior colliculus | Trochlear |
Efferents to bilateral muscles | Solitarius, Superior/rostral part |
Receives chemoreceptor and barroreceptor afferents | Solitarius, caudal/inferior part |
Innervates muscles derived from Arch II | Facial Motor |
Receives cortical afferents ONLY from the contralateral cortex | Facial Motor (Lower half) |
Receives afferents from the contralateral lateral gaze center | abducens |
Fibers of the facial motor nucleus pass posterior to it | Trigeminal motor |
At the same brainstem level as the inferior colliculus | Inferior Salivatory |
Efferent fibers pass between the olive and the pyramid | Abducens |
Innervates muscles derived from Arch I | Edinger - Westphal |
Functional lobes of the cerebellum | |
Especially important in stereotyped movements | Spinocerebellum |
Especially important in fine motor control | Pontocerebellum |
Receives afferents from nucleus dorsalis | Spinocerebellum |
*Function could be affected by a lesion in the internal capsule | Vestibulocerebellum & Spinocerebellum & Pontocerebellum (i think all) |
*Most of its afferents come from the cerebral cortex via reticular nuclei | Spinocerebellum |
Affects the lower motor neurons through the rubrospinal tract | Spinocerebellum & Pontocerebellum |
Receives afferents directly from the maculae | Vestibulocerebellum |
Granules cells of the cortex receive mossy fibers | Vestibulocerebellum & Spinocerebellum |
Deep nuclei receive inhibitory stimuli from the purkinje cells | Vestibulocerebellum & Spinocerebellum & Pontocerebellum |
Associated with the fastigial nucleus | Vestibulocerebellum & Spinocerebellum |
Receives afferents from the lateral cuneate nucleus | Spinocerebellum |
Affects lower motor via the medial longitudinal fasciculus | Spinocerebellum |
*Efferent fibers decussate in the superior cerebellar peduncle | Spinocerebellum & Pontocerebellum |
Associated with the fastigial nucleus | Vestibulocerebellum & Spinocerebellum |
A lesion would likely result in nystagmus and truncal ataxia | Vestibulocerebellum |
Disturbances may result in speech problems | Pontocerebellum |
*Functions may be affected by a lesion in the internal capsule | Vestibulocerebellum & Spinocerebellum & Pontocerebellum (i think all) |
Includes the interposed nuclei (globose & emboliform) | Spinocerebellum |
Roughly equivalent to the archicerebellum | Vestibulocerebellum |
The oldest part of the cerebellum (archicerebellum) | Vestibulocerebellum |
*Most of its afferents come from the cerebral cortex via reticular nuclei | Spinocerebellum |
Receives afferents from the lateral cuneate nucleus | Spinocerebellum |
Affects the lower motor neurons via the lateral vestibulospinal tract | Vestibulocerebellum |
Receives afferents from the nucleus dorsalis | Spinocerebellum |
Purkinje fibers of the cerebellar cortex terminate directly on brainstem nuclei | Vestibulocerebellum |
Receives climbing fibers | Pontocerebellum |
Purkinje fibers inhibit deep nuclei | Vestibulocerebellum & Spinocerebellum & Pontocerebellum |
Associated with the globose/emboliform nuclei (interposed nuclei) | Spinocerebellum |
Affects lower motor neurons through the rubrospinal tract | Spinocerebellum & Pontocerebellum |
*Efferents from the deep nuclei decussate in the superior cerebellar peduncle | Spinocerebellum & Pontocerebellum |
Projects to the Vestibular nuclei | Vestibulocerebellum & Spinocerebellum |
Affects lower motor neurons through the rubrospinal and corticospinal tracts | Spinocerebellum & Pontocerebellum |
lesions would likely result in truncal ataxia and nystagmus | Vestibulocerebellum |
Deep nucleus receives inhibitory afferents from the cerebellar cortex | Vestibulocerebellum & Spinocerebellum & Pontocerebellum |
Afferents relay vast amounts of information from the contralateral cerebral cortex | Pontocerebellum |
Affects the lower motor neurons via the pontine and medullary reticulospinal tracts | Vestibulocerebellum & Spinocerebellum |
break | |
A person has a vascular lesion which interrupts the LEFT temporal loop fibers. Darken the blind VISUAL areas. | Upper right 1/4th on both eyes |
Which 2 layers separate in a detached retina? | Photoreceptive layer and pigment layer |
Which accessory auditory nucleus is required to discern distance and direction | Superior Olivary Nucleus |
In most people, receptive aphasia would result from an occlusion in the __________ artery | middle cerebral |
Deafness in the right ear is most likely caused by a problem located __________ | peripheral right ear |
The left lateral lemniscus is formed from fibers originating on __________ | R/L Dorsal & Ventral Cochlear nuclei |
What nucleus lies adjacent to the anterior limb of the internal capsule | Globus Pallidus & Caudate |
What is the basis of organization in areas 41 & 42 | Tonotopic (organized by frequency) |
What sensory epithelium responds to rotary movements of the head | Crista ampullaris |
Ganglion cell axons terminate on __________ in the pathway for vision | Lateral Geniculate |
Ganglion cell axons terminate on __________ in the pathway for pupillary dilation | Hypothalamus |
Ganglion cell axons terminate on __________ in the pathway for pupillary constriction | Superior Colliculi |
A person has visual blindness on the lateral half of both eyes. Where is the visual pathway most likely interrupted | Optic chiasm |
What is a likely cause of this interruption | Pituitary Tumor |
A person has visual blindness in the entire right eye. What is the most likely location of the problem | Right Optic Nerve |
In general, information from the macula projects to the __________ portion of area 17 | Posterior |
What nucleus/nuclei form/s the paleostriatum | globus pallidus |
Efferents from vestibular nuclei project to...(7) | 1. Nuclei of CN III IV & VI 2. LMN (Medial and Lateral Vestibulospinal tracts) 3. Fastigial nucleus 4. Vestibulocerebellar cortex 5. Spinocerebellar cortex 6. Ventral Posterior Medial nucleus of thalamus 7. Reticular nuclei |
Afferents to vestibular nuclei are...(6) | 1. Vestibular apparatus 2. Extraoccular Nuclei (Medial Longitudinal Fasciculus) 3. Nuclei of CN III, IV, and VI 4. Purkinje fibers from vestibulocerebellar cortex 5. Fastigial nucleus 6. Reticular nuclei |
Vestibulocerebellum affects extraocular nuclei by what descending tract | medial longitudinal fasciculus |
Vestibulocerebellum affects LMN (Lower Motor Neuron) of the lumbosacral spinal cord by what descending tracts | lateral vestibulospinal & reticulospinal |
In general, the purkinje fibers of the cerebellar cortex terminate on __________ upon which they have an __________ influence | deep nuclei; inhibitory |
A person has a vascular lesion which gives signs and symptoms of both BASAL NUCLEAR and PONTOCEREBELLAR dysfunctions. Where is the most likely location of the lesion | Anterior limb of Internal Capsule |
A person complains of dizziness and deafness in the R ear. Where is the problem | R Vestibulocochlear nerve |
Which 2 descending motor tracts terminating only in the cervical cord are important for coordination of head and eye position | Tectospinal & Medial Vestibulospinal |
Occlusion of the right labyrinthine artery may result in what two things | Kinetic ataxia & hearing loss in the right ear |
The fovea centralis has only ______ and is the area of __________ | cones; highest visual acuity |
The ganglion axon from the retina terminates on __________ in the pathway for conscious visual awareness | Lateral Geniculate |
The ganglion axon from the retina terminates on __________ in the pathway for consensual pupillary light response | Superior Colliculi |
The ganglion axon from the retina terminates on __________ in the pathway for pupillary dilation | Hypothalamus |
In most people, receptive aphasia may result from an occlusion in the __________ artery | Middle Cerebral (LEFT most common) |
Deafness in the right ear is most likely caused by a problem located __________ | Right ear, periphery |
In the basic auditory pathway, the right inferior colliculus projects to the __________ | Right Medial Geniculate |
What are three characteristics of disturbances in the vestibular system | Truncal ataxia (lack of voluntary coordination of skel. m.); Nystagmus (uncontrolled eye movements; Nausea |
The neostriatum is composed of __________ | Caudate nucleus and putamen (which are major afferent receiving areas of the basal ganglia) |
In general, the deep (central) nuclei of the cerebellum receive excitatory stimulation from __________ and inhibitory stimulation from __________ | afferents out of cerebellum; purkinje cells |
Which thalamic nucleus receives afferents from vestibular nuclei in the pathway for conscious awareness of head position and head movement | Ventral Posteromedial Nucleus of the Thalamus |
In the basic auditory pathway, the medial geniculate receives information from the __________ and projects to __________ | Inferior Colliculus; areas 41 & 42 |
Weakness of the tongue on the L & Decreased discriminating touch in the R arm result in an occlusion of the __________ artery | L Posterior Inferior Cerebellar |
The lamellae of photoreceptor cells contain | Rhodopsin |
Which visual areas are represented in the posterior portion of the LEFT area 17 | RIGHT Macula lutea |
Ganglion cell axons terminate on __________ in the pathway to Edinger Westphal | Superior Colliculi |
Ganglion cell axons terminate on __________ in the pathway to preganglionic sympathetic nerve cell bodies | Hypothalamus |
Ganglion cell axons terminate on __________ in the pathway to area 17 | Lateral geniculate |
A person who is blind on the right-half of both eyes will have a visual pathway interruption where | LEFT Optic tract |
If a light is shined into the left eye of the person with this lesion, how do the left and right pupils respond | Both left and right pupils will respond normally |
A person with a pituitary tumor will have what visual deficit and where is the lesion | Blind in peripheral half of both eyes; optic chiasm |
Ganglion cells of the retina terminate on the __________ to affect circadian rhythms | Hypothalamus |
Give two reasons why the fovea centralis is the area of highest visual acuity | Only cones with no vessels, no convergence (light travels straight to it) |
A lesion of the LEFT temporal loop fibers will result in blindness where | RIGHT, upper quadrant of both eyes |
A lesion of the RIGHT parietal lobe will result in blindness where | LEFT, lower quadrant of both eyes |
A lesion of the temporal loop fibers or the parietal love is likely due to a lesion of the __________ artery | middle cerebral |
Stimulation of area 7 on one side will cause the eyes to move to the __________ | same side (i.e. stimulate 7 on left and eyes move left) |
Stimulation of area 8 on one side will cause the eyes to move to the __________ | opposite side (i.e. stimulate 8 on left and eyes move right) |
Which reticular nuclei are required for conjugate eye movements | Vestibular (via MLF) |
Choreiform movements/nystagmus suggest a lesion located in the __________ | Medial Longitudinal Fasciculus |
Fibers of the lateral lemniscus terminate on the __________ | Inferior Colliculus |
Receptive aphasia is caused by a lesion likely located in the ________ | Parietal lobe, area 22 specifically/wernicke's area |
Break | |
What motor condition is described as: involuntary movements of the tongue and face induced by antipsychotic drugs | Tardive dyskinesia (involuntary movements of face and jaw) |
What motor condition is described as: Hyperkinetic autosomal dominant genetic disease characterized by widespread destruction of the basal nuclei and cerebrum | Huntington's chorea (disease) |
What motor condition is described as: Due to pathology of substantia nigra | Parkinson's disease |
What motor condition is described as: May be caused by chronic alcoholism | Anterior lobe syndrome |
What motor condition is described as: Results from attack by antibodies formed against the agent causing rheumatic fever | Sydenham's chorea (disease) |
What motor condition is described as: Signs and symptoms include truncal ataxia, nystagmus, and dizziness | Flocculonodular lobe syndrome |
Inability to smile on RIGHT side accompanied by an inability to close the eyes tightly; where is the lesion and where is decrease pain | RIGHT peripheral facial nervel, decreased pain over RIGHT CHEEK |
With a lesion of a peripheral nerve, what other deficits may be present | Decreased salivation & Decreased taste sensation |
Inability to smile on RIGHT side, but able to close eyes normally; where is the lesion and what general sensory deficits would be expected | LEFT Lateral Cerebral Cortex; decreased pain over right cheek |