Neuro Exam 3
What regulates the reproductive system and circadian rhythm?
Hypothalamus
Pituitary gland
Amygdala
Pineal gland
What is an acute heart failure syndrome brought on by intense psychological or physiological issues? It is due to the overload of what?
Cardiomyopathy; overload of sodium
Stress induced MI; overload of plaque
Takotsubo cardiomyopathy; overload of sustained catecholamines
Congestive heart failure; overload of fluid
The amygdala is in the posterior division of the limbic gyrus
True
False
The hypothalamus forms the walls and the floor of the interior portion of what ventricle?
It's not near any of the ventricles
Lateral
4th
3rd
What separates the hypothalamus from the thalamus?
Interthalamic adhesion
Median eminence
Hypothalamic sulcus
Tuber cinereum
The mammillary bodies form the posterior part of the hypothalamus
True
False
What area is for the release of regulatory chemicals from the hypothalamus?
Tuber cinereum
Median eminence
Infundibulum
Mammillary body
The ____ region of the hypothalamus functions to dissipate heat, while the ___ region funcitons to conserve heat.
Poster; Anterior
Anterior; Anterior
Posterior; Posterior
Anterior; Posterior
Blood supply to the hypothalamus is via what?
Posterior choroidal
Circle of Willis
Basilar arteries
Anterior cerebral
Grehlin plays a role in what?
Satiety
Hunger
What is the homeostatic temperature set point?
36 C
36.5 C
37 F
37 C
What area is associated with smells and related memories?
Amygdala
Olfactory bulb
Hypothalamus
Entorhinal Cortex
What are the 2 main general CNS areas for memory?
Frontal temporal lobe & Medial parietal lobe
Medial temporal lobe & Medial diencephalic areas
Superior temporal lobe & Anterior occipital lobe
Posterior frontal lobe & All of temporal lobe
The hypothalamus functions as a ____ center
Realy
Command/control
Synapse
Olfaction
What temporal lobe structure of the hippocampus contains connections to the entorhinal cortex?
Subiculum
Hippocampus proper
Dentate gyrus
Genu
What temporal lobe structure of the hippocampus lies close to the amygdala?
Subiculum
Dentate gyrus
Hippocampus proper
Fornix
What temporal lobe structure of the hippocampus is a transition zone between the dentate gyrus and the hippocampus proper?
Amygdala
Fornix
Thalamus
Subiculum
Which cortical memory structure is an area of cortex curved around the hippocampus?
Cingulate gyrus
Parahippocampal gyrus
Septal nuclei
Fornix
Which cortical memory structure drives the body to avoid unpleasant experiences to avoid negative consequences?
Fornix
Parahippocampal gyrus
Cingulate gyrus
Amygdala
What type of memory is associated with non-conscious learning of skills, habits, or acquired behaviors?
Retrograde
Declarative (explicit)
Antegrade
Non-Declarative (Implicit)
The amygdala is a structure in which lobe?
Temporal
Parietal
Occipital
Frontal
In Alzheimer's diease, where are the amyloid proteins deposited?
Inside of neuronal cell
What are amyloid proteins?
Outside of neuronal cell
Inside AND outside of neuronal cell
Kluver-Bucy syndrome is associated with lesions where?
Frontal lobe
Temporal lobe
Bilateral temporal lobes
Pariteal lobe
Wernicke-Korsakoff is caused by severe and sustained deficiency of what?
Protein
Vitamine B12
Carbs
Thiamine
Ketamine diminishes overal ____ transmission
Dopamine
GABA
NE
Glutamatergic
What adjusts the production and release of melatonin?
Paraventricular nucleus
Posterior pituitary
Suprachiasmatic Nucleus
Light vs Dark
The suprachiasmatic nucleus inhibits what during the light phase inhibiting the release of melatonin?
Pineal gland
Superior cervical ganglion
Hypothalamus
Paraventricular nuclei
Where are wakefulnesss cells located?
Medulla and Pituitary gland
Hypothalamus, Brainstem, Frontal lobe
Frontal lobe, only Midbrain, and Hypothalamus
Brainstem, Amygdala, and Hypothalamus
What stabilizes the wakeful state?
Orexin
Melatonin
Histamine
Serotonin
REM sleep is associated with ___ waves
Alpha
Delta
Theta
Saw tooth
Type 1 narcolepsy is associated with extensive loss of hypothalamic neurons that produce what?
Melatonin
Serotonin
Orexin
GABA
Hormones released from the posterior pituitary
Prolactin and Oxytocin
Vasopressin and Prolactin
Oxytocin and Vasopressin
FSH and Oxytocin
Cortisol is released from the
Adrenal medulla
Zona Glomerulosa
Adrenal cortex
Pituitary gland
Mineralocorticoid effects:
Promote release of Na+ and H2O
Promotes glucose mobilization into the blood stream
Anti-inflammatory in all tissues
Maintains fluid balance and vascular tone
What causes the Triple Flare of Lewis
Serotonin
Arachidonic acid
Leukocytes
Histamine
What stimulate functional WBC chemotaxis from systemic circulation to the site of injury?
Cytokines
RBCs
Mast cells
Chemokines
Surgical stress induces a hypernormal increase in what?
Cortisol and TSH
ACTH and Cortisol
Cortisol
Cortisol and Insulin
Which induction agent is known to suppress adrenocortical function?
Propofol
Ketamine
Etomidate
Volatile Anesthetics
Parasympathetic autonomic neurons:
Short pregang; Long postgang
Long pregang; Short postgang
Choose the correct pathway
Parasympathetic pregang --> ACh --> Postgang --> NE
Parasympathetic pregang --> NE --> Postgang --> E
Sympathetic pregang --> ACh --> Postgang --> NE
Sympathetic pregang --> NE --> Postgang --> ACh
Parasympathetic postganglionic neurons:
Are outsdie the target organ
Are near the target organ
Are inside the target organ
Do not go to a target organ
Postganglionic sympathetic neurons release:
ACh for adrenal medulla
ACh for sweat glands
NE for sweat gands
Epi for sweat glands
PSNS has what kind of outflow?
Thoracolumbar
Sacral
Craniothoracolumbar
Craniosacral
SNS outflow is via what?
T1-S4
T1-L2
T5-L2
T1-S1
Craniosacral outflow of the PSNS is via what?
CNs 3, 7, 10, 12
CNs 3, 7, 9
CNs 3, 7, 9, 10
CNs, 3, 9, 10
What are the killer Bs seens with PSNS excess?
Bradycardia, Bullismus, Bronchospasms
Bradycardia, Bronchospasms
Bronchospasms, Bronchorrhea
Bradycardia, Bronchospasms, Bronchorrhea
Convergence is when more than one preganglionic sympathetic fibers originate fromt the same preganglionic neuron and synapse on separate postganglionic neurons
True
False
What innervates the superior cervical ganglion?
Prevertebral ganglia
Paravertebral ganglia
Ciliospinal center of Budge
Middle cervical ganglion
What produce cardiopulmonary splanchnic nerves that innervate the thorax?
T1-T4
T1-L2
T1-T5
T2-T4
Where do the cardiopulmonary splanchnic nerves originate from?
Prevertebral ganglia
Superior cervical ganglion
Paravertebral ganglia
Stellate ganglion
What do the stellate ganglia innervate?
Trunk
Lower extremities
Upper extremities
Head/Neck
What are the prevertebral ganglia?
Stellate ganglia, celiac, mesenteric
Celiac, Aorticorenal, Superior Cervical
Celiac, Aorticorenal
Celiac, Aorticorenal, Superior Mesenteric, Inferior Mesenteric
Horner's syndrom is caused from injury/disturbance to what pathway?
C1-C7
C7-T4
C8-T2
C3-C5
What are the MAIN components of the motor system?
Brainstem, Thalamus, NMJ
CC, Basal ganglia, Cerebellum
Brainstem and Cerebellum
Longitudinal tracts and NMJ
Where do motor impulses originate?
Nonpyramidal cells of sensory cortex
Betz cells of somatosensory cortex
Betz cells of motor cortex
Nonpyramidal cells of motor cortex
What is an alternate route for voluntary muscle control?
Vestibulospinal and Tectospinal
Spinothalamic
Rubrospinal and Reticulospinal
Corticospinal
The medial tracts control what muscles?
Axial and Lower extremities
Limb and Axial
Axial and Girdle
Girdle
Alpha motor neurons innervate ____ skeletal muscle fibers
Extrafusal
Extrafusal and Intrafusal
Intrafusal
Muscle spindles
What is known as the Striatum?
GP + Putamen
Caudate + Thalamus
Putamen + STN
Caudate + Putamen
Most of the basal nuclei communication is inhibitory via what?
Dopamine
Glutamate
Glyceine
GABA
Damage to this area is consistently seen in Parkinson's Disease
SNr
STN
GPe
SNc
The NS pathway influences the direct pathway of movement through:
Inhibit desired movement
Facilitate undesired movement
Inhibit undesired movement
Facilitate desired movement
Parkinson's is known as a hyperkinetic disorder
True
False
The superior cerebellar peduncles carry ___ transmission while the middle and inferior cerebellar peduncles carry ___ transmission.
Afferent; Efferent
Efferent; Efferent
Efferent; Afferent
Afferent; Afferent
The cerebellum is tethered by the ____ and it is inferior to the _____
Cerebral peduncles; Front lobe
Cerebral pedunces; Tentorium cerebelli
Cerebellar peduncles; Thalamus
Cerebellar peduncles; Tentorium cerebelli
Which functional division of the cerebellum is known as the vestibulocerebellum and deals with balance and spatial orientation?
Lateral hemisphere
Anterior hemisphere
Vermis
Flocculonodular lobe
Which functional division of the cerebellum is located in the vermis and medial hemisphere?
Cerebrocerebellum
Spinocerebellum
Flocculonodular lobe
Vermis
The only direct access the cerebellum has to SC motor neurons is via what?
Spinothalamic tract
Reticulospinal tract
Rubrospinal tract
Vestibulospinal tract
Which cerebellum hemisphere is highly involved in planning/programming of skilled movements?
Superior lobe
Lateral hemisphere
Vermis
Medial hemisphere
Which part of the cerebellum is highly influental in postural adjustments and some gait functions?
Vermis
Medial hemisphere
Lateral hemisphere
Dentate nucleus
If a patient has questionable bulbar dysfunction what should we as anesthesia providers be concerned about?
Hypoventilation
Unstable gait
Aspiration
Increased CO2
What are the principle output neurons of the neocortex?
Pyramidal cells
Association fibers
Nonpyramidal cells
Granule cells
What area makes up the isocortex?
Archiocortex
Paleocortex
Neocortex
Heterogenetic cortex
What fibers arise from contralateral hemispheres?
Association fibers
Projection fibers
Commissural fibers
All fibers arise from opposite hemisphere
What are the hemispheric INTERconnections?
Corpus callosum & Posterior commissure
Association bundles
Association bundles and corpus callosum
Corpus callosum & Anterior commissure
What accurately desribes a unimodal association area?
It's responsive to multiple sensory modalities
It is adjacent to a sensory area
It is adjacent to a primary cortical area
It is responsive to only the parietal lobe somatosensory area
Where is the primary gustatory area?
Frontal operculum and medial insula
Posterior operculum and posterior insula
Lateral operculum and posterior insula
Frontal operculum and anterior insula
The primary olfactory area is in the ____ areas
Neocortical
Archiocortical
Paleocortical
Dominant hemisphere for language
Right
Left
Fluent aphasia is seen with damage to ___ while nonfluent aphasia is seen with damage to ___
Broca's; Wernicke's
Wernicke's; Broca's
The dorsolateral prefrontal cortex is a portion on the ____ convexity of the frontal lobe and play a critical role in ____
Posterior; Judgment
Lateral; Judgment
Lateral; Working Memory
Anterior; Working memory
Which hemisphere in the posterior parietal cortex is dominant for spatial recognition?
Right
Anterior
Left
Posterior
The left hemisphere posterior parietal cortex is needed for what?
Storing of memories
Accurate planning of movement
Proprioception
Execution of movement
What is the inability to recognize the identiy of an object when using a given sense that it is damaged?
Allodynia
Apraxia
Anhedonia
Agnosia
Which area of the prefrontal cortex plays a role in balancing primitive drives with judgment?
Anterolateral
Dorsomedial
Ventromedial
Anteromedial
Which accurately describes alexia without agraphia?
Can read but not write
Can read and write
Can read but not speak
Can write but not read
Which anesthetic is a pro-convulsant?
Enflurane
Nitrous oxide
Propofol
Desflurane
What do these structures make up: fiber tracts, mammillary bodies, neurohypophysis, infundibulum, and nuclei?
Metathalamus
Thalamus
Hypothalamus
Epithalamus
What do these structures make up: habenula, pineal gland, pretectal structures?
Subthalamus
Hypothalamus
Thalamus
Epithalamus
There are no neurons in the pineal gland and only what?
Glial cells
Pyramidal cells
Tuft cells
Glandular cells
The habenular nuclei in the habenula receive inputs from the ___ of the thalamus with origin in the ___
Neurons; Striatum
Striae medullaris; GP
Median eminence; STN
Striatum; Substantia Nigra
Output from the habenula is via what?
Habenula tract
There is no output from the habenula
Habeunulointerpeduncular tract
Habeunulocerebral tract
The thalamus sits atop the ____, bewteen the CC and the ____
Pons; Midbrain
Medulla; Pyramids
Brainstem; Lateral Ventricle
Brainstem; Midbrain
The thalamus surrounds what ventricle?
3rd
4th
Lateral
Intraventricular foramina
Which functional group of thalamic nuclei contain NO projections to the CC unlike all other areas?
Anterior functional group
Reticular nucleus functional group
Motor functional group
Limbic functional group
Which thalamic nuclei is correctly matched with its function?
VA/VL : Sensory
VPL/VPM = Motor
Pulvinar : Correlates sensory and motor
MG : Auditory sensory
Which part of the internal capsule primarily deals with auditory?
Genu
Anterior limb
Sublenticular
Retrolenticular
Primary artery to the retrolenticular and and sublenticular parts of the internal capsule
Poterior cerebral
Anterior choroidal
Posterior communicating
Anterior cerebral
Damage to the Genu from a CVA can lead to what syndrome?
Kluver-Bucy
Alien limb
Clumsy hand
Alexia without agraphia
What hypothalamus structure is a bulge between the optic chiasm and mammillary bodies?
Infundibulum
Tuber cinereum
Median eminence
Pituitary stalk
___ is the anterior pitutary where ____ cells are located
Neurohypophysis; Neuronal
Adenohypophysis; Glandular
Hypophysis; Secretory
Neurohypophysis; Tuft
Which hormone is correctly matched with its function?
ADH : Stimulates breast development
TSH : Stimulates thyroid hormone synthesis and secretion
LH : Bone and muscle growth
Prolactin : Milk ejection and Myometrial contractions
Which hormone is correctly matched with its dysfunction?
TSH : Cushings
LH/FSH : Infertility and Low or High estrogen and testosterone levels
ACTH : Amenorrhea, Weight gain, Galactorrhea
Prolactin : Graves
What is the major output pathway for the amygdala?
Median eminence
Fornix
Stria Terminalis
Septal nuclei
What hyperkinetic disorder is "jumping about" and flailing movements of the limbs? Where is the lesion located in this disorder?
Athetosis; Striatum
Ballismus; Contralateral STN
Chorea; Caudate
Huntington's; Substantia Nigra
What is the intonation, stress, and rhythm in speech referred to as?
Allydonia
Neologisms
Prosody
Paraphasia
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