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1. Through what area does the cerebrospinal fluid circu- C
late around the brain and spinal cord?
A) Between the double layers of the dura mater
B) In the subdural space
C) In the subarachnoid space
D) Through the arachnoid villi
2. Which of the following is the usual location of language A
centers?
A) Left hemisphere
B) Right hemisphere
C) Brainstem
D) Hypothalamus
3. What would be the effect of damage to the auditory B
association area in the left hemisphere?
A) Loss of hearing in both ears
B) Inability to understand what is heard
C) Loss of hearing in the left ear
D) Inability to determine the source of the sound
4. Which of the following applies to the corticospinal D
tract?
A) It is an ascending tract.
B) The nerve fibers conduct sensory impulses.
C) It is an extrapyramidal tract.
D) It is a pyramidal tract for efferent impulses.
5. What is a major function of the limbic system? C
A) Overall control of fluid balance
B) Required for logical thinking, reason, and decision
making
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C) Determines emotional responses
D) Responsible for artistic and musical talents
6. What does a vegetative state refer to? B
A) Depression of the reticular activating system (RAS)
and inability to initiate action
B) Loss of awareness and intellectual function but con-
tinued brainstem function
C) Continuing intellectual function but inability to com-
municate or move
D) Disorientation and confusion with decreased re-
sponsiveness
7. Which of the following conditions is NOT part of the D
criteria for a declaration of "brain death"?
A) No activity on EEG
B) Absence of all reflexes
C) No spontaneous respirations
D) Presence of any head injury
8. What is the best definition of aphasia? A
A) The inability to comprehend or express language
appropriately
B) Difficulty swallowing
C) Loss of the visual field contralateral to the area of
damage
D) The inability to articulate words clearly
9. What is an early indicator of increased intracranial C
pressure?
A) Papilledema
B) Bilateral fixed dilated pupils
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C) Decreasing responsiveness
D) Rapid heart rate
10. What is the rationale for vomiting in a patient who has C
increased intracranial pressure?
A) Chemoreceptors responding to changes in the
blood
B) Pressure extending to spinal nerves
C) Pressure on the emetic center in the medulla
D) Stimuli to the hypothalamic center for hunger and
thirst
11. What is the typical change in blood pressure in a pa- D
tient who has increased intracranial pressure?
A) Erratic diastolic pressure
B) Decreasing systolic pressure
C) Systolic and diastolic pressures decreasing propor-
tionately
D) Increasing pulse pressure
12. Which of the following causes papilledema? A
A) Increased pressure of cerebrospinal fluid (CSF) at
the optic disc
B) Increased intraocular pressure
C) Pressure on the oculomotor nerve
D) Pressure on the optic chiasm
13. What is the effect of an enlarging brain abscess on C
cardiovascular activity?
A) Increased heart rate and systemic vasodilation
B) Low blood pressure and irregular heart and respira-
tory rates
C) Systemic vasoconstriction and slower heart rate