CLINICAL NEUROSCIENCE EXAM SCRIPT
WITH VERIFIED QUESTIONS AND
ANSWERS
●● Which lobe of the cerebellum is important in vestibule-ocular
control?
a. anterior lobe
b. posterior lobe
c. vermis
d. flocculonodular
Answer: d. flocculonodular
●● Which symptoms are classically associated with cerebellopontine
angle lesion?
a. vertigo and restricted cervical ROM
b. constant vertigo and nystagmus
c. vertigo and labyrinth involvement
d. vertigo and facial palsy
e. vertigo and hearing loss
Answer: e. vertigo and hearing loss
,●● If a lesion extends rostally and medially sparing the abducens
nucleus, uncoordinated eye movements might be observed when
attempts are made to gaze laterally to the opposite side and you notice
nystagmus laterally with no adduction of the other eye. this would result
from a lesion of the:
a. medial longitudinal fasiculus
b. Corticobulbar fibers in abducens
c. oculomotor nucleus
d. trochlear nucleus
e. edinger-westphal nucleus
Answer: a. medial longitudinal fasiculus
●● A patient enters your office with a left lateral head tilt. On
examination you notice that the patient's right pupil elevates and
excyclodeviates when you tilt their head to the right. What test are you
performing for which cranial nerve?
Answer: Bielschowsky's; CN IV
●● A patient enters your office with left lateral head tilt. On examination
you notice that the patient's right pupil elevates and excyclodeviates
when you tilt their head to the right.
Answer: What CN and nucleus is not working? CN IV & left trochlear
nucleus
, ●● A 40-year-old man came to see you. On examination you noticed that
Romberg's was positive and he fell to the right and you had to support
him. Also noted was a loss of pallesthesia. He most likely will display a
________. on walking.
a. sensory ataxia
b. scissor gait
c. cerebellar ataxia
d. tandem gait
Answer: a. sensory ataxia
●● *The cerebellum monitors vestibular performance and keeps it
calibrated. This is known as:
a. vestibular modulation
b. surround inhibition to cortex
c. transneural hyperpolarization
d. cerebellar integration
Answer: d. cerebellar integration
●● A 51-year-old man began having difficulty reading over the course of
5 to 6 weeks. He saw you for this condition. On review of the systems
you noted that he had lost his sense of smell about 3 years earlier. On
exam, he had visual acuity of 20/20 in the right eye and 20/40 in the left
eye. he was unable to smell coffee or soap with either nostril. you
located the lesion to be:
WITH VERIFIED QUESTIONS AND
ANSWERS
●● Which lobe of the cerebellum is important in vestibule-ocular
control?
a. anterior lobe
b. posterior lobe
c. vermis
d. flocculonodular
Answer: d. flocculonodular
●● Which symptoms are classically associated with cerebellopontine
angle lesion?
a. vertigo and restricted cervical ROM
b. constant vertigo and nystagmus
c. vertigo and labyrinth involvement
d. vertigo and facial palsy
e. vertigo and hearing loss
Answer: e. vertigo and hearing loss
,●● If a lesion extends rostally and medially sparing the abducens
nucleus, uncoordinated eye movements might be observed when
attempts are made to gaze laterally to the opposite side and you notice
nystagmus laterally with no adduction of the other eye. this would result
from a lesion of the:
a. medial longitudinal fasiculus
b. Corticobulbar fibers in abducens
c. oculomotor nucleus
d. trochlear nucleus
e. edinger-westphal nucleus
Answer: a. medial longitudinal fasiculus
●● A patient enters your office with a left lateral head tilt. On
examination you notice that the patient's right pupil elevates and
excyclodeviates when you tilt their head to the right. What test are you
performing for which cranial nerve?
Answer: Bielschowsky's; CN IV
●● A patient enters your office with left lateral head tilt. On examination
you notice that the patient's right pupil elevates and excyclodeviates
when you tilt their head to the right.
Answer: What CN and nucleus is not working? CN IV & left trochlear
nucleus
, ●● A 40-year-old man came to see you. On examination you noticed that
Romberg's was positive and he fell to the right and you had to support
him. Also noted was a loss of pallesthesia. He most likely will display a
________. on walking.
a. sensory ataxia
b. scissor gait
c. cerebellar ataxia
d. tandem gait
Answer: a. sensory ataxia
●● *The cerebellum monitors vestibular performance and keeps it
calibrated. This is known as:
a. vestibular modulation
b. surround inhibition to cortex
c. transneural hyperpolarization
d. cerebellar integration
Answer: d. cerebellar integration
●● A 51-year-old man began having difficulty reading over the course of
5 to 6 weeks. He saw you for this condition. On review of the systems
you noted that he had lost his sense of smell about 3 years earlier. On
exam, he had visual acuity of 20/20 in the right eye and 20/40 in the left
eye. he was unable to smell coffee or soap with either nostril. you
located the lesion to be:
