MEDICAL NEUROSCIENCE EXAM
QUESTIONS AND ANSWERS
Bilateral leg - Answer---> superior (somatotopic)
Frontal Medial CTX
1. confusion
2.apathy
3. reflexes,
4. incontinance
--> SC (ventral horns below T1)
reflex loss (hypo/a - reflexia)
autonomic dysfunction
Cerebellar Ataxia - Answer-Truncal:
1. drunk-like gait
2. difficulty sitting
Appendicular:
1. abnormal movements in extremities
2. Dysmetria
(A) Primary Sensory CTX or thalamus - Answer-1. contralateral lesion to site
2. discrimitive touch and joint position reduced
3. Extinction
4. stereognosis
5. agraphesthesia
6. UMN paresis
7. anopia
8. aphasia
(B) lateral Pontine or medullary
anterolateral pathway - Answer-1. contralateral pain/temp loss
2. ipsilateral face pain + temp loss
3. hemiparesis (including neck)
4.dysarthria
5. dysphagia
(C) medial medullary lesion - Answer-1. contralateral vibration + proprioception loss
2. Ipsilateral face pain+temp loss
3. hemiparesis inclusing neck
4 ipsilateral tongue weakness
posterior column pathway - Answer-tingling/numbness
Anteriolateral column pathway - Answer-sharp, burning pain
QUESTIONS AND ANSWERS
Bilateral leg - Answer---> superior (somatotopic)
Frontal Medial CTX
1. confusion
2.apathy
3. reflexes,
4. incontinance
--> SC (ventral horns below T1)
reflex loss (hypo/a - reflexia)
autonomic dysfunction
Cerebellar Ataxia - Answer-Truncal:
1. drunk-like gait
2. difficulty sitting
Appendicular:
1. abnormal movements in extremities
2. Dysmetria
(A) Primary Sensory CTX or thalamus - Answer-1. contralateral lesion to site
2. discrimitive touch and joint position reduced
3. Extinction
4. stereognosis
5. agraphesthesia
6. UMN paresis
7. anopia
8. aphasia
(B) lateral Pontine or medullary
anterolateral pathway - Answer-1. contralateral pain/temp loss
2. ipsilateral face pain + temp loss
3. hemiparesis (including neck)
4.dysarthria
5. dysphagia
(C) medial medullary lesion - Answer-1. contralateral vibration + proprioception loss
2. Ipsilateral face pain+temp loss
3. hemiparesis inclusing neck
4 ipsilateral tongue weakness
posterior column pathway - Answer-tingling/numbness
Anteriolateral column pathway - Answer-sharp, burning pain