Deck 22: Neurologic Anatomy and Physiology
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Deck 22: Neurologic Anatomy and Physiology
1
Damage to the upper portion of the reticular activating system results in which condition?
A) Seizures
B) Diabetes insipidus
C) Apnea
D) Impaired consciousness
A) Seizures
B) Diabetes insipidus
C) Apnea
D) Impaired consciousness
Impaired consciousness
2
When a patient with neurologic damage continues with extremely high core body temperature despite interventions to lower temperature,the area of the brain most likely affected is the
A) cerebrum.
B) cerebellum.
C) thalamus.
D) hypothalamus.
A) cerebrum.
B) cerebellum.
C) thalamus.
D) hypothalamus.
hypothalamus.
3
Substances most likely to pass across the blood-brain barrier have which of the following characteristics?
A) Low pH compared with body fluids
B) Lipid solubility
C) Large particle size
D) A close relation to toxic metabolites
A) Low pH compared with body fluids
B) Lipid solubility
C) Large particle size
D) A close relation to toxic metabolites
Lipid solubility
4
Which type of hematoma results from traumatic injury involving the middle meningeal artery?
A) Subdural
B) Epidural
C) Subarachnoid
D) Intercerebral
A) Subdural
B) Epidural
C) Subarachnoid
D) Intercerebral
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5
Neuronal function is driven by
A) nodes of Ranvier.
B) saltatory conduction.
C) repolarization-depolarization cycles.
D) depolarization-repolarization cycles.
A) nodes of Ranvier.
B) saltatory conduction.
C) repolarization-depolarization cycles.
D) depolarization-repolarization cycles.
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6
Control of the rate of respirations occurs in the
A) apneustic center.
B) pneumotaxic center.
C) reticular activating system.
D) midbrain.
A) apneustic center.
B) pneumotaxic center.
C) reticular activating system.
D) midbrain.
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7
Obstructive hydrocephalus can occur in the presence of
A) blockage in the arachnoid villi.
B) malformation of the falx cerebelli.
C) blockage of CSF flow in the ventricular system.
D) increased production of CSF with poor outlet.
A) blockage in the arachnoid villi.
B) malformation of the falx cerebelli.
C) blockage of CSF flow in the ventricular system.
D) increased production of CSF with poor outlet.
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8
The sensory,motor,and cognitive functions are the primary functions of the
A) diencephalon.
B) basal ganglia.
C) cerebellum.
D) cerebrum.
A) diencephalon.
B) basal ganglia.
C) cerebellum.
D) cerebrum.
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9
What percentage of the body's total resting cardiac output is used by the brain?
A) 5%
B) 10%
C) 20%
D) 40%
A) 5%
B) 10%
C) 20%
D) 40%
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10
A person with a cerebellar lesion will have difficulty with
A) breathing.
B) equilibrium.
C) memory.
D) speech.
A) breathing.
B) equilibrium.
C) memory.
D) speech.
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11
CNS response to the periphery to produce contraction of the skeletal muscles is the result of
A) efferent fibers.
B) afferent fibers.
C) myelin sheath.
D) neurotransmitters.
A) efferent fibers.
B) afferent fibers.
C) myelin sheath.
D) neurotransmitters.
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12
A lack or inadequate amount of which two substances can cause disruption in neuronal function and irreversible damage?
A) Oxygen and glucose
B) Protein and insulin
C) Oxygen and protein
D) Protein and glucose
A) Oxygen and glucose
B) Protein and insulin
C) Oxygen and protein
D) Protein and glucose
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13
Which areas of the spinal cord have tenuous blood supply and are especially vulnerable to circulatory embarrassment?
A) C2 to C3
B) C5 to C6
C) T8 to T10
D) L4 to L5
A) C2 to C3
B) C5 to C6
C) T8 to T10
D) L4 to L5
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14
The region of the brain that acts as a relay station for both motor and sensory activity is the
A) cerebrum.
B) cerebellum.
C) thalamus.
D) hypothalamus.
A) cerebrum.
B) cerebellum.
C) thalamus.
D) hypothalamus.
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15
Which statement best describes the role of neuroglial cells?
A) They are fewer in number than neurons.
B) They provide support to the neuron in nutrients and structural formation.
C) They protect the CNS from nonmetabolic primary neoplasms.
D) They produce a steady supply of neurotransmitters.
A) They are fewer in number than neurons.
B) They provide support to the neuron in nutrients and structural formation.
C) They protect the CNS from nonmetabolic primary neoplasms.
D) They produce a steady supply of neurotransmitters.
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16
The large opening at the base of the cranium is known as the
A) cisterna magna.
B) median foramen.
C) foramen magnum.
D) lateral foramen.
A) cisterna magna.
B) median foramen.
C) foramen magnum.
D) lateral foramen.
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17
Which area of the ventricular system is usually cannulated for intracranial pressure monitoring?
A) Frontal horn of the lateral ventricle
B) Aqueduct of Sylvius
C) Foramen of Monro
D) Fourth ventricle
A) Frontal horn of the lateral ventricle
B) Aqueduct of Sylvius
C) Foramen of Monro
D) Fourth ventricle
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18
Tissue that adheres directly to the brain tissue and is rich in small blood vessels that supply a large amount of arterial blood to the CNS is known as the
A) dura mater.
B) arachnoid mater.
C) pia mater.
D) CNS.
A) dura mater.
B) arachnoid mater.
C) pia mater.
D) CNS.
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19
Based on the circle of Willis,if the right internal carotid artery is blocked so that inadequate blood flows to the cerebral arteries,oxygen and nutrients to the brain
A) can be supported by the circle of Willis.
B) are diminished by 25%.
C) are diminished by 50%.
D) are blocked.
A) can be supported by the circle of Willis.
B) are diminished by 25%.
C) are diminished by 50%.
D) are blocked.
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20
Which of the following structures form(s)the blood-brain barrier?
A) Postsynaptic terminals
B) Pia mater
C) Vascular endothelial cells
D) Myelin sheath
A) Postsynaptic terminals
B) Pia mater
C) Vascular endothelial cells
D) Myelin sheath
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21
The primary functions of which lobe are hearing,speech,behavior,and memory?
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
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22
Stimulation of this nerve will elicit the gag reflex.
A) Glossopharyngeal
B) Facial
C) Spinal accessory
D) Hypoglossal
A) Glossopharyngeal
B) Facial
C) Spinal accessory
D) Hypoglossal
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23
Examples of small-molecule transmitters include
A) acetylcholine.
B) glucose.
C) norepinephrine.
D) dopamine.
E) epinephrine.
F) GABA receptors.
A) acetylcholine.
B) glucose.
C) norepinephrine.
D) dopamine.
E) epinephrine.
F) GABA receptors.
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24
Which lobe of the brain deals primarily with sensory function?
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
A) Frontal lobe
B) Temporal lobe
C) Occipital lobe
D) Parietal lobe
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25
Which cranial nerves are responsible for motor functions of the eye?
A) Optic nerve
B) Oculomotor
C) Trochlear
D) Trigeminal
E) Abducens
F) Acoustic
A) Optic nerve
B) Oculomotor
C) Trochlear
D) Trigeminal
E) Abducens
F) Acoustic
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26
A patient has coherent speech but the words are illogical.Which part of the brain has been affected?
A) The cerebellum
B) The Broca area
C) The Wernicke area
D) The hypothalamus
A) The cerebellum
B) The Broca area
C) The Wernicke area
D) The hypothalamus
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27
The ability to access CSF by a lumbar puncture is attributable to the flow of CSF in the
A) dura mater.
B) pia mater.
C) epidural cavity.
D) subarachnoid space.
A) dura mater.
B) pia mater.
C) epidural cavity.
D) subarachnoid space.
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28
Cranial nerves IX,X,XI,and XII are located in which section of the brainstem?
A) Midbrain
B) Pons
C) Medulla oblongata
D) Reticular formation
A) Midbrain
B) Pons
C) Medulla oblongata
D) Reticular formation
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29
A patient is admitted to the critical care unit after a stroke.The patient has an altered level of consciousness and garbled speech.A computed tomography scan is performed to determine the cause of the stroke,and a lumbar puncture is performed for analysis of CSF.Because the patient's speech is garbled,the nurse documents the occurrence of which type of aphasia?
A) Fluent
B) Receptive
C) Expressive
D) Global
A) Fluent
B) Receptive
C) Expressive
D) Global
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30
An afferent pathway that carries sensory impulses from the body into the spinal cord is the
A) subarachnoid.
B) spinal nerves.
C) ventral root.
D) dorsal root.
A) subarachnoid.
B) spinal nerves.
C) ventral root.
D) dorsal root.
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