The History Of Alcoholism Discussion Questions

The History Of Alcoholism Discussion Questions
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The History Of Alcoholism Discussion Questions
1. A 42-year-old male with a history of alcoholism presents to the hospital
with confusion, diplopia (ophthalmoparesis), unsteady gait, and nystagmus. The most likely cause for these symptoms is thiamine deficiency.
Where is the lesion?
A. Edinger-Westphal nucleus
B. Mamillary bodies
C. Left parietal lobe
D. Nucleus solitarius
E. None of the above
2. Which of the following is true regarding a lesion of the right vestibular
nuclei?
A. The left paramedian pontine reticular formation (PPRF) is more
active than the right PPRF.
B. The fast phase of nystagmus is to the right.
C. Stumbling to the left
D. The left lateral vestibulospinal tract is more active than the right.
E. Slow phase of nystagmus to the left
The History Of Alcoholism Discussion Questions
3. Which of the following statements is not true?
A. Weakness is the least common sign of a cerebellar lesion.
B. Golgi cells in the cerebellum lie in the granule cell layer and are
excitatory.
C. Basket cells in the cerebellum excite Purkinje cell firing.
D. Fastigial nucleus receives input from Purkinje cells in the cerebellum.
4. Which of the following statements is TRUE?
A. Nerve root C3 exits above vertebra C3.
B. A C6 radiculopathy results in pain from the dorsal aspect of the
thumb and index finger.
C. A C7 radiculopathy results in pain in the middle finger.
D. Spinal nerve C7 exits below vertebra C6.
E. All are true statements.
6 Section I • Neurology
5. A complete transection of the spinal cord at C2 results in a spastic bladder immediately after the injury (during spinal shock).
A. True
B. False
6. Which of the following statement(s) is true?
A. The supplementary motor area (SMA) and premotor cortex (PM) are
both in Brodmann’s area 6.
B. The SMA and PM are both involved in premotor planning.
C. Primary motor cortex is involved in the execution of a movement.
D. Pyramidal tract neurons fire before the muscles contract in an
intended movement.
E. All of the above are true.
F. None of the above
7. Which of the following statements is false?
A. The SMA becomes active when thinking of a complex motor task,
even when the task is not actually performed.
B. The neurons in the SMA and primary motor cortex fire prior to a
given movement.
C. Lesions in the SMA result in apraxias, whereas lesions in primary
motor cortex result in contralateral paresis and upper motor neuron
signs.
D. Both the SMA and primary motor cortex code for the force of a
movement.
8. A 60-year-old male presents with a stroke in the left occipital lobe, and a
72-year-old male presents with controlled glaucoma for 1 year. Which patient will have worse visual acuity?
A. The stroke patient
B. The glaucoma patient
C. Neither
D. Both
9. Which of the following structures is not paired correctly with all or part
of its blood supply?
A. Anterior limb of internal capsule—medial striates
B. Dorsal part of the posterior limb of internal capsule—middle cerebral
C. Visual cortex—posterior cerebral
D. Broca’s motor speech area—middle cerebral
E. Hippocampus—anterior cerebral
Chapter 1 • Anatomy and Physiology 7
10. A lesion in the frontal association cortex on the left would most likely
result in:
A. ipsilateral homonymous hemianopsia
B. resting tremor
C. Wernicke’s aphasia
D. Broca’s aphasia
E. diplopia
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