question 7th week
TRANSCRIPT
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 1/11
Week : 7
Module: Central nervous system and special senses(module 9)
Name:
Duration:
_____________________________________________________________________________________
Cerebellar lesion
1. The following are true about vermis syndrome EXCEPT
A. Occurs commonly in children
B. Caused by medulloblastoma
C. The neocerebellum is affected
D. Symptoms are only present when not lying down
2. The following occurs to a children with archicerebellar syndrome EXCEPT
A. Complete inability to stand
B. Walking with a wide base gait
C. Rapid eye movement
D. Vomiting
3. The following are true EXCEPT
I. The movements of patients with vermis syndrome are slow
II. Muscle tone of patient in neocerebellar syndrome is decreased
III. Patient with archicerebellar syndrome finds it difficult to put on a cap of a pen
IV. The words of a patient with vermis syndrome can be understood easily
A. I and IIB. I and III
C. II and III
D. II and IV
4. The following are true EXCEPT
I. Absence of damping function of cerebellum leads to asynergia
II. Nystagmus occurs in both type of cerebellar lesions
III. Movements of patients with neocerebellar syndrome are in steps with overshooting
IV. Dysdiadochokinesia occurs due to failure to perform 2 synergistic motor actions simultaneously
A. I and III
B. I and IV
C. II and III
D. II and IV
5. The following are false EXCEPT
A. Intention tremors are rhythmic involuntary movements that occur during voluntary movements
B. Swaying from side to side is seen in the walking gait of patient with vermis syndrome
C. A patient with cerebellar lesions can make a throw of basketball easily
D. A patient with archicerebellar syndrome cannot hold a glass without dropping and breaking it
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 2/11
Branchial apparatus
6. All of the following are TRUE about brachial apparatus EXCEPT
A. Consists of five brachial arches
B. Constitutes to the development head and neck
C. Operculum developed during development is one of ectodermal derivatives
D. Brachial cyst and brachial fistula are the only congenital anomalies from brachial apparatus
7. Choose the correct pairs about the nerve supply of the arches
I. Maxillary process of 1st arch maxillary nerve and chorda tympani of facial nerve
II. 2nd arch facial nerve and tympanic branch of glossopharyngeal nerve
III. 3rd arch cranial nerve IX and internal laryngeal nerve
IV. 4th arch recurrent laryngeal nerve
A. I and II
B. II and III
C. II, III and IV
D. All of the above
8. Which of the following are false about arches with some of their skeletal derivetives?I. Mickels cartilage malleus, incus, stapes and anterior ligament of malleus
II. Reicherts cartilage styloid process, stylohyoid ligament and upper part of body of hyoid bone
III. 3rd arch greater cornu of hyoid bone and upper part of thyroid cartilage
IV. 6th arch lower part of thyroid cartilage, cricoid and arytenoids cartilage
A. I only
B. I and III
C. II and IV
D. None of the above
9. Which of the following are TRUE regarding arches and their muscular derivatives EXCEPT
A.Th
e no muscular derivatives from maxillary processB. Muscles of mastication, tensor palate, tensor tympani, mylohyoid and postreior belly of digastric
are derived from mandibular process
C. Cricothyroid, constrictors of pharynx and levator palate are derived from 4th arch
D. All intrinsic muscle of larynx except cricothyroid muscle are derived from 6th arch
10. All of the following are INCORRECT about derivatives from pouches of brachial apparatus EXCEPT
I. 1st pouch middle ear, mastoid antrum, Eustachian tube and inner layer of tympanic
membrane
II. 2nd pouch palatine tonsil
III. 3rd pouch superior parathyroid gland and thymus gland
IV. 4th pouch inferior parathyroid gland and ultimobrachial body
A. I and II
B. III and IV
C. I, III and IV
D. II, III and IV
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 3/11
Memory
11. Which of the following is true regarding Non-declarative memory?
A. Easily forgotten
B. Its retention involve processing in hippocampus and part of temporal lobe
C. Need repetition and practice over a longer period of time
D. Includes memory of events, words, rules and language
12. What are the structural changes occurred during the development of long term memory?
I. Formation of new synaptic connection
II. Increase in number of receptor
III. Increase in the vesicle release sites
IV. Presynaptic facilitation or inhibition at synapses
A. I, II and III
B. I, II and IV
C. I, III and IV
D. II, III and IV
13. If there is a lesion affecting cerebellum and basal ganglia, there will beA. Disruption in working memory
B.Difficulties in forming memories
C. Alzheimers disease
D. Disruption in learning some habits
14. Which part of the brain is important for converting short term memory to long term memory?
A. Amygdala
B. Hippocampus
C. Nucleus basalis of Meynert
D. Prefrontal cortex
15. The part of brain that involved in storing the auditory memory is
A. Frontal lobe
B. Occipital lobe
C. Parietal lobe
D. Temporal lobe
Histology of inner and outer layer of the eyeball
16. The following are the correct statement about the cornea, EXCEPT:
A. It form the anterior 1/6 of the outer coat of the eye
B. Stroma formed of collagenous bundles, corneal corpuscles and corneal proteoglycan
C. The corneal epithelium is avascular, rich in nerve endings and will not regenerate if injured
D. Bowmans membrane acts as protective barrier against trauma and bacterial invasion
17. Choose the correct structure contributing to the corneal transparency:
I- Uniform spacing of the parallel collagen fiber
II- Avascularity of the cornea
III- Uniform spacing of parallel collagen fibern within the lamellae
IV- The fibroblast has the same refrective index as the other elements in stroma
A. I & II ONLY
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 4/11
B. I,II, & III ONLY
C. II & III ONLY
D. I,III, & IV ONLY
18. Choose the correct answer about the changes occur at the limbus:
A. Descemets membrane and corneal endothelium continue on the anterior surface of iris
B. Epithelium of cornea continue as subconjuctival connective tissue
C. The bowmans membrane continue as bulbar conjunctiva
D. The regular lamellae of corneal stroma merge with regular collagenous bundle of sclera
19. The following are INCORRECT about the middle vascular layer of the eyeball EXCEPT:
A. Choroid supports the retina, absorbs light and provides the retina with blood supply and
nutrients
B. The middle layer is consist of ciliary body, iris and sclera
C. Ciliary epithelium is consist of outer non-pigmented and inner pigmented layer
D. Zonula fiber arises from ciliary stroma
20. Functions of the ciliary epithelium are:I- Form the blood aqueous barrier
II- Absorption of light
III- Form the blood retinal barrier
IV- Secretion of zonule fibers of the lens
V- Secretion of aqueous humor
A. I ONLY
B. I, II & III
C. I, IV & V
D. II, III, & IV
21.
Wh
ich
of th
e following is aT
RUE statement for speech
centers?A. Located in categorical or dominant hemisphere
B. Usually the the left hemisphere in left handed people
C. Located in representational hemisphere
D. All of above
22. The angular gyrus have function as :
A. Understand auditory and visual information of both spoken and written speech
B. Spoken words are perceived
C. Understand the meaning of written words
D. Processes information from words that are read in such a way that they can be converted to
auditory forms of words
23. Which of the following correct match for the name and its area?
i. Primary auditory area area 17
ii. Visual association area areas 18 and 19
iii. The angular gyrus area 39
iv. Auditory association area area 22
A. ii and iii
B. ii, iii and iv
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 5/11
C. i, ii and iii
D. i, ii and iv
24. Which statement of centers of language output is FALSE?
A. Signals are fed from Wernickes area through arcuate fasciculus
B. Signals from sensory are send to word formation center which is Exners area
C. Brocas area found in the frontal lobe immediately in front of inferior end of the motor cortex
D. Exners area found in frontal lobe adjacent to the arm of motor area
25. Which of the following are TRUE match of disorders of speech?
i. Auditory aphasia damage in area 22
ii. Visual aphasia damage in area 39
iii. Agraphia damage in Exners area
iv. Dysarthria damage in Wernickes area
A. i and ii
B. ii and iii
C. i and iii
D. ii and iv
Histology of the Retina
26. Which of the following are not the functions of retinal pigmented epithelium?
I- Reflection of light
II- Isolation of the neural retinal cells from blood-born toxic substances
III- Restoration of photosensitivity to visual pigments through vitamin A hydrolization
IV- Phagocytosis and renewal of photoreceptors
A. I & II
B. I & III
C. II & III
D. II & IVE. III & IV
27. All the following are correct comparison between rod cells and cone cells EXCEPT
Rod cells Cones cells
A. Spherule Pedicle
B. Peripheral retina Fovea centralis
C. Short, thin, slender Long, thin, conical
D. Small dark stain nucleus Large pale nucleus
E. 11 cis retinal 11 cis retinal
28. All the following are the correct match for cells to its layer in retina EXCEPT
I- Horizontal cells Inner nuclear layer
II- Amacrine cells - Outer nuclear layer
III- Muller cells Ganglion layer
IV- Bipolar cells Inner nuclear layer
V- Rod & cone cells Outer nuclear layer
A. I & V
B. II & III
C. II & IV
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 6/11
D. III & V
E. I & II
Conjunctiva is made up of non-keratinized stratified squamous epithelium.
29. Which of the following is false regarding conjunctiva?
A. Functions as lubricator and nutritive supply
B. Thin transparent mucous membrane
C. Has 3 segments; bulbar, fornix & palpebral conjunctivae
D. Does not cover the cornea
30. All the following are muscles found in the eye lids EXCEPT
A. Orbicularis oculi
B. Levator palpebrae superiosis
C. Superior tarsal muscle (Muller)
D. Inferior tarsal muscle
Physiology of vision(khalisah)
31. Which of the following is False regarding visual system?A. Eyes convert light energy in the visible spectrum into an action potential in the optic nerve.
B. Red wavelength are the longest, but has the lowest energy.
C. Eyes only can respond to electromagnetic radiation which has wavelength of less than 400nm.
D. Photons is a packet of energy that travel to a very high speed.
32. Choose the correct statements regarding principles of optics.
I. Light rays travel in a straight lines until they interact with other atoms in environment to cause
reflection, refraction and absorption.
II.Light speed up when it pass to denser medium than the less one.
III.The greater the incident angle & difference in refractive indices, the greater is the refraction
IV.Refractive index of th
e ligh
t is measured in diopters.
A.I,II
B.II,III
C.I,III
D.I,III,IV
33. Which of the following is False regarding interaction between light & environment?
A. The light rays are refracted to a (principle focus) behind the lens and the distance from it to the lens is
(principle focal distance).
B. Light rays that strike the lens more than 6m away is parallel while distance less than that are diverge.
C. Biconcave lens cause the light to diverge.
D. Refractive index is conveniently measured in diopters.
34. Choose the Correct statements regarding refractive media of the eye.
I.Cornea is the most important refractive medium of the eye which contribute to 2/3 of total diopteric
power of the eye.
II.Aqueous humor is important as a source of nutrition & control of intraocular volume & pressure.
III.Lens enable the eye to see near object by accomodation.
IV.Vitreous humor support the retina and prevent bacjward displacement of the lens.
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 7/11
A.I,II
B.II,III
C.III,IV
D.All of the above
35. What is corneal reflex?
I. Reflex closure of the eye on touching the cornea with foreign body
II.Its afferent is Ophthalmic division of trigeminal nucleus while Facial nerve is its afferent.
III.The orbicularis oris is the muscle to perform the action.
IV.Its one of the protective mechanism carried by cornea.
A.I,II
B.II,III
C.I,II,IV
D.II,III,IV
Accommodation For Near Vision36. Choose the false statement:
A. An object at infinity form a clear focused image at retina with accommodation
B. An object at distance of 6 meters will have focus still on retina without need for accommodation
C. Accommodation is the process of increasing the curvature of lens
D. In young individuals, change in shape may add as many as 14 diopters to eye refractive power
37. All the following are true regarding the mechanism of accommodation except:
A. At rest, lens is held under tension by the lens ligaments attached to ciliary body
B. When the gaze is directed to a near object, the ciliary muscle contracts
C. The change of curvature of lens is greatest in posterior surface of lens
D. Relaxation of lens ligaments is caused by sph
incter-like action of circular muscle fibers
38. Associated movements are described as the following except:
A. Reducing the amount of light that enters the eyes is done by constriction of the pupils
B. Another value of pupil constriction is to restrict the rays to the center of lens
C. All light rays pass through lens center and the central most rays are always in focus
D. Convergence of both eyes is produced by contraction of lateral recti muscles of both eyes
39. Which is the false statement regarding the near point of vision and nervous pathway of
accommodation reflex?
A. Is the nearest point to the eye at which an object can be brought into clear focus by
accommodation
B. Presbyopia is the pathological recession of near point of vision by age
C. The stimulus of accommodation reflex is blurred retinal image
D. Descending tracts from visual cortex bypass pretectal area and project to Edinger Westphal
nucleus
40. Choose the true statement regarding light reflex:
A. Direct light reflex is when the pupil of other unstimulated eye also constricts simultaneously
B. Initiated by stimulation of visual receptors and impulses are relayed by bipolar cells
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 8/11
C. Partial crossing of optic nerve fibers occurs at optic tract to form optic chiasma
D. Lesion of pretectal area due to syphilis and hypertension produces Argyll Robertson pupil
DEVELOPMENT OF FACE,TONGUE AND PALATE
41. Which of the following are the correct matches regarding the area and structures formed from
them?
I. Triangular area- Dorsum and tip of nose
II. Lateral nasal process- philtrum of nose
III. Medial nasal process- ala of nose
IV. Nasal sac- external nasal opening and nasal cavity
A. I and IV
B. II and III
C. I,III and IV
D. II,III and IV
42. Which of the following congenital anomalies is due to failure of fusion between maxillary process
and lateral and medial nasal process?
A. Hare lipB. Oblique facial cleft
C. Median cleft lower lip
D. Macrostomia
43. Which of the following statement is TRUE regarding development of palate?
A. Secondary palate is derived from intermaxillary process
B. Trifid uvula is one of its congenital anomalies
C. Posterior ¼ of palate will ossify to form hard palate
D. Premaxilla of hard palate will form incisive fossa
44.
Site of fusion between anterior 2/3 and posterior 1/3 of tongue is indicated byA. U-shaped sulcus
B. Lingual sulcus
C. Medial sulcus
D. Y-staped sulcus terminalis
45. Which of the following is CORRECT regarding the development of tongue?
I. Tuberculum impair is not found during the final development of tongue
II. Anterior 2/3 of tongue is supplied by corda tympani nerve
III. Posterior 1/3 of tongue is supplied by facial nerve
IV. Muscles of tongue are supplied by hypoglossal nerve
A. I and II
B. II and IV
C. I,II and IV
D. II,III and IV
PHYSIOLOGY OF EYE 3
46. Which of the following is not one of the functional layers of the retina?
A. Layers of rods and cones
B. Layer of bipolar cells
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 9/11
C. Pigmented layer
D. Outer limiting membrane
47. Which of the following is not true about the cones?
A. There are about 6 million of cones per each retina
B. They are concerned with day vision, acute vision and colour vision
C. They are located mainly in the periphery of the retina
D. They are pyramidal in shape
48. All of the following is true about the specialized area of the retina except
A. Optic nerve leaves the eye at point 3mm medial to and slightly above the posterior pole of the
globe
B. Near the posterior pole of the eye, there is a small yellow area called the macula lutea in which
there are cones only
C. At the extreme retinal periphery, there are rods only
D. In the area between fovea and periphery of the retina both the rods and cones is present
49. What is the rhodopsin product that is responsible for electrical changes in the rods?A. Barthorhodopsin
B. Metarhodopsin 2
C. Lumirhodopsin
D. Metarhodopsin 1
50. All of the following statement is not true about the rhodopsin?
A. It is composed of photopsin and retinal
B. It is the light sensitive pigment present in the rods
C. It has a molecular weight of 41,000
D. It is one of the G- protein coupled receptor
HISTOLOGY OF EAR
51. The lateral third of external auditory meatus contain _________ that secrete __________ for
______________
A mucous membrane ; proteoglycans ; protection
B mucous membrane ; cerumen ; protection
C ceruminous gland ; proteoglycans ; trapping dust
D ceruminous gland ; cerumen ; protection
52. Middle ear contain 2 muscle which is stapedius and tensor tympani that function in
A increasing the vibration intensity
B absorb vibration
C contraction when vibration is applied
D regulate sound conduction by lowering sound vibration
53. Parts that is supplied by vestibulocochlear nerve is ;
I macula of saccule and utricle
II organ of corti
III cristae ampullae
IV external auditory meatus
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 10/11
A I , II, III
B II, III, IV
C I , II
D all of the above
TRUE [A] or FALSE [B]
54. Outer and inner pillar cells in organ of corti plays a role in supporting the tunnel of corti
55. Each sensory region [neuroepithelium] consist of only 2 component which is hair cells and
supporting cells
8/3/2019 Question 7th Week
http://slidepdf.com/reader/full/question-7th-week 11/11
Answers:
1.C 10.A pg.437 19.A 28.B pg.321-
323
37.C pg.341 46.D pg.345-
346
55.B
2.A 11.C 20.C 29.A pg.333 38.D pg.342 47.C pg.346
3.B 12.A 21.A 30.D pg.334-
335
39.B pg.343 48.B pg.346
4.B 13.D 22.D 31.C 40.B pg.344 49.B pg.348
5.B 14.B 23.B 32.C 41.A 50.A pg.347-
348
6.D pg.439 15.D 24.B 33.D 42.B pg.440 51.D pg.364
7.B pg.434 16.C 25.C 34.D 43.D pg.441-
442
52.D pg.366
8.B pg.435 17.B 26.B pg 329 35.C 44.D pg.442 53.C pg.374
9.B pg.437 18.A 27.C pg.333 36.A pg.340 45.C 54.A