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94 Cards in this Set
- Front
- Back
the usual neural consequence of subluxation is radiculopathy (t/f)
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FALSE
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radiculopathy most commonly affects which nerve roots?
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lumbar
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when radiculopathy develops in the low back, the _____ nerve roots are most commonly affected
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L5, S1
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which of the following is the most common cause of thoracic radiculopathy?
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herpes zoster
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if a pt is experiencing pain, paresthesia and numbness in the lateral forearm, thumb and index finger due to a cervical radiculopathy, the most likely involved spinal nerve is
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C6
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if a pt is experiencing pain, paresthesia and numbness in the lateral shin, dorsum of foot and big toe due to radiculopathy, the most likely involved spinal nerve is
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L5
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Sclerogenic pain refers to pain of ____ tissue origin
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sclerogenic
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the neurologic signs and symptoms in a neurologic disorder of metabolic etiology will usually present bilaterally (t/f?)
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TRUE
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which of the following is derived from the neural crest?
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ganglia of the autonomic nervous system and dorsal root ganglia
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which of the following structures is located in the cerebral hemisphere
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lateral ventricles AND corpus striatum
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which of the following is not part of the basal ganglia?
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all of the above are: putamen, caudate, globus pallidus
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two of the cerebral nuclei are functionally related and together are known as the interposed nucleus. these are
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globose and emboliform
(fat guys eat donuts) |
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which of the following is not a real functional division of the cerebellum?
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All Are! vestibulocerebellum, spinocerebellum, cerebrocerebellum
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numbness around the anus and an inability to urinate should suggest the presence of
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cauda equina syndrome
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facial weakness resulting from a stroke would most likely involve the
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lower half of the contralateral face
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when herpes zoster affects the trigeminal nerve, which of the divisions is most commonly affected?
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opthalmic
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when the following structures deviate due to a lesion of their associated cranial nerve, which of the following is most likely to deviate towards the side of the lesion?
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tongue
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a pt presents complaining of pain, tingling & numbnessin the lateral shin and of the foot. if this complaint were due to a peripheral nerve injury, which peripheral nerve would most likely be affected?
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peroneal
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which of the following is a primary cortical area?
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All: post central gyrus, precentral gyrus, calcarine sulcus, superior temporal lobe.
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which of the following is considered to be an association cortex?
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prefrontal and PTO (parietotemporooccipital)
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problems understanding language is known as
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wernicke's aphasia
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problems speaking language (non fluent) is known as
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broca's aphasia
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when the following structures deviate due to a lesion of their assc cranial N, which of the following is most likely to deviate AWAY from the side of the lesion?
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uvula
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a stroke involving the anterior cerebral artery will usually result in motor and sensory deficits in the
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contralateral lower extremities
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an infarct of the anterior spinal artery at the thoracolumbar region will usually result in ______ below the level of the lesion
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bilateral weakness and pain and temperature loss
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which of the following is most likely to be assc with expressive (broca's) aphasia?
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R hemiparesis
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which of the following is true concerning the fxn of the thalamus?
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both,
serves as a gatekeeper, preventing or enhancing the passage of specific info on its way to the cerebral cortex AND relays info on its way to the cerevral cortex |
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which of the followoing are functional nuclear groups of the thalamus?
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ALL: association, diffuse projecting, relay, thalamic regulatory
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a lesion of the VP nucleus would most likely result in
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contralateral sensory loss
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which of the following thalamic nuclei is the major relay nucleus for the limbic system?
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anterior
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a lesion of the lateral geniculate nucleus of the thalamus would most likely be associated with:
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contralateral homonymous hemianopia
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which of the following nuclei project to the association cortex?
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dorsomedial (frontal cortex)
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which of the following thalamic nuclei belong to the diffuse projecting functional group?
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midline & intralaminar
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which of the following thalamic nuclei receives input from the trigeminal thalamic tract?
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VPM
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which of the following thalamic nuclei does not project to the cerebral cortex, but projects to the other thalamic nuclei and is involved in regulating thalamic neuronal activity?
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reticular nucleus
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according to the article "changes in the brain fxn after manipulation of the cervical spine" by carrick, when blind spots are unequal, the larger blind spot is indicative of...
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decreased integration and function of the contralateral thalamus and cortex
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according to chiropractic neurology, the mechanoreceptive afferentation from an adjustment is primarily transmitted to
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ipsilateral cerebellum and contralateral thalamus and cortex
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which of the following best sumarizes the function of the hypothalamus?
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maintains homeostasis
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the hypothalamus works primarily through the:
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all (pituitary, autonomic nervous system, limbic system)
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which of the following visual defects would most likely place a lesion in the vicinity of the pituitary and hypothalamus?
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bitemporal hemianopia
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which of the following is NOT a function of the hypothalamus?
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ALL are functions, thermoregulation, food intake regulation , analgesic pain modulation, sexual development and function
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which of the following portions of the pituitary is connected to the hypothalamus via a circulatory link?
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anterior pit. (adenohypophysis)
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the supraopticohypophyseal tract (posterior pituitary) is associated with hypothalamic regulation of:
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water balance-ADH & oxytocin
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the hypothalamus has a/an _____ center.
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both, appetite and feeding, and satiety
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the descending hypothalamic projections in the dorsolateral medulla are most commonly damaged as a consequence of occlusion of the_______ artery.
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Posterior Inferior Cerebellar Artery (PICA)
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which of the following is a cause of horner's syndrome?
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BOTH, pancoast tumor and dorsolateral medullary syndrome.
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which of the following is a sign and symptom of horner's syndrome?
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constriction of the pupis and drooping (ptosis) of the upper eyelid
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beta endorphins and endogenous opiates are produced in which of the following hypothalamic nuclei?
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arcuate nucleus (ant. lobe pituitary)
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a lesion in the somatosensory pathway in the internal capsule ion the right would result in sensory loss on the
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LEFT
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which of the following is true regarding transmission of somatosensory info from the body?
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tactile info transmits up the ipsilateral spinal cord, pain & temp info transmits up the contralateral spinal cord.
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a lesion in the midline of the dorsal column in the cervical spine would most likely result in loss of
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tactile sensation in the lower extremity bilaterally
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compression of the anterolateral aspect of the cervical cord due to DJD would most likely result in loss of:
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pain & temp sensation in the contralateral upper extremity
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which of the following are components of the anterolateral system?
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ALL= spinothalamic, spinoreticular, spinomesencephalic tracts
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the early symptoms of syringomyelia are:
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bilateral pain and temp loss
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which of the following distributions of sensory loss is most consistent with a right brown-sequard syndrome?
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pain/temp loss on the left side and tactile loss on the right
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in regards to the right brown-sequard syndrome, which of the following motor presentations would most likely occur?
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weakness and upper motor neuron signs on the right (same side as tactile loss)
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a lesion in the medial lemniscus will result in:
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loss of tactile sensation contralaterally
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which of the following sensory loss patterns would be most consistent with a dorsolateral medullary syndrome (wallenberg's syndrome)?
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pain & temp. loss in the ipsilateral face and contralateral body
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astereognosis (loss of the ability to identify objects by handling them) would most likely indicate a lesion of the....
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ipsilateral cord
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large diameter mechanoreceptive afferentation may inhibit the transmission of nociception in the dorsal horn of the spinal cord (t/f)?
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TRUE
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disorder of one cerebellar hemisphere will usually result in motor disfunction of the...
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ipsilateral limbs
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a lesion of the basal ganglia will usually result in motor deficits...
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contralaterally
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lower motor neuron signs indicate that the lesion is in the PNS...
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FALSE
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a lesion of the motor fibers of a cranial nerve is classified as an upper motor neuron lesion
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TRUE
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antigravity postural muscles of the body are controlled primarily by the_____ motor sysem
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medial
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facial weakness involving the left side of the face would most likeley be due to a
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left facial nerve lesion
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when a lower motor neuron results in altered muscle tone,______ will most likely occur.
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decreased muscle tone, hypotonia
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pathological reflexes usually result from:
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pyramidal tract lesions
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knife clasp phenomenon would most likely be seen with_____ lesion.
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UMN
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increases deep tendon reflexes would most likely result from a ________ lesion
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UMN
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a stroke involving theanterior cerebral artery would most likely result with weakness in the:
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contralateral lower extremity
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weakness resulting from a vascular accident involving the internal capsule would most likely cause:
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contralateral hemiplegia w/ the upper part of the face spared
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a pt presents with paraplegia, the pt can feel tactile stimulation and pain/temp only down the torso to the nipple level, the abdominal reflexes are absent bilateral. what is the most likely site of the lesion?
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thoracic cord transection T10 level
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which of the following is most characteristic of amyotrophic lateral sclerosis? (ALS, Lou Gehrig's disease)?
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UMN and LMN signs with sensory function intact
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guillian-barre is a demyelinating disease of the PNS
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True
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which of the following is true regarding polio myelitis?
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weakness due to LMN lesion
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which of the following is true regarding multiple sclerosis?
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weakness may occur in MS and present with upper motor neuron signs
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which of the following would most likely occur in subacute combined systems disease?
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weakness with UMN signs and tactile loss
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absence of UMN signs rules out a CNS lesion (t/f)
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false
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which of the following neuromuscular junction diseases is a post-junctional disease?
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myasthenia gravis
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one of the most common initial symptoms of myasthenia gravis is...
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weakness of the extraocular eye muscles (diplopia)
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when myopathy is present, the muscle weakness is typically present in the..
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proximal extremities
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which of the following presents with sensory loss?
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neither (myopathy nor NMJ disease)
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which of the following would cause weakness in the distal aspects of both lower extremities?
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neurological complications of diabetes (stocking and glove)
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which of the following can provide input into the cerebellum?
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ALL (climbing, parallel and mossy fibers)
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most of the output of the cerebellar cortex is from:
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purkinje cell axons
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match the cerebellar longitudinal zones with output nucleus...
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vermal zone-fastigial nucleus
intermediate zone-globose and emboliform |
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the interposed nucleus of the cerebellum projects to the _____ motor system of the spinal cord.
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lateral
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the dentate nucleus projects to the
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thalamus and motor cortex contralaterally
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afferent info from the limbs through the spinocerebellar tracts project to the _____ zone.
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intermediate
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alcoholism results in a lesion to the_____ of the cerevellum, and show problems with______.
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flocculonodular lobe, eye movements
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the cerebelllum plays an important role in ....
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ALL (motor learning, cognitive, affective process)
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the vermal and intermediate zones of the cerebellum comprise the spinocerebellum (t/f)?
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true!
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participation in the planning of movement is considered a function of the .....
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spinocerebellum and cerebrocerebellum
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