Time:90mins
Section111111IVVVI
Tota1
Scores
Verifier
Score
Scorer
LMultipleChoiceQuestions.(100points)
Direction:thecorrectanswerandblacken
thecorrespondingletteronyouranswersheetwithyourpenorpencil.
lexarc,whichcomponentreprentsmuscleorgland?(D)
or
nthattravelsthroughtheoculomotornervetoanextrinsicmescleoftheeye
isofwhattype?(B)
or
fthefollowingisnotpartofthecerebrum?(A)
uclei
fthefollowingwouldbeconsiderednsoryinfunction?(B)
f
thefollowingareassociatedwiththePNS?(E)
micganglialocatedoneithersideofthevertebralcolumnare(B)
mpathetic
fthefollowinghavetheircellbodies
reassociatedwithcerebrospinalfluid
chnoidspace
ombinationsarecorrect?(E)
callosum—diencephalon
B
cellbodiesarelocatedin(E)
B
fthefollowingcranialnervesdoesnothaveparasympatheticfibers?(B)
lexarc,whichcomponentreprentsamuscleorgland?(D)
or
orreasonwhycarbidopaisofvalueinthetreatmentofParkinson'sdiaisthat
thecompound:(C)
locatedinganglia?(E)
glionicneuron
JEPN?(E)
uadrigemina—midbrain
:
・ON-u
①
pms
sthebloodbrainbarrierandinhibitsaromaticL-aminoaciddecarboxylaintheCNS.B.
tsaromaticL-aminoaciddecarboxylain
ertedtothefaltransmittercarbidopamineintheperiphery.
ionisassociatedwithdeepandshallownsorydisturbance,accompaniedbyspontaneous
painandhypernsitivity,thelesionin[C]
ephalicE.
bridgebrain
,62yearsold,speechisnotclearinthemorning,therightlimbweakness,twodays
105/82minHg,consciousness,motoraphasia,right
hemiplegia,canbecompletelyexcludedinthediagnosisof一C]
alhemorrhage
rcerebralinfarction
ptomsofperipheralhypoglossalparalysisdonotinclude[B]
eralparalysis,thetipofthetongueisbiadtowardtheparalyticsidewhenprotruding
eralparalysis,thetipofthetongueisbiadtowardthecontralateralof
ralparalysis,tonguecannotbeprotrudedor
ophysiological
teriortemporalgyruswasEC]
texmotorcenterE.
thecortexnsorynter
,61yearsold,dCTshowsthe3cmx3cmx6cmhigh
tlikelydiagnosisisEB].
ensive
encephalopathy
racteristicsofthemuscletensionchangesintheuppermotorneuronwereusually[A].
muscletensionofupperextremityishigh;extensormuscletensionoflowerextremity
ormusclestensionofupperextremityishigh,flexormuscletensionoflower
ormuscle
sionoftheflexormuscleandtheextensor
esioncancauthelossofalgesiaand
temperaturensationontheonesideofthefaceandtheothersideofthebody,itlocateinthe
[Dj
artofthebridgebrainD.
theclinical
diagnosisofepilepsyshouldbebadon
cthistoryof
scan
taccuratediagnosisofintracerebralhemorrhageisbadonLDJ
hemiplegia,andhead
treliablediagnostic
basisforsubarachnoidhemorrhageis[C]
he,puncturefoundbloodycerebrospinalfluid
egia
2days,wolegsweaknessthismorning,
allkindsofnsorydisturbancesbelowthe
umbilicus,st
al
umbarvertebra
,58yearsold,theprogressivedoubleupperlimbtremorsandtheactivityis
asnoabnormal
alexamination:dullfacialexpressions,limbmuscletension,
gear,whentheupperlimbsstretchforwardmaytherewere4to5timesminutehandtremor,finger
sicalsignthatcouldnotbefoundduringphysicalexaminationwas[E]
A,"rubbingpill"movementB・"roadsign"phenomenonC・一likerigidity
E・"open-off“phenomenon
ntwithdrinkingcough,hoarness,physicalexamination:therightsoftpalatecan't
ionsitewasin[E]
ralcorticalbrainstem
lossopharyngealvagusnerve
eniagravis[C]
inatingdiaofperipheral
sofmelanin
fthefollowingclinicalsymptomsof
cerebralinfarctionisnotincluded[E]sisoflimbsC.
ealirritation
lowingpreventionandtreatmentofmigraine,whichisnotcorrect[E]
tarves,rinkandintakeof
ilatorcan
beudaftertheontofaheadache.
chemiplegicgait[D]
rslikegait
icparalysis[A]
ssoftheextremities,ssoftheextremities,parationof
ssoftheextremities,nsorydisturbancelike
ssoftheextremities,relievedafterrestandaggravated
ssoftheextremities,atrophyofthescapulaandpelvicmuscles.
striatum[B]
gtssignis
positive
reatmentofcerebralhemorrhage,whichofthefollowingiscorrect[D]
icpressureismaintainedat120"enousrehydrationmorethan2500ml
iet,activeantibrainedemaE.24hoursaftertheontof
dia,twithhemiplegia,
hemianesthesiaandhemianopia,hisbloodveslwhichismostlikelytoblock[B]
iorcerebralartery
orspinalartery
fthefollowingcorrect[A]
erighttrigeminalnerveisdamaged,themandibleisskewedtotherightwhenopening
erightfacialnerveisdamaged,theangleofthemouthisskewedtotheright
erighthypoglossalnerveisdamaged,thetipofthetongue
erightabducentnerveisdamaged,the
upilnarrowingwhenrightopticnervedamage.
epatientswithsubarachnoidhemorrhageoccurblepharoptosis,thelocationofthe
aneurysmmaybein[C.
iorcommunicatingarteryD.
lmicartery
racteristicsofthensoryimpairmentoftheinternalcapsule(B)
hesiaor
anesthesiaofthecontralateralbody(includingtheface).lateralbody(including
face)lateralbody(including
face)ypesthesiaoranesthesia
stchoiceofidiopathicbigattack[A]
39.A
previouslyhealthy22-year-oldcollegestudentisbroughttotheemergencydepartmentbyher
heizure,shewasconfud
hadaheadache,cough,andfeverfor3days
peratureis38.9"C(102'F).
alstatuxamination,sheis
difficultynamingobjectsandmakesliteral
rpunctureis
done;cerebrospinalfluidanalysisshowsanerythrocytecountof340X106/L,aleukocytecount
of121X106/L(88%monocytes),andaproteinconcentrationof0.78g/fthefollowing
isthemostlikelydiagnosis?(C)
ndrome
40.A67-year-oldmanisbroughttotheemergencydepartmentbecauofheadacheanddecread
20-yearhistoryofpoorlycontrolled
infulstimulation,hemovestheleft
tpupilislargerthantheright
noftheheadshows
alargehyperintenmassintheleftbasalgangliawithcompressionoftheleftlateralventricle
fthefollowingisthemostlikelydiagnosis?(C)
ial
dcavernousfistula
tofneuronthatconductsimpulstowarditscellbodyiscalleda(an)(B)
sheath
oplasmicextensionsthatprovidethemainreceptivesurfacesforneuronare(D)A.
tes
ofmyelinatednervefibersappear(A)
arent
nthattravelsthroughtheoculomotornervetoanextrinsicmuscleofeyeisofwhat
type?(B)
or
sthatconductimpulstothespinalcordorbrainarecalled(A)
eurons
dorinjuredneuroncannotregenerateif(C)
axonhasbeencut
nceofmyelinonaprocessgiveswhatcharacteristics?(B)
theabove
fthefollowingwouldnotbetrueofareflexarc?(D)
hasitscenterinthebrainor
includesaninterneuron
alnuclei(D)
ethecaudateandlentiform
heabove
riorrootofaspinalnervewerecut,whatwouldbetheresultinthetissueorregion
thatnervesupplies?(A)
telossofnsationand
neithernsationnormovement,butonlyofautonomiccontrolofblood
veslsandsweatglands
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