Chapter·AnatomyBrainstem nuclei

Ascending sensory pathways in brainstemDownloads

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Sample Questions

1

A 45-year-old patient presents with difficulty speaking and swallowing following a stroke. MRI reveals an infarct in the medulla. Which of the following cranial nerve nuclei is most likely affected?

AVestibulocochlear nucleus

BTrigeminal nerve nucleus

CFacial nerve nucleus

DNucleus ambiguus

2

A patient with a known spinal cord ependymoma presents to his neurologist for a check up. He complains that he has had difficulty walking, which he attributes to left leg weakness. On exam, he is noted to have 1/5 strength in his left lower extremity, as well as decreased vibration and position sensation in the left lower extremity and decreased pain and temperature sensation in the right lower extremity. Which of the following spinal cord lesions is most consistent with his presentation?

AAnterior cord syndrome

BPosterior cord syndrome

CSyringomyelia

DRight-sided Brown-Sequard (hemisection)

ELeft-sided Brown-Sequard (hemisection)

3

A 72-year-old woman is brought in to the emergency department after her husband noticed that she appeared to be choking on her dinner. He performed a Heimlich maneuver but was concerned that she may have aspirated something. The patient reports a lack of pain and temperature on the right half of her face, as well as the same lack of sensation on the left side of her body. She also states that she has been feeling "unsteady" on her feet. On physical exam you note a slight ptosis on the right side. She is sent for an emergent head CT. Where is the most likely location of the neurological lesion?

APons

BInternal capsule

CCervical spinal cord

DMedulla

EMidbrain

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