Petruska Exam Questions 1. The spinal level T10 dermatome contains which anatomical feature: a. hand b. nipple c. umbilicus d. thigh 2. The patellar tendon reflex is associated with spinal segments: a. C5-6 b. T10-12 c. L2-4 d. S1-2 3. Clarke’s nucleus is located between: a. T4 and T10 b. L1 and L5 c. C1 and C8 d. C8 and L2 4. The following statements are correct EXCEPT: a. the lateral corticospinal tract is present in the lateral funiculus b. the medial to lateral topography in the lateral corticospinal tract represents cervical to sacral dematomes respectively c. the substantia gelatinosa is located in the posterior cell column d. the posterior intermediate sulcus extends caudally from about the T7 spinal cord level e. the alpha and gamma motor neurons are located in the anterior cell column 5. A patient complains of loss of pain sensation from the big toe on his right foot. On further examination, the patient is shown to have a bilateral loss affecting both big toes. Which site on the diagram is the most likely location of the lesion? a. A b. B c. C d. D e. none of the above 6. What spinal nerve or spinal cord segment would be affected in the description above? a. L5-S1 b. S3 c. L3 d. T10 1. What is the only cranial nerve to emerge from the posterior aspect of the brainstem? a. I b. II Petruska Exam Questions c. III d. IV e. V i. Which nerve innervates the trapezius and sternocleidomastoid muscles? 2. 3. 4. 5. 6. VIII IX X XI XII a. Cranial nerve VII 7. is a pure motor nerve 8. is a pure sensory nerve 9. is a mixed function nerve 10. emerges from the midbrain 11. b and d correct a. A patient complains of ringing in the ears. You suspect possible involvement of cranial nerve. 12. V 13. VI 14. VII 15. VIII 16. IX a. All of the following are correct EXCEPT: 17. Cranial nerve 3 is the oculomotor nerve 18. The somata of primary afferents involved in toothache are located in the trigeminal ganglion. 19. An acoustic neuroma usually originates in the interpeduncular fossa. 20. The pyramids are a prominent external feature of the anterior medulla. 21. The corpora quadrigemini are a prominent external feature of the posterior midbrain. 22. The specific nucleus closest to the lateral aspect of the genu of the internal capsule is a. Dorsolateral thalamus b. Septal nucleus c. Caudate nucleus d. Globus pallidus internus (GP-I, GPi) e. none 23. The posterior limb of the internal capsule Petruska Exam Questions a. b. c. d. e. contains frontopontine fibers lies between the thalamus and the lenticular nucleus consists of gray matter is a nucleus none of the above is correct 24. the anterior commissure a. is a 3 layered cortex b. connects structures in the temporal lobes c. connects to the hypothalamus via the fornix d. is important in short-term memory e. is caudal to the cerebral aqueduct 25. The sensory thalamus includes the: a. lateral geniculate body b. ventral posterior medial nucleus c. ventral lateral nucleus d. all of the above are correct e. a and b are correct 26. The thalamus is associated with the a. 3rd ventricle b. 4th ventricle c. lateral ventricles d. cerebral aqueduct e. central canal 27. Which cranial nerve projects directly to the thalamus? a. I b. II c. III d. IV e. V Petruska Exam Questions 1. c 2. c 3. d 4. d 5. a 6. a 7. d 8. d 9. c 10. d 11. c 12. D 13. B 14. B 15. e 16. a 17. b