Spinal cord - Quiz
Spinal cord
  • 1. Which spinal cord enlargement corresponds to the brachial plexus nerves?
A) Cervical enlargement
B) Lumbar enlargement
C) Sacral enlargement
D) Thoracic enlargement
  • 2. The cervical enlargement includes spinal cord segments from approximately:
A) L2 to S3
B) C1 to C3
C) C4 to T1
D) T9 to T12
  • 3. Which segments comprise the lumbar enlargement?
A) T1 to L1
B) L2 to S3
C) S4 to Co1
D) C4 to T1
  • 4. At which vertebral levels is the lumbar enlargement found?
A) C4 to T1
B) T9 to T12
C) C7 to T2
D) L1 to L5
  • 5. How many longitudinal arteries run along the length of the spinal cord?
A) Four
B) Two
C) Three
D) One
  • 6. Where do the three longitudinal arteries travel?
A) Central canal
B) Epidural space
C) Subarachnoid space
D) Dura mater
  • 7. Which of the following is NOT one of the three longitudinal arteries?
A) Right posterior spinal artery
B) Anterior spinal artery
C) Left posterior spinal artery
D) Radicular artery
  • 8. What is the name of the largest anterior radicular artery?
A) Posterior segmental artery
B) Anterior cerebral artery
C) Artery of Adamkiewicz
D) Neural crest artery
  • 9. Between which levels does the artery of Adamkiewicz usually arise?
A) T9 and L5
B) L1 and L2
C) S1 and S3
D) C4 and T1
  • 10. What factor is secreted by the notochord to induce the floor plate?
A) Netrins
B) Bone morphogenetic protein (BMP)
C) Sonic hedgehog (SHH)
D) Acetylcholine
  • 11. What structure is induced by the floor plate to develop motor neurons?
A) Alar plate
B) Roof plate
C) Basal plate
D) Neural crest
  • 12. What structure separates the alar plate and the basal plate?
A) Central canal
B) Floor plate
C) Anterior white commissure
D) Sulcus limitans
  • 13. What substance induces the roof plate to develop sensory neurons?
A) Sonic hedgehog (SHH)
B) Netrins
C) Cerebrospinal fluid
D) Bone morphogenetic protein (BMP)
  • 14. From which progenitors do dorsal root ganglion neurons differentiate?
A) Alar plate
B) Floor plate
C) Neural crest
D) Roof plate
  • 15. What acts as chemoattractants for the decussation of pain and temperature neurons?
A) Netrins
B) Bone morphogenetic protein
C) Sonic hedgehog
D) Radial glial cells
  • 16. What is the result of impaired blood flow through critical radicular arteries?
A) Cervical enlargement atrophy
B) Loss of netrin secretion
C) Spinal cord infarction
D) Neural tube defect
  • 17. What is the correct order of the spinal cord development stages?
A) Neural fold, neural plate, neural tube, spinal cord
B) Neural tube, neural plate, spinal cord, neural fold
C) Spinal cord, neural tube, neural fold, neural plate
D) Neural plate, neural fold, neural tube, spinal cord
  • 18. What does the lumen of the neural tube form as cells proliferate?
A) Anterior white commissure
B) Central canal
C) Ventricles
D) Sulcus limitans
  • 19. What was the scientific finding regarding programmed cell death in the embryo?
A) It only occurs in the alar plate
B) It is prevented by Sonic hedgehog
C) It is necessary for correct assembly of the nervous system
D) It is a sign of neural tube defects
  • 20. Spontaneous embryonic activity plays a role in which of the following?
A) Development of the notochord
B) Initial formation of connections between spinal neurons
C) Neuron and muscle development
D) Secretion of bone morphogenetic protein
  • 21. How many pairs of spinal nerves form in the human spinal cord?
A) 12
B) 24
C) 8
D) 31
  • 22. Where do motor nerve rootlets branch out from?
A) Dorsal lateral sulci
B) Central canal
C) Intervertebral foramen
D) Ventrolateral sulci
  • 23. What is the name of the structure that anchors the spinal cord to the coccyx?
A) Lumbar cistern
B) Filum terminale
C) Cauda equina
D) Conus medullaris
  • 24. What is the collection of nerves inferior to the conus medullaris called?
A) Cauda equina
B) Lumbar cistern
C) Dorsal root
D) Filum terminale
  • 25. What is the primary component of white matter in the spinal cord?
A) Cell bodies of interneurons
B) Unmyelinated axons only
C) Myelinated axons
D) Neuroglia cell bodies
  • 26. What marks the demarcation between the central and peripheral nervous systems?
A) Grey columns
B) Conus medullaris
C) Nerve rootlets
D) Funiculi
  • 27. What is the term for functional clusters of nerve cell bodies within the CNS?
A) Rootlets
B) Horns
C) Nuclei
D) Funiculi
  • 28. How many cervical segments are there in the spinal cord?
A) 7
B) 5
C) 12
D) 8
  • 29. What is the name of the fluid-filled space in the inferior part of the vertebral canal?
A) Conus medullaris
B) Central canal
C) Lumbar cistern
D) Subarachnoid space
  • 30. What is the shape of the grey matter in the center of the spinal cord?
A) Triangular
B) Circular
C) Butterfly
D) Oval
  • 31. At approximately what age does the spinal cord stop growing in length?
A) Eight
B) Eighteen
C) Twelve
D) Four
  • 32. What structure does the spinal cord originate from in the lower brainstem?
A) Thalamus
B) Cerebellum
C) Pons
D) Medulla oblongata
  • 33. What is the approximate length of the spinal cord in an average adult male?
A) 40 cm
B) 43 cm
C) 50 cm
D) 45 cm
  • 34. What tissue fills the epidural space?
A) Adipose tissue
B) Cerebrospinal fluid
C) Nerve fibers
D) Meningeal fluid
  • 35. Which layer of the meninges is the outermost?
A) Dura mater
B) Arachnoid mater
C) Pia mater
D) Denticulate ligament
  • 36. What is the function of the dorsal roots?
A) Transmitting motor commands
B) Supporting the spinal cord structure
C) Controlling rhythmic movements
D) Receiving sensory information
  • 37. What is the shape of the gray matter in a cross-section of the spinal cord?
A) Circular
B) Ovoid
C) Butterfly-shaped
D) Rectangular
  • 38. What is the name of the groove on the ventral side of the spinal cord?
A) Anterior median fissure
B) Lateral sulcus
C) Posterior median sulcus
D) Dorsal median fissure
  • 39. What is the innermost layer of the meninges?
A) Arachnoid mater
B) Pia mater
C) Dura mater
D) Epidural layer
  • 40. Where does the primary axon travel if it enters the spinal cord below level T6 in the DCML pathway?
A) Lissauer's tract
B) Cuneate fasciculus
C) Spinothalamic tract
D) Gracile fasciculus
  • 41. In the DCML pathway, what is the location of the cuneate fasciculus relative to the gracile fasciculus?
A) Anterior
B) Posterior
C) Medial
D) Lateral
  • 42. What are the collections of secondary axons that pass anteriorly and medially from the dorsal column nuclei called?
A) Corticospinal fibers
B) Dorsal root fibers
C) Internal arcuate fibers
D) Spinothalamic fibers
  • 43. Where do secondary axons from the medial lemniscus terminate?
A) Substantia nigra
B) Inferior olive
C) Ventral posterolateral nucleus
D) Red nucleus
  • 44. Where does the primary neuron of the ALS synapse after ascending one to two levels?
A) Clarke's column
B) Nucleus gracilis
C) Substantia gelatinosa
D) Nucleus cuneatus
  • 45. What is the name of the tract that ascends before synapsing in the ALS?
A) Cuneate fasciculus
B) Gracile fasciculus
C) Medial lemniscus
D) Lissauer's tract
  • 46. Where do some pain fibers deviate to in the midbrain to create memories about pain?
A) Reticular formation
B) Periaqueductal gray
C) Nucleus raphes magnus
D) Ventral posterolateral nucleus
  • 47. What structure does the periaqueductal gray project to in order to help inhibit pain?
A) Nucleus raphes magnus
B) Hippocampus
C) Centromedian nucleus
D) Ventral posterolateral nucleus
  • 48. Which nucleus is associated with the projection from the reticular formation that causes diffuse pain?
A) Centromedian nucleus
B) Nucleus gracilis
C) Ventral posterolateral nucleus
D) Clarke's column
  • 49. What happens to the internal arcuate fibers after they leave their nucleus?
A) Synapse in the substantia gelatinosa
B) Terminate in the cerebellum
C) Enter the cuneate fasciculus
D) Decussate
  • 50. Where are the cell bodies of primary proprioceptive neurons located?
A) Ventral horn
B) Dorsal root ganglia
C) Clarke's nucleus
D) Accessory cuneate nucleus
  • 51. How many times does the ventral spinocerebellar tract decussate?
A) One
B) Two
C) Zero
D) Three
  • 52. Which cerebellar peduncle does the ventral spinocerebellar tract utilize?
A) Middle cerebellar peduncle
B) Inferior cerebellar peduncle
C) Lateral cerebellar peduncle
D) Superior cerebellar peduncle
  • 53. Which cerebellar peduncle does the dorsal spinocerebellar tract pass through?
A) Inferior cerebellar peduncle
B) Middle cerebellar peduncle
C) Superior cerebellar peduncle
D) Dorsal cerebellar peduncle
  • 54. What substance composes the descending tracts?
A) White matter
B) Connective tissue
C) Cerebrospinal fluid
D) Gray matter
  • 55. What is the primary function of the corticospinal tracts?
A) Temperature regulation
B) Vision processing
C) Coordinated limb movements
D) Pain processing
  • 56. What percentage of corticospinal axons cross at the decussation of the pyramids?
A) 100%
B) 10%
C) 50%
D) 90%
  • 57. Do tectospinal, vestibulospinal, and reticulospinal tracts cross the anterior white commissure?
A) No
B) Only the vestibulospinal tract does
C) Yes
D) Only the tectospinal tract does
  • 58. In mice, the projection from the somatosensory cortex to laminae III-V of the lumbar spinal cord aids in the detection of what?
A) Deep pressure
B) Light touch
C) Motor inhibition
D) Rhythmic movement
  • 59. What is the name of the congenital disorder where the spinal cord is split, usually at the upper lumbar level?
A) Spinal stenosis
B) Transverse myelitis
C) Spina bifida
D) Diastematomyelia
  • 60. Upper motor neuron damage in the spinal cord is characterized by which pattern of deficits?
A) Bilateral atrophy
B) Ipsilateral deficits
C) Contralateral deficits
D) Segmental myotome deficits
  • 61. Which of the following is a characteristic of lower motor neuron damage?
A) Spasticity
B) Hypotonia
C) Hypertonia
D) Hyperreflexia
  • 62. How long does spinal shock typically last?
A) 1 week
B) 24–48 hours
C) 3 months
D) 2 to 4 weeks
  • 63. What steroid is mentioned as a potential treatment for spinal cord injuries?
A) Dexamethasone
B) Methylprednisolone
C) Cortisone
D) Prednisone
  • 64. What is the primary focus of spinal cord injury treatment?
A) Increasing blood pressure
B) Limiting post-injury cell death
C) Surgical removal of the spinal cord
D) Reducing spinal fluid
  • 65. Which symptom is associated with upper motor neuron damage?
A) Muscle atrophy
B) Hyperreflexia
C) Hyporeflexia
D) Hypotonia
  • 66. Which of these is a non-traumatic cause of spinal cord injury?
A) Severing
B) Transverse myelitis
C) Bruising
D) Laceration
  • 67. What facilitates neural regeneration in the spinal cord?
A) Total cessation of movement
B) Maintaining electric transmission
C) Increasing pressure on the injury
D) Complete immobilization of neurons
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