1) Tremor in the hands that is most obvious when the
patient is awake and trying to perform an action is
most likely due to disease in which of the following
structures?
a) Thalamus
b) Cerebellum
c) Substantia nigra
d) Spinal cord
2) In the person with parkinson’s disease, the tremor
that is evident when a limb is at rest changes in what
way when the patient falls asleep? a) It becomes more
rapid
b) Its amplitude increases
c) It generalizes to limbs that were uninvolved when the
patient was awake
d) It disappears
3) A 25-year-old woman with a history of epilepsy
presents to the emergency room with impaired
attention and unsteadiness of gait. Her phenytoin level
is 37. She has white blood cells in her urine and has a
mildly elevated tsh. Examination of the eyes would be
most likely to show which of the following? a)
Weakness of abduction of the left eye
b) Lateral beating movements of the eyes
c) Impaired convergence
d) Papilledema
4) A 75-year-old generally healthy man has noticed
worsening problems maneuvering over the past 4
months. He has particular trouble getting out of low
seats and off toilets. He most likely has which of the
following?
a) Poor fine finger movements
b) Poor rapid alternating movements
c) Distal muscle weakness
d) Proximal muscle weakness
5) A 50-year-old woman is being examined for
hearing loss. A vibrating tuning fork is applied to the
center of her forehead. This helps to establish which
ear.
a) Has the wider range of frequency perception
b) Has the larger external auditory meatus
c) Has infection of the external ear canal
d) Has conductive or sensorineural hearing loss
6) A 67-year-old woman says that she is having
problems with dizziness. A more careful history
reveals that she has an abnormal sensation of
movement intermittently. Which of the following tests
would be most helpful in determining the cause of
episodic vertigo? a) CSF
b) C-spine MRI
c) Visual evoked response (VER)
d) Electronystagmography (ENG)
7) This patient develops increased sensitivity to sound
in her left ear, and a brain MRI reveals a posterior
fossa mass. This symptom may develop in one ear with
damage to the ipsilateral cranial nerve a) V
b) VII
c) VIII
d) IX
8) A 42-year-old woman is being evaluated for gait
difficulties. On examination, it is found that her ability
to walk along a straight line touching the heel of one
foot to the toe of the other is impaired. This finding is
most common with which of the following? a)
Cerebellar dysfunction
b) Parietal lobe damage
c) Temporal lobe damage
d) Ocular motor disturbances
9) A 55-year-old woman is being examined. The
clinician notices the presence of fine twitching
movements beneath the surface of the tongue and
wasting of one side of the tongue. This finding suggests
damage to cranial nerve a) V
b) VII
c) IX
d) XII
10) A 46-year-old longshoreman complains of lower
back pain radiating down the posterior aspect of his
left leg, and paresthesias in the lateral aspect of his left
foot. This has been present for 6 months. Strength and
bowel and bladder function have been normal.
Examination would be most likely to show which of
the following?
a) Left Babinski sign
b) Loss of pinprick sensation over the webspace between
the first and second digits of the left foot
c) Hyperreflexia at the left knee jerk
d) Hyporeflexia in the left Achilles tendon reflex0
11) A 28-year-old graduate student presents with
confusion and mild right hemiparesis developing over
the course of an evening. His girlfriend relates that he
has been complaining of severe headaches each
morning for the past 2 weeks. While being evaluated
in the emergency room, he has a generalized tonic—
clonic seizure. When examined 2 h later, he is
lethargic and unable to recall recent events, has
difficulty naming, and has a right pronator drift.
There is mild weakness of abduction of the eyes
bilaterally. Funduscopic examination might be
expected to show which of the following? a) c) Aberrant regeneration of the facial nerve
Pigmentary degeneration of the retina d) Trigeminal neuralgia
b) Hollenhorst plaques
c) Retinal venous pulsations
d) Blurring of the margins of the optic disc 16) Segmental dissociated sensitivity disorders arise
due to the damage of
12) Taking a normal, awake person who is lying
supine with head slightly elevated (30°) and irrigating a) peripheral nerve
one external auditory meatus with warm water will b) intervertebral spinal ganglion
induce c) dorsal root
d) dorsal horn
a) Tonic deviation of the eyes toward the ear that is
17) The basic sign of phantomic pain syndrome
stimulated
b) Nystagmus in both eyes toward the ear that is a) hypesthesia in the cult of the limb
stimulated b) a feeling of pain in a non-existent part of the
c) Tonic deviation of the ipsilateral eye toward the ear removed
that is stimulated limb
d) Nystagmus in both eyes away from the ear that is c) swelling and cyanosis of the limb stump
stimulated d) the burning nature of pain

13) A 33-year-old woman has the acute onset of right
orbital pain after a tennis match. The following
morning, her 10-year-old son comments that her right
eye looks funny. On examination, she has a mild right
ptosis and anisocoria. The right pupil is 2 mm smaller
than the left, but both react normally to direct light
stimulation. Visual acuity, visual fields, and eye
movements are normal. The site of injury is due to
interruption of fibers from which of the following
structures?
18) Characteristic signs of causalgic pain
a) intense burning pain that does not correspond to the
zone of innervation of the affected nerve
b) severe pain with pressure on the nerve trunk
c) the shooting nature of pain
d) severe pain when pulling a nerve
19) Sensitivity diseases by type “glove” and “socks”
arise due to the damage of

a) Optic tract a) peripheral nerves

b) Optic chiasm b) brachial and lumbar plexus
c) Cranial nerve III c) spinal cord
d) Superior cervical ganglion d) the brain stem

20) In the lower foot of the cerebellum, the conductive

14) Magnetic resonance imaging (MRI) of the head way does not pass through
and neck in this patient would be expected to show
which of the following? a) the spinocerebellar path of Flexig
b) the Govers spinocerebellar path
a) Increased T2 signal in a periventricular distribution c) the vestibulo-cerebellar path
b) Contrast enhancement along the tentorial margin d) the path from the beams of Gaulle and Burdach
c) Increased T1 signal in the wall of the right carotid
artery 21) THE PALLIDARY SYSTEM DOES NOT APPLY
d) Enlarged optic nerve in the orbit THE BRAIN

a) globus pallidus
15) A 15-year-old boy developed a left Bell’s palsy
b) red nuclei and black substance
over the course of 1 week. He was treated with
c) reticular formation
acyclovir and prednisone. Over the next 3 months he
seemed to recover almost fully. However, he has d) dentate and emboliformis of the cerebellum
noticed involuntary twitching at the left corner of the
e) 22) Characteristic of choreic hyperkinesis
mouth each time he tries to blink the left eye. This is
most likely caused by a) "drunken gait"
a) A habit spasm b) “dancing” gait; involuntary muscle twitches in
b) Cerebellar damage producing impaired coordination various muscle groups with limb displacement
c) involuntary twitching in various muscle groups with more often than arms, usually carried out by proximal
displacement of limbs with loss of consciousness muscle groups
d) "shuffling" gait c) stereotypically recurring clonic contractions of one
muscle or muscle group
23) Which of the following does not apply to the d) short lightning-fast clonic twitches of individual
symptoms of defect of the pallidonigra system muscles or muscle groups, so fast that there is no
movement of limbs in space
a) plastic muscle hypertension
b) intentional tremor; 30) Which symptom is not characteristic for injury of
c) hypokinesis, bradykinesis, oligokinesis the cerebellum
d) rest tremor
a) muscle hypertension
24) The basic types of hyperkinesis does not apply to b) muscle hypotension
c) ataxia
a) choreic hyperkinesis
d) asynergy
b) epileptic seizures
c) athetosis 31) Which speech disorder is characteristic for injury
d) myoclonus of the cerebellum

25) The main symptoms of damage of the cerebellum a) Scanning speech

does not apply to b) aphonia
c) monotonus speech
a) ataxia, “drunk” gait d) aphasia
b) "shuffling" gait, hypomimia, hypokinesia
c) intentional tremor 32) Which symptom is not characteristic for the
d) horizontal nystagmus palido-nigral system

26) Symptoms of the defect of the striatal system a) amimia

b) muscle stiffness as a “gear”
a) increased tendon reflexes
c) muscle stiffness as a “folding knife”
b) bradykinesia
d) bradykinesia
c) hypomimia
d) hyperkinesis (chorea, athetosis, torsion dystonia) 33) Which tremor specific is characteristic for injury
of the cerebellum
e) 27) Basic signs of torsion dystonia
a) tremor of rest
a) flexor posture
b) myoclonus
b) sharp, jerky movements of the limbs
c) intentional tremor
c) "corkscrew-like", violent movements of the body with
d) chanted speech
its rotation around the axis, arising from arbitrary
movements, while walking 34) Which motor disorder is characteristic for child
d) slow, “worm-like” movements of fingers and hands injury

28) The basic mediator of neurons of the black a) ataxia

substance b) central paralysis
c) peripheral paralysis
a) acetylcholine d) apraxia
b) norepinephrine
c) dopamine 35) Choreic hyperkinesis causes due to the damage of
d) adrenaline
a) paleostriatum
29) Basic signs of tremor b) neostriatum
c) the medial globus pallidus
a) rhythmic violent movements arising from the d) lateral globus palllidus
alternation of muscle tension of agonists and
antagonists 36) Instability in the poster of the romberg at closing
b) one-sided gross, sweeping movements of the limbs, the eyes increases at ataxia
a) cerebellar a) Wernicke-Mann pose
b) sensitive b) parkinsonism syndrome
c) vestibular c) ataxia
d) cortical d) hyperkinesis

37) Ataxia observed in cerebellar vermis 45) Which one of the following is not characteristic of
parkinsonism syndrome
a) dynamic
b) vestibular a) stiffness of movements
c) static b) plastic hypertension
d) sensitive c) rest tremor
d) choreic hyperkinesis
38) Intentional shaking and waving when executing a
finger-nose sample is characteristic for 46) Which one of the following is not characteristic for
hyperkinetic syndrome
a) static locomotor ataxia
b) dynamic ataxia a) high muscle tone
c) static ataxia b) low muscle tone
d) sensitive c) a decrease in symptoms in a dream and aggravation
with excitement
39) To explain sensitive ataxia, what should you ask to d) excessive motor activity
a patient
47) In the middle peduncles of the cerebellum, the
a) get on your heels conductive ways are passed through
b) stand in the Romberg pose with eyes closed
c) standing, leaning back a) paths from the cores of the Gol and Burdakh beams
d) go with your eyes closed b) Flexig ways
c) the vestibulo-cerebellar path
40) If a patient has ataxia, atonia, asynergy , what may d) the occipital-temporal-pontine-cerebellar path
be suspected
48) To kind the cerebella characteristic
a) frontal lobe
b) temporal lobe a) scanning speech, “drunken walk”, intentional
c) occipital lobe trembling
d) cerebellum b) low muscle tone, obsessive movements
c) stiffness, rigidity, shuffling gait, rest tremor
41) The basic mediator of neurons of the black
d) tearfulness, irritability, "pretentious gait"
substance
49) Cerebral fluid is produced
a) acetylcholine
b) norepinephrine a) pachyon granulation
c) dopamine b) choroid plexuses of the ventricles of the brain
d) adrenaline c) by the membranes of the brain
d) diploic veins
42) The basic types of hyperkinesis does not apply to

a) choreic hyperkinesis 50) “Stamping” gait arises at which ataxia

b) epileptic seizures
a) cerebellar
c) torsion dystonia
b) sensitive
d) athetosis
c) vestibular
43) Striar system damage is characterized by d) cortical

a) ataxia 51) Pyramidal tract involvement with absent ankle

b) hyperkseizure jerk is seen in:
c) hemiparesis
a) Friedreich’sataxia
d) parkinsonism syndrome
b) Subacute combined degeneration of the spinal
44) Pallidary system damage is characterized by
cord
c) Lathyrism b) Thalamus
d) d . Tabes dorsalis c) Brainstem
d) Internal capsule
52) Motor neuron disease, TRUE is:
60) Neurotransmitter in striatal pathway is:
a) Sensory involvement
b) Ocular motility is spared a) Glutamine
c) Involvement of anterior and lateral columns of spinal b) Glycine
cord c) Serotonin
d) Intellectual improvement d) Dopamine

53) All are features of pyramidal tract lesion, Except. 61) Type of sensation lost on same side in Brown-
sequard syndrome is:
a) Involuntary movement
b) Positive Babinski'ssign a) Pain
c) Spasticity b) Touch
d) Increased deeptendon reflexes c) Proprioception
d) Temperature
54) All of the following are features of Pseudobulbar
palsy, except: 62) Spastic paraplegia is caused by all, except:

a) Dysarthria a) Vitamin B12 deficiency

b) Dysphagia b) Cervical spondylosis
c) Emotionallability c) Lead poisoning
d) Hypoactive jaw jerk d) Motor neuron disease

55) During ultrasonography if the shape of cerebellum 63) Cranial Nerve 8 palsy causes all except?
shows “banana sign"it suggests:
a) Gag Reflex
a) Anencephaly b) Vertigo
b) Hydrocephaly c) Motion sickness
c) Spina bifida d) Tinnitus
d) Neoplasm
64) "Prosopagnosia" is characterized by:
56) In correct about cerebellar disease is:
a) Inability to read
a) Rhomberg sign b) Inability to identify faces
b) Rebound phenomenon c) Inability to write
c) Dysaidokinesia d) Inability to speak
d) Dysmetria
65) Cranial nerve most commonly compressed by
57) The triad of strabismus, diplopia and ptosis are intra cranial aneurysm:
caused damage of which nerves:
a) Oculomotor
a) Oculomotor b) Facial
b) Trochlear c) Optic
c) Abducent d) Trigeminal
d) Cervical sympathetic truk

58) Left lobe of the brain is responsible for: 66) Cluster headache is characterized by all, except:

a) Enjoying music a) Affects predominantly females.

b) Spatial orientation b) Unilateral headache.
c) Fine motor movement c) Onset typically in 20-50years of life.
d) Processing of speech d) Associated with conjunctival congestion.

59) Single limb paralysis due to lesion in: 67) What is drug of choice for acute attack of migraine

a) Area 4 a) Methysergide
b) Caffeine 74) Trigeminal nerve impairment produces the
c) Amitryptiline following symptoms:
d) Sumatriptan
a) plegia in half of the face
68) A young female presents with severe headache and b) ache paroxysm in half of the face
neck stiffness of abrupt onset. She says , she has c) disturbance of swallowing
never had such severe headache before. She also d) ache in half of the head
complains of associated nausea and photophobia.
Likely diagnosisis: 75) The presence of Bell’s palsy suggests damage to
the following cranial nerve:
a) Subarachnoid hemorrhage (SAH]
b) Migraine a) facial
c) Viral Encephalitis b) optic
d) Hydrocephalus c) olfactory
d) vestibular
69) Sumatriptan is contraindicated in all except:
76) Dysphagia, dyphonia, dysarthria together with
a) Basiliar migraine
tongue atrophy & depressed “gag” reflex
b) Ischemic heart disease
is called like following:
c) Pregnancy
d) Ergot alkaloids in last one week
a) bulbar palsy
b) Bell’s palsy
c) pseudobulbar palsy
70) The presence of dysdiadochokinesis suggests
d) bulbus olfactorius
damage to the following:
77) The disturbance of purposive movement in
a) black substance
absence of paresis & dyscoordination Suggests
b) spinal cord
the presence of the following:
c) cerebellar
d) occipital lobe
a) dyslexia
b) dysgnosia
71) The presence of Parkinsonism suggests damage to
c) dyspraxia
the following:
d) dysphasia
a) caudate nucleus
78) Meningeal syndrome suggests any of the following,
b) black substance
EXCEPT:
c) cerebellar
d) frontal lobe
a) neck stiffness
b) headache
c) photophobia
72) One of the most important functions of the
d) Babynsky response
autonomic nervous system is the following:

a) regulation of homeostasis
79) There are two kind of cerebellar ataxia:
b) voluntary movements
c) coordination of movements
a) Static and dynamic
d) involuntary movements
b) Vestibular and static
c) Cortical and dynamic
73) The presence of anosmia suggests damage to the
d) Sensitive and cerebellar
following cranial nerve:
80) The main sign of Pons Varolii lesion:
a) II
b) I
a) Central tetraparesis
c) III
b) Alternating hypalgesia
d) V
c) Babinski symptom in both sides
d) Hyperreflexion on feet
81) Where is the localization of the motor zone in the b) Fibre arcuate externe
cerebral cortex? c) Cerebello-tegmentalis
d) Spino-thalamicus
a) Frontal lobe
b) Cerebellum 89) Which pathway of cerebellum is efferent one:
c) Occipital lobe
d) Temporal lobe a) Olivo- cerebellaris
b) Reticulo- cerebellaris
82) The main sign of the lesion of the peripheral motor c) Ponto cerebellaris
neuron: d) Cerebello-tegmentalis

a) The Protective reflexes 90) Which pathway of cerebellum is efferent one:

b) Pathological reflexes
c) Clonus a) Olivo-cerebellaris
d) Hypotonia b) Reticulo-cerebellaris
c) Ponto-cerebellaris
83) The characteristic sign of irritation of the central d) Dentato-rubralis
frontal sulcus is:
91) Which pathway pass through the lower leg of
a) Sensory aphasia cerebellum?
b) Simple visual hallucinations
c) Hemianopsia a) Spino-cerebellaris ventralis (Hover’s)
d) Jackson’s motor seizures (local, partial) b) Ponto-cerebellaris
c) Cerebello-tegmentalis
84) The characteristic sign of the motor zone lesion of d) Spino-cerebellaris dorsalis (Flexig’s)
the cerebral cortex is:
92) Which pathway pass through the lower leg of
a) The atrophy of optic nerve cerebellum?
b) Anosmia
c) Spastic monoparesis a) Spino- cerebellaris (Flexig`s)+
d) Semantic aphasia b) Rubro-spinalis
c) Dento-rubralis
85) Which pathway of cerebellum is afferent one: d) Spino- cerebellaris (Hovers`s)

a) Cortico-spinalis 93) Lesion of what structure will cause loss of

b) Cerebello-tegmentalis sensation on face according to the peripheral type?
c) Spino-thalamicus
d) Spino-cerebellaris ventralis (Hover’s) a) Internal capsule
b) tractus Thalamo – corticalis
86) Which pathway of cerebellum is afferent one: c) Maxillar nerve+
d) nucleus tractus spinalis of Trigeminal nerve
a) Cortico-spinalis
b) Spino-cerebellaris dorsalis (Flexig’s) 94) Lesion of what structure will cause loss of
c) Spino-thalamicus sensation on face according to the peripheral type?
d) Cerebello-tegmentalis
a) Internal capsule
87) Which pathway of cerebellum is afferent one: b) tractus Thalamo – corticalis
c) Mandibular nerve+
a) Cortico-spinalis d) nucleus tractus spinalis of Trigeminal nerve
b) Cerebello-tegmentalis
c) Occipito-temporo-ponto-cerebellaris 95) What alternating syndromes are observed at Pons
d) Spino-thalamicus lesion?

88) Which pathway of cerebellum is afferent one: a) Foville+

b) Weber
a) Cortico-spinalis c) Jackson
d) Clodt a) Nucleus of Glossopharyngeal nerve
b) Trunc of Glossopharyngeal nerve
96) What are the primary cortical hearing centers? c) Nucleus of Hypoglossal nerve +
d) Tractus cortico-nuclearis
a) Upper hills of laminae quadrigeminae +
b) Lower hills of laminae quadrigeminae 104) What is the localization of pathological focus at
c) Medial corpus geniculatum central paresis of tongue muscles?
d) Heshlia zone
a) Upper part of Precentral gyrus
97) What are the symptoms of Abducens nerve lesion? b) Tractus cortico-nuclearis +
c) Nucleus of Hypoglossal nerve
a) Inward cross eye + d) Hypoglossal nerve
b) The absence of pupils reaction
c) Outward cross eye 105) What is the localization of pathological focus at
d) Ptosis pseudobulbar syndrome?

98) What are the symptoms of Trochlear nerve lesion? a) Peduncle of the brain
b) Pons
a) Outward cross eye c) Oblong brain
b) Diplopia while looking outside d) Tractus cortico-nuclearis in both hemispheres of brain
c) Diplopia while looking downward+ +
d) Light inward cross eye 106) What is the sign of Bulbar syndrome?

99) What function is provided by parasympathetic eye a) Reflexes of oral automatism

innervation? b) Increased gag reflex
c) Absent gag reflex+
a) Midriasis d) Involuntary laughing or crying 107) What is the
b) Convergence
c) Myosis + sign of Bulbar syndrome?
d) Tears
a) Reflexes of oral automatism
100) What function is provided by parasympathetic b) Increased gag reflex
eye innervation? c) Involuntary laughing or crying
d) Atrophy of tounge muscles+ 108) What is the
a) Accommodation +
b) Convergence sign of Bulbar syndrome?
c) Midriasis
d) Tears a) Reflexes of oral automatism
b) Increased leg reflex
101) What is the earliest and common symptom of III c) Involuntary laughing or crying
and VI Cranial nerves lesion? d) Dysphagia+

a) Diplopia+ 109) What is the sign of Bulbar syndrome?

b) Binocular vision disorders
c) Limited range of eye bulb movements a) Reflexes of oral automatism
d) Sight paresis b) Increased leg reflex
c) Involuntary laughing or crying
102) What is the level of Hypoglossal nerve? d) Dysarthria+

a) Thalamus 110) What is the sign of Bulbar syndrome?

b) Peduncle of the brain
c) Pons a) Reflexes of oral automatism
d) Oblong brain + b) Increased leg reflex
c) Involuntary laughing or crying
103) What is the localization of pathological focus at d) Fibrilation of tongue muscles +
peripheral paresis of tongue?
111) What is the symptom of Oculomotor nerve a) 3+
lesion? b) 2
c) 4
a) Nystagmus d) 5
b) Enophthalmus
c) Myosis 119) What function is located in left upper temporal
d) Exophthalmus + lobe?

112) What is the symptom of Oculomotor nerve a) Center of gnosis

lesion? b) Auditory zone
c) Smell zone
a) Inward cross eye d) Wernicke center+
b) Myosis
c) Enophthalmus 120) What function is located in middle part of middle
d) Mydriasis + frontal gyrus?

113) What is the symptom of Oculomotor nerve a) Motor activity on the opposite side of the body
lesion? b) Motor activity on the same side of the body
c) Center of writing+
a) Inward cross eye d) Center of eye movements in the opposite side
b) Ptosis+
c) Enophthalmus 121) What function is located in postcentral gyrus of
d) Myosis parietal lobe?
114) What speech disorder is typical for Bulbar
syndrome? a) Motor activity on the opposite side of the body
b) Motor activity on the same side of the body
a) Aphasia c) Sensitivity on the opposite side of the body +
b) Scanning speech d) Sensitivity on the same side of the body
c) Dysarthria +
d) Mutism 122) What function is located in posterior part of left
lower frontal gyrus?
115) What speech disorder is typical for the lesion of
Hypoglossal nerve? a) Center of Broca +
b) Motor activity on the left side of the body
a) Aphasia c) Motor activity on the right side of the body
b) Scanning speech d) Center of eye movements in the opposite side
c) Dysarthria+
d) Mutism 123) What function is located in posterior part of left
lower frontal gyrus?
116) What symptom is common for bulbar and
pseudobulbar syndromes? a) Motor activity on the left side of the body
b) Motor activity on the right side of the body
a) Dysphagia+ c) Center of straight walking and standing
b) Atrophy of tongue muscles d) Center of motor expressive speech+
c) Decreased gag reflex
d) Reflexes of oral automatism 117) Gyrus 124) What function is located in posterior part of
middle frontal gyrus?
lingualis represents:
a) Motor activity on the opposite side of the body
a) Lower quadrants of visual fields b) Motor activity on the same side of the body
b) Upper quadrants of visual fields + c) Sensitivity on the opposite side of the body
c) Visual agnosia d) Center of eye movements in the opposite side+
d) Temporal parts of visual fields
125) What function is located in posterior part of
118) How many types of apraxia do you know? right lower frontal gyrus?
a) Motor activity on the left side of the body 132) Where are the cell bodies that convey painful
b) Motor activity on the right side of the body impulses from the heart located
c) Center of music +
d) Center of eye movements in the opposite side a) Ganglia located in cardiac plexus
b) Upper thoracic dorsal root ganglia+
126) The patient that lies on his back was being c) Substantia gelatinosa of thoracic spinal cord
counted heart rate. After that he was proposed to d) Upper thoracic sympathetic ganglia
stand up and counted his pulse rate again. What
test is that? 133) Which of the following autonomic nerve plexuses
is situated near the bifurcation of abdominal aorta
a) Stukkey
a) Superior hypogastric +
b) Aschner
b) Inferior hypogastric
c) Ortostatic+
c) Superior mesenteric
d) Clinostatic
d) Inferior mesenteric
127) The patient that lies on his back was being
134) The white rami communicates entering contain
counted heart rate. After that he was proposed to
fibers from:
stand up and counted his pulse rate again. What is
normal reaction in this case? a) Paravertebral sympathetic ganglia to spinal nerve
b) Paravertebral sympathetic ganglia to viscera
a) decreased pulse on 12 units
c) Spinal cord to paravertebral sympathetic ganglia+
b) increased pulse on 18 units
d) Viscera to paravertebral sympathetic ganglia
c) increased pulse on 12 units+
d) decreased pulse on 18 units
135) The usual number of pairs of thoracic ganglia is:

128) The patient lost parasympathetic innervation of a) 8

eye. What function will be lost? b) 9
c) 10
a) Direct reaction of pupil to the light + d) 11+
b) Convergence
c) Dilatation of pupil 136) Broca^s area is located in:
d) Lacrimation of eye 129) The lesion in cuneus
a) Superior temporal gyres
causes: b) Inferior parietal lobule
c) Inferior frontal gyrus+
a. Lower quadrant hemianopsia + d) Angular gyrus
b. Upper quadrant hemianopsia
c. Homonimus hemianopsia 137) Lesions of Brodmann^s area results in :
d. Scotoma
a) Auditory agnosia +
130) The lesion of posterior part of lower frontal gyrus b) Astereognosis
causes: c) Visual agnosia
d) Alexia
a) Central paralysis and paresis
b) Agraphia
c) Cortical gaze paralysis 138) On the superolateral surface of the cerebrum,
d) Broca’s aphasia+ which sulcus limits the primary visual area:

a) Calcarine
131) The receptors of postganglionic autonomic nerve
endings at sudoriferous glans are: b) Parieto-occipital
c) Lunate+
a) Muscarinic+ d) Lateral occipital
b) nicotinic
c) alfa-adrenergic 139) Which of the following sulci is related to the
d) beta-adrenergic primary visual area (17):

a) Calcarine+
b) Parieto-occipital endocrine system and regulates the homeostatic
c) Occipito-temporal functions?
d) Lateral occipital sulcus
a) Hypophysis
140) Central sulcus separates the following two lobes b) Hypothalamus+
in the cerebral cortex c) Thalamus
d) Mesencephalon
a) Frontal and Parietal+
b) Parietal and occipital 147) The following subcortical structure acts as a
c) Occipital and Temporal synaptic integrating center and screens sensory
d) Temporal and Parieta input to the cortex

141) Maintenance of balance is a function of a) Hypophysis

b) Hypothalamus
a) Cerebral cortex c) Thalamus+
b) Cerebellum+ d) Mesencephalon
c) Medulla
d) Pons
148) Diencephalon consists of
142) Language is a function of
a) Thalamus, globus, putamen and subthalamus
a) Cerebral cortex+ b) Thalamus, hypothalamus, globus and putamen
b) Cerebellum c) Putamen, hypothalamus, epithalamus and globus
c) Medulla d) Thalamus, hypothalamus, epithalamus and
d) Pons subthalamus+

143) Primary motor cortex is a part of the following 149) Language comprehension is a function of
lobe
a) Auditory cortex
a) Frontal+ b) Broca’s area
b) Parietal c) Visual cortex
c) Occipital d) Wernicke’s area+
d) Temporal
150) Speech production and articulation is a function
144) Basal nuclei consists of of

a) caudate nucleus, thalamus, globus pallidus and a) Auditory cortex

claustrum b) Broca’s area+
b) caudate nucleus, putamen, globus pallidus and c) Visual cortex
claustrum+ d) Wernicke’s area
c) caudate nucleus, hypothalamus, globus pallidus and
claustrum 151) The gray matter of cerebral cortex consists of
d) caudate nucleus, putamen, copus callosum and
a) Cell bodies, dendrites and axons
claustrum
b) Cell bodies, axons and glial cells
c) Cell bodies, dendrites and glial cells+
145) Which of the following gland has both neuronal d) Axons, dendrites and glial cells
and glandular regions?

a) Adrenal 152) Touch receptors :

b) Pituitary+
c) Thyroid a) are found only in the skin
d) Thymus b) are all encapsulated receptors
c) include two-element receptors
146) The following subcortical structure functions as a d) are stimulated by vibration+
link between the autonomic nervous system and
153) Tactile receptors include all the following
 receptors, except :

a) free nerve endings

b) hair follicle receptors
c) hair cell receptors +
d) Ruffini nerve endings

154) During a neurological examination a 49-year old

woman's Romberg's test is positive. Which of the
following is the major structure that has been
affected?

a) Spinal nucleus of V
b) Ventral commissure of spinal cord
c) Ventral horn of spinal cord
d) Dorsal columns+

155) The loss of pain and thermal sensations on the

right side of the body (excluding the face) is most
likely the result of damage to which of the
following structures?

a) Anterolateral system fibers on the left +

b) Anterolateral system fibers on the right
c) Anterior trigeminothalamic fibers on the left
d) Medial lemniscus on the left

156) A 92-year-old woman is brought to the

emergency department by her caregiver. The woman
had suddenly become drowsy and confused. The
examination revealed no cranial nerve deficits and
age-normal motor function, but a loss of pain,
thermal, vibratory, and discriminative touch
sensations on one side of the body excluding the head.
CT shows a small infarcted area. (i) Which of the
following structures is the most likely location of this
lesion?

a) Anterolateral system
b) Medial geniculate nucleus
c) Subthalamic nucleus
d) Ventral posterolateral nucleus +

157) Damage to which of the following fiber bundles

or tracts would most likely explain the loss of
vibratory sensation of the left lower limb?

a) Anterolateral system on the right

b) Cuneate fasciculus on the left
c) Cuneate fasciculus on the right
d) Gracile fasciculus on the left +
 a)

158) The Cortico - Spinal Pyramid Pathway Does Not paroxysmal clonic convulsions starting with a specific
Pass Through muscle group, with the preservation of consciousness+
b) generalized cramps in all muscle groups with loss of
a) front central gyrus consciousness
b) inner capsule c) persistent cramps in a specific muscle group while
c) visual tubercle+ maintaining consciousness
d) brain stem d) short-term shutdown of consciousness without falling
and cramps

159) The brain remains 166) MAIN CAUSES OF ALTERNATING

PARALYSIS
a) hypothalamus
b) thalamus a) with the defeat of the pyramidal path in the precentral
c) inner capsule gyrus
d) Varoliev bridge+ 160) The Pyramid Way b) with the defeat of the pyramidal pathway in the inner
capsule
Crosses
c) with damage to the pyramidal pathway in the brain
a) in the anterior gray commissure of the spinal cord stem in combination with the motor nuclei of the
b) in the waroline bridge FMN+
c) on the border of the medulla oblongata with the spinal d) with damage to the lateral columns of the spinal cord
cord+
167) Symptoms of the defect of a peripheral motor
d) in the inner capsule
neuron
161) Peripheral neurons bodies are located a) spastic tone
a) in the anterior horn of the spinal cord+ b) muscle hypertension
b) in the horn of the spinal cord c) increase in tendon reflexes
c) in the visual tubercle d) "bioelectric silence" on EMG+
d) in the front roots
168) Symptoms of the defect of the pyramid pathway
162) Signs of central paralysis are related to a) Hemiparesis+
a) tendon reflex hyporeflexia b) muscle atrophy
b) spastic type muscle hypertension+ c) decreased tendon reflexes
c) hyporeflexia of skin reflexes d) decreased muscle tone
d) fibrillar muscle twitching
169) Symptoms of the hemi section of the spinal cord
163) Signs of peripheral paralysis do not apply a) intentional tremor
a) synkinesia - friendly movements+ b) hemiplegia
b) areflexion of tendon reflexes c) Brown-Sequer syndrome+
c) muscle atony d) hemianesthesia
d) muscle atrophy
170) The central paresis of the left hand arises when
localizing the focus in
164) Basic signs of the brown-secar syndrome
a) in the upper sections of the anterior central gyrus on
a) spastic tetraparesis, conduction tetranesthesia
the left
b) central paralysis on one side, disorder of deep
b) in the lower sections of the anterior central gyrus on
sensitivity on the side of paralysis and superficial - on
the right
the opposite+
c) in the back thigh of the inner capsule
c) peripheral paralysis of the hands and central paralysis
d) in the middle section of the anterior central gyrus on
of the legs
the right+
d) peripheral tetraparesis, distal anesthesia
171) The basic pathological reflex of bending type is
165) Basic symptoms of jackson epilepsy
reflex
 a)
b)
c)
d)
a) Babinsky c) flaccid paresis of the hands and central legs
b) Oppenheim d) lower flaccid paraparesis+
c) Rossolimo+ 179. Basic symptoms of the brown-sequear syndrome
d) Gordon
a) spastic tetraparesis and conduction tetraanesthesia
172) Closing the arc of reflex from the tendon of the b) central hemiparesis, pain, temperature and partially
two-headed shoulder muscle happens at the level of tactile hemianesthesia on the opposite side; disorder of
segment of the spinal cord: deep types of sensitivity on the side of paresis+
c) flaccid paresis of the hands and central legs
a) C3-C4 d) flaccid paresis of the legs and pelvic dysfunction on
b) C5-C6+ the peripheral type
c) C7-C8
d) C8-Th1 180. The lumbar plexus is formed by the anterior
branches of the spinal nerves.
173) For peripheral paralysis, characteristic features
a) T12 - L4+
a) clonuses b) L4 - L5
b) high muscle tone, high reflexes c) T11 - L5
c) Wernicke-Mann pose d) L1 - L4
d) muscle atrophy, low reflexes, low tone+ 174.
181. SACRED Plexus is formed by the anterior
For central paralysis characteristic features branches of the spinal nerves.

a) muscle atrophy, low reflexes, low tone a) S1 - S3

b) hyperkinesis b) S1 - S5
c) ataxia c) L4 - S3+
d) spasticity, high reflexes+ 175. The central d) L3 - S5

neuron for the motor way is 182. Increasing tendon reflexes is a sign of damage

a) red core a) spinal cord+

b) the core of the tent b) peripheral nerves
c) pyramidal cells of the anterior central gyrus+ c) cerebellum
d) motor nuclei of the brain stem d) muscles

176. The peripheral neuron for the cortico-nuclear 183. The basic sign of damage to the visual buger is not
way is
a) hemianesthesia
a) thalamus cells b) hemianopsia
b) hypothalamic cells c) hemiplegia+
c) motor core+ d) hemataxia
d) red core
184. Main sign of peripheral paralysis of mimic
177. Basic symptoms of defense of the spinal core at muscularity
the level of cervical thickness
a) lack of movement in the muscles of half the face+
a) central tetraparesis b) lack of movement in the muscles of the lower face
b) flaccid tetraparesis c) lagophthalmus
c) flaccid paresis of the hands and central legs+ d) Bell phenomenon
d) lower flaccid paraparesis
185. Central paralysis of the facial nervous is caused
178. Basic symptoms of defraction of the lumbar due to the damage of
thickness of the spinal
a) nerve nuclei
a) central tetraparesis b) nerve root
b) flaccid tetraparesis c) the nerve itself
d) supranuclear lesions of the cortico-nuclear peripheral nerve back horn the lateral column of the
pathway+ 186. Babinsky's pathological reflex is a sign spinal cord the posterior column of the spinal cord+ 194)
of a loss
The way of deep sensitivity does not pass through
a) the thalamic path
a) peripheral nerve
b) the pyramidal path+
b) rear pillar
c) rubro-spinal path
c) visual tubercle
d) cerebrospinal tract
d) striatum+
187. Basic pathological reflex of bending type
195) Central type of sensitivity disorder
a) Babinsky
a) conductor type+
b) Oppenheim
b) neuritic type
c) Ankylosing spondylitis+
c) polyneuritic
d) Gordon
d) radicular
188. Basic pathological reflexes of extensive type
196) When the brain is damaged, which one does not
a) Rossolimo appear
b) Ankylosing spondylitis+
a) conductor paraanesthesia+
c) Zhukovsky
b) monoanesthesia
d) Schaeffer
c) hemianesthesia
189) Signs of peripheral paralysis d) an alternating type of sensitivity disorder 197)

a) muscle atrophy+ Segmental sensitivity disorders arise in damage

b) increase tendon reflexes
a) rear pillars
c) the presence of pathological reflexes
b) back horns+
d) increased muscle tone
c) side horns
d) front spine
190. Pseudobular syndrome is developing with the
198) Causalgic syndrome arises when which of the
combined defect
following nerves is affected
a) the pyramidal and cerebellar paths of the dominant
a) elbow
hemisphere+
b) median+
b) the pyramidal and cerebellar paths of the nondominant
c) fibula
hemisphere
d) femoral
c) pyramidal and extrapyramidal paths of the non-
dominant hemisphere 199) Characteristic of a polyneuritic type of sensitivity
disorder
191. Knee tendon reflex includes femoral nerva fibers
starting in segments a) sensitivity disorders in the corresponding dermatomes
b) anesthesia in the distal extremities+
a) S1 - S4;
c) hemihypesthesia
b) S2 - S3;
d) "dissociated" type of sensitivity disorder
c) L4 - L5;
d) L2 - L3.+ 200) Fibers of deep sensitivity join fibers of surface
sensitivity (spine-thalamic tract) at
192) lower spastic paraparesis arises with 2 sided
damage of a) the medulla oblongata+
b) in the waroline bridge
a) lateral pyramidal tract in the thoracic spinal cord+
c) in the legs of the brain
b) internal capsules
d) in the visual tubercle
c) cervical thickening
201) Dissociated sensitivity disorders by segmentary
d) lumbar thickening
type at syringomelia are characterized by
193) The way of surface sensitivity does not pass a) prolapse deep and surface preservation
through
 a)
b)
c)
d)
b) loss of pain while maintaining temperature b) hearing impairment
c) preservation of pain in case of deep prolapse c) unsteadiness when walking
d) loss of pain and temperature while maintaining a d) atrophy of the muscles of the tongue+ 209)
deep+
Paralysis does not appear of the facial nerve
202) Characteristic type of pain in damage of the rear
rot is a) the circular muscle of the eye
b) the circular muscle of the mouth
a) local+ c) muscle lifting the upper eyelid+
b) projection d) buccal muscles
c) radiating
d) reflected 210) The main types of aphasia do not apply to

203) Characteristic type of pain in injury of internal a) touch

bodies is b) dysarthria;+
c) motor;
a) local d) amnestic
b) radiating
c) projection 211) Basic symptoms of frontal lobe fracture
d) reflected+
a) auditory, olfactory, taste hallucinations
204) Sensory ataxia arises due to the injury of b) amnestic aphasia
c) sensory aphasia
a) the anterior pillars of the spinal cord d) changes in the psyche and behavior+ 212)
b) visual tubercle+
c) the lateral columns of the spinal cord Symptoms of the defect of the temporal lobe
d) cerebellum
a) dysarthria
205) Taste research is not conducted by which of the b) motor aphasia
following substances c) olfactory and auditory hallucinations and
epileptic
a) sweet seizures+
b) salted d) central paralysis 213) Location of the praxis
c) acidic+
d) bitter center

206) Which of the following does not apply to the basic a) in the front central gyrus
types of disorders of vision fields b) in the parietal lobe, in the supra marginal gyrus+
c) in the mediobasal parts of the temporal lobe
a) amblyopia+ d) in the fissure of the occipital lobe
b) homonymous hemianopsia
c) opposite hemianopsia 214) Not for characteristic ataxia
d) quadrant hemianopsia
a) occurs on the opposite side of the outbreak
207) The main symptoms of the defect of the vestibular b) manifests itself in a violation of standing and walking
nerve (astasia-abasia)
c) "drunken gait"+
a) systemic dizziness, accompanied by nausea and d) there is no possibility of compensation for
vomiting+ coordination violations
b) hearing loss
c) decreased vision 215) Peculiarities of manifestation of cortical central
d) unsystematic dizziness paresis on the brachycephaly type
208) Which of the following doesn't apply to the basic
symptoms of damage to the pontine corner a) occurs when the upper central anterior gyrus is
affected
a) peripheral paresis of facial muscles b) develops on the side of the lesion
c) manifested by hemiplegia C8-L3+
d) manifested by paresis of the lower half of the face and T6-L4
central paresis of the arm+
223) Segmental parasimpathic device includes

a) lateral horns of the spinal cord

216) The basic types of agnosis do not apply in b) paravertebral chain
c) vegetative nuclei of the thalamus and limbic brain
a) auditory d) the vegetative nuclei of the brain stem and the spinal
b) taste, olfactory
pelvic center of S1-S3 segments+ 224) Vegetative
c) visual
d) motor+ formations of the spinal cord are

217) The basic symptom of the horner-claude bernard a) front horns

syndrome is not b) side horns+
c) back horns
a) miosis d) rear pillars
b) mydriasis+
c) narrowing of the palpebral fissure 225) Diaphragmal center located at
d) enophthalmos
a) C4+
218) The basic symptom of a sympato-adrenal crisis is b) C2-C3
not c) Th1
d) Th4
a) tachycardia
b) increase in blood pressure 226) Cerebral fluid is produced
c) lowering blood pressure+
a) pachyon granulation
d) a sense of fear of death
b) choroid plexuses of the ventricles of the brain+
219) Hypothalamic syndrome is not c) by the membranes of the brain
d) diploic veins
a) neuro-exchange-endocrine
b) autonomic vascular 227) Which is not characteristic for the normal
c) vegetative-visceral composition of csf
d) akinetic-rigid+
a) cerebrospinal fluid pressure 150-200mm. water Art.
220) Symptoms of the defect of parasympathetic nuclei b) cytosis 2-3 cells. in 1 mm3
of the oculomotor nerve c) protein 0.23-0.33 g / l
d) the level of sugar in the cerebrospinal fluid is equal to
a) mydriasis+ the level of sugar in the blood+
b) divergent strabismus
c) exophthalmos 228) Which is not a contraindication for a lumbar
d) diplopia puncture

221) The basic symptom characteristic for the general a) bradycardia

cerebral vascular crisis is not b) respiratory failure
c) impaired function of the nuclei of the brain stem
a) headache (bulbar section)
b) dizziness d) disorder of consciousness+
c) noise in the head
d) monoparesis+ 229) A lumbar puncture is between the acrust
projects of the calls
222) The segmentary device of the sympathic
department of the vegetative 298) nervous system a) L1 - L2
is represented by neurons of the lateral horns of b) L2 - L3
the spinal cord at the level of segments c) L3 - L4+
d) Th1-L1
C5-T10
T1-T12
 a)
b)
c)
d)
230) Symptoms testify to the increase in the tone of c) Apply a tube with hot and cold water alternately at the
the parasympathetic nerve system symmetric points of the extremities
d) Ask the patient to define an object with closed eyes
a) miosis just with the touch
b) mydriasis+
c) bradycardia 238) Hyperpathia - is:
d) arterial hypotension
a) Lack of sensitivity to painful stimuli
231) Tonus of the parasimpathic nervous system
b) The appearance of the excruciating pain on painful
increase mediators
and non-painful stimuli+
a) acetylcholine c) "Crawling" sensation
b) adrenaline d) Increased sensitivity to non-painful stimuli
c) norepinephrine+
239) Distinguished part of the anterior horn is:
d) dopamine

a) ɑ - large cells
233) Second order neuron in superficial sensitivity
b) ɑ - small cells
tract is localized:
c) ɣ - cells
d) all of the above is true +
a) In the dorsal root ganglion
b) In the dorsal horn of the spinal cord+
c) In the anterior horn of the spinal cord 240) Deep reflexes include:
d) Medulla
a) Tendon reflex
b) Corneal reflex
234) Second order neuron in deep sensitivity tract is
localized: c) Abdominal reflex
d) Periosteal reflex+
a) In the dorsal root ganglion
b) In the dorsal horn of the spinal cord 241) The most common cause of vegetative crises are:
c) In the anterior horn of the spinal cord
d) In the medulla oblongata+ a) collagenosis
b) traumatic brain injury
c) anxiety neurotic disorders+
235) Lesion in primary sensory cortex leads to: d) hypothalamus lesions

a) Contralateral monoanesthesia
b) Contralateral hemianesthesia+ 242) The most typical neurological syndrome that
complicates the course of diabetes is:
c) Alternating hemianeasthesia
d) Contralateral hemianesthesia and thalamic pain a) convulsive syndrome
b) encephalopathy
236) Lesion in medulla oblangata leads to:
c) myelopathy
d) polyneuropathy+
a) Contralateral monoanesthesia
b) Contralateral hemianesthesia
c) Alternating hemianeasthesia+ 243) Contraindications for magnetic resonance
d) Contralateral hemianesthesia and thalamic pain imaging are:

237) To examine proprioceptive musculo-skeletal a) open traumatic brain injury

sensitivity one should:
a) Slowly move the phalanx of the patient up and down+
b) Touch a soft brush at the symmetrical points of the
extremitie
b) presence of foreign metal bodies+
c) Allergy to iodine
d) severe intracranial hypertension
244) Crucial in the diagnosis of meningitis is: c) Pterygoids +
d) All of the above
a) disseminated intravascular coagulation
b) infectious-toxic shock syndrome
c) changes in the cerebrospinal fluid+ 251) Trigeminal nerve supplies which of the
d) acute onset of the disease with an increase in following muscles?
temperature
Anterior belly of digastric
Tensor veli palatini
245) Trigeminal neuralgia (TN) is also called? Tensor tympani
All of the above+
a) Prosopalgia
b) Fothergil's disease
c) Tiodouloureux 252) Motor part of trigeminal (fifth cranial) nerve
d) All of the above+ innervates which of the following muscle?

a) Orbicularis oculi
246) Which of the following about Trigeminal nerve is b) Posterior auricular
false? c) Pterygoid +
d) Sternocleidomastoid
a) Trigeminal nerve is the largest of the cranial nerves.
b) Trigeminal nerve is predominantly sensory\
c) its motor innervation is exclusively in mandibular V3 253) Mandibular sensory fibers of trigeminal nerve
division enter the skull through?
d) None of the above+
a) A Superior orbital fissure
b) B Foramen ovale+
247) Which of the following is best related to c) C. Foramen rotundum
trigeminal ganglion? d) D. Meckel's cave

a) Uhthoff's phenomenon
b) Möbius' syndrome 254) Motor and principal sensory nuclei of trigeminal
c) Meckel's cave+ nerve located in?
d) Cave of septum pellucidum
a) Upper pons
b) Mid pons +
248) Which of the following is false about trigeminal c) Lower pons
ganglion? d) Midbrain

a) Largest ganglion in the peripheral nervous system

b) Named after JL Gasser, also called semilunar ganglion 255) Which cranial nerve carries the efferent limb of
c) Analogous to a dorsal root ganglion jaw jerk reflex?
d) None of the above+
a) Oculomotor
249) Which of the following is related to trigeminal b) Trigeminal+
motor dysfunction? c) Trochlear
d) Facial
a) Nystagmus
b) Hearing loss
c) Tongue for atrophy/fasciculations 256) Which of the following is a test for trigeminal
d) Jaw drop+ nerve?

a) Stemutatory reflex
250) Which of the following muscles originate from the b) Comeal reflex
skull base? c) Jaw reflex
d) All of the above+
a) Masseter
b) Temporalis
 a)
b)
c)
d)
257) Which of the following is a cause of jaw drop? 263) The ventral root at C7 is
damaged.Muscle
a) Myasthenia gravis weakness(paresis)/paralysis wouldbe most
b) ALS pronounced in the:
c) Kennedy's disease
d) All of the above+ a) deltoid muscle
b) triceps muscle+
258) Which of the following is useful in treatment of c) flexor digitorum profundus muscle
Bells palsy? d) interossei muscles

a) Glucocorticoids+ 264) A patient complains of difficulty in swallowing.

b) IV ig This difficulty may result from damage to the:
c) Plasmapharesis
d) All of the above a) trigeminal nerve rootlets
b) facial nerve rootlets
c) spinal accessory nerve rootlets
259) Locate the lesion if there is ipsilateral d) glossopharyngeal nerve rootlets+
peripheral facial weakness; lacrimation,
salivation, and taste intact; tinnitus, facial 265) Upper motor neurons in primary motor cortex
numbness, ataxia, nystagmus? are activated by inputs from the:

a) Cortex subcortical region a) premotor cortex

b) Pons b) primary somatosensory cortex
c) Cerebellopontine angle+ c) secondary somatosensory cortex
d) All of the above d) all of the above+

260) Locate the lesion if there is ipsilateral 266) A patient with a corticobulbar tract lesion may
peripheral facial weakness; lacrimation, find it difficult to:
salivation, and taste likely to be involved,
a) close both eyes
tinnitus, nystagmus, hearing loss?
b) gaze to the right and to the left
a) Cortex, subcortical region c) protrude the tongue+
b) Pons d) retract both corners of the mouth
c) Cerebellopontine angle
267) A 23-year-old man awoke this morning with
d) Facial nerve in intemal auditory canal proximal to or
involving geniculate ganglion+ weakness in his legs and loss of sensation.
Examination showed weakness in both legs, brisk
261) Which of the following about facial palsy is false? lower limb tendon reflexes, and extensor plantar
responses bilaterally below the umbilicus. Where is
a) Hyperacusis results from paralysis of stapedius muscle the spinal lesion?
b) Lesions proximal to geniculate ganglion have
permanent loss of taste and are unable to produce less a) C8
c) Aberrant regeneration of nerve fibres is the cause of b) T4
syndrome of crocodile tears c) T8
d) None of the above+ d) T10+

262) A patient with damage to the “final common

path” refers to a lesion of: 268) A small lesion in the anterior part of the right
paracentral lobule will result in:
a) pyramidal neurons
b) pallidal neurons a) exaggerated right patellar reflex
c) compact nigral neurons b) paralysis of finger movement in the left hand
d) alpha motor neurons+ c) right lower facial weakness
d) left extensor plantar response+ 269) Condition

1 is the result of damage to the:

a) right oculomotor nerve
b) left trochlear nerve
c) right abducens nerve+
d) left corticobulbar tract

270) Condition 2 is the result of damage to the:

a) right primary motor cortex

b) right posterior limb internal capsule
c) right cerebral crus
d) right pyramidal tract+

271) The lesion is in the:

a) midbrain of the direction (flexion or extension) of the
b) rostral pons movement. This ratcheting is characterized as:
c) caudal pons+
d) rostral medulla 272) This condition is known a) the clasp-knife response
b) clonus
as: c) dysmetria
d) cogwheeling+
a) superior alternating hemiplegia
b) middle alternating hemiplegia+ 277) In a patient with Huntington disease, the clinical
c) inferior alternating hemiplegia course of presentation of the symptoms would not
d) Wallenberg syndrome include:

273) A male patient presents with abnormal and a) sudden onset+

involuntary brisk, jerky movements of the limbs b) bilateral manifestation
bilaterally. Mental status was normal. He reported c) temporally protracted progression
that his father had a similar disorder before he died. d) temporally progressive increase in severity of
Sections of his father’s brain were collected at autopsy symptoms
and histologically processed. Based on your
observations and the patient’s history, you most likely 278) A patient presents with uncoordinated
would expect to observe neuronal degeneration in the: movements of the left lower limb as indicated by
the inability to rub the left heel smoothly against
a) thalamic ventral anterior nucleus the right shin. In addition, the patient has a right
b) subthalamic nucleus spastic hemiplegia. This symptomatology would
c) substantia nigra pars compacta result from a single lesion in the:
d) striatum+
a) left spinal cord at C2
274) A small vascular lesion in the brain on the right b) left lateral rostral closed medulla+
side results in hemiballismus. As the result of this c) left lateral medulla at the level of the hypoglossal
stroke, you would expect to observe: nucleus
d) left lateral pons at the level of the facial nucleus
a) anterograde axonal degeneration in the ipsilateral
striatum 279) Ataxia can occur as the result of:
b) neuronal degeneration in the medial part of the
a) damage to peripheral axons
ipsilateral globus pallidus
b) damage to the dorsal part of the lateral funiculus in the
c) abnormal impulse activity in the ipsilateral ventral
spinal cord
lateral nucleus
c) damage to the inferior cerebellar peduncle
d) abnormal impulse activity in the ipsilateral pyramidal
d) all of the above+
tract+
280) During neurological examination, a patient
presents a speech pattern characterized by loud,
275) Positive signs of basal ganglia disorders include
forceful expression of words that may be broken
involuntary abnormal movements. The underlying
into individual syllables. This condition, defined as
pathophysiological basis for these abnormal
explosive speech, reflects damage to:
involuntary movements may be the result of:
a) cerebellar anterior lobe
a) increased impulse activity in subthalamopallidal
b) fastigial nuclei bilaterally
projections
c) interposed nuclei bilaterally
b) decrease impulse activity in pallidosubthalamic
projections d) flocculonodular lobe+
c) decreased impulse activity in pallidothalamic
281) The subthalamic nucleus activates which
projections+
inhibitory structure?
d) increased impulse activity in ventral anterior
thalamocortical projections a) Globus pallidus internal segment+
b) Nucleus accumbens
276) Passively moving the forearm of a patient with c) Striatum
dopamine depletion in the stratum evokes a series d) Thalamus
of abnormal ratcheting-type movements regardless
282) Fill in the blank: In the basal ganglia direct d) Resistance is delayed if the direction of passive
pathway, the striatum sends GABAergic movement is reversed rapidly.
projections to the_______________.
288) What is the most prevalent primary headache
a) Globus pallidus externa disorder in the general population?
b) Globus pallidus internal segment and substantia nigra
pars reticularis+ a) Migraine with aura
c) Subthalamic nucleus b) Migraine without aura
d) Thalamus c) Tension-type headache+
d) Cluster headache
283) Fill in the blank: The basal ganglia indirect
pathway involves _______________ and then 289) Concerning the autonomic ganglia, all the
the_______________. following is true except:

a) The globus pallidus externa and then the subthalamic a) They act as distributing centres.
nucleus+ b) They are 3 types.
b) The globus pallidus interna and then the subthalamic c) Their chemical transmitter is acetylcholine.
nucleus d) Their receptors are specifically blocked by atropine.+
c) The substantia nigra pars compacta and then the
substantia nigra pars reticularis 290) The sympathetic preganglionic nerve fibres:
d) The raphe nucleus and then the substantia nigra pars
a) Arise from the cervical segments of the spinal cord.
compacta
b) Originate at the autonomic ganglia.
c) Are myelinated nerve fibres belonging to the B group
284) Which of the following disorders is most likely to of the nerve Fibres +
be suppressible? d) Show minimal divergence (branching) in the
autonomic ganglia.
a) Chorea
b) Stereotypies+
c) Tics
291) In the autonomic N.S., all the following is correct
d) Tremor
Except:

a) In sympathetic ganglia, the ratio of preganglionic

285) Which of the following disorders is most likely to
fibres to postganglionic fibres is 1:32.+
occur during action rather than during rest?
b) In parasympathetic ganglia, the ratio of preganglionic
a) Athetosis fibres to Postganglionic fibers is 1:32.
b) Chorea+ c) The splanchnic nerves contain sympathetic
c) Tics preganglionic fibres.
d) Stereotypies d) Stimulation of Oculomotor nerve produces
accommodation.
286) Which is the most accurate term for the
occurrence of an unintentional movement along
with a voluntary movement?
292) The upper motor neuron impairment
a) Athetosis produces the following change of muscles tone:
b) Overflow+
c) Myoclonus a) flaccidity
d) Ballism b) spasticity+
c) “cog wheel” rigidity
287) Which of the following descriptions is more d) myoclonia
characteristic of rigidity than spasticity?
293) The muscular wasting (hypotrophy) usually
a) There is velocity- independent resistance to passive develops with disease in:
movement.+
b) It has a “clasp- knife” quality. a) upper motor neuron
c) It affects upper extremity flexors more than extensors. b) lower motor neuron+
c) cerebellar b) temporal lobe
d) caudate c) the parietal lobe+
d) occipital lobe
301) Location of the damage center in the dominant
294) Aphasia's view in defect of the front short of the hemisphere at motor aphasia
dominant hemisphere
a) in the upper frontal gyrus
a) motor aphasia+ b) in the front central gyrus
b) sensory aphasia c) in the posterior sections of the lower frontal gyrus+
c) amnestic aphasia d) in the posterior sections of the middle frontal gyrus
d) semantic aphasia
302) To identify constructive apraxia, what should
295) For damage the frontal lobe which is not you offer to a patient
characteristic
a) raise your hand
a) motor aphasia b) touch the left hand with your right hand
b) ataxia c) add a given figure from matches+
c) euphoria d) perform various movements to follow
d) hemianopsia+
303) To identify asynergy with the sample of babinsky,
296) Astereognosis appears if which of the following is what should you offer to a patient
damaged
a) touch the tip of the nose with your finger
a) frontal lobe b) to carry out rapid pronation-supination of outstretched
b) temporal lobe arms
c) the parietal lobe+ c) standing, leaning back
d) occipital lobe d) to sit down from a supine position with arms crossed
on his chest+
297) Basic symptoms of visual agnosia
304) Symptoms of the defect of the frontal lobe of the
a) poorly sees surrounding objects, but recognizes them
dominant hemisphere in the right
b) sees objects well, but the shape seems distorted
c) does not see objects on the periphery of vision a) alexia, acalculia
d) sees objects, but does not recognize them+ b) dysarthria
c) sensory aphasia
298) Basic symptoms of motor afasia
d) right hemiparesis+ 305) Jackson's seizure
a) understands the addressed speech, but cannot
appears
speak+
b) does not understand the addressed speech and a) with irritation of the pyramidal cells of the anterior
cannot central gyrus+
speak b) with irritation of stellate cells of the posterior central
c) can speak, but does not understand the speech gyrus
addressed c) in the destruction of commissural relations
d) can speak, but speech is chanted 299) Basic d) in the destruction of associative relations

symptoms of sensor aphasia 306) Place of the focus of the damage at the origin of
autotopagnosis, pseudomelia, anosognosies
a) cannot speak and does not understand the addressed
speech a) premotor area
b) understands the addressed speech, but cannot speak b) right parietal lobe+
c) can speak, but forgets the names of objects c) the left temporal lobe
d) does not understand the addressed speech and does not d) the right occipital lobe
control his own+
307) It is not characteristic to destroy the temporary
300) Apraxia appears if which of the following lobes part of the dominant hemisphere

a) frontal lobe a) sensory aphasia

b) ataxia
c) olfactory, gustatory and auditory hallucinations a) anterior horns of spinal cord
d) right hemiparesis+ b) posterior horns of spinal cord+
308) A feeling of “already seen” and “never seen” c) lateral horns of spinal cord
appears in an irritation of which lobe d) posterior columns of spinal cord

a) the parietal lobe

b) occipital lobe 316) A glove-&-stocking pattern of sensory
c) hippocampus disturbance usually develops with disease in:
d) temporal lobe+
a) peripheral nerves+
309) Not recognition of objects to feel with closed eyes b) the spinal cord
is called c) the brainstem
d) the thalamus
a) anosognosia
b) astereognosis+
317) Babinsky response usually develops with
c) apraxia
damage in:
d) anesthesia
a) upper motor neuron+
310) Patient with motor apraxia can't
b) lower motor neuron
a) call your fingers c) cerebellar
b) execute the movement to follow d) thalamus
c) draw a simple diagram+
d) execute a simple command
318) Which of the following listed symptoms are
311) Obligatory hallucinations arise in a damage of characteristic for ataxy

a) olfactory nerve a) shakiness when walking towards the affected

b) olfactory tract hemisphere
c) temporal lobe+ b) the fragility does not coincide with the paresis side
d) the parietal lobe c) difficulty in standing and walking (astasia, abasia)+
d) intentional jitter
312) Location cortical end of hearing analyzer
319) Forced "corkway" movements of the body arising
a) in the frontal lobe when walking are characteristic for
b) in the parietal lobe
c) in the temporal lobe+ a) torsion dystonia+
d) in the occipital lobe b) chorea
c) myoclonus
313) Basic function of the sympathic of the vegetative d) localized spasm
nervous system
320) Infringement of friendly movements of various
a) ergotropic+ muscle groups for which movement becomes
b) trophotropic unagraded is called
c) autonomic vascular
d) integrative a) ataxia
b) paralysis
314) Basic function of the parasimpatic ns of the c) paresis
vegetative nervous system d) asynergy+

a) ergotrotsnaya 321) Hyperkinesis as a quick, unexpected movement in

b) trophotropic+ various extremity muscles and a person with a
c) integrative “dancing gait” because of
d) psycho-vegetative
a) athetosis
315) The temperature & pin sense loss usually b) torsion dystonia
develops with disease in: c) chorea+
d) hemiballism c) amblyopia
d) amaurosis
322) Hand tremor underly usually developes if
damaged 329) The cortical end of the opposite analyzer is
located at
a) visual tubercle
b) caudate nucleus a) in the frontal lobe
c) black substance+ b) in the parietal lobe
d) spinal cord c) in the temporal lobe+
d) in the occipital lobe
323) Impossibility to pass on direct, alternyting the
one foot to of the other foot is related to 330) Symptoms characteristic for defect of chiasm

a) cerebellar dysfunction+ a) blindness in one eye

b) lesion of the parietal lobe b) heteronymous: bitemporal or binasal hemianopsia+
c) lesion of the temporal lobe c) homonymous hemianopsia
d) loss of sensation in the legs d) quadrant hemianopsia

324) Intentional shaking and walking during 331) Which of the following symptoms is not
performance of the finger salvage is characteristic characteristic for injury of the neck fracture
for
a) quadrant hemianopsia
a) static locomotor ataxia b) negative scotoma
b) dynamic ataxia+ c) binasal or bitemporal hemianopsia+
c) frontal ataxia d) micropsy, macropsy, metamorphopsia
d) sensitive ataxia
332) Symptoms of the defect of the oculomotor nerve
325) Hyperkinesis in the form of spontaneous moving does not apply to
movements in the fingers of hands, strengthening
with movement is called a) ptosis
b) mydriasis
a) chorea c) miosis+
b) athetosis+ d) divergent strabismus
c) torsion dystonia
d) tics 333) Characteristic symptoms for alternative weber
paralysis
326) HYPERKINESIS TYPE ATHETOSIS IN THE
FINGERS OF THE HANDS ARISES DUE TO a) paralysis of the III pair on the side of the lesion and
THE DAMAGE OF central hemiplegia on the opposite side+
b) paralysis of the VI pair on the side of the outbreak and
a) caudate nucleus+ central hemiplegia on the opposite side
b) red nucleus c) paralysis of VI and VII pairs of cranial nerves on the
c) black substance side of the focus and central hemiplegia on the
d) pale chara opposite side
d) amaurosis on the groan of the focus and central
327) Gait, when a patient excessively raises his legs hemiplegia on the opposite side
while walking and with excessive strength, they are
lowered , this is called 334) Left homonomic hemianopsy is characteristic for
damage in
a) stamping+
b) atactic a) left optic nerve
c) paretic b) the retina of the left eye
d) steppage c) the right optic tract+
d) chiasma
328) Relating to sensory smell loss in cranial nerves
335) If the top sections of the trigeminal nerve nuclei
a) anosmia+ are damaged, what will happen
b) anesthesia
a) hypesthesia in the oral zones of Zelder+ a) I, II, VI, VIII
b) hypesthesia in the lateral zones of Zelder b) III-IV-VI
c) hypesthesia in region I of the trigeminal nerve branch c) V, IV, VII
d) hypesthesia in the field of I and II branches of the d) IX, X, XI, XII+
trigeminal nerve 342) Location of peripheral motoneurons bodies for
336) Combination of swallowing disorders and nerves of the face, language, larynx and throat
phonation, dysarthria, paresis of soft palate, the
a) in the nuclei of VII, IX, X and XII nerves+
absence of pharyngeal reflex and tetraparesis b) in the inner capsule
indicate a lesion in a) the legs of the brain c) in a pale ball
b) medulla oblongata+ d) in the middle brain
c) brain bridge
d) bridge-cerebellar angle 337) Right visual tract 344) Symptoms of alternating paralysis at the pontine
level
contains
a) blindness in one eye on the side of the focus and
a) nerve fibers from the left halves of the retina of both central hemiplegia on the opposite side
eyes b) paralysis of the III pair and central hemiplegia on the
b) nerve fibers from the right halves of the retina of both side of the outbreak
eyes+ c) paralysis of the VI pair and central hemiplegia on the
c) nerve fibers from the temporal halves of the retina of side of the outbreak
both eyes d) paralysis of VI and VII pairs on the side of the
d) nerve fibers from the retina of the right eye 338) outbreak; and central hemiplegia on the opposite side+

Facial nerve function is 345) Symptoms of alternating paralysis at the length

of the length brain
a) motor
b) sensitive a) central paresis of pairs VII and XII and central
c) vegetative hemiplegia on the opposite side
d) mixed+ b) peripheral paresis of IX, X and XII pairs on the side of
the outbreak and central hemiplegia on the opposite
339) Location of bodies of central neurons for side+
innervtion of muscle heads c) dysarthria, deviation of the tongue to the left, atrophy
and fibrillar twitching of the muscles of the left half of
a) in the brain stem
the tongue
b) in the entire precentral gyrus
d) peripheral paralysis of the VII pair on the side of the
c) in the lower parts of the precentral gyrus+
focus and central hemiplegia on the opposite side 346)
d) in the upper parts of the precentral gyrus
Pasic symptoms of bulbar paralysis
340) Place of exit of the face nerve on the basis of the
brain a) high pharyngeal reflex
b) smoothness of the nasolabial fold
a) between the pyramid and the olive
c) dysphagia, dysphonia, dysarthria+
b) in the pontine-cerebellar corner+
d) reflexes of oral automatism
c) on the border of the medulla oblongata and the bridge,
at the level of the pyramids 347) Which of the following does not apply to the
d) between the bridge and the leg of the brain symptoms of injury of the oculomotor nerve
341) Hearing disorder in case of damage to the cortex a) convergent strabismus+
of the temporal lobe of the brain on one side b) mydriasis
c) restriction of the movement of the eyeball up and
a) deafness in one ear
inside
b) deafness in both ears
d) divergent strabismus
c) hearing loss+
d) dysarthria 348) Symptoms characteristic for facility of the facial
nerve
342) Cranial and cerebral nerves of the caudal group
a) dysphagia, dysphonia
b) paresis of the facial muscles of half the face+ a) spinal cord injury (C8-T1)+
c) ptosis b) spinal cord injury (C2-T2)
d) facial pain c) damage to the abducent nerve
349) Place of damage at heteronym hemianopsy d) damage to the oculomotor nerve

a) chiasm+ 357) Which is not included in the composition of the

b) the external cranked body mid brain
c) optic nerve
d) optic tract a) red nucleus
b) black substance
350) Which of the following does not apply to types of c) the nucleus of the block nerve
vision disorder d) nuclei of the abducent nerve+

a) amaurosis 358) Un pair nervous motion nerve (perlea nucleus)

b) amblyopia provides a pupil reaction to
c) color blindness
d) diplopia+ a) light
b) pain irritation
351) Basic symptoms of damage of the brain c) convergence
d) for accommodation+
a) aphasia
b) alternating syndrome+ 359) Alternative paralysis is called
c) visual agnosia
d) hyperkinesis a) damage to the motor path at the level of the internal
capsule
352) Main signs of facial nerve damage b) damage to the motor path at the level of the large
occipital foramen
a) decrease in surface sensitivity in half of the face c) damage to the motor structures of the spinal cord
b) paresis of facial muscles+ (front horns, side columns)
c) divergent strabismus d) damage at the level of the brain stem (motor nuclei of
d) a decrease in the pharyngeal reflex 353) Binasal the FMN and the pyramidal path)+ 360)

hemianopsy comes with Alternative paralysis of is called

a) the central sections of the optic chiasm a) peripheral paresis of the facial and abducent nerve on
b) the external sections of the intersection of the optic one side and central hemiparesis on the other+
tracts b) peripheral paresis of the facial nerve on one side and
c) visual radiance+ central hemiparesis on the other
d) optic nerves c) peripheral paresis of the oculomotor nerve on one side
and central hemiparesis on the other
354) Bitemporal hemianopsy is observed in damage of d) peripheral paresis of the accessory nerve on one side
and central hemiparesis on the other
a) the central sections of the optic chiasm+
b) the outer sections of the intersection of tracts 361) Clinical picture of claude-bernard-horner
c) optic tract syndrome includes
d) visual radiance from two sides
a) divergent strabismus, mydriasis, ptosis
355) Combination of swallowing disorders and b) convergent strabismus
phonation, dysarthria, paresis of soft palate, the c) ptosis, miosis, enophthalmos+
absence of pharyngeal reflex and tetraparesis d) rotator nystagmus, anisocoria
indicate a lesion in a) the legs of the brain
362) Clinical picture of occasion of the oculomotor
b) medulla oblongata+ nerve
c) brain pons
d) bridge-cerebellar angle 356) The reason for a) amaurosis
b) ptosis, miosis, enophthalmos
horner's syndrome is c) ptosis, mydriasis, divergent strabismus+
d) double vision when looking down
363) Symptoms of pseudobulbar paralysis c) bilateral lesions of the corticospinal tract
d) unilateral lesion of the corticospinal tract
a) atrophy of the muscles of the tongue
b) dysphonia 371) Combination is the nerves of the ponto-cerebellar
c) dysphagia corner
d) increased pharyngeal reflexes+ 364) Symptom
a) V, VI, VII
of the defect in the oculomotor nerve b) V, VI, VII, VIII+
c) IV, V, VI
a) ptosis+ d) IX, X, XII
b) horizontal nystagmus
c) convergent strabismus 372) Atrophy of one half muscle of the tongue arises
d) mydriasis due to the damage of which cranial nerve

365) For central pareasis of mimic muscularity a) V

characteristic b) VII
c) IX
a) paralysis of the lower face+ d) XII+
b) lagophthalmos
c) narrowing of the palpebral fissure 373) Atrophy of one half muscle of the tongue arises
d) strabismus due to the damage of which cranial nerve

366) Alternative weber syndrome is characterized by a) VII

involvement in the pathological process b) IX
c) X
a) oculomotor nerve+ d) XII+
b) abduction nerve
c) block nerve 374) Clinical picture at localization of the pathological
d) facial nerve surface in the area of the front central cork of the
right
367) At damage of external sections of crossing of
visual nerves, which of the following conditions a) lower spastic paraparesis
arises b) flaccid tetraparesis
c) peripheral monoparesis
d) attacks like "Jackson's spasms" in the left extremities+
a) lower quadrant hemianopsia
b) bitemporal hemianopsia 375) A 22-year-old woman reports a scotoma
c) binasal hemianopsia+ progressing across her left visual field over the course
d) upper quadrant hemianopsia of 30 min, followed by left hemicranial throbbing pain,
nausea, and photophobia. Her brother and mother
368) Bulbar paralysis arises when a combination of
have similar headaches. Which of the following is
damage
present in classic migraine but not in common
a) IV-V-VI migraine?
b) VII-VIII-IX
a) Photophobia
c) III-IV-VI
b) Familial pattern
d) IX-X-XII+
c) Visual aura +
369) Signs of pseudobular paralysis are related to d) Hemicranial pain

a) atrophy of the muscles of the tongue 376) Basilar migraine differs from classic migraine in
b) a decrease in the pharyngeal reflex the
c) impaired breathing and cardiac activity
d) reflexes of oral automatism+ 370) Pseudobular a) Sex of the persons most often affected
b) Resistance of the visual system to involvement
paralysis arises with c) Severity of symptoms +
d) Duration of the aura
a) bilateral lesion of the cortical-nuclear pathways+
b) unilateral lesion of the cortical-nuclear pathways
377) A 43-year-old woman complains of lancinating d) analgesia & sensory ataxia in proximal parts of
pains radiating into the right side of her jaw. This extremities
discomfort has been present for more than 3 years and
has started occurring more than once a week. The
pain is paroxysmal and routinely triggered by cold 382) The presence of hemianesthesia, hemianopia &
stimuli, such as ice cream and cold drinks. She has sensory hemiataxia suggests damage to the following:
sought relief with multiple dental procedures and has
already had two teeth extracted. Multiple a) internal capsule
neuroimaging studies reveal no structural lesions in b) thalamus opticus+
her head. Assuming there are no contraindications to c) spinal cord
the treatment, a reasonable next step would be to d) black substance
prescribe
383) The presence of Laseuge sign suggests damage to
a) Clonazepam (Klonopin) 1 mg orally three times daily the following:
b) Diazepam (Valium) 5 mg orally two times daily
a) meninges of the brain
c) Divalproex sodium (Depakote) 250 mg orally three
b) spinal roots C5-C8 or radial nerve
times daily
c) spinal roots L5-S1 or sciatic nerve+
d) Carbamazepine (Tegretol) 100 mg orally three times
d) anterior horns at the level L5-S1
daily+

384) The affection of cerebellar may produce any of

378) A 23-year-old woman has had 1 week of
the following EXCEPT:
worsening facial pain. She describes it as an intense
shooting pain that comes and goes. It is only present
a) nystagmus
on her right face. Which of the following is most likely
b) ataxia
to be this patient’s underlying problem?
c) dysmetria
d) dyspraxia+
a) Multiple sclerosis +
b) Tolosa-Hunt syndrome
c) Migraine 385) The presence of dysdiadochokinesis suggests
damage to the following:
d) Anterior communicating artery aneurysm

a) black substance
379) Both trigeminal neuralgia and atypical facial
b) spinal cord
pain involve pain that may be
c) cerebellar+
d) occipital lobe
a) Lancinating
b) Paroxysmal
386) The presence of Parkinsonism suggests damage
c) Associated with anesthetic patches
to the following:
d) Unilateral+

a) caudate nucleus
380) Central paresis, loss of proprioceptive b) black substance+
sensation on one side & loss of exteroceptive c) cerebellar
sensation on the opposite form the following d) frontal lobe
syndrome:
387) In initial stage of Parkinson disease the most
a) Lambert-Iton typical involuntary movement is the following:
b) Matskevich-Shtrumpel
c) Argile-Robertson a) chorea
d) Brown-Sequard+ b) atetosis
c) tremor+
381) The polyneuropathic pattern of sensory loss d) dystonia
suggests presence of the following syndrome:
388) The autonomic nervous system includes any of
a) numbness & pain in distal parts of extremities + the following EXCEPT:
b) numbness & analgesia in half of the body
c) pain & sensory ataxia in half of the body a) hypothalamus
b) paravertebral sympathetic trunk
c) vagal nerve 395) The disturbance of purposive movement in
d) cerebral cortex+ absence of paresis & dyscoordination suggests the
presence of the following: a) dyslexia
389) One of the most important functions of the b) dysgnosia
autonomic nervous system is the following: c) dyspraxia+
d) dysphasia
a) regulation of homeostasis+
b) voluntary movements 396) The damage to IX, X & XII cranial nerves
c) coordination of movements produce:
d) involuntary movements
a) bulbar palsy+
390) Any of the following cranial nerves has the b) pseudobulbar palsy
parasympathetic nucleus EXCEPT: c) Brown-Sequard syndrome
d) Argyle-Robertson syndrome
a) vagal
b) oculomotor 397) Dysphasia suggests the impairment of:
c) glossopharyngeal
d) olfactory+ a) Speech+
b) gait
391) The presence of anosmia suggests damage to the c) swallowing
following cranial nerve: d) movement

a) II 398) The patient with apraxia cannot:

b) I+
c) III a) name his fingers
d) V b) carry out an imagined act+
c) draw simple diagrams
392) Trigeminal nerve impairment produces the d) speak fluently
following symptoms:

a) plegia in half of the face 399) Any of the following syndromes is the involuntary
b) ache paroxysm in half of the face+ movement EXCEPT:
c) disturbance of swallowing
d) ache in half of the head a) chorea
b) tic
393) The presence of Bell’s palsy suggests damage to c) tremor
the following cranial nerve: d) paresis+

a) facial+ 400) Pathological reflex, occurred in central paralysis

b) optic (upper motor neuron lesion) is the following:
c) olfactory
d) vestibular a) Brudzinsky
b) Nery
394) Dysphagia, dyphonia, dysarthria together with c) Babynsky+
tongue atrophy & depressed “gag” reflex is called like d) Brown-Sequard
following:

a) bulbar palsy+
b) Bell’s palsy
c) pseudobulbar palsy
d) bulbus olfactorius