The Neurological Exam

Review Questions


Which major section of the neurological exam is most likely to reveal damage to the cerebellum?

  1. cranial nerve exam
  2. mental status exam
  3. sensory exam
  4. coordination exam

What function would most likely be affected by a restriction of a blood vessel in the cerebral cortex?

  1. language
  2. gait
  3. facial expressions
  4. knee-jerk reflex

Which major section of the neurological exam includes subtests that are sometimes considered a separate set of tests concerned with walking?

  1. mental status exam
  2. cranial nerve exam
  3. coordination exam
  4. sensory exam

Memory, emotional, language, and sensorimotor deficits together are most likely the result of what kind of damage?

  1. stroke
  2. developmental disorder
  3. whiplash
  4. gunshot wound

Where is language function localized in the majority of people?

  1. cerebellum
  2. right cerebral hemisphere
  3. hippocampus
  4. left cerebral hemisphere

Which of the following could be elements of cytoarchitecture, as related to Brodmann’s microscopic studies of the cerebral cortex?

  1. connections to the cerebellum
  2. activation by visual stimuli
  3. number of neurons per square millimeter
  4. number of gyri or sulci

Which of the following could be a multimodal integrative area?

  1. primary visual cortex
  2. premotor cortex
  3. hippocampus
  4. Wernicke’s area

Which is an example of episodic memory?

  1. how to bake a cake
  2. your last birthday party
  3. how old you are
  4. needing to wear an oven mitt to take a cake out of the oven

Which type of aphasia is more like hearing a foreign language spoken?

  1. receptive aphasia
  2. expressive aphasia
  3. conductive aphasia
  4. Broca’s aphasia

What region of the cerebral cortex is associated with understanding language, both from another person and the language a person generates himself or herself?

  1. medial temporal lobe
  2. ventromedial prefrontal cortex
  3. superior temporal gyrus
  4. postcentral gyrus

Without olfactory sensation to complement gustatory stimuli, food will taste bland unless it is seasoned with which substance?

  1. salt
  2. thyme
  3. garlic
  4. olive oil

Which of the following cranial nerves is not part of the VOR?

  1. optic
  2. oculomotor
  3. abducens
  4. vestibulocochlear

Which nerve is responsible for controlling the muscles that result in the gag reflex?

  1. trigeminal
  2. facial
  3. glossopharyngeal
  4. vagus

Which nerve is responsible for taste, as well as salivation, in the anterior oral cavity?

  1. facial
  2. glossopharyngeal
  3. vagus
  4. hypoglossal

Which of the following nerves controls movements of the neck?

  1. oculomotor
  2. vestibulocochlear
  3. spinal accessory
  4. hypoglossal

Which of the following is not part of the corticospinal pathway?

  1. cerebellar deep white matter
  2. midbrain
  3. medulla
  4. lateral column

Which subtest is directed at proprioceptive sensation?

  1. two-point discrimination
  2. tactile movement
  3. vibration
  4. Romberg test

What term describes the inability to lift the arm above the level of the shoulder?

  1. paralysis
  2. paresis
  3. fasciculation
  4. fibrillation

Which type of reflex is the jaw-jerk reflex that is part of the cranial nerve exam for the vestibulocochlear nerve?

  1. visceral reflex
  2. withdrawal reflex
  3. stretch reflex
  4. superficial reflex

Which of the following is a feature of both somatic and visceral senses?

  1. requires cerebral input
  2. causes skeletal muscle contraction
  3. projects to a ganglion near the target effector
  4. involves an axon in the ventral nerve root

Which white matter structure carries information from the cerebral cortex to the cerebellum?

  1. cerebral peduncle
  2. superior cerebellar peduncle
  3. middle cerebellar peduncle
  4. inferior cerebellar peduncle

Which region of the cerebellum receives proprioceptive input from the spinal cord?

  1. vermis
  2. left hemisphere
  3. flocculonodular lobe
  4. right hemisphere

Which of the following tests cerebellar function related to gait?

  1. toe-to-finger
  2. station
  3. lah-kah-pah
  4. finger-to-nose

Which of the following is not a cause of cerebellar ataxia?

  1. mercury from fish
  2. drinking alcohol
  3. antibiotics
  4. hereditary degeneration of the cerebellum

Which of the following functions cannot be attributed to the cerebellum?

  1. comparing motor commands and sensory feedback
  2. associating sensory stimuli with learned behavior
  3. coordinating complex movements
  4. processing visual information