Human Anatomy and Physiology : Human Anatomy and Physiology

Study concepts, example questions & explanations for Human Anatomy and Physiology

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Example Questions

Example Question #1401 : Human Anatomy And Physiology

A sudden, uncontrolled flinging movement of a limb can best be described by which of the following?

Possible Answers:

Hemiballism

Chorea

Dystonia

Tremor

Correct answer:

Hemiballism

Explanation:

Hemiballism describes a sudden, uncontrolled flinging movement; this occurs if there is damage/destruction of subthalamic nuclei. Chorea is an abnormal, involuntary movement that can be seen in Huntington's disease; it occurs after destruction of the caudate nucleus. Dystonias are abnormal movements and are most often referred to as resting tremors of Parkinson's disease. Parkinsons disease results from a loss of dopamine from the substantia nigra. 

Example Question #1402 : Human Anatomy And Physiology

The dermatome for the inguinal region is which of the following?

Possible Answers:

L4

L5

S1

L1

S2

Correct answer:

L1

Explanation:

A dermatome is an area of skin supplied by a single spinal nerve. Along the thorax and abdomen the dermatomes are stacked like coins/discs, each layer supplied by a different spinal nerve. Along the arms and legs the pattern is different. Symptoms that follow a dermatome may indicate a pathology that involves the nerve root. There are a number of important dermatomes one being the inguinal region innervated by the L1 nerve root.

Example Question #1403 : Human Anatomy And Physiology

Which of the following innervates the dermatome at the umbilicus?

Possible Answers:

L4

T9

T10

T11

T4

Correct answer:

T10

Explanation:

A dermatome is an area of skin supplied by a single spinal nerve. Along the thorax and abdomen the dermatomes are stacked like coins/discs, each layer supplied by a different spinal nerve. Along the arms and legs the pattern is different. Symptoms that follow a dermatome may indicate a pathology that involves the nerve root. There are a number of important dermatomes one being the layer of the umbilicus innervated by the T10 nerve root.

Example Question #1404 : Human Anatomy And Physiology

In a comatose patient, how is a positive doll’s eyes test interpreted?

Possible Answers:

The patient has a spinal cord injury

The patient has an intact oculocephalic reflex

The patient does not a have an intact oculocephalic reflex

The patient has an intact flexor withdrawal reflex

Correct answer:

The patient has an intact oculocephalic reflex

Explanation:

Because comatose patients cannot visually track objects, brainstem function is assessed by testing the oculocephalic reflex. Making sure any cervical spine pathology, the patients eyelids are held open, and her head is turned to side. If the eyes move in the opposite direction, the oculocephalic reflex is said to be positive, and indicates that there is some intact brainstem function. Because it is reminiscent of the way a doll's eyes move, this test is sometimes called a doll's eyes test. 

Example Question #1401 : Human Anatomy And Physiology

Which of the following might you see in an adult patient with a suspected upper motor neuron lesion?

Possible Answers:

All of these signs could suggest an upper motor lesion

Positive pronator drift

Positive crossed adductor reflex

Positive Babinski sign

Positive Hoffman’s reflex

Correct answer:

All of these signs could suggest an upper motor lesion

Explanation:

An upper motor neuron lesion is an injury to the motor pathways of the central nervous system, before the level of the cranial nerve nuclei, or the ventral horn of the spinal cord. The key to this question is that the patient is an adult; in children, under the age of 2, a positive Babinski sign is a normal finding. However, a positive crossed adductor reflex, a positive pronator drift sign, and a positive Hoffman's reflex are always pathological, and may indicate an upper motor neuron lesion.

Example Question #21 : Nervous System

Which of the following nerves innervates most of the anterior compartment of the thigh?

Possible Answers:

Obturator

Femoral

Inguinal 

Ventral rami of L1-L3

Sciatic

Correct answer:

Femoral

Explanation:

The anterior compartment of the thigh is a fascial compartment that contains groups of muscles with their blood supply and nerves. The anterior compartment contains the sartorius muscle and the quadriceps muscles (rectus femoris, vastus lateralis, vastus intermedius, and vastus medialis). The iliopsoas is sometimes considered a component of the anterior compartment of the thigh. The function of the muscles of the anterior compartment is to extend the knee and flex the hip. The anterior compartment is innervated by the femoral nerve (however, the iliopsoas is not innervated by the femoral nerve and is innervated by ventral rami of L1-L3). The blood supply of the anterior compartment is the femoral artery. The femoral artery supplies blood to the anterior compartment and is the largest blood vessel of the lower limb.

Example Question #31 : Injuries And Disorders

What cranial nerves are responsible for eye movements?

Possible Answers:

3, 4, and 6

2, 3, and 6

1, 2, and 3

2, 3, 4, and 6

2 and 3

Correct answer:

3, 4, and 6

Explanation:

Eye movements are controlled by cranial nerves (CN) 3,4, and 6 (oculomotor, trochlear, and abducens). Helpful Hint** - A nice and easy way to remember this is the following: (LR6SO4)3 = which means that Abducens CN 6 innervates the lateral rectus muscle, Trochlear CN 4 innervates the superior oblique muscle, and Oculomotor CN 3 innervates the rest of the eye muscles.

Example Question #32 : Injuries And Disorders

A patient complains about having difficulty chewing. What cranial nerve do you suspect could be effected?

Possible Answers:

9

7

12

10

5

Correct answer:

5

Explanation:

Trigeminal CN 5 is responsible for the muscles that control mastication (chewing). It is a common error to suspect facial CN 7 due to its innervation of the facial muscles involved with expressions. However, the trigeminal nerve is unique because although it provides sensory to the face, it is also responsible for motor function involved with chewing.

Example Question #33 : Injuries And Disorders

A patient comes in with paralysis of the right side of his face. You ask him to raise his eyebrows and only the left eyebrow is raised. What do these findings suggest is the problem?

Possible Answers:

Cranial nerve 2

Cranial nerve 3

Cranial nerve 7

Upper motor neuron lesion (stroke)

Cranial nerve 5

Correct answer:

Cranial nerve 7

Explanation:

These findings suggest that the patient is experiencing Bell's palsy. This is a common finding with the lower motor neuron lesion of facial CN 7. We ask the patient to raise their eye brows to distinguish Bell's palsy from a stroke. If a patient has half sided facial paralysis and can raise both eyebrows this is usually a red flag.

Example Question #34 : Injuries And Disorders

A 48-year old man comes to the clinic because of severe back pain for 2 days.  He also has numbness on the lateral side of his left foot, and ankle jerk reflexes are absent at the left ankle.

Compression of which of the following nerve roots is most likely responsible for these findings?

Possible Answers:

L4

S3

S1

L1

T12

Correct answer:

S1

Explanation:

Compression of the S1 nerve root can lead to weakness in gastrocnemius, peroneus longus, and peroneus brevis muscles causing difficulty with foot push off during walking. The S1 nerve root is also responsible for sensation along the lateral foot, and compression could cause numbness and/or tingling. The achilles reflex (ankle jerk reflex) tests the S1 nerve root. 

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