Human Anatomy and Physiology : Injuries and Disorders

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

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Example Questions

Example Question #31 : Injuries And Disorders

What cranial nerves are responsible for eye movements?

Possible Answers:

2 and 3

2, 3, 4, and 6

3, 4, and 6

2, 3, and 6

1, 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:

12

7

5

9

10

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 5

Upper motor neuron lesion (stroke)

Cranial nerve 7

Cranial nerve 3

Cranial nerve 2

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

T12

L1

S1

S3

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. 

Example Question #35 : Injuries And Disorders

List the order of spinal ligaments that a needle would penetrate in order to administer an epidural injection.

Possible Answers:

Interspinous ligament, posterior longitudinal ligament, ligamentum flavum

Posterior longitudinal ligament, anterior longitudinal ligament, ligamentum flavum

Supraspinous ligament, interspinous ligament, ligamentum flavum 

Interspinous ligament, anterior longitudinal ligament, posterior longitudinal ligament

Supraspinous ligament, posterior longitudinal ligament, ligamentum flavum

Correct answer:

Supraspinous ligament, interspinous ligament, ligamentum flavum 

Explanation:

When giving an epidural injection the order of structures the needle passes through goes as follows: skin, fascia and subcutaneous fat, supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space 

Example Question #36 : Injuries And Disorders

List the order of structures that a needle would penetrate in order to administer an lumbar puncture.

Possible Answers:

Interspinous ligament, anterior longitudinal ligament, posterior longitudinal ligament, subarachnoid space, dura mater

Supraspinous ligament, interspinous ligament, ligamentum flavum, dura mater, subarachnoid space

Supraspinous ligament, posterior longitudinal ligament, ligamentum flavum, pia mater

Supraspinous ligament, interspinous ligament, ligamentum flavum, pia mater, subarachnoid space, dura mater

Interspinous ligament, posterior longitudinal ligament, anterior longitudinal ligament, dura mater, subarachnoid space

Correct answer:

Supraspinous ligament, interspinous ligament, ligamentum flavum, dura mater, subarachnoid space

Explanation:

When giving an lumbar puncture the order of structures the needle passes through goes as follows: skin, fascia and subcutaneous fat, supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space, dura mater, arachnoid mater, subarachnoid space. Note that the pia mater is not pierced during a lumbar puncture. 

Example Question #37 : Injuries And Disorders

A patient presenting with "Saturday night" palsy would have which of the following deficits?

Possible Answers:

Inability to supinate the forearm

Inability to flex the elbow

Inability to abduct the shoulder

Inability to flex the wrist

Inability to extend the wrist

Correct answer:

Inability to extend the wrist

Explanation:

"Saturday night" palsy is a nickname for radial nerve paralysis. Because the wrist extensors are innervated by the radial nerve, this type of paralysis would prevent a person from being able to perform wrist extension. While the supinator is innervated by the radial nerve, the biceps brachii is also a supinator, so although supination may be weaker with radial nerve paralysis, it would not be absent. 

Example Question #1414 : Human Anatomy And Physiology

What is the "soup" method of neurotransmitter and receptor analysis in the CNS? What is its usefulness?

Possible Answers:

A tissue sample is sliced into pieces of tissue that are homogenous and can be analyzed. This is useful for quantifying binding or molecule levels.

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for macroelectrode application to see what action potentials in specific brain regions do functionally.

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels.

There is no such thing as the "soup" method of neurotransmitter and receptor analysis in the CNS.

A tissue sample is isolated and ground to form a heterogeneous mixture which can be analyzed. This is useful for quantifying binding or molecule levels.

Correct answer:

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels.

Explanation:

The "soup" method involves collecting a tissue sample from the specific CNS are that one is interested in, isolating it and grinding it to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels, through the application of radiolabels to specific neurotransmitters and receptors of interest. The radiolabels let you see how much those neurotransmitters and receptors interact, and what their relative levels are.

Example Question #38 : Injuries And Disorders

Multiple sclerosis is a progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord. The cerebrospinal fluid (CSF) of someone who is suspected to be affected by this disease is extracted by a routine spinal tap. 

List the correct order of structures the needle would pass in order to do such.

Possible Answers:

Muscle, epidermis, ligamentum flavum, subarachnoid space, arachnoid space, subdural space, dura-mater

Muscle, ligamentum flavum, epidermis, arachnoid mater, dura -mater, epidural space, subarachnoid space

Epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space 

Epidermis, muscle, ligamentum flavum, subdural space, dura-mater, subarachnoid space, arachnoid space

Correct answer:

Epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space 

Explanation:

When performing a spinal tap the layers that the needle passes through (from superficial to deep)are as follows: epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space. The CSF, which you collect in a spinal tap, is located in the subarachnoid space. 

Example Question #31 : Nervous System

At which vertebrae would you enter to remove cerebrospinal fluid (CSF) from the back?

Possible Answers:

T3/T4

L2

Posterior sacral foramina

L4/L5

Correct answer:

L4/L5

Explanation:

When performing a spinal tap you enter the intervertebral space at the L3/L4 or L4/L5 level. This is because the spinal cord ends around L1/L2. Nerves continue past this point as part of the cauda equina, however they are not in danger of being pierced as they move out of the way of the needle. The needle will pass through various layers until the subarachnoid space where CSF is located.

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