Neurosurgery Module I - Spine

Question 1 of 21

1

Fill the blank space to complete the text.

Sensory afferents of the dorsal column pathway, after passing the medulla, decussate to the contralateral lemniscus before eventually synapsing in the thalamus.

Explanation

Question 2 of 21

1

Which of the following pictures correctly identifies Brown-Séquard syndrome?

Select one of the following:

1
2
3

Explanation

Question 3 of 21

1

Spinocerebellar tracts provide unconscious proprioceptive information to the cerebellum. Do their tracts provide contralateral or ipsilateral information to the cerebellum?

Select one of the following:

Ipsilateral
Contralateral

Explanation

Question 4 of 21

1

Fill the blank space to complete the text.

The tracts of the pyramidal system contain the upper motor neurone of the cranial nerves.

Explanation

Question 5 of 21

1

Lesions of the facial nerve:
❌ = Paralysis of lower half of one side of the face only - forehead muscles remain intact
❌ = Paralysis of one half of the face including forehead muscles

Drag and drop to complete the text.

Lower motor neuron lesion

Upper motor neuron lesion

Explanation

Question 6 of 21

1

Select from the dropdown list to complete the text.

Bell's Palsy is a lesion of the Facial nerve's ( lower, upper ) motor neuron

Explanation

Question 7 of 21

1

Fill the blank space to complete the text.

In terms of the extrapyramidal tracts:
The Vestibulospinal tract originates from the vestibular nucleus in the .

Explanation

Question 8 of 21

1

The reticulospinal tracts originate from the reticular formation and control tone.
❌: facilitates voluntary/reflex responses and increases tone
❌: inhibits voluntary/reflex responses and decreases tone

Drag and drop to complete the text.

Pontine reticulospinal tract

Medullary reticulospinal tract

Explanation

Question 9 of 21

1

The rubrospinal tract is responsible for exciting flexor muscles and inhibiting extensor muscles of the upper body

Select one of the following:

True
False

Explanation

Question 10 of 21

1

The tectospinal tract originates from ...

Select one of the following:

Superior colliculus of the midbrain
Inferior colliculus of the midbrain

Explanation

Question 11 of 21

1

Fill the blank space to complete the text.

Which is the only vertebrae not to have a spinous process or body?

Explanation

Question 12 of 21

1

Fill the blank space to complete the text.

In terms of vertebral anatomy, the ligamentum runs vertically connecting the lamina of adjacent vertebrae. It helps maintain an upright posture and assist straightening the spine after flexion.

Explanation

Question 13 of 21

1

Select from the dropdown lists to complete the text.

A lumbar disc herniation is more likely to occur in ( young, elderly ) patients, due to a strain on the spine (e.g. lifting heavy load).

The most common type of disc herniation is a paramedian herniated disc. If a paramedian herniated disc was to occur at the L3/4 level, which nerve would be affected? (L3 or L4)
( L4, L3 )

Explanation

Question 14 of 21

1

Fill the blank spaces to complete the text.

The sciatic nerve runs from spinal levels L-S

Explanation

Question 15 of 21

1

Sciatica pain is typically exaggerated by coughing/sneezing

Select one of the following:

True
False

Explanation

Question 16 of 21

1

Select from the dropdown list to complete the text.

In the case of an L5/S1 prolapsed intervertebral disc where the S1 root is involved, which reflex would you expect to be absent?
( Ankle Jerk, Knee Jerk ) Reflex

Explanation

Question 17 of 21

1

Cauda equina syndrome most commonly occurs due to a midline disc herniation at which vertebral level?

Select one of the following:

L3/4
L4/5
L5/S1

Explanation

Question 18 of 21

1

A PR exam should be conducted only where necessary in a potential Cauda Equina Syndrome patient, as such an invasive exam may worsen the patient's prognosis.

Select one of the following:

True
False

Explanation

Question 19 of 21

1

If symptoms are tolerable and the walking distance is not significantly affected then conservative treatment should be offered before any surgical intervention.

Select one of the following:

True
False

Explanation

Question 20 of 21

1

In terms of Cervical Myelopathy, decompressive spinal surgery should only be offered following a trial of analgesia and physiotherapy.

Select one of the following:

True
False

Explanation

Question 21 of 21

1

How does Brown-Sequard Syndrome present?

Select one of the following:

Weakness/paralysis on one side of the body and loss of sensation on the opposing side
Weakness/paralysis unilaterally
Paralysis of both lower limbs
Weakness/paralysis and loss of sensation only on one side of the body

	Created by Matthew Coulson over 5 years ago

Neurosurgery Module 1 - Spine from Delta. I have only included questions on topics I feel need revisited/were not covered in lectures.

Neurosurgery Module I - Spine

Question 1 of 21

Fill the blank space to complete the text.

Sensory afferents of the dorsal column pathway, after passing the medulla, decussate to the contralateral lemniscus before eventually synapsing in the thalamus.

Explanation

Question 2 of 21

Which of the following pictures correctly identifies Brown-Séquard syndrome?

Select one of the following:

Explanation

Question 3 of 21

Spinocerebellar tracts provide unconscious proprioceptive information to the cerebellum. Do their tracts provide contralateral or ipsilateral information to the cerebellum?

Select one of the following:

Explanation

Question 4 of 21

Fill the blank space to complete the text.

The tracts of the pyramidal system contain the upper motor neurone of the cranial nerves.

Explanation

Question 5 of 21

Lesions of the facial nerve: ❌ = Paralysis of lower half of one side of the face only - forehead muscles remain intact ❌ = Paralysis of one half of the face including forehead muscles

Drag and drop to complete the text.

Explanation

Question 6 of 21

Select from the dropdown list to complete the text.

Bell's Palsy is a lesion of the Facial nerve's lower upper( lower, upper ) motor neuron

Explanation

Question 7 of 21

Fill the blank space to complete the text.

In terms of the extrapyramidal tracts: The Vestibulospinal tract originates from the vestibular nucleus in the .

Explanation

Question 8 of 21

The reticulospinal tracts originate from the reticular formation and control tone. ❌: facilitates voluntary/reflex responses and increases tone ❌: inhibits voluntary/reflex responses and decreases tone

Drag and drop to complete the text.

Explanation

Question 9 of 21

The rubrospinal tract is responsible for exciting flexor muscles and inhibiting extensor muscles of the upper body

Select one of the following:

Explanation

Question 10 of 21

The tectospinal tract originates from ...

Select one of the following:

Explanation

Question 11 of 21

Fill the blank space to complete the text.

Which is the only vertebrae not to have a spinous process or body?

Explanation

Question 12 of 21

Fill the blank space to complete the text.

In terms of vertebral anatomy, the ligamentum runs vertically connecting the lamina of adjacent vertebrae. It helps maintain an upright posture and assist straightening the spine after flexion.

Explanation

Question 13 of 21

Select from the dropdown lists to complete the text.

Explanation

Question 14 of 21

Fill the blank spaces to complete the text.

The sciatic nerve runs from spinal levels L-S

Explanation

Question 15 of 21

Sciatica pain is typically exaggerated by coughing/sneezing

Select one of the following:

Explanation

Question 16 of 21

Select from the dropdown list to complete the text.

In the case of an L5/S1 prolapsed intervertebral disc where the S1 root is involved, which reflex would you expect to be absent? Ankle Jerk Knee Jerk( Ankle Jerk, Knee Jerk ) Reflex

Explanation

Question 17 of 21

Cauda equina syndrome most commonly occurs due to a midline disc herniation at which vertebral level?

Select one of the following:

Explanation

Question 18 of 21

A PR exam should be conducted only where necessary in a potential Cauda Equina Syndrome patient, as such an invasive exam may worsen the patient's prognosis.

Select one of the following:

Explanation

Question 19 of 21

If symptoms are tolerable and the walking distance is not significantly affected then conservative treatment should be offered before any surgical intervention.

Select one of the following:

Explanation

Question 20 of 21

In terms of Cervical Myelopathy, decompressive spinal surgery should only be offered following a trial of analgesia and physiotherapy.

Select one of the following:

Lesions of the facial nerve:
❌ = Paralysis of lower half of one side of the face only - forehead muscles remain intact
❌ = Paralysis of one half of the face including forehead muscles

Bell's Palsy is a lesion of the Facial nerve's ( lower, upper ) motor neuron

In terms of the extrapyramidal tracts:
The Vestibulospinal tract originates from the vestibular nucleus in the .

The reticulospinal tracts originate from the reticular formation and control tone.
❌: facilitates voluntary/reflex responses and increases tone
❌: inhibits voluntary/reflex responses and decreases tone

In the case of an L5/S1 prolapsed intervertebral disc where the S1 root is involved, which reflex would you expect to be absent?
( Ankle Jerk, Knee Jerk ) Reflex