Soheila Amri
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Soheila Amri
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Spinal cord and sensory part of nervous system

Question 1 of 72

1

Functions of sensory systems; choose WRONG

Select one or more of the following:

  • Monitor the internal and external environment

  • Transmits signals from CNS to periphery

  • Control of movement

  • Transmits peripheral signal to CNS for processing

  • Regulation of internal organs

Explanation

Question 2 of 72

1

Which of these are sensory input under general (somatic) sensation?

Select one or more of the following:

  • Touch

  • Pain

  • Vision

  • Hearing

Explanation

Question 3 of 72

1

Which of these are sensory input under general (somatic) sensation?

Select one or more of the following:

  • Smell

  • Thermal sensation

  • Proprioception

  • Taste

Explanation

Question 4 of 72

1

Which of these are NOT sensory input under special sensation?

Select one or more of the following:

  • Vision

  • Hearing

  • Taste

  • Pain

  • Smell

Explanation

Question 5 of 72

1

What is true about the senses?

Select one or more of the following:

  • General senses have receptors distributed over a large part of the body

  • General senses have receptors within specific organs

  • General senses located in skin, muscle and joints are somatic (touch, pain, temp, etc..)

  • General senses located in internal organs are visceral (pain and pressure)

  • Balance is not a special sense

Explanation

Question 6 of 72

1

Stages of sensation; choose proper order

Select one or more of the following:

  • Stimulation, Perception, Transduction, Transmission

  • Stimulation, Transmission, Perception, Transduction

  • Stimulation, Transduction, Transmission, Perception

  • Stimulation, Transmission, Transduction, Perception

Explanation

Question 7 of 72

1

Receptor types choose correct

Select one or more of the following:

  • Somatic and olfactory senses reception is through secondary sensory neurons

  • General secondary receptors release neurotransmitter that bind to a neuron that transmits info to brain

  • Special secondary receptors release neurotransmitter that bind to a neuron that transmits info to brain

  • In taste, hearing, sight and balance it is through specialized epithelial receptor cells - secondary receptor.

Explanation

Question 8 of 72

1

Choose correct match of location and receptor

Select one or more of the following:

  • Exteroreceptors - associated with skin

  • Proprioceptors - associated with joints, tendons, muscle, vestibular system

  • Visceroreceptors - associated with organs

  • Exteroreceptors - associated with organs

Explanation

Question 9 of 72

1

Choose correct receptor with the type of activation.

Select one or more of the following:

  • Nociceptors - respond to changes in temperature

  • Thermoreceptors - extreme mechanical, chemical, or thermal stimuli. Pain sensation

  • Mechanoreceptors: compression, bending, stretching of cells. Touch, pressure, proprioception, hearing, and balance sensation

  • Chemoreceptors - chemicals become attached to receptors on their membranes. Smell and taste sensation

  • Photoreceptors - respond to light. Vision

Explanation

Question 10 of 72

1

Division of sensation; choose WRONG

Select one or more of the following:

  • PROPRIOCEPTION – profound

  • EKSTEROCEPTION – superficial

  • INTEROCEPTION – special

  • TELECEPTION – visceral

Explanation

Question 11 of 72

1

Which of these are not an attribute of stimulus

Select one or more of the following:

  • Modality (type of sensation; touch, pain)

  • Location

  • Intensity

  • Timing - When stimuli starts

  • Reflex

Explanation

Question 12 of 72

1

Division of sensations; according to the head

Select one or more of the following:

  • EPICRITIC SENSATION – identification, localisation, characteristic, strength of stimulus possible

  • PROTOPATHIC SENSATION – identification, localisation, characteristic, strength of stimulus possible

  • PROTOPATHIC SENSATION – impossible precise identification of stimulus; often connected with impairing factors - crude touch, pain, extreme temperature

  • EPICRITIC SENSATION – impossible precise identification of stimulus; often connected with impairing factors - crude touch, pain, extreme temperature

Explanation

Question 13 of 72

1

Modalities of stimulus;

Select one or more of the following:

  • Modality is encoded by a single pathway.

  • Each pathway encodes one specific sense

  • Each type of sensation (touch, sound, light, etc.) is called modality of sensation

  • Different modality of sensation is transmitted by a specific nerve fiber and determined by where the nerve fiber terminates in the brain

Explanation

Question 14 of 72

1

Location of stimulus; choose correct

Select one or more of the following:

  • Receptors fires action potential only when stimulus impinges on the receptive field.

  • Fine resolution requires large receptive fields

  • Coarse resolution requires fewer receptive fields to cover the same body surface area

  • Receptive field in skin differ in size and response to touch

Explanation

Question 15 of 72

1

Location of stimulus; coarse and fine resolution. Choose correct.

Select one or more of the following:

  • Coarse resolution; Certain regions of the body, such as arms & legs, have such very large receptive fields.

  • Coarse resolution; Two stimuli separated by as much as 40 mm will be perceived as a single point

  • Coarse resolution; Sensitive regions of the body with small secondary receptive fields include the fingertips.

  • Coarse resolution; Two stimuli separated by as little as 2 mm will activate separate pathways and will be perceived as distinct stimuli

  • Meissner occupy small receptive fields

  • Paccini occupy large receptive fields

Explanation

Question 16 of 72

1

Location of stimulus; choose correct

Select one or more of the following:

  • Primary neuron response is improper to stimulus strength

  • lateral inhibition - adjacent relay cells are inhibited from firing by the excited relay cell

  • feed forward inhibition - primary sensory cell inhibits directly adjacent relay cells.

  • Lateral inhibition increases stimulus contrast

Explanation

Question 17 of 72

1

Intensity of stimulus;

Select one or more of the following:

  • Population code - more sensory receptors are activated as stimulus gets greater

  • Intensity is encoded through the firing rate of receptors

  • Duration of action potential code for underlie perception of stimulus strength

  • Frequency of the stimulus is encoded by the time course of firing

Explanation

Question 18 of 72

1

Timing of stimulus

Select one or more of the following:

  • Duration of the stimulus is encoded by the time course of firing

  • Phasic receptors - long-lasting stimulus will produce a prolonged repetitive discharge in the primary afferent neurons. (pain)

  • Phasic reseptors - long-lasting stimulus will produce a short-lived response in the primary afferent neurons.

  • Tonic receptors are fast-adapting

Explanation

Question 19 of 72

1

Which of these are NOT tonic receptors?

Select one or more of the following:

  • Baroreceptors

  • Paccinian corpuscles

  • Nociceptors

  • Poprioceptors

Explanation

Question 20 of 72

1

Choose correct match of somatic sensory receptors to its stimuli.

Select one or more of the following:

  • Tactile receptors (mechanoreceptors) - receptors detect position and movement

  • Thermal receptors - stimuli: heat and cold

  • Nociceptors - stimuli: painful touch, cut, extreme temperatures

  • Proprioceptive - stimuli: touch, pressure, vibration

  • Static proprioceptors - tonic discharge

  • Static proprioceptors - phasic discharge

Explanation

Question 21 of 72

1

Pacini's corpuscle;

Select one or more of the following:

  • Stimulus: deep cutaneous pressure; vibration

  • Located in epidermis

  • Lamellated corpuscles, single dendrite to layers of corpuscles arranged like

  • Pacini's corpuscle is a skin, sensory nerve ending

  • Slow adapting

Explanation

Question 22 of 72

1

Meissner's (tactile) corpuscle

Select one or more of the following:

  • Has a two-point discrimination. Ability to detect simultaneous stimulations at two points on the skin.

  • Rapidly adapting

  • Numerous and close together on thigh and chest

  • Used to determined temp of objects.

Explanation

Question 23 of 72

1

Merkel (tactile) disks; Choose WRONG

Select one or more of the following:

  • Axonal branches end as flattened expansions associated with epithelial cells

  • Responsible for steady-state signals (continuous touch)

  • Slowly adapting

  • Basal layers of hypodermis

  • Light touch and superficial
    pressure

Explanation

Question 24 of 72

1

Ruffini's end organ

Select one or more of the following:

  • Primarily in dermis of fingers

  • Rapidly adapting

  • Respond to continuous touch or pressure

  • Slowly adapting

Explanation

Question 25 of 72

1

Hair follicle receptors

Select one or more of the following:

  • Does not respond to bending of hair as occurs in light touch

  • Hair end organs

  • End organ receptor fields overlap; sensation not very localized, yet very sensitive

  • Respond to bending of hair as occurs in light touch

Explanation

Question 26 of 72

1

Free nerve endings; Choose WRONG

Select one or more of the following:

  • Simplest, most common sensory receptor

  • Scattered through most of body; visceroceptors are of this type.

  • Picks up warm 10-15 times more numerous than cold

  • Pain: respons to freezing cold and burning hot, cut of skin, painful touch

Explanation

Question 27 of 72

1

Thermal sensation - choose correct

Select one or more of the following:

  • Rapidly adapting

  • Large receptive area

  • Warm receptors: up to 30C, max excitability at 44-46C;

  • Thermal signals are transmitted in pathways same to those for pain signals

  • Cold receptors: max excitability at 24-28oC;

Explanation

Question 28 of 72

1

Thermal sensation - choose correct

Select one or more of the following:

  • Warm sensation - Transmission by C fibers

  • For each 10C change metabolic rates (temp) alters intracellular chemical reactions more than 2-fold.

  • Cold sensation - Transmission by C fibers

  • Cold sensation - Transmission by Aδ

Explanation

Question 29 of 72

1

Muscle spindle;

Select one or more of the following:

  • Provide information about tension of muscles

  • 3-10 specialized intrafusal skeletal muscle cells

  • Provide information about length of muscles

  • Involved in stretch reflex

Explanation

Question 30 of 72

1

Golgi tendon organ - Choose wrong

Select one or more of the following:

  • Proprioceptors associated with tendons

  • Respond to increased tension on tendon

  • Involved in invers stretch reflex

  • Provide information about length of muscles

Explanation

Question 31 of 72

1

Stimulus encoding - Choose correct

Select one or more of the following:

  • Lateral inhibition - Key attributes of the stimulus must be represented in the signals of the primary SN

  • Stimulus transduction - Stimulus energy is converted into electrochemical energy

  • The stimulus information must be encoded into an electrical signal of some sort. These will result in information about intensity, duration, and location.

  • Neural encoding - sensory information must be fine tuned to achieve maximal discriminative capacity

Explanation

Question 32 of 72

1

Which of these are NOT an organisation of the sensory system?

Select one or more of the following:

  • Parallel pathways

  • Relay nuclei and Interneurons

  • Hierarchical organisation - different levels (highest at the head)

  • Spinal cord and fiber types

  • Neural maps - Parts of brain for different sensations

Explanation

Question 33 of 72

1

Somatosensory transmission - Choose correct

Select one or more of the following:

  • Transmission has specificity and follows topographical organisation

  • Cross-over to decussate through 2 major pathways; Dorsal column and anterolateral pathway.

  • Starts in the neurons of dorsal root ganglia

  • Ends in thalamus nuclei

Explanation

Question 34 of 72

1

Classification of sensory nerve fibers - Choose correct match

Select one or more of the following:

  • Ia = Annulo-spiral ending of muscle spindle - A-alpha Fiber

  • Ia = Golgi tendon organ - A-alpha Fiber

  • II = Flower-spray ending of muscle spindle - A-beta Fiber

  • III = Pain, temp and other receptors - Cdr Fiber

Explanation

Question 35 of 72

1

Dermatomes; Choose correct

Select one or more of the following:

  • Sensory supply to skin

  • All impulses from the receptors first enter the peripheral afferent nerve fiber.

  • After entering the Dorsal Roots it enters spinal ganglion

  • Terminates in spinal cord

  • Each dermatome is innervated by 2 segments of the spinal cord.

Explanation

Question 36 of 72

1

Somatosensory transmission - Which is NOT a pathway?

Select one or more of the following:

  • Ventral columns

  • Dorsal columns

  • Lateral and Anterior spinothalamic tract

  • Anterior and posterior spinocerebellar tracts

  • Spino-olivary cerebellar tract and Trigeminothalamic tract

Explanation

Question 37 of 72

1

Dorsal columns- Choose correct

Select one or more of the following:

  • Primary neurons have cell bodies in dorsal root ganglion.

  • Fasciculus gracilis: sensations from inferior to midthoracic level.

  • Fasciculus gracilis : impulses from above midthorax.

  • Carries sensations of two-point discrimination, proprioception, pressure, vibration to cerebrum, and cerebellum

  • Axons enter spinal cord and ascend to the medulla oblongata by decussating where they synapse with secondary neurons.

Explanation

Question 38 of 72

1

Lateral spinothalamic tract - Choose correct

Select one or more of the following:

  • Picks up pain and temperature

  • Follows a 3 neuron system, where the primary neuron starts in dorsal root ganglia

  • Secondary neuron - thalamus VPL nucleus

  • Tertiary neuron - posterior horn neuron

Explanation

Question 39 of 72

1

Anterior spinothalamic tract picks up which 4 sensations?

Select one or more of the following:

  • Heat

  • Tickle

  • Itch

  • Crude touch

  • Pressure

Explanation

Question 40 of 72

1

Trigemino-thalamic tract - Choose wrong

Select one or more of the following:

  • Fibers join the spinothalamic tract in the brainstem

  • Involves Cranial nerve VI

  • In thalamus synapses on VPL nucleus

  • Carries similar information to that of the spinothalamic and dorsal-column/medial- lemniscal system

  • Carries info from face, Nasal cavity and Oral cavity

Explanation

Question 41 of 72

1

Spino-olivary cerebellar tract - Choose correct

Select one or more of the following:

  • Spino-reticular tract to superior olivary nuclei

  • Spinal dorsal columns to nuclei of the medulla

  • Starts as climbing fibers on Purkinje cells

  • Spino-olivary - contribute to coordination of movement associated with balance

  • Both impulses from Spino-reticular tract and Spinal dorsal columns go to cerebellum

Explanation

Question 42 of 72

1

Anterior and posterior spino-cerebellar tracts - choose correct

Select one or more of the following:

  • Anterior - sensation = Proprioception of muscle,
    tendon, Joints receptors . Large tactile skin sensation

  • Anterior - sensation = Efferent copy of the anterior
    horn motor drive

  • Posterior - termination = The same side as its origin. Mossy fibers on cerebellar cortex granular cells

  • Posterior - termination = Both side of cerebellum. Mossy fibers on cerebellar cortex granular cells

Explanation

Question 43 of 72

1

Sensory tracts - choose correct

Select one or more of the following:

  • Cerebellum may reduce the conscious perception of sensations

  • Cortex may reduce the conscious perception of sensations

  • Spinotectal - involved in reflexes that turn the eyes and the head toward point of cutaneous stimulation

  • Corticospinal tracts send branches to ascending tracts and release neuromodulators such as endorphins

  • Corticospinal tracts send branches to descending tracts and release neuromodulators such as endorphins

Explanation

Question 44 of 72

1

Somatic sensory area 1 - Choose correct

Select one or more of the following:

  • Includes areas 3a, 3b, 1, and 2 in postcentral gyrus of the cortex

  • Topographic (somatotopic) projection = the feet - near the midline of the brain,

  • Topographic (somatotopic) projection = the feet - laterally, near the lateral fissure.

  • The cells of the S1 cortex are organized in columns specific to a particular modality.

  • The receptive fields of neurons contain only excitatory zones.

Explanation

Question 45 of 72

1

Somatic sensory area 1 (homunculus) - Choose correct

Select one or more of the following:

  • Regions needing low resolution are represented in the brain in fine detail

  • Regions of the body most richly supplied with sensory receptors have the largest number of neurons in the related areas of the neocortex.

  • High resolution is achieved by having many small receptive fields on the body surface

  • A larger representation in the cortex occurs when less neurons are dedicated to a region of the body.

Explanation

Question 46 of 72

1

Sensory area 1 - Modality of stimulus - Choose correct

Select one or more of the following:

  • Areas 3b, 1- respond to slowly adapting cutaneous receptors

  • Area 1- Deep skin receptors

  • Area 2 - deep skin receptors

  • Area 3a - muscle spindle, tendon and joint receptors

Explanation

Question 47 of 72

1

Somatic sensory area 1 (homunculus - S1) = destruction to S1 causes inability to ...

Select one or more of the following:

  • ...to localize sensations discretely and judge pressure and weight

  • ...to judge shapes and forms and to recognize the position of parts of the body.

  • ...to judge taste and smell

  • ...to judge texture of material and fine gradations in temperature

Explanation

Question 48 of 72

1

Somatic sensory area 2 - choose correct sentence

Select one or more of the following:

  • Impulses come from the ventral column system

  • Impulses come from the spinothalamic system and S1 area

  • Located in postcentral gyrus - posterior and inferior part (area 40 of the cerebral cortex).

  • Localization in this area is good.

Explanation

Question 49 of 72

1

Somatic association area - Choose wrong

Select one or more of the following:

  • Lesion to this area cause inability to recognize own body on same side as the lesion

  • Located behind the S1 area - areas 5 and 7

  • Lesion to this area cause inability to recognize own body opposite to the lesion

  • Lesion of this area lead to inability to recognize the complex forms (feeling for the shape of one's own body is lost).

Explanation

Question 50 of 72

1

Sensory are of the cerebral cortex - choose correct pairing

Select one or more of the following:

  • Visual cortex: occipital lobe

  • Olfactory cortex: superior surface of prefrontal lobe

  • Primary auditory cortex: inferior part of temporal lobe

  • Taste area: lower tip of postcentral gyrus

Explanation

Question 51 of 72

1

Division of neurons; choose what doesn't belong below.

Select one or more of the following:

  • Sensory neuron

  • Dorsal root ganglion

  • Efferent neuron

  • Interneurons of CNS - most reflexes go through these

Explanation

Question 52 of 72

1

Interneurons - characteristics; choose correct

Select one or more of the following:

  • Have both inhibitory and excitatory function

  • Slow neuron

  • Produce action potential

  • Hard neuron to excite

Explanation

Question 53 of 72

1

Salitatory conduction

Select one or more of the following:

  • Fast conduction (120m/s)

  • From one node of ranvier to another

  • Slow conduction (3m/s)

  • Unmyelinated conduction

Explanation

Question 54 of 72

1

Bell-Magendie Law; choose correct

Select one or more of the following:

  • In spinal cord conduction goes uni-aterally between anterior and porsterior root, in one direction only.

  • Anterior spinal nerve roots contain only motor fibers

  • Posterior spinal nerve roots contain only sensory fibers

  • In spinal cord conduction goes bi-laterally between anterior and porsterior root

Explanation

Question 55 of 72

1

Reflexes; choose wrong

Select one or more of the following:

  • Somatic motor reflex - goes to viscera

  • Somatic motor reflex - goes to muscle and skin

  • Autonomic motor reflex - goes to viscera

  • Autonomic motor reflex - goes to muscle and skin

Explanation

Question 56 of 72

1

Monosynaptic reflex (knee-jerk)- Choose correct

Select one or more of the following:

  • Large reflex arc

  • One synaps between sensory and motor neuron

  • Starts in Ia afferent fibers from muscle spindle

  • Complicated reflex

  • Duration of the knee jerk 19-24 ms.

Explanation

Question 57 of 72

1

Spinal regulation; choose correct

Select one or more of the following:

  • Each muscle spindle consists of 10 muscle fibers enclosed in a connective tissue capsule

  • Nuclear bag fibers - thicker, 2 per spindle

  • Nuclear chain fibers - thicker, 2 per spindle

  • Primary - annulospiral endings – rapidly conducting Ia (A-alpha) afferents

  • Secondary - annulospiral endings – rapidly conducting Ia (A-alpha) afferents

Explanation

Question 58 of 72

1

Spinal regulation; choose correct

Select one or more of the following:

  • Static (tonic) response of the nuclear bag region (rapid discharge after fast stretch, less rapid during sustained stretch)

  • Dynamic (phasic) response of the nuclear chain region (discharge at an increased rate throughout the period when the muscle is stretched).

  • Intrafusal muscle fibers - have gamma-motor neurons (S, D)

  • Extrafusal muscle fibers - have alpha-motor neurons

Explanation

Question 59 of 72

1

Spinal regulation - muscle spindle; choose correct

Select one or more of the following:

  • Only the ends of the muscle spindle contract, due to lack of actin and myosin in the centre

  • The mid-portion of the muscle spindle can stretch

  • Gamma motor neurons contract extrafusal muscle fibers and plates, contracting outer part of muscle spindle

  • Ia fibers only gives nuclear chain fiber

Explanation

Question 60 of 72

1

Reflex patterns; choose correct

Select one or more of the following:

  • Dynamic response –increase spindle sensitivity to steady stretch

  • Gamma motoneurons cause contraction of spindle- stretch of nuclear bag portion – activation of Ia – reflex

  • Gamma discharge increases with alpha discharge

  • Static response - increase spindle sensitivity to rate of stretch

Explanation

Question 61 of 72

1

Reflex patterns; choose correct

Select one or more of the following:

  • Gamma discharge with muscle stretch – increase of discharge in Ia

  • Dynamic response – decrease spindle sensitivity to
    rate of stretch

  • Control – descending tracts from CNS – postural control

  • Gamma discharge decreases with alpha discharge

Explanation

Question 62 of 72

1

Inverse stretch reflex; choose correct

Select one or more of the following:

  • Sensory innervation: Ib - EPSP on motor neurons via interneurons

  • Activation: passive stretch, active contraction of
    muscle

  • Receptors: in muscle spindle (nerve endings among fascicles of tendon)

  • Very high muscle tension produces – cessation of contraction (autogenic inhibition)

  • Regulate muscle force

Explanation

Question 63 of 72

1

Withdrawal reflex; choose correct

Select one or more of the following:

  • Receptor: in muscle

  • Stimuli - nociceptive, noxious, painful

  • Response - flexor muscle- contraction (limb is moved away from the range of the irritating stimulus), extensor – inhibition

  • Effectors - recruitment of motor units – after discharge

  • Center - inhibition of stimulus in spinal cord

Explanation

Question 64 of 72

1

Functions of spinal cord; choose correct

Select one or more of the following:

  • Regulation of the sensory function, contains motor centers and efferent pathways.

  • Regulation of the motor function, contains sensory centers and efferent pathways

  • Spinal modulation of impulses performed by sensory, motor, and interneurons in particular spinal segment

  • Spinal modulation of impulses performed by sensory, motor, and interneurons among various spinal segments

Explanation

Question 65 of 72

1

Function of spinal cord - spinal centers; choose correct

Select one or more of the following:

  • Grey matter – neural centers for somatic-motor & sensory, and autonomic-motor & sensory

  • White matter – neural centers for somatic-motor & sensory, and autonomic-motor & sensory

  • Grey matter – neural pathways afferent and efferent

  • White matter – neural pathways afferent and efferent

Explanation

Question 66 of 72

1

Which does not belong as a division of the functions of the spinal cord?

Select one or more of the following:

  • Convergence and divergence

  • After-effect

  • Contraction and relaxation

  • Summation and facilitation

  • Inhibition

Explanation

Question 67 of 72

1

Spinal cord; choose correct

Select one or more of the following:

  • alpha-motor neuron is a final common pathway, it connects impulses

  • Central inhibition - presynaptic is only EPSP

  • Central inhibition - Postsynaptic and autoinhibition are EPSP

  • Central inhibition - Autoinhibition is IPSP and mediated by renshaw cells

Explanation

Question 68 of 72

1

Inhibitory interneurons; choose correct

Select one or more of the following:

  • Inhibitory interneurons modulating alpha-motoneurons through (IPSP) renshaw cells

  • Inhibitory interneurons in stretch reflex.

  • Inhibitory interneurons in inverse-stretch reflex.

  • Inhibitory interneurons in withdrawal reflex.

  • Use glycine in its synapses

Explanation

Question 69 of 72

1

Afferent pathways to cerebral cortex - Spino reticular tract

Select one or more of the following:

  • Crosses midline and ascends to brain stem reticular formation

  • Projects bi-laterally through intralaminar nuclei of the thalamus to regions of the cerebral cortex

  • Plays major role in general alertness and arousal in response to tactile (painful) stimuli

  • Does not cross midline before ascending to brain stem reticular formation

Explanation

Question 70 of 72

1

Afferent pathways to cerebral cortex - spinotectal (spinomesencephalic) tract; choose wrong

Select one or more of the following:

  • Does not cross midline

  • Crosses midline

  • Projects to and synapses with anterior colliculi, play major role in orientating eyes and head towards visual stimuli

  • The tract send fibers to grey matter with axons to post. horn of the spinal cord, can suppress incoming pain signal

Explanation

Question 71 of 72

1

Spinal cord tests; choose correct

Select one or more of the following:

  • Turck exam - Examines withdrawal reflex in spinal frog

  • Brondgest - facilitation and inhibition of the reflex

  • Sechenov - Component of the reflex arc

  • Turck exam - Relation between strength of the stimulus and response

Explanation

Question 72 of 72

1

Neurological examinations; choose correct

Select one or more of the following:

  • Always consider left side symmetry

  • Consider central vs. peripheral deficits

  • Organize your thinking into seven categories

  • Organize your thinking into five categories

Explanation