One of the following structuris important to recognize the position of the lower limbs:

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Question 1 of 5

One of the following structuris important to recognize the position of the lower limbs:

Correct Answer: D

Rationale: the gracile tract. The fasciculus gracilis (gracile tract) in the dorsal column carriconscious proprioception from the lower limbs, synapsing in the nucleus gracilis, then via medial lemniscus to the cortex. Choice A (medial lemniscus) is part but not the initial structure. Choice B (dorsal spinocerebellar) is for unconscious proprioception to cerebellum. Choice C (spinothalamic) is for pain/temperature. Choice D (ventral spinocerebellar) is also unconscious. Thus, D (gracile tract) is specific for lower limb position sense, making it correct.

Question 2 of 5

The pathway that descends from brain stem to the spinal cord to excite pain inhibitory interneurons secretes:

Correct Answer: C

Rationale: serotonin . The descending pain inhibitory pathway, originating in the brainstem (e.g., periaqueductal gray, raphe nuclei), usserotonin to activate inhibitory interneurons in the spinal cord dorsal horn, reducing pain transmission. Choice A (endorphin) and B (enkephalin) are opioids involved in pain modulation but not the primary neurotransmitter here. Choice D (substance P) enhancpain. Thus, C correctly identifiserotonin, making it the right answer.

Question 3 of 5

Regarding the Lateral corticospinal tract, choose the WRONG statement:

Correct Answer: D

Rationale: Their function is subconscious regulation of balance and muscle tone . The lateral corticospinal tract, a pyramidal tract , controls voluntary fine movements, not subconscious balance/tone (extrapyramidal role). Choice B and C are correct (passthrough midbrain pedunculi and pons basilar part). Thus, D misattributfunction, making it the wrong statement and the correct answer.

Question 4 of 5

Regarding Rubrospinal tract, choose the WRONG statement:

Correct Answer: A

Rationale: Located in the anterior white column . The rubrospinal tract, from the red nucleus , cross, facilitatflexors , and runs in the lateral white column, not anterior (ventral corticospinal is anterior). Thus, A misplace the tract, making it the wrong statement and the correct answer.

Question 5 of 5

Regarding Extrapyramidal tracts, choose the WRONG statement:

Correct Answer: B

Rationale: Rubrospinal tract mainly supply the distal extensors musclwith little effect on the proximal muscl. The rubrospinal tract facilitatflexors, not extensors, especially distally. Choice A, C, D are correct (vestibulospinal for antigravity, tectospinal for reflexes, medullary in lateral column). Thus, B misattributflexor/extensor roles, making it the wrong statement and the correct answer.

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