ATI RN
Pediatric Neurology Test Questions Questions
Question 1 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.
Question 2 of 5
True about corticospinal tract:
Correct Answer: D
Rationale: fibers terminate on the motor neurons in the ventral horn . The corticospinal tract originatfrom the motor cortex (precentral gyrus, not just premotor, making C incorrect), descends through the brainstem, and decussatin the lower medulla (not pons, making A wrong). Most fibers, especially lateral corticospinal, supply distal muscl(e.g., hands) for fine movement, not proximal (making B incorrect). These fibers synapse on alpha motor neurons in the ventral horn of the spinal cord, directly or via interneurons, to control voluntary movement, making D accurate. For example, corticospinal damage disrupts skilled tasks like writing, reflecting ventral horn innervation. Thus, D is the true statement about the corticospinal tract.
Question 3 of 5
True about corticospinal tract:
Correct Answer: D
Rationale: control voluntary movement . The corticospinal tract originatfrom the motor cortex (not cerebellum, making B wrong), decussatin the medullary pyramids (not pons, making A incorrect), and terminatin the ventral horn (not posterior, making C false). It controls voluntary movements, such as precise hand actions, via upper motor neurons to spinal motor neurons. This role is evident in clinical deficits like weakness post-stroke. Thus, D is the true statement.
Question 4 of 5
Choose the WRONG statement:
Correct Answer: C
Rationale: Fibers of corticospinal tract pass through the anterior limb of the internal capsule . Corticospinal fibers pass through the posterior limb (D is correct), not anterior (frontopontine fibers). Choice A is true (synapson alpha motor neurons). Choice B is accurate (above decussation causcontralateral paralysis). Thus, C mislocatthe fibers, making it the wrong statement.
Question 5 of 5
Choose the WRONG statement:
Correct Answer: C
Rationale: Fibers of corticospinal tract pass through the anterior limb of the internal capsule . Corticospinal fibers pass through the posterior limb (D is correct), not anterior (frontopontine fibers). Choice A is true (synapson alpha motor neurons). Choice B is accurate (above decussation causcontralateral paralysis). Thus, C mislocatthe fibers, making it the wrong statement.