ATI RN
Pediatric Neurology Practice Questions Questions
Question 1 of 5
Which of the following statements concerning the nucleus of termination of the tracts listed below is correct:
Correct Answer: D
Rationale: The anterior spinothalamic tract terminatin the ventral posterolateral nucleus of the thalamus . The anterior spinothalamic tract (crude touch) terminatin the VPL nucleus of the thalamus, relaying to the cortex. Choice A is wrong (posterior columns end in nucleus gracilis/cuneatus). Choice B is false (spinoreticular ends in reticular formation). Choice C is incorrect (spinotectal ends in superior colliculus). Thus, D is accurate, making it correct.
Question 2 of 5
Which of the following tracts is responsible for reflex movement of head and neck in response to visual stimuli:
Correct Answer: D
Rationale: Tectospinal tracts. The tectospinal tract, from the superior colliculus, coordinathead and neck reflexto visual stimuli (e.g., tracking). Choice A (rubrospinal) is for tone. Choice B (vestibulospinal) is for posture. Choice C (spinothalamic) is sensory. Thus, D correctly identifithe tectospinal role, making it correct.
Question 3 of 5
Which of the following statements regarding the course taken by the tracts is Correct:
Correct Answer: D
Rationale: The lateral corticospinal tract has crossed the midline in the medulla oblongata . The lateral corticospinal tract decussatat the medullary pyramids, controlling contralateral movement. Choice A is wrong (rubrospinal crossin midbrain). Choice B is incorrect (tectospinal crossin midbrain, not posterior commissure). Choice C is false (vestibulospinal is ipsilateral). Thus, D is correct.
Question 4 of 5
Which of the following regions of white matter would NOT contain corticospinal fibers:
Correct Answer: D
Rationale: Anterior limb of the internal capsule . Corticospinal fibers, part of the pyramidal tract, originate in the motor cortex and descend through specific white matter regions to the spinal cord for voluntary movement control. Choice A, Pyramid of medulla oblongata, is incorrect because corticospinal fibers pass through the medullary pyramids, where most decussate to form the lateral corticospinal tract. Choice B, Posterior limb of the internal capsule, is wrong as this is a key region where corticospinal fibers travel between the cortex and brainstem, carrying motor signals. Choice C, Cerebral peduncle of the midbrain, is also incorrect since corticospinal fibers traverse the middle three-fifths of the pedunclen route to the pons. However, Choice D, Anterior limb of the internal capsule, donot contain corticospinal fibers; it primarily carrifrontopontine fibers (to the pons) and thalamocortical fibers, not motor tracts, which are confined to the posterior limb. Thus, Anterior limb of the internal capsule is the region that donot include corticospinal fibers, making D the correct answer.
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 travel through the posterior limb of the internal capsule, not the anterior limb, which carrifrontopontine fibers. Choice A is correct; alpha motor neurons in the ventral horn receive corticospinal input for voluntary movement. Choice B is true; damage above the medullary decussation (e.g., cortex) causcontralateral paralysis due to crossed fibers. Choice D is accurate; corticospinal upper motor neurons originate in the cerebral cortex (precentral gyrus). Thus, C misplaccorticospinal fibers, making it the wrong statement and the correct answer.