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Upper Motor Neuron & Corticospinal Tract – 20 MCQ Quiz
Upper Motor Neuron, Corticospinal Tract & Spinal Cord Quiz
20 Questions | 1 mark each | Total = 20 marks
Select the best answer for each question.
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1. The corticospinal tract primarily originates from which cortical area?
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Precentral gyrus
Postcentral gyrus
Superior temporal gyrus
Occipital cortex
2. In the motor homunculus, the representation of the foot and leg is mainly located on the:
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Medial surface of the cerebral hemisphere
Lateral surface of the temporal lobe
Occipital surface
Inferior surface of the frontal lobe
3. Broca's motor speech area is located predominantly in the:
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Dominant hemisphere
Non-dominant hemisphere
Occipital lobe
Cerebellum
4. Which cortical lesion can produce astereognosis?
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Sensory cortical lesion
Primary visual cortex lesion
Primary auditory cortex lesion
Cerebellar lesion
5. The corticospinal fibers descend from the cerebral cortex initially through the:
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Corona radiata
Corpus callosum
Fornix
External capsule
6. The internal capsule is divided by the lentiform nucleus into:
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Anterior limb, genu and posterior limb
Anterior and posterior columns only
Medial and lateral cords
Superior and inferior limbs
7. The internal capsule is especially vulnerable to stroke because it contains:
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Compact ascending and descending fiber tracts
Only sensory receptors
Only cranial nerve nuclei
Cerebrospinal fluid
8. The major corticospinal fibers pass through which part of the midbrain?
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Cerebral peduncle
Superior colliculus
Inferior colliculus
Cerebral aqueduct
9. The corticospinal fibers descend through which major part of the brainstem after the midbrain?
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Pons
Thalamus
Cerebellum
Hypothalamus
10. Most corticospinal fibers cross to the opposite side at the:
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Pyramidal decussation in the caudal medulla
Midbrain
Pons
Internal capsule
11. The crossed corticospinal tract descends in the:
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Lateral funiculus of the spinal cord
Anterior funiculus only
Posterior column
Dorsal root
12. A lesion of the corticospinal tract above the pyramidal decussation usually produces:
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Contralateral weakness
Ipsilateral weakness
Bilateral sensory loss only
Isolated facial paralysis
13. A hemisection of the spinal cord produces ipsilateral motor and proprioceptive loss with contralateral pain and temperature loss. This is called:
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Brown-Séquard syndrome
Anterior cord syndrome
Central cord syndrome
Cauda equina syndrome
14. In Brown-Séquard syndrome, ipsilateral loss of proprioception occurs because the dorsal column pathway:
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Crosses in the medulla
Crosses immediately in the spinal cord
Does not cross
Crosses in the pons
15. In Brown-Séquard syndrome, contralateral loss of pain and temperature is due to involvement of the:
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Spinothalamic tract
Dorsal column
Corticospinal tract only
Corticobulbar tract
16. The corticospinal tract ultimately synapses mainly on which neuron in the spinal cord?
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Anterior horn motor neuron
Dorsal root ganglion cell
Sympathetic postganglionic neuron
Purkinje cell
17. The cell body of a typical lower motor neuron supplying skeletal muscle is located in the:
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Anterior horn of spinal cord
Posterior horn
Dorsal root ganglion
Lateral ventricle
18. The axon of an anterior horn cell ultimately reaches skeletal muscle through the:
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Ventral root and peripheral nerve
Dorsal root only
Optic nerve
Corpus callosum
19. The junction between the motor nerve terminal and skeletal muscle fiber is called the:
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Neuromuscular junction
Synaptic cleft of the CNS
Dorsal root ganglion
Pyramidal decussation
20. A lesion of the lower motor neuron is most likely to produce:
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Flaccid weakness with muscle wasting
Spasticity with hyperreflexia only
Contralateral visual loss
Astereognosis only
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