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6. In terms of basal ganglia damage, which of these causes Hemiballismus?

  • Degeneration of striatum. No inhibition of thalamus, resulting in overexcitability and unwanted movements
  • Unilateral damage to subthalamic nuclei. Unwanted movements
  • Lack of dopamine increases activity of direct pathway. Tonic inhibition of thalamus and less excitation of cortex. Difficulties starting and stopping movements

7. Which of these characterises hemiballismus?

  • One side of body unable to stop spontaneous movements
  • One side of body constantly making ballistic uncontrolled movements
  • One half of body unable to inhibit movements after execution

8. Which of these characterises chorea?

  • One side of body constantly making ballistic uncontrolled movements
  • One side of body unable to stop spontaneous movements
  • One half of body unable to inhibit movements after execution

9. In the indirect pathway of timing and movements, what is inhibited less causing more stimulation of the substantia-nigra/globus pallidus resulting in no movement?

  • Thalamus
  • Corticospinal tract
  • Subthalamic nuclei
  • Substantia-nigra/globus pallidus

10. What is found within the substantia nigra?

  • Actin
  • Calcium
  • Melanin
  • Potassium

11. Which of these is the circuit for readout?

  • Cerebellar cortex --> deep cereb nuclei --> superior cereb penduct --> ventrolateral PMC
  • Frontal motor areas --> pons --> cerebellar cortex

12. Which pathway favours D1 receptors and why?

  • Direct pathway. D1 receptors are inhibited by dopamine
  • Direct pathway. D1 receptors are excited by dopamine
  • Indirect pathway. D1 receptors are excited by dopamine
  • Indirect pathway. D1 receptors are inhibited by dopamine

13. The cortex and caudate and putamen share?

  • Excitatory connections
  • Inhibitory connections
  • Both excitatory and inhibitory connections

14. What is the stretch reflex?

  • Gravity acts on a muscle. Receptors output to spinal cord to say muscle has been stretched. Loop back to muscle, gravity effects counteracted.
  • Gravity acts on a muscle. Receptors output to brainstem to say muscle has been stretched. Loop back to muscle, gravity effects counteracted.

15. What connection type does GABA facilitate?

  • Modulatory connections
  • Inhibitory connections
  • Excitatory connections

16. Which of these is NOT impaired in Huntingtons disease?

  • Posture
  • Cortical readout
  • Starting and stopping movements
  • Constant spontaneous movements

17. All movements are executed in the context of...

  • Posture
  • Muscle tone
  • Action specificity
  • Orientation

18. The thalamus and cortex share?

  • Excitatory connections
  • Inhibitory connections
  • Both excitatory and inhibitory connections

19. The subthalamic nucleus and globus pallidus/substantia nigra share?

  • Both excitatory and inhibitory connections
  • Inhibitory connections
  • Excitatory connections

20. The globus pallidus/substantia nigra and caudate and putamen share?

  • Both excitatory and inhibitory connections
  • Inhibitory connections
  • Excitatory connections