Deck 8: Nervous System
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Deck 8: Nervous System
1
The smooth muscle,cardiac muscle,and glandular epithelial tissue are controlled by the
A) olfactory cranial nerve
B) vagus cranial nerve
C) autonomic nervous system
D) somatic nervous system
A) olfactory cranial nerve
B) vagus cranial nerve
C) autonomic nervous system
D) somatic nervous system
autonomic nervous system
2
Which of the following are components of the central nervous system?
(1)Brain.
(2)Spinal cord.
(3)Twelve pairs of cranial nerves.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
(1)Brain.
(2)Spinal cord.
(3)Twelve pairs of cranial nerves.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
1 and 2 only
3
The basic unit of the nervous system is the
A) neuron
B) glioma
C) meningi
D) corpus callosum
A) neuron
B) glioma
C) meningi
D) corpus callosum
neuron
4
Which portion of the brain lies between the cerebrum and the midbrain?
A) Brainstem.
B) Diencephalon.
C) Corpus callosum.
D) Choroid plexus.
A) Brainstem.
B) Diencephalon.
C) Corpus callosum.
D) Choroid plexus.
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5
What is the function of the thalamus?
A) A link between mind and body and is the reward center for primary drives.
B) Coordinates skeletal muscles to maintain equilibrium and balance.
C) To control position and automatic movements.
D) A relay station that receives sensory impulses before sending them to the cerebral cortex.
A) A link between mind and body and is the reward center for primary drives.
B) Coordinates skeletal muscles to maintain equilibrium and balance.
C) To control position and automatic movements.
D) A relay station that receives sensory impulses before sending them to the cerebral cortex.
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6
What is the function of the tentorium cerebelli?
A) Separate the cerebral hemispheres.
B) Separate the cerebellar hemispheres.
C) Separate the cerebral occipital lobe from the cerebellum.
D) Separate the cerebellum from the temporal lobes of the cerebrum.
A) Separate the cerebral hemispheres.
B) Separate the cerebellar hemispheres.
C) Separate the cerebral occipital lobe from the cerebellum.
D) Separate the cerebellum from the temporal lobes of the cerebrum.
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7
The midbrain consists of the
A) pons and medulla
B) brain and spinal cord
C) cerebrum and corpus callosum
D) thalamus and hypothalamus
A) pons and medulla
B) brain and spinal cord
C) cerebrum and corpus callosum
D) thalamus and hypothalamus
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8
The central nervous system is composed of the
A) spinal nerves and ganglia
B) brain and spinal cord
C) brain and cranial nerves
D) spinal cord and spinal nerves
A) spinal nerves and ganglia
B) brain and spinal cord
C) brain and cranial nerves
D) spinal cord and spinal nerves
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9
What is the function of the cerebellum?
A) To control position and automatic movements.
B) A link between mind and body and is the reward center for primary drives.
C) Coordinates skeletal muscles to maintain equilibrium and balance.
D) Center of control for nonvital functions, such as coughing, sneezing, hiccupping, etc.
A) To control position and automatic movements.
B) A link between mind and body and is the reward center for primary drives.
C) Coordinates skeletal muscles to maintain equilibrium and balance.
D) Center of control for nonvital functions, such as coughing, sneezing, hiccupping, etc.
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10
The ventricles of the brain are filled with
A) air
B) cerebrospinal fluid
C) blood
D) lymph
A) air
B) cerebrospinal fluid
C) blood
D) lymph
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11
Which of the following is an extension of the dura mater that projects downward into the longitudinal fissure to separate the cerebral hemispheres?
A) Tentorium cerebelli.
B) Tentorium cerebri.
C) Falx cerebelli.
D) Falx cerebri.
A) Tentorium cerebelli.
B) Tentorium cerebri.
C) Falx cerebelli.
D) Falx cerebri.
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12
Which of the following supplies the striated skeletal muscles?
A) Meningeal cranial nerve.
B) Hypoglossal cranial nerve.
C) Autonomic nervous system.
D) Somatic nervous system.
A) Meningeal cranial nerve.
B) Hypoglossal cranial nerve.
C) Autonomic nervous system.
D) Somatic nervous system.
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13
What is the myelin sheath?
A) The basic unit of the nervous system.
B) The innermost layer of the protective covering of the CNS.
C) A fatty insulation covering of the axon.
D) A long, threadlike extension of the nerve cell.
A) The basic unit of the nervous system.
B) The innermost layer of the protective covering of the CNS.
C) A fatty insulation covering of the axon.
D) A long, threadlike extension of the nerve cell.
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14
Which portion of the brain lies between the cerebrum and the spinal cord?
A) Brainstem.
B) Cerebellum.
C) Basal ganglia.
D) Diencephalon.
A) Brainstem.
B) Cerebellum.
C) Basal ganglia.
D) Diencephalon.
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15
Deterioration of the myelin sheath is a characteristic abnormality of
A) meningitis
B) neoplasm
C) osteomyelitis
D) multiple sclerosis
A) meningitis
B) neoplasm
C) osteomyelitis
D) multiple sclerosis
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16
The largest part of the brain is the
A) cerebellum
B) cerebrum
C) medulla
D) pons
A) cerebellum
B) cerebrum
C) medulla
D) pons
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17
Which of the following are parts of the basal ganglia?
(1)Globus pallidus.
(2)Caudate nuclei.
(3)Putamen.
A) 1 and 2
B) 1 and 3
C) 2 and 3
D) 1, 2, and 3
(1)Globus pallidus.
(2)Caudate nuclei.
(3)Putamen.
A) 1 and 2
B) 1 and 3
C) 2 and 3
D) 1, 2, and 3
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18
What are the basal ganglia?
A) The portion of the brain between the cerebrum and the spinal cord.
B) The portion of the brain between the cerebrum and the midbrain.
C) Islands of gray matter deep within the white matter of the cerebrum.
D) Islands of white matter deep within the gray matter of the cerebellum.
A) The portion of the brain between the cerebrum and the spinal cord.
B) The portion of the brain between the cerebrum and the midbrain.
C) Islands of gray matter deep within the white matter of the cerebrum.
D) Islands of white matter deep within the gray matter of the cerebellum.
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19
The inner protective layer of the central nervous system is composed of three layers.The tough,outermost covering is called the
A) dura mater
B) arachnoid membrane
C) pia mater
D) myelin sheath
A) dura mater
B) arachnoid membrane
C) pia mater
D) myelin sheath
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20
Which of the following are components of the peripheral nervous system?
(1)Spinal cord.
(2)Thirty-one pairs of spinal nerves.
(3)Autonomic nerves.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
(1)Spinal cord.
(2)Thirty-one pairs of spinal nerves.
(3)Autonomic nerves.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
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21
What is the function of the arachnoid villi?
A) Separate the cerebellar hemispheres.
B) Protect the CNS.
C) Absorption of CSF into venous blood.
D) Secrete CSF.
A) Separate the cerebellar hemispheres.
B) Protect the CNS.
C) Absorption of CSF into venous blood.
D) Secrete CSF.
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22
What is the most common cause of a subdural empyema?
A) Spread of infection from frontal or ethmoid sinuses.
B) Osteomyelitis.
C) Herpes simplex virus.
D) Scalp infection.
A) Spread of infection from frontal or ethmoid sinuses.
B) Osteomyelitis.
C) Herpes simplex virus.
D) Scalp infection.
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23
Which of the following involves bilateral and horizontal fractures of the maxillae?
A) Stellate fracture.
B) Le Fort fracture.
C) Blow-out fracture.
D) Tripod fracture.
A) Stellate fracture.
B) Le Fort fracture.
C) Blow-out fracture.
D) Tripod fracture.
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24
A brain abscess is usually the result of a
A) trauma
B) osteomyelitis
C) herpes simplex virus
D) chronic infection of sinuses, middle ear, or mastoids or systemic infection (that is, pneumonia)
A) trauma
B) osteomyelitis
C) herpes simplex virus
D) chronic infection of sinuses, middle ear, or mastoids or systemic infection (that is, pneumonia)
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25
Which of the following is caused by venous bleeding in the cranium?
A) Intracerebral hematoma.
B) Medullocerebellar hematoma.
C) Subdural hematoma.
D) Epidural hematoma.
A) Intracerebral hematoma.
B) Medullocerebellar hematoma.
C) Subdural hematoma.
D) Epidural hematoma.
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26
Which fracture separates the zygoma from the other facial bones?
A) Le Fort.
B) Blow-out.
C) Depressed.
D) Tripod.
A) Le Fort.
B) Blow-out.
C) Depressed.
D) Tripod.
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27
Where is cerebrospinal fluid (CSF)formed?
A) In the meninges.
B) In the diploë of the skull.
C) In the corpus callosum.
D) In the choroid plexus.
A) In the meninges.
B) In the diploë of the skull.
C) In the corpus callosum.
D) In the choroid plexus.
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28
Which of the following types of gliomas are slow growing and tend to calcify?
A) Astrocytomas.
B) Glioblastomas.
C) Medulloblastomas.
D) Oligodendrocytomas.
A) Astrocytomas.
B) Glioblastomas.
C) Medulloblastomas.
D) Oligodendrocytomas.
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29
Which projection is useful in demonstrating fractures of the zygomatic arches?
A) SMV.
B) Parietoacanthial (Waters').
C) AP.
D) Lateral.
A) SMV.
B) Parietoacanthial (Waters').
C) AP.
D) Lateral.
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30
Networks of capillaries in the ventricles that form CSF are known as
A) choroid plexuses
B) meninges
C) diploë
D) falx cerebri
A) choroid plexuses
B) meninges
C) diploë
D) falx cerebri
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31
Which of the following facial fractures is usually caused by a direct blow to the orbit?
A) Stellate fracture.
B) Le Fort fracture.
C) Blow-out fracture.
D) Tripod fracture.
A) Stellate fracture.
B) Le Fort fracture.
C) Blow-out fracture.
D) Tripod fracture.
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32
An acute inflammation of the pia mater and arachnoid is called
A) encephalitis
B) meningitis
C) subdural empyema
D) supradural empyema
A) encephalitis
B) meningitis
C) subdural empyema
D) supradural empyema
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33
What term is used to denote the sudden and dramatic development of a focal neurologic deficit?
A) Stroke.
B) Arteriovenous malformation (AVM).
C) Hematoma.
D) Aneurysm.
A) Stroke.
B) Arteriovenous malformation (AVM).
C) Hematoma.
D) Aneurysm.
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34
Which of the following is the primary imaging modality used to examine head injuries (trauma)?
A) Radiography.
B) CT.
C) MRI.
D) Ultrasound.
A) Radiography.
B) CT.
C) MRI.
D) Ultrasound.
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35
What is the most common primary malignant brain tumor?
A) Dendroma.
B) Glioma.
C) Acoustic neuroma.
D) Meningioma.
A) Dendroma.
B) Glioma.
C) Acoustic neuroma.
D) Meningioma.
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36
What are the most common primary malignancies that metastasize to the brain?
A) Liver and lung.
B) Prostate and breast.
C) Pancreas and kidneys.
D) Lung and breast.
A) Liver and lung.
B) Prostate and breast.
C) Pancreas and kidneys.
D) Lung and breast.
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37
Which of the following is the most common type of glioma?
A) Oligodendrocytoma.
B) Glioblastoma multiforme.
C) Astrocytoma.
D) Ependymoma.
A) Oligodendrocytoma.
B) Glioblastoma multiforme.
C) Astrocytoma.
D) Ependymoma.
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38
Which of the following is caused by arterial bleeding in the cranium?
A) Epidural hematoma.
B) Subdural hematoma.
C) Intraventricular hemorrhage.
D) Subcerebellar hemorrhage.
A) Epidural hematoma.
B) Subdural hematoma.
C) Intraventricular hemorrhage.
D) Subcerebellar hemorrhage.
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39
Which of the following is a slow-growing,benign tumor that occurs on the eighth cranial nerve?
A) Acoustic neuroma.
B) Pineal tumor.
C) Glioblastoma.
D) Oligodendrocytoma.
A) Acoustic neuroma.
B) Pineal tumor.
C) Glioblastoma.
D) Oligodendrocytoma.
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40
What is the most common facial bone fracture?
A) Maxillae.
B) Nasal bones.
C) Zygoma.
D) Mandible.
A) Maxillae.
B) Nasal bones.
C) Zygoma.
D) Mandible.
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41
Encephalitis is most commonly caused by the herpes simplex virus.
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42
Viral inflammation of the brain is termed
A) encephalitis
B) meningitis
C) brain abscess
D) subdural empyema
A) encephalitis
B) meningitis
C) brain abscess
D) subdural empyema
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43
The middle meningeal layer is the arachnoid membrane.
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44
Which benign CNS tumor arises from arachnoid lining cells and is attached to the dura?
A) Oligodendrocytoma.
B) Meningioma.
C) Ependymoma.
D) Astrocytoma.
A) Oligodendrocytoma.
B) Meningioma.
C) Ependymoma.
D) Astrocytoma.
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45
The cerebellum is the largest portion of the brain.
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46
A rupture of a berry aneurysm is a major cause of
A) Huntington's disease
B) Alzheimer's
C) subarachnoid hemorrhage
D) TIA
A) Huntington's disease
B) Alzheimer's
C) subarachnoid hemorrhage
D) TIA
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47
A focal neurologic defect that completely resolves within 24 hours is known as a
A) stroke
B) AVM
C) aneurysm
D) transient ischemic attack (TIA)
A) stroke
B) AVM
C) aneurysm
D) transient ischemic attack (TIA)
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48
A condition in which brain impulses are disturbed and that causes symptoms ranging from loss of consciousness to violent seizures is
A) Huntington's disease
B) epilepsy
C) Parkinson's disease
D) multiple sclerosis
A) Huntington's disease
B) epilepsy
C) Parkinson's disease
D) multiple sclerosis
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49
Which of the following CNS degenerative disorders has the CT pathologic hallmark of atrophy of the caudate nucleus and putamen,causing focal dilatation of the frontal horns?
A) Huntington's disease.
B) Parkinson's disease.
C) Amyotrophic lateral sclerosis (Lou Gehrig).
D) Alzheimer's.
A) Huntington's disease.
B) Parkinson's disease.
C) Amyotrophic lateral sclerosis (Lou Gehrig).
D) Alzheimer's.
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50
Sinus infections can spread to the brain and cause an empyema or abscess.
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51
Which type of primary brain tumor usually arises in the walls of the fourth ventricle in children and in the lateral ventricles in adults?
A) Glioblastoma.
B) Astrocytoma.
C) Medulloblastoma.
D) Ependymoma.
A) Glioblastoma.
B) Astrocytoma.
C) Medulloblastoma.
D) Ependymoma.
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52
What position is recommended to obtain facial bone radiographic images to evaluate facial trauma?
A) Supine.
B) Upright.
C) Prone.
D) Recumbent lateral.
A) Supine.
B) Upright.
C) Prone.
D) Recumbent lateral.
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53
Which of the following is used to initially screen patients suspected of a transient ischemic attack?
A) CT.
B) Computed tomography angiography (CTA).
C) Magnetic resonance angiography (MRA).
D) Color-flow Doppler ultrasound.
A) CT.
B) Computed tomography angiography (CTA).
C) Magnetic resonance angiography (MRA).
D) Color-flow Doppler ultrasound.
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54
Which of the following degenerative neurologic diseases causes widespread selective atrophy and loss of motor nerves that eventually leads to paralysis and death?
A) Parkinson's disease.
B) Normal aging.
C) Amyotrophic lateral sclerosis (Lou Gehrig).
D) Alzheimer's.
A) Parkinson's disease.
B) Normal aging.
C) Amyotrophic lateral sclerosis (Lou Gehrig).
D) Alzheimer's.
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55
What position is recommended to obtain trauma images of the facial bones when the patient cannot be positioned upright?
A) Dorsal decubitus.
B) Recumbent lateral.
C) Supine.
D) Prone.
A) Dorsal decubitus.
B) Recumbent lateral.
C) Supine.
D) Prone.
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56
What is the most common cause of nontraumatic intraparenchymal hemorrhage in persons under age 20?
A) AVM.
B) TIA.
C) Stroke.
D) Aneurysm rupture.
A) AVM.
B) TIA.
C) Stroke.
D) Aneurysm rupture.
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57
Paralysis on one side of the body is termed
A) paraplegia
B) quadriplegia
C) hemiplegia
D) dysplegia
A) paraplegia
B) quadriplegia
C) hemiplegia
D) dysplegia
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58
Where is the most common site for traumatic arteriovenous fistulas to arise in the CNS?
A) The superior ophthalmic artery and cavernous sinus.
B) The superior ophthalmic artery and internal carotid artery.
C) The internal and external carotid arteries.
D) The internal carotid artery and cavernous sinus.
A) The superior ophthalmic artery and cavernous sinus.
B) The superior ophthalmic artery and internal carotid artery.
C) The internal and external carotid arteries.
D) The internal carotid artery and cavernous sinus.
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59
Which type of skull fracture can cause separation of the suture?
A) Diastatic.
B) Le Fort.
C) Stellate.
D) Depressed.
A) Diastatic.
B) Le Fort.
C) Stellate.
D) Depressed.
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60
Cerebrospinal fluid is formed in the arachnoid villi.
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61
MRI is considered the best imaging modality for suspected brain tumors.
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62
Match the disease to its definition.
Tripod fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
Tripod fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
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63
Radiography of the skull for fractures is essential to the diagnosis of associated brain injury.
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64
The nasal bones are the most commonly fractured facial bones.
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65
Match the disease to its definition.
Astrocytoma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
Astrocytoma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
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66
Match the disease to its definition.
Acoustic neuroma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
Acoustic neuroma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
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67
Match the disease to its definition.
Chordoma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
Chordoma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
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68
Match the disease to its definition.
Blow-out fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
Blow-out fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
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69
The most common type of primary brain tumor is a glioma.
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70
Match the disease to its definition.
Meningioma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
Meningioma
A)Arises from the embryonic neural tube
B)Benign tumor arising from arachnoid membrane
C)Slow-growing,benign tumor of eighth cranial nerve
D)Slow-growing and most common form of glioma
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71
Match the disease to its definition.
Stellate fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
Stellate fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
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72
Bilateral fractures are common in the mandible.
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73
Match the disease to its definition.
Le Fort fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
Le Fort fracture
A)Results from direct blow to orbit
B)Bilateral horizontal fractures of maxillae
C)Fracture that separates zygoma from other facial bones
D)Star-shaped fracture with multiple fracture lines radiating from a central point
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