PathMD Quizes, Neuropathology Neuropathology – 03 October 29, 2017 peferguson Author: Murat Gokden, M.D. Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. The molecular defect in Duchenne muscular dystrophy resides in ________.a key calcium-transport moleculecontractile protein interactionsa mitochondrial electron transport chain proteina large, plasma membrane-associated proteina metabolic enzyme involved in glycolysis 2. Wallerian degeneration ________.involves distal axonal degenerationis a paraneoplastic syndromeis the destruction of myelin sheathsis seen in oligodendroglia 3. A 26-year-old man presents to clinic with weakness in his right arm. Two years previously he had an episode of difficulty speaking that improved considerably after several days. One year before that he had an episode of decreased vision in his left eye that did not resolve. He has no other known medical illnesses or conditions. The most likely cause of these episodes is:viral infection of oligodendrocyteschronic arsenic poisoningaccumulation of amyloid deposits in the brain an inborn metabolic error of sphingolipid metabolism episodes of brain myelin destruction by macrophages 4. Perivenous encephalomyelitis is thought to result from _________.an autoimmune attack on central nervous system myelina systemic vasculopathya neurotoxin elaborated by an anaerobic bacillusinappropriate astrocytic expression of major histocompatibility antigensexposure to canine distemper virus 5. A 62-year-old woman had an acute myocardial infarction. Right after arriving at the emergency room, she had cardiac arrest. Resuscitation efforts for 15 minutes were successful and she was admitted to the intensive care unit (ICU). However, she developed a fatal arrhythmia and died on her third day in ICU. Autopsy was performed. Examination of brain tissue shows neurons with hypoxic/ischemic changes. Which of the following best describes the expected morphology?eosinophilic neuronal necrosisviral inclusionsreactive astrocytesnormal white matternormal cortical gray matter 6. A 65-year-old woman presents to the hospital with progressive neurological deficits. Several months earlier she had received treatment for a brain tumor. A new brain biopsy shows no tumor, but does show necrosis of cerebral vasculature and of brain tissue. The most likely cause of these findings is previous therapy with:radiationisoniazidvincristinedehydrationmercury 7. While walking home after a party where he consumed five cans of beer, a 28-year-old man fell and hit his head on the curb. He got up and went home. An hour later, he became unconscious and was brought to the emergency room by his roommate. Initial physical exam showed a severe contusion of the left temporal area. The most likely explanation for his condition is rupture of the ________.left middle meningeal arteryanterior communicating artery aneurysmposterior cerebral arterybridging dural veinsleft middle cerebral artery 8. Which of the following is true regarding the pathological process seen in this picture? Neuropathology Set 3Intracytoplasmic alpha-synuclein-positive neuronal inclusions are diagnosticIt is a movement disorder characterized by ataxiaA specific muscle pathology is the cause of the movement disorderPathological hallmark is the presence of numerous intranuclear inclusionsThe majority of patients also have dementia 9. Examine of a brain from a newborn child showed failure of cerebral hemispheres to separate. The abnormality results from a failure of:myelinationorganogenesis aquaductal patencyneuroblast migrationneural tube formation 10. A 29-year-old man was found dead in the street. Autopsy showed hemorrhage under the occipital scalp, and contusions of both occipital poles. Which of the following is the most likely explanation?Slipped and fell on his back, hitting his head to concrete pavementMetastatic lung cancer secondary to heavy smokingHe was previously strangled to death and later the body was dumped in a remote street, at which time his head his the concrete pavementIntracranial hemorrhage secondary to hypertensionHe was hit on the back of his head by a baseball bat Loading... Share this: Share on X (Opens in new window) X Share on WhatsApp (Opens in new window) WhatsApp Share on Facebook (Opens in new window) Facebook Email a link to a friend (Opens in new window) Email Print (Opens in new window) Print Share on LinkedIn (Opens in new window) LinkedIn Related