Answers to Quiz 130 · Regulation of Posture and Movement
  1. Spinal shock after a complete cord transection lasts longest in which species, and for how long?

    Answer: Human, 1–4 weeks

    Duration follows encephalization of motor function: the more the brain has taken over, the longer the cord stays silent. Man 1–4 weeks, monkey 2–4 days, cat 2–4 hours, frog 2–4 minutes. Revise postural reflexes, spinal animal and spinal shock

  2. The best-supported mechanism of spinal shock is:

    Answer: Sudden loss of the tonic bombardment reaching motor neurons from descending fibres

    Loss of suprasegmental drive fits the evidence: areflexia is deeper in species with more descending control, and a second transection made below the first after recovery causes no fresh areflexia. Revise postural reflexes, spinal animal and spinal shock

  3. In a paraplegic recovering from spinal shock, the first reflex response to return is:

    Answer: Slight flexion of the leg to a noxious stimulus

    A feeble flexor withdrawal appears first; the knee jerk follows 1–5 weeks later. The mass reflex may take months, and extensor spasm only appears around six months. Revise postural reflexes, spinal animal and spinal shock

  4. Press a finger against the sole of a spinal animal's foot, then withdraw it: the limb extends and follows the finger. This is:

    Answer: The positive supporting reaction

    Also called the magnet reaction; tactile receptors start it and the limb becomes a rigid pillar that resists gravity. The negative supporting reaction is the active switching off of this response by stretch of the extensors. Revise postural reflexes, spinal animal and spinal shock

  5. A decerebrate preparation is made by sectioning the brainstem:

    Answer: Between the superior and inferior colliculi

    Decerebration is a midcollicular section. A cut at the upper border of the midbrain gives the midbrain animal, and one below the medulla gives the spinal animal. Revise medullary integration and decerebrate rigidity

  6. Which statement about the brainstem reticular motor areas is correct?

    Answer: The facilitatory area lies in the pons and discharges spontaneously

    The large facilitatory area is pontine and fires on its own; the small inhibitory area is medullary and has to be driven by cortex, basal ganglia and cerebellum. Revise medullary integration and decerebrate rigidity

  7. Which of these is NOT one of the brain areas that drive the medullary inhibitory reticular area?

    Answer: Pontine reticular formation

    Cortex, basal ganglia and cerebellum are the three inhibitory brain areas; the pontine reticular formation is the facilitatory area itself. Basal ganglia act only through their projection to the motor cortex. Revise medullary integration and decerebrate rigidity

  8. The tone of the antigravity muscles is controlled by the vestibulospinal tract through:

    Answer: α motor neurons

    Vestibulospinal fibres end mainly on α motor neurons supplying extrafusal fibres, so dorsal rhizotomy does not abolish their effect. The reticulospinal tract acts through γ motor neurons and spindle sensitivity, and rhizotomy does abolish that. Revise medullary integration and decerebrate rigidity

  9. In a decerebrate cat, extensor rigidity is at its maximum when the animal is placed:

    Answer: On its back

    This is the tonic labyrinthine reflex, from the otolith organs through the vestibulospinal tracts: rigidity is maximal supine, falls when the animal is turned on either side, and is least prone. Revise medullary integration and decerebrate rigidity

  10. Which righting reflex does NOT have its centre in the midbrain?

    Answer: Optical righting reflex

    The optical righting reflex is integrated in the visual cortex, so it needs the cortex intact; the others are midbrain reflexes, the limb righting reflex working through the red nucleus. Revise midbrain integration and righting reflexes

  11. The head has been righted but the body is still tilted, so the neck muscles are stretched and the thorax and abdomen then come round. This is the:

    Answer: Neck righting reflex

    Stretch of neck muscles is the stimulus and the muscle spindle the receptor, and the response rights shoulders, thorax and then pelvis. The tonic neck reflex is a medullary static reflex that only alters the pattern of rigidity. Revise midbrain integration and righting reflexes

  12. Extensor rigidity in a midbrain animal differs from that of a decerebrate animal in that it:

    Answer: Is present only at rest and disappears when the animal walks

    The midbrain animal has its phasic postural reflexes back, and they override the static extensor drive during movement. Neither preparation shows any stage of shock. Revise midbrain integration and righting reflexes

  13. In the motor homunculus of the precentral gyrus:

    Answer: The feet lie uppermost and the face lowest down

    The map is inverted, with feet uppermost. Territory follows the skill with which a part is used, not its bulk, which is why hand, digits, lips, jaw and tongue take up so much of it. Revise cortical integration and motor cortex

  14. A patient can move either hand well on its own but cannot get the two hands to work together on a task. The area most likely affected is:

    Answer: Supplementary motor area, the medial part of area 6

    The supplementary motor area plans and programmes motor sequences and controls bimanual tasks. The premotor cortex sets posture at the start of a planned movement, and area 8 concerns eye movements. Revise cortical integration and motor cortex

  15. Which feature is NOT seen in a decorticate animal?

    Answer: Loss of temperature regulation

    The hypothalamus survives decortication, so temperature regulation and visceral homeostasis are intact, which is why such an animal is easy to maintain. All midbrain reflexes remain, and decorticate rigidity is minimal and seen only at rest. Revise cortical integration and motor cortex

15 questions on chapter 131. Pick one answer for each, then save. Your answers stay in this browser, and the right ones are shown at the top of the next quiz.

1. The principal output nucleus of the basal ganglia is the:
2. The striatum, or neostriatum, is made up of the:
3. In the direct pathway, the projection from striatum to globus pallidus internus is:
4. Stimulating the striatum ends up exciting the thalamus through the direct pathway because:
5. Which link in the indirect pathway is excitatory?
6. The dopaminergic projection from pars compacta of the substantia nigra to the striatum:
7. The limbic system projects mainly to which zone of the striatum?
8. Which of the following is NOT a function of the basal ganglia?
9. The tremor of Parkinsonism has a frequency of about:
10. MPP, the toxin found in high concentration in the Parkinsonian brain, is formed from MPTP by:
11. L-dopa is given rather than dopamine itself in Parkinsonism because:
12. Which finding is NEVER seen in the rigidity of Parkinsonism?
13. In Huntington's disease the pathway that degenerates is the:
14. A 34-year-old man has dancing involuntary movements, slurred speech and worsening dementia; his father died of the same illness at 45. The defective gene lies on:
15. A hypertensive man suddenly develops violent flailing movements of the right arm and leg. The likely site of the haemorrhage is the: