1) Afferent impulses from all senses and all parts of the body converge here and synapse with at
least one of its nuclei.
3) Anterior horn of lateral ventricle.
4) Inferior horn of lateral ventricle.
5) Part of the basal nuclei.
8) Corpus callosum.
9) Caudate nucleus.
10) Globus pallidus.
12) Site of efferent soma.
13) Site of axons and afferent neurons.
14) Site of sensory soma.
15) Gray commissure.
16) Horn usually containing interneurons.
17) Site containing central canal.
18) Multipolar neurons are common here.
19) Auditory area.
20) Primary sensory cortex.
21) Somatic motor cortex.
22) Motor speech area.
23) Premotor area.
24) Visual area.
26) Taste (gustatory) area.
27) Seat of intelligence, abstract
28) A major relay station for
ascending to primary sensory
areas of the cerebral cortex.
Contains many specialized
29) This brain area associates
experiences necessary for the
production of abstract ideas,
judgment, and conscience.
30) The axons from this area form
the major pyramidal tracts.
31) This area is the main visceral
control center of the body.
Match the following stages of sleep with their descriptions
32) The stage when vital signs
(blood pressure, heart rate,
and body temperature) reach
their lowest normal levels.
33) Indicated by movement of the
eyes under the lids; dreaming
34) Theta and delta waves begin
35) Very easy to awaken; EEG
shows alpha waves; may even
deny being asleep.
36) Typified by sleep spindles.
Diff: 1 Page Ref: 459; Fig. 12.21
37) Begins about 90 minutes after
the onset of sleep.
38) Necessary for emotional
health; may be neural
1) NREM sleep normally exhibits four distinct stages, which appear to alternate.
5) Theta waves are a brain wave pattern that can be seen during deep sleep and during
7) Cell bodies of the somatic motor neurons of the spinal nerves are located in the ventral horn of
the spinal cord.
10) Cerebrospinal fluid circulates within the ventricles of the brain and in the subarachnoid space
outside the brain.
14) The first obvious sign that the nervous system is forming in the embryo is the thickening of the
surface ectoderm to form the neural plate.
17) The canal connecting the third and fourth ventricles and running through the midbrain is the
foramen of Monro.
19) A disturbance of posture, muscle tremors at rest, and uncontrolled muscle contraction are all
symptoms of damage to the basal nuclei.
21) Most of the ascending and descending pathways to and from the brain cross over from one
side of the body to the other.
23) One functional center found within the medulla oblongata is a respiratory center involved in
the control of the rate and depth of breathing.
24) Sorting of sensory information and relaying it to the appropriate cerebral sensory area occurs
in the hypothalamus.
25) Sensory areas of the cortex for the genitals are located deep in the postcentral gyrus.
26) Embryonic damage to the mesencephalon could result in improper formation of the midbrain
Fill-in-the-Blank/Short Answer Questions
1) The fourth ventricle is continuous with the ________ of the spinal cord.
2) The large commissure that connects the right and left sides of the brain is called the ________.
3) The ________ is a conduction pathway between higher and lower brain centers and houses
nuclei for cranial nerves V-VII.
5) The ________ are valvelike and protrude externally through the dura mater to absorb
cerebrospinal fluid into venous blood.
9) The two longitudinal ridges on the medulla oblongata where many descending fibers cross
over are called the ________.
12) The ________ is the main switch station for memory; if the right and left areas are damaged,
the past is lost.
14) ________ is a temporary cessation of breathing during sleep found most commonly in the
15) Describe the cause of hydrocephalus and explain why this condition is much more serious in
adults than in newborns.
Answer: Hydrocephaly refers to a blockage of the normal circulation and drainage of
cerebrospinal fluid (CSF) throughout the meninges and ventricles. If CSF is allowed to
accumulate, excessive pressure could be exerted on the brain. In newborns, the
fontanels allow the skull to enlarge, while in adults, the cranial bones are fused and no
expansion is possible. This disorder is treated by insertion of a shunt to drain excess
fluid into a vein.
16) Which brain areas lack a blood-brain barrier, and what purpose does this absence serve?
17) What is the importance of the fact that the outer portion of the cerebral hemispheres is
18) What is the cauda equina and why is it given this name?
Answer: The cauda equina is a collection of nerve roots at the inferior end of the vertebral canal
and is given this name because of its resemblance to a horseʹs tail. This arrangement
reflects the different rates of growth between the vertebral column and spinal cord.
Because the column grows more rapidly than the cord, the lower nerves must ʺchaseʺ
their exit points inferiorly, thus forming the cauda equina.
19) Describe the role of the reticular activating system in cortical arousal and stimulation.
Answer: The reticular activating system (RAS) appears to mediate the alertness state of the
cerebral cortex. The thalamus, hypothalamus, and other areas such as the brain stem
appear to be interconnected with the RAS. The hypothalamus seems to be the structure
responsible for the actual timing of the sleep-wake cycle. The primary neurotransmitter
involved is serotonin.
20) Six-year-old Jimmy is confined to a wheelchair. He frequently drools and his limbs hang
limply in strange angular positions. His diagnosis is cerebral palsy. Name several (possible)
causes of cerebral palsy.
21) Describe the main ideas of the holistic processing school of thought, relative to consciousness.
22) Differentiate clearly between short-term and long-term memory.
Answer: Short-term memory (STM) is a fleeting memory of events that one is continuously
exposed to, and seems to be limited to 7 or 8 chunks of information at a time.
Long-term memory (LTM) is semipermanent storage of information that involves the
transfer of data from STM banks to LTM banks based on several factors such as
rehearsal, emotional state, and association.
23) How do scientists hope the discovery of drugs such as NMDA antagonists and calcium
channel blockers will improve the outlook for stroke patients?
Answer: After a stroke, neurons deprived of oxygen release large amounts of glutamate. This
acts as an excitotoxin on receptors, causing (among other things) calcium influx. These
changes result in damage to surrounding healthy cells, which then release additional
glutamate. Scientists hope that rapid administration of NMDA antagonists or calcium
channel blockers will stop the chain reaction and result in the destruction of much less
24) What seven areas of the body is the hypothalamus in control of?
25) What is the limbic system?
1) Mrs. Sagalov has recently been diagnosed with Alzheimerʹs disease. What clinical symptoms is
she likely to show, and what would probably be seen if her brain were examined?
Answer: Mrs. Sagalov is likely to show increasing cognitive deficits, including difficulties with
memory and attention, and personality changes such as irritability, moodiness, and
confusion. Her brain, particularly in the cerebral cortex and hippocampus, is likely to
show senile plaques (clumps of cells and fibers around a protein core) and
neurofibrillary tangles (twisted fibers within neuron cell bodies).
2) A patient was admitted to the rehabilitation unit five days after having a stroke. The nurse
assesses his muscle strength and determines that he has right-sided weakness. Based on this
assessment data, what part of the brain was injured?
3) A patient was admitted to the medical/surgical unit with a stroke that affected the motor
neurons in the pyramidal pathway. This affected the loss of voluntary movement to his left
side. What other problems would the patient experience?
4) Death from amyotrophic lateral sclerosis usually results from respiratory infection secondary
to compromised respiratory function. Explain why.
Answer: Amyotrophic lateral sclerosis, or Lou Gehrigʹs disease, is a rare neuromuscular disease
that involves progressive destruction of the ventral horn motor neurons and fibers of
the pyramidal tract. As the disease progresses, the sufferer loses the ability to speak,
swallow, and breathe. Because the lungs have difficulty fully expanding, secretions
may develop, causing respiratory infection.
5) Explain why heparin is used as an anticoagulant in the treatment of thrombotic strokes but
contraindicated in a subarachnoid hemorrhage.
6) An 86-year-old patient with Alzheimerʹs disease was admitted to the hospital with
dehydration. Her daughter states that her mother has been very confused and combative
lately. Explain why the patient developed dehydration.
Answer: One of the simplest mechanisms for maintaining fluid balance is the thirst mechanism.
Normally, when a person is thirsty, he or she drinks because the thirst center in the
hypothalamus is stimulated. In this patientʹs confused and combative state, she is
probably refusing or forgetting to eat or drink, thereby developing dehydration.
7) The location and arrangement of the arteries supplying the hippocampus make it particularly
vulnerable to injury. How would memory be affected if the hippocampus suffered
Answer: The hippocampus oversees the circuitry for learning and remembering spatial
relationships. In other words, it acts as a switchboard, receiving and sorting
information, helping to turn that information into a memory, and forwarding it to other
parts of the brain. Without the help of the hippocampus we might learn, but we