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Kaplan Qbank USMLE



Author6 Posts
  #1

In a classic experiment performed by Sherrington in the cat, marked rigidity was demonstrated in a decerebrate preparation. Similarly, an 80-year-old woman displayed rigidity, which resembled that shown in the cat after having a stroke.

The likely location of the stroke is in the

a. Thalamus

b. Hypothalamus

c. Upper midbrain

d. Pons

e. Spinal cord


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  #2

?A


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  #3

E?

  #4

My choice is: D

"Lesions above the pontine reticular formation but below midbrain cause decerebrate rigidity" (somewhere in Costanzo BRS Physiologysmiling face

Reticular formation in pons inhibits alpha and gamma motoneurons.
Destroyed -> excitation of these neurons -> rigidity

for E we have paraplegia below the lesion, after 'spinal shock' (no reflexes)
for A ('m not sure of it) we have lesion of comunication between basal ganglia (controlling movements) and cortex - I expect other symptoms including huntington-like or parkinson-like


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  #5

Excellent Bartek,

Answer is D


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  #6

yes D.

lesions above mid brain give decorticate rigidity
whiel lesions below midbrain give decerebrate rigidity

i think this is kaplan info or HY.




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