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Kaplan Qbank USMLE



Author13 Posts
  #1

The patient is unable to distinguish the difference between a hot and cold test tube simultaneously applied to the ulnar side of the right hand and arm and the left leg. This deficit is in the same distribution as the pain deficit noted when testing sharp sensation.

Pain and temperature sensation are tests for the


a) Corticospinal tract


b) Spinothalamic tract

c) The reticular formation of the brainstem

d) The hypothalamus

e) Central vestibular connections


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

b spinothalamic tract..

  #3

yes Spinothalamic tract...!

  #4

Mnemonic.... sPinoThalamic Tract= Pain Temperature Pathway

___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #5

Oldkid,
Thanks for the good mnemonicnod
Are you all at anatomy or just doing any Q?
See you all at main Q & chat threads.

NnL thanks for the Q.nod

  #6

nodnodnodnod

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

OKOTB................ COOL MNEMONIC !!!!!!!!!!!!!!

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

The correct answer is B

Explanation
The patient is unable to distinguish the difference between a hot and cold test tube simultaneously applied to the ulnar side of the right hand and arm and the left leg. This deficit is in the same distribution as the pain deficit noted when testing sharp sensation. Pain and temperature sensation are tests for spinothalamic tract function


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #9

I made this mnemonic 10 years ago.

___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #10

good one OKOTB.!

  #11

Thanks folks

___________________
Malcolm Forbes: Victory is sweetest when you've known defeat

  #12

While we are at it, corticospinal tract relay signals to alpha-motor neuron in the medullar spinalis and is involved in voluntary movement of the body.

Reticular formation has 2 functions as far as I can recall.
1. Reticolospinal tract => stimulates inhibitory interneuron in the anterior horn of the medullar spinalis, inhibit alpha motor neurons.
2. Inhibition of pain. Pathway is like this. Raphe nucleus at mesencephalon => (serotonin - excite) reticular formation => (enkephalin - inhibit) sub. gelantinosa – i.e. inhibition of pain.

Hypothalamus – control of virtually all endocrine function

Vestibular – measure of equilibrium, reciprocal connection to cerebellum, vestibulospinal tract (controlling of extensors hence main function is reflexive balance.) - the only tract in the spinal cord that is ipsilateral all the way?


Edited by Jackofknives on 03/31/07 - 05:47 AM

___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #13

Btw I think there is a misunderstanding of terms.

Spinothalamic tract conduct nociception not pain.

Pain is a sensation. Nociception is signal, it’s always there if nociceptive free nerve endings are stimulated, however it can be inhibited thus causing less or no pain.


___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.







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