Name ________________________________ Score_________/100
 

True/False (10 points)

_____ "Reduced intelligibility" is an acoustic observation made at the disability level.

_____ Range of motion can be observed perceptually.

_____ The vagus nerve may be damaged during heart surgery.

_____ Unilateral tongue weakness may result from a unilateral UMN lesion.

_____ The functional roles of most areas of the brain are well understood.

_____ Most pathogens are too small to enter the brain.

_____ Most of the cranial nerves important for speech originate in the pons and medulla.

_____ Phonology is considered an aspect of the "form" of language.

_____ UMN & LMN are examples of projection fibers.

_____ The primary motor cortex is located on the precentral gyrus.
 

Describe the efferent and afferent innervation for the tongue (6)

Describe the efferent and afferent innervation for the face (3)

Describe the efferent and afferent innervation for the throat (3)

A patient has been referred to you for assessment. The neurology report indicates the patient has suffered a brainstem stroke that has impacted both upper and lower motor neurons. How is this possible? (3)

You have a friend who experiences a sudden loss of motor control on the left side of their face (left facial droop). Because she knows you're studying this stuff, she asks you what might be causing it. Describe the two most likely explanations for the facial droop and how you would determine which was the better explanation in her case (p.s., while a CT scan might provide an answer, a much lower-tech solution is available). (10)

Describe the basic cognitive/linguistic processes necessary for verbally naming a picture. (10)

You are a motor "signal" trying to reach a jaw muscle. Beginning with motor cortex, describe the anatomical landmarks you would pass (and which ones you would stop on) if you were traveling via the pyramidal system (direct activation pathway) (10)

For the question above, what kind of movement are you most likely going to be involved in? (2)

Matching (10 Points)

Match each of the following impairments with its probable site of lesion: (10)

_____ unilateral facial droop            a. CN V (unilateral)

_____ one-sided tongue weakness    b. CNX (recurrent laryngeal branch)

_____ numbness on one side of the face    c. CN XII

_____ inability to make pitch adjustments    d. CN V (bilateral)

_____ unilateral vocal cord paralysis    e. CN VII (unilateral)

_____ impaired sense of taste on the front of the tongue    f. CN XI

_____ reduced jaw movement    g. CN VIII

_____ unilateral deafness    h. CN VII (bilateral)

_____ reduced velar elevation    i. CN X (superior laryngeal branch)

_____ numbness and lack of taste on posterior portion of tongue j. CN IX
 

Briefly describe how different parts of the brain are connected (e.g., how do they communicate?) (5)

Your uncle Joe is going in for a CEA (carotid endarterectomy) because his doctor found that his right carotid artery was 95% blocked. Joe asks you how come he hasn't had a stroke yet. Explain (in simple terms for him or other terms for me, if you prefer) (8)

You have been asked to lead a "Brain Awareness Week" lesson in Mrs. Jones fourth grade science class. She would like you to teach the students the major areas of the brain and what those parts of the brain do. List these "major areas" and "functions" in terms that fourth graders could understand. (10)

You have received a referral for a patient that has had a tumor removed from right posterior frontal lobe. What kinds of problems might you expect this patient to exhibit? (5)

Describe the communication characteristics of someone from your hometown, specifically indicating how a speech language pathologist or other professional "not from around those parts" might misinterpret a particular "normally diverse" behavior as pathological. (5)