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Anatomy · Neuroanatomy: cerebellum
Sample itemA lesion of the right cerebellar hemisphere most likely causes which sign?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Right-sided limb ataxia
Cerebellar hemispheres coordinate ipsilateral limb movement through double-crossed pathways, so unilateral lesions produce ipsilateral ataxia, dysmetria, and intention tremor.
Option by option
A. Left facial paralysis
Facial paralysis localizes to facial nerve or central facial pathways.
B. Left-sided spastic hemiparesis
Spastic hemiparesis is a corticospinal tract sign.
C. Right homonymous hemianopia
Homonymous field defects localize to retrochiasmal visual pathways.
D. Right-sided limb ataxia (correct)
Correct. Cerebellar deficits are typically ipsilateral.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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