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Physiology · Neurophysiology and special senses: split-brain syndrome
Sample itemAfter section of the corpus callosum for epilepsy, a patient can name an object placed in the right hand but cannot name one in the left hand, though he can pick it out with the left hand from a group. What is the reason?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Left-hand input reaches only the right hemisphere, cut off from language areas
In most people the left hemisphere is dominant for language. Sensory input from the right hand goes to the left hemisphere and can be named. Input from the left hand reaches the right hemisphere, which can recognise the object and guide the hand, but without the callosum it cannot send the information to the language areas.
Option by option
A. Broca's area has been damaged by the surgery
A Broca's area lesion would affect speech for both hands.
B. The right hemisphere cannot recognise objects at all
The right hemisphere can recognise objects, as shown by the correct choice with the left hand.
C. The left hand has lost somatic sensation
Sensation is intact because the patient can pick out the object with the left hand.
D. Left-hand input reaches only the right hemisphere, cut off from language areas (correct)
Correct. The disconnected right hemisphere cannot communicate with language areas.
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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