Neuro: Anatomy Flashcards

1
Q

Lucid interval is associated with _______ which is a bleed of…

A

epidural hematoma, Middle miningeal a.

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2
Q

Whiplash injury

insidious onset of CNS sxs

crescent shape on CT

slow bleed

What type of bleed, what vascular structure?

A

bridging veins

subdural

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3
Q

Epidural hematoma CT finding

A

elliptical/lens

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4
Q

“Worse headache of life”

rapid deterioration

sxs after valsalva

middle age female

crab-like appearance in middle of CT

A

Subarachnoid hemorrhage

aneurysm

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5
Q

PICA arises from the _____

A

basaliar a.

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6
Q

What CNs are inside the cavernous sinus?

A

III, IV, V (except V3), VI

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7
Q

Ophthalmoplegia and/or decreased facial sensation can indicate a problem through which venous structure?

A

cavernous sinus

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8
Q

what artery passes through the cavernous sinus

A

internal carotid

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9
Q

Pt. P/w

eye pain
diplopia
proptosis

chemosis
impaired EOMs
Decreased Facial Sensation

Orbital Bruit

A

Carotid-Cavernous Fistula or aneurysm

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10
Q

Central sulcus separates the _____ from the _______

A

motor cortex (frontal)

sensory cortex (parietal)

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11
Q

Which lobe?

Voluntary movements
executive functions

A

frontal

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12
Q

which lobe?

memory
language
understanding

A

temporal lobe

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13
Q

which lobe?

perception
making sense of the world
math
spelling

A

parietal lobe

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14
Q

Which lobe?

vision

A

occipital lobe

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15
Q

Which spinal cord tract?

rhomberg abnormalities

vibration, proprioception

A

posterior tract

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16
Q

Which spinal cord tract?

Pain, temp

A

lateral spinothalamic

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17
Q

Which spinal cord tract?

voluntary movement

A

lateral corticospinal

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18
Q

Where is the lesion?

aphasia

neglect

hemianopia

UMN hemiparesis

hemisensory face/arm > leg

A

cortex

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19
Q

Where is the lesion?

dense hemiplegia (face/arm = leg)

abnormal movements (chorea, tremor, cogwheel, etc)

A

subcortical

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20
Q

Where is the lesion?

truncal vs limb ataxia and dysmetria (finger nose test)

A

cerebellum (coordination)

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21
Q

Where is the lesion?

CN Palsies + Crossed signs (face opposite of arm)

A

brainstem

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22
Q

Where is the lesion?

paraparesis
bowel/bladder involvement
saddle anesthesia
sensory level

A

spinal cord

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23
Q

Where is the lesion?

no sensory involvement
fasciculations

A

LMN

24
Q

Where is the lesion?

distal weakness & sensory involvement

stocking glove

areflexia/hyporeflexia

A

peripheral nerve

25
Q

Where is the lesion?

fatiguability
no sensory involvement
normal DTRs

A

NMJ

26
Q

Where is the lesion?

proximal weakness
symmetric
no sensory involvement

A

muscle

27
Q

sensation to the face…

A

CN V

28
Q

motor of the face…

A

CN VII

29
Q

Pupillary reflex…

A

CN II –> CN III

30
Q

Corneal Reflex…

A

V1 –> VII

31
Q

Vestibulo-ocular reflex

A

CN VIII –> V1 and CN III

32
Q

Gag reflex

A

IX –> X

33
Q

“Lick your lesion”

A

CN XII

34
Q

Spasticity is velocity dependent… indicates…

A

UMN

35
Q

Rigidity is velocity independent

cogwheel rigidity

A

basal ganglia

36
Q

This DTR tests…

biceps

A

C5, C6

37
Q

This DTR tests…

brachioradialis

A

C6

38
Q

This DTR tests…

triceps

A

C7

39
Q

This DTR tests…

patellar

A

L4

40
Q

This DTR tests…

achilles

A

S1

41
Q

abnormal babinski finding and what lesion?

A

upward fan (UMN lesion)

42
Q

What lesion?

spastic weakness

hyper-reflexia
(+) babinski

A

UMN

43
Q

What lesion?

flaccid weakness

hypo-reflexia
atrophy
fasciculations

A

LMN

44
Q

What lesion?

Face/arm > Leg or Leg > Face/arm

hemi-sensory w. motor deficit

aphasia

apraxia (how to put clothes on, everyday activities)

agnosia

A

cortical

45
Q

What lesion?

dense unilateral motor/sensory deficit

face/arm = leg

movement d/o

A

subcortical

46
Q

What lesion?

aphasia, neglect (of complete side)

A

cortex

47
Q

What lesion?

chorea
ballism
tremor
cogwheeling

A

subcortical

48
Q

What lesion?

ataxia
dysmetria

A

cerebellum

49
Q

What lesion?

ataxia, dysmetria

A

cerebellum

50
Q

What lesion?

CN palsy + crossed sign

A

cerebellum

51
Q

What lesion?

sensory level
b/b involvement
saddle anesthesia

A

spinal cord

52
Q

What lesion?

fasciculations

A

motor neuron

53
Q

what lesion

distal weakness/sensory
stocking glove
decreased reflexes

A

Peripheral nerve

54
Q

What lesion?

fatigability

A

NMJ

55
Q

What lesion?

proximal weakness
no sensory involvement

A

muscle