Exam 1 Flashcards
(241 cards)
Is horizontal or vertical nystagmus more often pathological?
vertical
Does a cortical stroke affect the frontalis muscle?
no
Which grade is muscle strength against only gravity?
three
What is the only toe that matters for Babinski?
Big toe
What does a crossed brainstem injury mean?
sensory on one side and motor on the other
Prominent dysarthria could manifest as a lesion where in the CNS?
cerebellum
What two systems get involved with a myelopathy?
bladder and bowel
When would a person with M.G. feel stronger?
morning
Does a neuropathy effect proximal or distal vessels?
distal
Does a myopathy effect proximal or distal vessels?
proximal
Do both or one hemisphere have to be affected to cause coma?
both
Is the Reticular Activating System in the anterior or posterior pons?
posterior
The neurological exam in a comatose patient is designed to evaluate what?
brainstem
Respiration requires what two parts of the CNS to be intact?
forebrain and brainstem
What is the rate during central neurogenic breathing?
25+
Is Cheyne-Stokes a problem in the brainstem?
no
What do the pupils look like with a thalamic stroke?
small but reactive
What do the pupils look like with a midbrain stroke?
midposition and fixed
What do the pupils look like with a pontine stroke?
pinpoint but reactive
What do the pupils look like with an uncal stroke?
dilated and UNSYMMETRIC and fixed
Do the eyes move towards or away during cold water during caloric testing?
towards
Do the eyes move towards or away during warm water during caloric testing?
away
Does decorticate posturing cause flexion or extension of the upper extremities?
flexion
Does decorticate posturing cause flexion or extension of the lower extremities?
extension