II - Neuro 1 Flashcards

1
Q

Which of the following is the most common sign of cerebellar disease? Select one.

Ataxia (incoordinated gait)

Head tilt

Head tilt and deviation

Tight circling in an area free of obstacles

A

Ataxia (incoordinated gait)

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2
Q

This is an image of a 2 month old Holstein calf demonstrating dorsomedial strabismus while the head is held by the examiner in a normal position (it is bilateral, trust me). For illustrative purposes the image shows the green line as the plane we would expect the oval pupil to be in and the red line the plane it is in. What is the neuroanatomical location of a lesion causing this sign? Select one.

Cerebral swelling/edema putting pressure on cranial nerve V (Trigeminal)

Cerebral swelling/edema putting pressure on cranial nerve X (Vagus)

Cerebral swelling/edema putting pressure on cranial nerve IV (Trochlear)

Cerebral swelling/edema putting pressure on cranial nerve VI (Abducens)

A

Cerebral swelling/edema putting pressure on cranial nerve IV (Trochlear)

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3
Q

Otitis media/interna commonly presents initially in dairy calves with a unilateral dropped ear on the affected side. Damage to which cranial nerve results in this sign? Select one.

Trigeminal (CN V)

Facial (CN VII)

Auriculopalpebral (CN VIII)

Trochlear (CN IV)

A

Facial CN VII

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4
Q

Which of the following is the most rational antibiotic choice to treat an acute case of otitis media/interna in a 1 month old dairy calf? Select one.

Oxytetracycline 200mg/mL according to label

Ceftiofur HCl (Excenel) according to label

Procaine penicillin G at the label dose

Tulathromycin (Draxxin) according to label

A

Tulathromycin (Draxxin) according to label

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5
Q

Polioencephalomalacia is a lesion of diseases that cause cerebral edema and neuronal death and swelling (cerebral swelling). Which of the following are causes of this Pathophysiologic Insult? Select all that apply.

Salt toxicity/water deprivation

Excessively high total dietary sulfur

Lead toxicity

Thiamine deficiency

A

All of these

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6
Q

Which of the following are accurate statements regarding listeriosis of ruminant livestock. Select all that apply.

An altered mental status (obtundedness) can be a Clinical Sign of listeriosis most commonly due to lesions of the brainstem

As would be expected with an infection, pyrexia is a consistent thus distinguishing feature of listeriosis.

A pronounced monocytosis on complete blood count is a consistent finding in cases of listeriosis and critical to diagnosis

Exposure to listeria may be greater when poorly made silage is fed and the risk of infection is greater with the eruption of permanent teeth that disrupts the oral mucosa.

A

An altered mental status (obtundedness) can be a Clinical Sign of listeriosis most commonly due to lesions of the brainstem

Exposure to listeria may be greater when poorly made silage is fed and the risk of infection is greater with the eruption of permanent teeth that disrupts the oral mucosa.

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7
Q

Which of the following would be a key distinguishing feature in the case presentation of a 5 year old ewe with cortical (cerebral signs) that would help differentiate water
deprivation from other common cortical diseases? Select one.

Dorsomedial strabismus

Opisthotonus

“Head pressing”

Hematuria

Hemoglobinuria

A

Hemoglobinuria

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8
Q

Thrombotic meningioenchphalitis (TME) is the neurologic manifestation of which of the following etiologic agents?

Mannheimia hemolytica

Histophilus somni

Mycoplasma spp.

Listeria monocytogenes

A

Histophilus somni

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9
Q

An 11 month old wether (castrated male) goat has presenting complaints of excessive salivation and trouble swallowing feed. Damage to which of the following cranial nerves could explain these presenting complaints?

VII (Facial)

IV (Trochlear)

X (Vagus)

IX (Glossopharyngeal)

A

X (Vagus)

IX (Glossopharyngeal)

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10
Q

When assessing cranial nerve function you will test the palpebral reflex. Fill in the blank with the two cranial nerves tested: ______ I feel it. _______ I blink.

A

V I feel it
VII I blink

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11
Q

Which of the following reflexes are tested to assess vision?

Corneal (V, VII)

Pupillary Light (CN II, III)

Palpebral (V, VII)

Menace (CN II, VII)

A

Pupillary light (CN II, III)

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12
Q

Tongue position and tone are evaluated to assess the function of this cranial nerve.

IX

X

VII

XII

A

XII

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13
Q

TRUE or FALSE:

Unconfined circling in the same direction is a key distinguishing feature of a central vestibular lesion caused by listeriosis of all ruminant animals.

A

FALSE

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14
Q

Which of the following are key distinguishing features consistent with a central vestibular lesion (eg. lesion involving the vestibular nuclei of the brainstem)?

Ataxia

Confined circling

Head deviation

Heat tilt

A

Ataxia
Head tilt
Head deviation

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15
Q

TRUE or FALSE:

Ataxia implies an uncoordinated gait which may be accompanied by muscle weakness or stiffness depending on the etiology.

A

FALSE

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16
Q

Ataxia presents as an uncoordinated gait. Cerebellar ataxia is commonly observed with what other presenting sign?

A

Hypermetria

17
Q

Ataxia presents as an uncoordinated gait. Vestibular ataxia is commonly observed with what other presenting signs?

A

Head deviation and unconfined circling

18
Q

Ataxia presents as an uncoordinated gait. Proprioceptive ataxia is commonly observed with what other presenting sign?

A

Abnormal limb placement

19
Q

Which of the following Presenting Signs are most commonly observed with cortical lesions?

Abnormal behavior

Head deviation

Base-wide stance

Ataxia

A

Abnormal behavior

20
Q

TRUE or FALSE:

Nystagmus is a consistent finding thus key distinguishing feature of a central vestibular lesion.

A

FALSE

21
Q

TRUE or FALSE:

Polioencephalomalacia is a disease of ruminant most commonly associated with a dietary deficiency of Vitamin B1 (Thiamine).

A

FALSE

22
Q

Which of the following are consistent gross necropsy findings readily observed with cortical disease resulting in polioencephalomalacia?

There are none

Coning of the cerebellar vermis

Widened, flattened gyri and edema in the sulci

Autofluorescence when viewed under black light

A

There are none

23
Q

TRUE or FALSE:

Thiamine deficiency is a common cause of ration associated polioencephalomalacia cortical disease.

A

FALSE

24
Q

Sulfur associated polioencephalomalacia is most commonly associated with high concentrations of sulfur in which of the following that pushes Total Dietary Sulfur concentration well above the max tolerable limit of 0.4% of total dietary intake?

Hay and or grain being fed

Water

Bracken fern present in pastures

A

Water

25
Q

TRUE or FALSE:

Serum sodium is the diagnostic test of choice to differentiate water deprivation from lead or sulfur toxicity as the etiology of cortical disease causing polioencephalomalacia lesions.

A

FALSE

26
Q

Which of the following are evidence-based effective treatments for cortical disease causing polioencephalomalacia lesions in ruminant livestock?

DMSO

Furosemide

Mannitol

Thiamine HCl (500mg/mL)

Vitamin B complex

Non-steroidal antiinflammatory

A

Thiamine HCl (500 mg/mL)
DMSO