Neuro: Anatomy

Question 1

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

Answer 1

epidural hematoma, Middle miningeal a.

Question 2

Whiplash injury

insidious onset of CNS sxs

crescent shape on CT

slow bleed

What type of bleed, what vascular structure?

Answer 2

bridging veins

subdural

Question 3

Epidural hematoma CT finding

Answer 3

elliptical/lens

Question 4

“Worse headache of life”

rapid deterioration

sxs after valsalva

middle age female

crab-like appearance in middle of CT

Answer 4

Subarachnoid hemorrhage

aneurysm

Question 5

PICA arises from the _____

Answer 5

basaliar a.

Question 6

What CNs are inside the cavernous sinus?

Answer 6

III, IV, V (except V3), VI

Question 7

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

Answer 7

cavernous sinus

Question 8

what artery passes through the cavernous sinus

Answer 8

internal carotid

Question 9

Pt. P/w

eye pain
diplopia
proptosis

chemosis
impaired EOMs
Decreased Facial Sensation

Orbital Bruit

Answer 9

Carotid-Cavernous Fistula or aneurysm

Question 10

Central sulcus separates the _____ from the _______

Answer 10

motor cortex (frontal)

sensory cortex (parietal)

Question 11

Which lobe?

Voluntary movements
executive functions

Answer 11

frontal

Question 12

which lobe?

memory
language
understanding

Answer 12

temporal lobe

Question 13

which lobe?

perception
making sense of the world
math
spelling

Answer 13

parietal lobe

Question 14

Which lobe?

vision

Answer 14

occipital lobe

Question 15

Which spinal cord tract?

rhomberg abnormalities

vibration, proprioception

Answer 15

posterior tract

Question 16

Which spinal cord tract?

Pain, temp

Answer 16

lateral spinothalamic

Question 17

Which spinal cord tract?

voluntary movement

Answer 17

lateral corticospinal

Question 18

Where is the lesion?

aphasia

neglect

hemianopia

UMN hemiparesis

hemisensory face/arm > leg

Answer 18

cortex

Question 19

Where is the lesion?

dense hemiplegia (face/arm = leg)

abnormal movements (chorea, tremor, cogwheel, etc)

Answer 19

subcortical

Question 20

Where is the lesion?

truncal vs limb ataxia and dysmetria (finger nose test)

Answer 20

cerebellum (coordination)

Question 21

Where is the lesion?

CN Palsies + Crossed signs (face opposite of arm)

Answer 21

brainstem

Question 22

Where is the lesion?

paraparesis
bowel/bladder involvement
saddle anesthesia
sensory level

Answer 22

spinal cord

Question 23

Where is the lesion?

no sensory involvement
fasciculations

Answer 23

LMN

Question 24

Where is the lesion?

distal weakness & sensory involvement

stocking glove

areflexia/hyporeflexia

Answer 24

peripheral nerve

Question 25

Where is the lesion? fatiguability no sensory involvement normal DTRs

Answer 25

NMJ

Question 26

Where is the lesion? proximal weakness symmetric no sensory involvement

Answer 26

muscle

Question 27

sensation to the face...

Answer 27

CN V

Question 28

motor of the face...

Answer 28

CN VII

Question 29

Pupillary reflex...

Answer 29

CN II --> CN III

Question 30

Corneal Reflex...

Answer 30

V1 --> VII

Question 31

Vestibulo-ocular reflex

Answer 31

CN VIII --> V1 and CN III

Question 32

Gag reflex

Answer 32

IX --> X

Question 33

"Lick your lesion"

Answer 33

CN XII

Question 34

Spasticity is velocity dependent... indicates...

Answer 34

UMN

Question 35

Rigidity is velocity independent cogwheel rigidity

Answer 35

basal ganglia

Question 36

This DTR tests... biceps

Answer 36

C5, C6

Question 37

This DTR tests... brachioradialis

Answer 37

C6

Question 38

This DTR tests... triceps

Answer 38

C7

Question 39

This DTR tests... patellar

Answer 39

L4

Question 40

This DTR tests... achilles

Answer 40

S1

Question 41

abnormal babinski finding and what lesion?

Answer 41

upward fan (UMN lesion)

Question 42

What lesion? spastic weakness hyper-reflexia (+) babinski

Answer 42

UMN

Question 43

What lesion? flaccid weakness hypo-reflexia atrophy fasciculations

Answer 43

LMN

Question 44

What lesion? Face/arm > Leg or Leg > Face/arm hemi-sensory w. motor deficit aphasia apraxia (how to put clothes on, everyday activities) agnosia

Answer 44

cortical

Question 45

What lesion? dense unilateral motor/sensory deficit face/arm = leg movement d/o

Answer 45

subcortical

Question 46

What lesion? aphasia, neglect (of complete side)

Answer 46

cortex

Question 47

What lesion? chorea ballism tremor cogwheeling

Answer 47

subcortical

Question 48

What lesion? ataxia dysmetria

Answer 48

cerebellum

Question 49

What lesion? ataxia, dysmetria

Answer 49

cerebellum

Question 50

What lesion? CN palsy + crossed sign

Answer 50

cerebellum

Question 51

What lesion? sensory level b/b involvement saddle anesthesia

Answer 51

spinal cord

Question 52

What lesion? fasciculations

Answer 52

motor neuron

Question 53

what lesion distal weakness/sensory stocking glove decreased reflexes

Answer 53

Peripheral nerve

Question 54

What lesion? fatigability

Answer 54

NMJ

Question 55

What lesion? proximal weakness no sensory involvement

Answer 55

muscle