Neuro: lecture 1 Flashcards

(47 cards)

1
Q

capgras delusion

A

-recurrent belief that a person has been replaced by an imposer
-lesion in R hemisphere

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2
Q

stiffperson syndrome

A

-diffuse stiffness w/o weakness or numbness
-autoimmune syndrome

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3
Q

prosopagnosia

A

-inability to recognize faces of familiar people
-usually R hemisphere lesion

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4
Q

level of consciousness
most alert –> least (4)

A

alert, lethargy, stupor, coma

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5
Q

awake and interactive

A

alert

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6
Q

appears asleep, but may be aroused with stimulation to interact with environment

A

lethary

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7
Q

what is stupor?

A

arouses briefly to vigorious stimuli, but not to point of being interactive

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8
Q

what is coma?

A

unresponsive to external stimuli

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9
Q

what is an indicator that the issues ir more psychiatric than cognitive

A

person does not know who they are

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10
Q

dysarthria

A

slurred speech
- motor disorder affecting muscles of articulation

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11
Q

aphasia

A

impairment of language production or comprehension
-broca’s and wernicke’s area

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12
Q

What are the components of language?

A

spontaneous speech, naming, comprehension, repetition, reading, writing

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13
Q

role of angular gyrus?

A

links written word with language

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14
Q

where is Broca’s area?

A

left inferior frontal
*lang production

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15
Q

where is Wernicke’s area?

A

superior temporal gyrus
*comprehension

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16
Q

dysguesia

A

altered taste

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17
Q

what muscles are innervated by oculomotor n?

A

SR, IR, MR, IO,

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18
Q

what muscles are innervated by trochlear n?

A

SO

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19
Q

what muscles are innervated by abducens n?

20
Q

What does swinging flashlight test mean if theres no constriction?

A

problem with ipsi optic nerve

21
Q

what if when doing the swinging flashlight test theres no constriction in the opposite pupil?

A

problem with opposite optic nerve, ipsilateral parasympathetics of CN3, or pupillary constrictor muscle

This is wrong

22
Q

what two cranial nerves are responsible for corneal reflex?

A

CN V and VII

*look for eyelid blinking

23
Q

in a central lesion how does the face appear?

A

lower half of face weak on contralateral side

24
Q

in a peripheral lesion how does the face look?

A
  • Bell’s Palsy
    entire half of face weak on ipsilateral side
25
little resistance to passive moment
flaccidity
26
steady muscular tension that is equal in degree in opposing muscle groups
rigidity
27
sustained increase in tension of a muscle when it is passively lengthened (speed dependent)
spasticity
28
what and where do you see the pyramidal pattern?
UMNL flexors stronger in UE, extensors stronger in LE
29
stiffness, spasticity, hyperreflexia, babinski, hoffman signs are all seen in?
UMNL
30
weakness, atrophy, fasciculations, cramps are all seen in?
LMNL
31
in LMNL is there sensory involvement or pain?
NO that's why they're hypoactive reflexes!
32
patella reflex nerve root
L4
33
achillies reflex nerve root
S1
34
the lateral spinothalamic tract vs ventral spinothalamic tract?
lateral: pain and temp ventral: light touch
35
DCML responsible for what sensations?
vibration and proprioception
36
what is a positive romberg sign?
pt can stand EO with feet together sway or fall with EC
37
what sign is one of the earliest of dorsal column disease?
romberg sign
38
station vs gait?
station: attitude and manner of standing, including posture gait: access width of base, arm swing, pelvic rotation, height of step, symmetry test forward,backward, toes, heels,tandem, arising from seated position
39
complications of lumbar puncture
-post LP headache -bleeding -infection -back pain -rare: herniation, nerve injury
40
CT/CAT scan disadvantages
-radiation exposue -poor visualization of brainstem
41
CT scan hyperdense (bright) areas?
calcium, bone, blood
42
CT scan hypodense (dark) areas?
CSF, fat, could be swelling
43
t/f white matter is darker than grey matter
TRUE
44
advantages of CT scan
-emergency diagnosis of acute conditions -blood easily seen -quickly avaliable -only option for contraindicated to MRI -visualization of bone -high resolution of vascular structures
45
advantages of MRI
-no radiation exposure -higher resolution,better clarity -unmarred by bone artifact
46
disadvantages of MRI
-some contraindications (pacemakers) -cant access bone -long acquisition time
47