Neuro VI Flashcards

(39 cards)

1
Q

Some Say Money Matters But My Brother Says Big Boobs Matter Most

A
1 - sensory
2 - sensory
3 - motor
4 - motor
5 - both
6 - motor
7 - both
8 - sensory
9 - both
10 - both
11 - motor
12 - motor
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2
Q

trigeminal n

A

CN 5

mastication
face sensation
sense anterior 2/3 tongue

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3
Q

trochlear n

A

CN 4

motor to superior oblique of eye

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4
Q

nerve through parotid gland

A

facial n innervation of stapedius in ear

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5
Q

carotid body and sinus chemo/baroreceptors

A

glossopharyngeal

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6
Q

vagal nucleus

A

nucleus solitarius - sense - 7, 9, 10
nucleus ambiguus - swallowing - 9, 10, 11
dorsal motor nucleus - parasympathetics - 10

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7
Q

corneal reflex

A

in 5a

out 7 - temporal branch - orbicularis oculi

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8
Q

lacrimation reflex

A

in 5a

out 7

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9
Q

jaw jerk reflex

A

in 5c - muscle spindle of masseter

out 5c - motor masseter

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10
Q

pupil reflex

A

in 2

out 3

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11
Q

gag reflex

A

in 9

out 10

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12
Q

CN 5 motor lesion

A

jaw toward side of lesion

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13
Q

CN 10 lesion

A

uvula deviate away from lesion

weak side collapses

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14
Q

CN 11 lesion

A

weak turn head to C/L side (SCM)

shoulder droop side of lesion - trap

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15
Q

CN 12 lesion

A

LMN

tongue deviate toward side of lesion

lick your wound

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16
Q

cavernous sinus

A

collection either side of pituitary

from eye and superficial cortex to internal jugular vein

CN pass through

  • 3, 4, 5a, 6 - SOF also**
  • sometimes 5b
  • postganglionic sympathetic fibers
  • also - ICA pass through
17
Q

cavernous sinus syndrome

A

variable ophthalmoplegia
loss corneal sensation
horner syndrome
decreased maxillary sensation

with pituitary mass

most susceptible - cranial nerve 6

18
Q

middle ear

A

malleus
incus
stapes

19
Q

inner ear

A

cochlea

low frequency - apex
high frequency - base

20
Q

conductive hearing loss

A

bone > air - rinne

localize affected ear - weber

21
Q

sensorineural hearing loss

22
Q

noise indue hearing loss

A

damage stereociliated cells - organ of corti

loss high frequency first

23
Q

cholesteatoma

A

overgrowth desquamated keratin - in middle ear

conductive hearing loss

24
Q

UMN facial n lesion

A

C/L paralysis lower face

upper spared - B/L UMN innervation

25
LMN facial n lesion
I/L paralysis upper and lower face
26
facial n palsy
ipsilateral facial paralysis with lyme herpes simplex and herpes zoster (ramsay hunt syndrome) also sarcoid, amyloid, tumor, diabetes
27
mastication muscles
masseter temporalis medial pterygoid innervation - 5c - trigeminal
28
aqueous humor production
ciliary epithelium - beta
29
iris sphincter
M3
30
iris dilator
a1
31
hyperopia
light focus behind retina
32
myopia
light focus in front of retina
33
astigmatism
abnormal curved cornea
34
presbyopia
impaired accommodation - can't focus near objects lens elasticity
35
cataract risk fx
age, smoking, ethanol, sunlight, corticosteroid use ``` classic galactosemia galactokinase deficiency DM - sorbitol deposits trauma infection ```
36
open angle glaucoma
age, AA, fam hx painless secondary - blocked trabecular meshwork - from WBCs (uveitis), RBCs (hemorrage), or retinal element
37
closed angle glaucoma
foward movement lens against central iris obstruct aqueous flow secondary - retinal hoxpixa - vasoproliferation of iris - contract angle
38
acute closed angle glaucoma
emergency painful, red eye, vision loss, halo around light CI - epinephrine
39
uveitis
inflammation of uvea hypopyon - accumulation pus anterior chamber or conjunctival redness with systemic inflammatory conduction - sarcoid, RA, juvenile idiopathic arthritis, HLA-B27 conditions)