Path: Neuromuscular, Head and Neck

Question 1

T/F: A right coronary artery stroke will lead to left eye problems.

Answer 1

False

Ipsilateral eye

Contralateral hand

Question 2

What is the biggest risk factor for a stroke?

Answer 2

Uncontrolled hypertension

Question 3

Which type of stroke is caused by an embolism in the brain?

Answer 3

Ischemic stroke (80%)

Question 4

T/F: Subarachnoid hemorrhage is normally a traumatic injury?

Answer 4

False

Normally caused by ruptured aneurism - CIRCLE of WILLIS

Question 5

T/F: The majority of brain hematomas are in the epidural region.

Answer 5

False

Subdural

Question 6

Which artery is often implicated in an epidural hematoma?

Answer 6

Middle meningeal

Question 7

T/F: Epidural hematoma involves a lucid interval.

Answer 7

True

Question 8

What is the triad of symptoms for meningitis?

Answer 8

1. Fever
2. Headache
3. Neck stiffness

Question 9

What is the most common primary malignant brain tumor?

Answer 9

Glioblastoma multiforme

Question 10

What is the most common primary benign tumor of the brain?

Answer 10

Meningioma

Question 11

When is a Schwanoma called an Acoustic Schwanoma?

Answer 11

When its on CN VIII

Question 12

What is caused by Multiple Sclerosis (MS)?

Answer 12

Causes demyelination in the CNS - White Matter

Question 13

How is MS diagnosed?

Answer 13

Two separate CNS lesions on two or more occasions

Question 14

What disease causes PNS demyelination?

Answer 14

Guillan-Barre syndrome (GBS)

Question 15

Which receptors are effected in a patient with Myesthenia Gravis?

Answer 15

AcCh receptors on postsynaptic side of NMJ

Young women, old men

Question 16

What tumor is more common in patients with MG?

Answer 16

Thymus

Question 17

What are the hallmarks of Alzheimer’s?

Answer 17

Amyloid plaques and nuerofibrillary tangles

Question 18

What are the four clinical signs of Parkinson’s?

Answer 18

1. Resting tremor
2. Rigidity
3. Akinesia
4. Shuffling gait

Question 19

Which part of the brainstem is effected by Parkinson’s?

Answer 19

Substantia nigra

Question 20

T/F: Parkinson’s results from a deficiency in dopamine.

Answer 20

True

Question 21

What is the histological hallmark of Parkinson’s disease?

Answer 21

Lewey bodies

Question 22

What are the two organisms that will cause otitis media?

Answer 22

1. H. influenza

2. Strep. pneumonia

Question 23

Where are 80% of salivary gland tumors?

Answer 23

Parotid gland (serous, CN IX)

Question 24

What nerve is a concern when removing a salivary gland tumor?

Answer 24

Facial nerve running through the parotid

Question 25

What is the most common salivary benign tumor?

Answer 25

Benign mixed tumor (pleomorphic adenoma)

Question 26

What is the most common salivary malignancy?

Answer 26

Mucoepidermoid carcinoma

Question 27

What is another name for papillary cystadenoma lyphomatosum?

Answer 27

Warthin's Tumor 2nd most common benign salivary tumor

Question 28

T/F: Warthin's tumors are often seen bilaterally at different times.

Answer 28

True

Question 29

_______ patients are referred to as pink puffers. _______ patients are referred to as blue bloaters.

Answer 29

Emphysema; chronic bronchitis

Question 30

T/F: Emphysema patients produce excess sputum.

Answer 30

False Chronic bronchitis

Question 31

What is the definition of chronic bronchitis?

Answer 31

Chronic productive cough for at least 3 months of the year for 2 years

Question 32

What two conditions make up asthma?

Answer 32

1. Acute reversible bronchoconstriction | 2. Chronic inflammation of airways

Question 33

What causes most restrictive lung disorders?

Answer 33

Exposures (pneumoconiosis)

Question 34

Most inhalers for acute asthma are what type of drug?

Answer 34

B2 agonists

Question 35

What is the most common/serious pneumoconiosis

Answer 35

Silicosis

Question 36

Which type of organism causes Tb?

Answer 36

Mycobacterium (no cell wall)

Question 37

What is the number one symptom of Tb?

Answer 37

Night sweats

Question 38

What is the most common cause of pneumonia in infants?

Answer 38

RSV

Question 39

T/F: Bacterial pneumonia is typically more serious than viral.

Answer 39

True Strep

Question 40

Smoking will cause what type of lung cancer?

Answer 40

Small cell (oat cell) or squamous cell carcinoma

Question 41

T/F: Small cell carcinoma is related to paraneoplastic syndromes.

Answer 41

True Most aggressive lung cancer

Question 42

T/F: Peripheral lung cancers (adenocarcinoma, large cell) are highly associated with smoking.

Answer 42

False