PBL Flashcards

1
Q

What is the cause of papilledema

A

Increased intracranial pressure

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2
Q

If the foot drop were a result of an injury to the ventral horn of the spinal cord which of the following symptoms would be expected?

A

Hyporeflexia, hypotonia, fibrillations, motor impairments in a myotomal distribution

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3
Q

Where in the central nervous system are the cell bodies for the lower motor neurons of cranial nerve V located?

A

Pons

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4
Q

CN 7 exits the skull through which opening?

A

Stylomastoid foramen

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5
Q

If unilateral deficits consistent with CN5 are on the left side which side of the brain is affected?

A

Left

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6
Q

The patient is demonstrating gait and truncal ataxia primarily on the right, but does not demonstrate dysmetria. This would indicate that the tumor is in which part of the cerebellum?

A

R medial

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7
Q

CN 5 testing

A

Sensory testing of the entire face
Tell patient to open and close mouth
Tell patient to move mouth side to side !
Corneal Reflexes

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8
Q

If the foot drop were a result of an injury to a singleperipheral nerve due to vincristine toxicity which of the following symptoms would be expected?

A

Hyporeflexia
Hypotonia
Sensory impairments of peripheral nerve distribution
Fibrillations during an EMG
Motor impairments of peripheral nerve distribution

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9
Q

What is papilledema?

A

Swelling of the optic disc

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10
Q

An injury to which part of the nervous system is likely causing gait and truncal ataxia?

A

Spinocerebellum, vestibulocerebellum

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11
Q

Where in the nervous system are the cell bodies located for CN 3 and 4?

A

Midbrain

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12
Q

Which of the following is(are) consistent with gait and truncal ataxia?

A

Dysarthria, Difficulty with sitting/standing balance, wide based gait

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13
Q

What are the symptoms papilledema

A

Loss/blurred vision

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14
Q

If the tibial nerve were affected and the patient is at the park and gets a rock in the bottom of his shoe, which of the following statements would be accurate

A

He feels pain in the bottom of his foot without a painful stimuli
He has difficulty detecting the painful pebble

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15
Q

Where in the nervous system are the cell bodies located for CN 6?

A

Pons

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16
Q

Where in the nervous system are the cell bodies for CN 7 located?

A

Pons

17
Q

Based on an MRI and CT imaging, the child was diagnosed with a medullablastoma. Based on the signs and symptoms the child is demonstrating in the emergency department, which portions of the nervous system do you believe that the tumor has invaded?

A

Cb/pons