Prep 1 Flashcards
A 35-year-old woman is moving spontaneously and opening her eyes but uttering only unintelligible sounds. Her husband reports that she has been unwell for about 48 hours. She initially seemed lethargic and a bit vague. This morning her speech was hesitant, and she had difficulty finding the words she was looking for. She has now had 2 generalized tonic-clonic epileptic seizures. She has previously been in good health. Her temp is 39.9 degrees
herpes simplex encephalitis
What is often first damaged in diabetic neuropathy?
dorsal column (fine touch, vibration and conscious proprioception)
Pain on eating or shaving
trigeminal neuralgia
Nerve supply to quadraceps?
Femoral nerve
Nerve supply to lateral thigh?
lateral cutaneous nerve of the thigh
Nerve damage when doing IM injection at buttock?
sciatic nerve
What does sciatic nerve divide into at popliteal fossa?
tibial nerve (posterior compartment) common peroneal nerve (anterior and lateral compartments)
What supplies web space of great toe?
deep peroneal nerve
What are the accessory muscles of inspiration and innervation?
sternocleidomastoid and scalenous CN XI (accessory nerve)
What is the recurrent laryngeal nerve a branch of?
CN X (vagus)
Where do the left and right recurrent laryngeal nerves loop?
Left under arch of aorta
Right under right subclavian artery
CNXII palsy?
tongue deviates to affected side
Tremor with past pointing and unsteady gait
cerebeller
Resting tremor that disapears when stretching out hand
PD
Part of the brain that controls temperature?
hypothalamus
Muscle that raises eyebrows and innervation?
frontalis muscle
Facial nerve CN VII
Muscles of mastication innervation?
trigeminal V3
Visual field defect by pituitary adenoma compressing optic chiasm?
bitemporal hemianopia
Nerve supply to medial aspect of the shin?
L4 saphenous nerve (femoral)
Sensory nerve fibres associated with dull aching pain?
C fibres
What part of the brain is involved in motor actions without conscious control?
cerebellum
What pathophysiological cause of headache is suggested when headache is worse in the morning and on bending forward, coughing, sneezing, streaming and lying down?
raised intracranial pressure
What is L-dopa metabolised to?
dopamine
used in PD
What side does fine touch ascend?
ipsilateral (dorsal columns)
