Sachen 9 questions

Question 1

left uncal herniation findings

Answer 1

left side pupil dilation, ptosis, down and out gaze

contralateral hemiplegia and positive babinski sign

Question 2

eye findings in someone who is in a coma with liver abnormality

Answer 2

pupils will be reactive and relatively normal
eyes may be adducted and downward
icteric sclera
astirixis

Question 3

response to caloric stimulation (dolls eyes)

Answer 3

normal response with cold water going into right ear, eyes shift right

no response when cold water put into left ears

brainstem/pons damage on the left side

Question 4

wallenburg’s syndrome (LMS) if deficit is on left side what side is horner’s syndrome on

Answer 4

ipsilateral side

Question 5

nystagmus with labyrinthe problems

Answer 5

transient, fixed, horizontal, rotary nystagmus

Question 6

menier’s disease

Answer 6

tinnitus, vertigo/dizziness, and hearing loss
-won’t always have all 3
fullness or fuzzy full feeling in one ear
-low frequency sound loss

Question 7

drugs that can cause hearing loss

Answer 7

aminoglhycosides (gentimyocin)

Question 8

romberg sign

Answer 8

problem with posterior columns and proprioception when positive

-lose balance when eyes are closed

Question 9

friedrichs ataxia

Answer 9

young person disease
usually die of cardiomyopathy
ataxia
progressive for 10-20 years
hyporelexia in lower exgtremity 
poor bibratory sensation in lower limbs
dysarthria