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pirotte Neuro
lang, move, vision, hearing, vestibular problems
58
Other
Not Applicable
09/26/2005

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Cards

Term
what sort of lesion is found in Broca's aphasia?
Definition
post inf frontal lobe
Term
what is often comorbid with Broca's?
Definition
hemiparesis
Term
what is the lesion in Wernicke's aphasia?
Definition
post sup temporal lobe
Term
what is the lesion in conduction aphasia?
Definition
arctuate fasc
Term
how is fluency in Broca's?
Definition
non
Term
how is fluency in Wernicke's?
Definition
ok
Term
how is comprehension in Broca's?
Definition
ok
Term
how is comprehension in Wernike's?
Definition
poor
Term
how is fluency in conduction aphasia?
Definition
ok
Term
how is comprehension in conduction aphasia?
Definition
intermediate
Term
5 elements of normal gait
Definition
strength (UMN, LMN) Coordination (cerebellum) Posture (extrapyramid) Sensation (DCT) Memory/Concept
Term
ataxic gait indicates?
Definition
DCT/cerebellum
Term
hemiplegic gait indicates?
Definition
stroke?
Term
steppage gait indicates?
Definition
foot drop (peroneal n. vs L5)
Term
duck waddle indicates?
Definition
myopathy
Term
scissors gait indicates?
Definition
CST
Term
what is festination?
Definition
Park gait, leaning forward and then running to catch up
Term
what is Friedrich's ataxia?
Definition
a problem w/ the dorsal spinal cord
Term
what causes Friedrich's ataxia?
Definition
trinuc repeat
Term
resting tremor indicates?
Definition
park
Term
kinetic tremor indicates?
Definition
cerebellum
Term
what is athetosis?
Definition
slow, continual, writhing of limbs
Term
what is knocked out in Huntington's to produce chorea?
Definition
caudate
Term
what is hemiballismus?
Definition
rapid, violent flinging of proximal limbs
Term
what is dystonia?
Definition
continual contraction of muscles
Term
what is tic?
Definition
repetitive, semipurposeful, stereotyped movement
Term
what is myoclonus?
Definition
rapid, shocklike movements of the arms
Term
what is asterixis?
Definition
loss of postural tone of hands/feet
Term
how does one treat a Park temor?
Definition
antichol, L-dopa, DA-ags
Term
how does one treat an essential tremor?
Definition
B-blockers, barbs
Term
how does one treat choreoathetosis, ballismus, and tics?
Definition
DA-antags
Term
how does one treat dystonia?
Definition
antichol, benzos, botox
Term
sx assoc w/ lesion of frontal lobe
Definition
disinhibition, lack of concern, poor judgement, apathy, poor hygiene, imcontinence, sexual behavior, slowed/distractable fxn, frontal lobe release signs, gegenhalten
Term
sx assoc w/ lesion of the temporal lobe
Definition
B/L: amnesia (hippo), cortical deafness, Kluver-Bucy. dominant u/l: Wernicke's aphasia
Term
sx assoc w/ lesion of parietal lobe
Definition
sensory deficit, anosognosia, hemispat neglect, dressing/construction apraxia, Gerstmann's
Term
what causes Gerstmann's?
Definition
dominant parietal lobe lesion
Term
sx of Gerstmann's (4)?
Definition
agraphia, R-L problems, dyscalculia, finger agnosia
Term
sx assoc w/ lesion of the occipital lobe
Definition
B/L: denial of cortical blindness, visual agnosia U/L: color anomia
Term
what are the frontal lobe release signs?
Definition
suck/snout, root, grasp
Term
what is anosognosia?
Definition
pt unawareness of hemiparesis
Term
signs/sx of delirium
Definition
fluctuating attn, conc, motor activitiy; impairment of mem/lang/thinking/coord; mood change/halluc; motor signs
Term
eval of dementia
Definition
hx, focal neuro exam, neuropsych exam, imaging, blood/CSF
Term
gross path of Alz?
Definition
dec brain weight, gen atrophy of cortex, enlargement of ventricles
Term
histopath of Alz?
Definition
gliosis/neuron loss in subcortical nn: cholinergic n. basilis, NEergic LC, 5HTergic raphe midline
Term
rx for Alz (limited)
Definition
AChEi, NSAIDS, estrogen, sedative
Term
"memory circuit"
Definition
hippo-mamm-ant n.
Term
with what sort of lesion might you see perseveration?
Definition
frontal
Term
with what sort of lesion might you see agraphesthesia?
Definition
parietal
Term
diagnostic microscopic features of Alz
Definition
B-amyloid plaques, neurofibrillary tangles
Term
what causes optic atrophy?
Definition
loss of ganglion cell axons
Term
sudden visual loss + pain w/ EOM, optic disk appears swollen
Definition
optic neuritis (MS)
Term
field deficit assoc w/ pituitary tumor
Definition
initial b/l sup temp quantopsia, eventual ditemporal hemianopsia
Term
field deficit assoc w/ temporal lobe tumor
Definition
c/l superior homo quandrantopsia
Term
what might one conclude if the NB/DH test resulted in right nystagmus?
Definition
that the post ssc on that lowered side is "overly sensitive"
Term
conductive hearing loss hi/lo?
Definition
lo
Term
sensineural hearing loss hi/lo?
Definition
hi
Term
what is Meniere's disease?
Definition
membranous labyrinth swells and ruptures
Term
sx of Meniere's?
Definition
vertigo, tinnitus, deafness, nystagmus, ataxia
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