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Neuro #1
N/A
60
Medical
Graduate
06/17/2013

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Cards

Term
Glasgow Coma Scale
How many points for spontaneous eye opening
Definition
4 points
Term
Glasgow Coma Scale
How many points for opening eyes in response to speech
Definition
3 points
Term
Glasgow Coma Scale
How many points for opening eyes in response to pain
Definition
2 points
Term
Glasgow Coma Scale
How many points if the pt cannot open their eyes
Definition
1 point
Term
Glasgow Coma Scale
How many points for confused verbal response
Definition
4 points
Term
Glasgow Coma Scale
How many points for nonsense verbal response
Definition
3 points
Term
Glasgow Coma Scale
How many points for silence (no verbal response)
Definition
1 points
Term
Glasgow Coma Scale-Basic Motor Response
How many points for arm flexion
Definition
3 points
Term
Glasgow Coma Scale-Basic Motor Response
How many points for arm extension
Definition
2 points
Term
What is the critical score on Glasgow Coma Scale
Definition
8 points
Term
What Glasgow coma scale is rated as moderate
Definition
9 to 11
Term
What Glasgow coma scale is rated as mild
Definition
>/=12
Term
TBIs are graded on a scale from mild to profound,
Name 3 things this grading is based upon
Definition
Severity of injury
Loss of consciousness
Post trauma amnesia
Term
Definition of Profound TBI
Definition
Persistent Coma
Post-trauma amnesia for more than 7 days
Term
Definition of Severe TBI
Definition
Loss of consciousness and post-trauma amnesia for more than 24 hours
Term
Loss of concious for 20min to 1 hour corresponds to what grade of TBI
Definition
Moderate
Term
How long do the symptoms of a mild TBI tend to last
Definition
Usually gone within 3 months, last longer in 25-30%
Term
Is a right or left brain injury patient more likely to deny their problems and try to return to driving
Definition
Right side is more likely due to poor awareness of deficits, decreased analytical skills and impaired awareness of body and surroundings
Term
Which part of the brain is involved in the ambient system (Where am I?) or the Orientation Pathway
Definition
Midbrain (superior colliculus)
Term
Main functions of Limbic Lobe
Definition
Emotions, drive, memory
Term
Main functions of Temporal Lobe
Definition
Expressive/Receptive Language
Sequencing
Motion Perception
Object/Color Identification
Auditory
Memory
Emotion Processing
Term
Main functions of Parietal Lobe
Definition
R/L Discrimination
Topographical Orientation
Spatial Relations
Motor Planning in Space
Spatial Awareness
Senses (touch, taste, temp etc.)
Math/Logic
Term
Main Functions of Occipital Lobe
Definition
Vision -color, contrast, contour, acuity
Voluntary Pursuits
Binocular vision
Term
Main Functions of Frontal Lobe
Definition
Executive Function
Initiation/Goal Planning
Motor Planning
Problem Solving
Judgement
Inhibition of Behaviour
Self-monitoring
Term
How will damage to Brodman Area 17 affect vision
Definition
Compromised Visual acuity and visual field
Term
How may damage to Brodman Area 18 affect vision
Definition
Compromised word and letter recognition
Term
How may damage to Brodman Area 19 affect vision
Definition
Agnosia/Object recognition deficits
Term
How may damage to Brodman Area 8 affect vision
Definition
Deficient eye movements, visual info gathering, visual-closure, F/G, visual-memory
Term
Is impaired brain metabolism primary or secondary brain injury
Definition
Secondary
Term
Is subdural hemorrhage priamry or secondary brain injury
Definition
primary
Term
Is free radical formation primary or secondary brain injury
Definition
Secondary
Term
How do Reactive Oxygen Species produced secondary to brain injury affect metabolism
Definition
Weakens antioxidant defenses
ROS lipid peroxidation degrades membranes which changes/disrupts energy metabolism
Term
Which substance, when found in the brain, indicates brain injury has occurred
Definition
MDA (malondialdehyde)
Term
Name 3 'substances' that cause brain damage on a neurochemical level (trifecta according to Dr.L)
Definition
Glutamate
Free Radicals
Nitric Oxide
Term
How does excess Ca affect cell structure
Definition
Excess calcium disrupts microtubule construction and function
Term
Presentation of CN III Palsy
Definition
Ptosis
Hypoexotropia
dilated/fixed pupil
Accommodative paralysis
Term
Presentation of CN IV Palsy
Definition
Head tilt to contra-lateral side
Term
V1 Dorsal Pathway
Definition
From LGN through ipsilateral V1, through V2 , to dorsomedial area and MT and to posterior parietal cortex
Term
V1 Ventral Pathway
Definition
From LGN through ipsilateral V1, through V2, through V4 and then inferior temporal cortex
Term
What is the first visual associated area
Definition
V2
Term
Definition of Associative Agnosia
Definition
Unable to recognize/name objects by site (can do perceptual grouping but not specific recognition)
Term
Which is more severe, associative or apperceptive agnosia
Definition
Apperceptive is more severe visual-perceptive problems
Term
4 Terms for profound insensitivity to half of visual field
Definition
Visual Imperception
Neglect
Hemispatial agnosia
Hemiinattention
Hemiimperception
Term
Visual imperception is more severe when the damage is more anterior or posterior?
Definition
Posterior
Term
Visual imperception is more severe when the damage is on the right or left side?
Definition
Right side
Term
2 Varieties of Visual Imperception
Definition
1) Contralateral imperception (VF loss)
2) Visual Extinction
Term
2 Modes of Visual Processing
Definition
Focal and Ambient
Term
What aspects of vision are mediated by the 'ambient system'
Definition
Spatial orientation, posture and motion
Term
Ambient vs. Focal systems=which is more vulnerable to damage
Definition
Ambient System
Term
Def'n of PTVS
Definition
Post-Traumatic Vision Syndrome
Term
What does the acronym ACE PLUS describe
Definition
Signs of PTVS
Term
A in ACE PLUS
Definition
Accommodative dysfunction
Term
C in ACE PLUS
Definition
Convergence Insufficiency
Term
E in ACE PLUS
Definition
Exotropia/phoria
Term
P in ACE PLUS
Definition
Poor fixations & Pursuits
Term
L in ACE PLUS
Definition
Low blink rate
Term
U in ACE PLUS
Definition
Unstable Ambient Vision
Term
S in ACE PLUS
Definition
Spatial Disorientation
Term
Which direction does the midline tend to shift in Visual Midline Shift Syndrome
Definition
Will shift AWAY relative to affected side
Term
Which direction do people tend to lean in Visual Midline Shift Syndrome
Definition
Lean away from affected side
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