Shared Flashcard Set

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Neurology
H&P
79
Medical
Graduate
08/16/2010

Additional Medical Flashcards

 


 

Cards

Term
CN III
Definition
Which cranial nerve is affected when a pt presents with a blown pupil?
Term
CN V
Definition
Which cranial nerve gives sensation of pain to the dura?
Term
headache
Definition
What symptom will an injury to CN V mainly present with?
Term
CN VII
Definition
Which cranial nerve needs to be assessed when a pt presents with stroke-like signs on the face?
Term
L5
Definition
Which spinal nerve is associated with movement of the big toe?
Term
Myesthenia Gravis
Definition
What should be considered when a pt presents with easy fatigue of eye and chewing muscles?
Term
Autonomic Nervous System
Definition
Which system receives sensory stimuli from the environment?
Term
Autonomic Nervous System
Definition
Which system orchestrates body function changes required for adaptation and survival?
Term

Hydrocephalus

 

 

*Will have demetia like symptoms

Definition
What will develop in the brain after a stroke if the CSF circulation is not working correctly?
Term
Middle Cerebral Artery
Definition
Most common site of stroke.
Term
Temporal Region
Definition
Which part of the brain is the Seizure center?
Term
Angular Gyrus
Definition
Which part of the brain deals with understanding metaphors and out-of body experiences (a sensation of floating outside of one's body).
Term
Auditory Primary Area
Definition
Which part of the brain is where signals from each ear are combined and transmitted to both ipsalateral (on the same side as the ear) and contralateral (on the opposite side of the ear) auditory cortex.
Term
Broca's Area
Definition
Which part of the brain deals with expressive language (speech or sign production and language processing)?
Term
Cerebellum
Definition
Which part of the brain deals with coordination, movement, balance and equilibrium?
Term
Motor Cortex
Definition
Which part of the brain deals with conscious movements of muscles, fine motor control of movement of different body parts (face, mouth, hands, etc.)?
Term
Olfactory Bulb and Tract
Definition
Which part of the brain conducts smell impulses?
Term
Sensory Cortex
Definition
Which part of the brain deals with sensation like touch, pain, temp, and pressure?
Term
Visual Primary Area
Definition
Which part of the brain deals with visual input/perception?
Term

Wernicke's Area

 

*it is common in alcoholics

*present with nonsensical speech

Definition
Which part of the brain deals with understanding language?
Term
Parietal Strip
Definition
Seizures that only present with sensory signs and symptoms affects wich part of the brain?
Term
Frontal Lobe
Definition
Which lobe of the brain deals with personality and awareness of self?
Term
Parietal Lobe
Definition
Which lobe of the brain deals with awareness of body position and compression of written word?
Term

Temporal Lobe

 

*Wernicke's Area is here

Definition
Which lobe of the brain deals with perception and interpretation of sound and sensible speech?
Term
Occipital Lobe
Definition
Which lobe of the brain deals with interpretation of visual data?
Term
Cerebellum
Definition
Which part of the brain controls muscle tone, equilibrium, posture and voluntary motor movement?
Term
Brainstem
Definition
Which part of the brain controls involuntary function?
Term
Parietal Lobe
Definition
Which portion of the brain deals with contralateral sensory changes?
Term
Brainstem
Definition
Which part of the brain presents with S&S of cranial nerve palsies, ataxia and nystagmus?
Term
middle cerebral artery
Definition
Which artery presents with clinical features such as contralateral face, arm and leg weakness?
Term
Basilar Artery
Definition
Which artery deals with oculomotor deficits and/or ataxia with the opposite side motor or sensory deficits?
Term
Vertebral Artery
Definition
Which artery deals with lower cranial nerve deficits and/or ataxia with opposite side sensory deficits?
Term
The reliability of the person
Definition
What is the first thing the provider must determine before taking a neurologic history?
Term
Frontal Lobe
Definition
If a person is a poor historian, what part of the brain would one suspect injury too?
Term
Vascular
Definition
Sudden onset with slow improvement of S&S suggests what etiology?
Term

Tumor or degenerative etiology

 

*ie. MS

Definition
Gradual onset and gradual progression of S&S suggests what etiology?
Term
demyelinating
Definition
Exacerbation and remissions of symptoms suggest what etiology?
Term
Focused Neurologic Exam
Definition
What type of exam would be appropriate for a patient with low back pain and numbness down one leg?
Term
Extensive Neurologic Exam
Definition
What type of exam would be appropriate for a comatose pt with a spinal cord trauma?
Term
Frontal Lobe
Definition
Which lobe of the brain would one suspect injury to if the pt had an odd physical appearance and behaviors?
Term
Receptive Aphasia
Definition
A sensory problem where written or spoken words are not properly understood?
Term
Expressive aphasia
Definition
A motor problem where words cannot be formed or expressed?
Term

Eyes

Motor Response

Verbal Response

Definition
Which 3 categories does the Glascow Coma Scale use?
Term
Stuporous
Definition
A pt which requires physical stimuli to awaken is described as what?
Term
Apraxia
Definition
What is the inability to perform a task?
Term
CN 1 - Olfactory
Definition
Recognition of common odors is which CN?
Term
CN 2 - Optic
Definition
Which cranial nerve deals with visual acuity and visual fields?
Term

Bitemporal (laterally)

 

*pushing on the optic chiasm

Definition
If a pt has a tumor on the pituitary gland, which way will they NOT be able to see?
Term

papilledema

 

*pressure on optic disc causing it to bulge

Definition
What sign will the pt present with in the eye if there is increase intracranial pressure?
Term
CN 3 - oculomotor
Definition
Which cranial nerve deals with pupil size?
Term
CN V - trigeminal
Definition
Which cranial nerve innervates the muscles of mastication?
Term
CN V - Trigeminal
Definition
Which cranial nerve uses the corneal touch reflex?
Term
CN VII - facial
Definition
Which cranial nerve deals with motor of the face?
Term
CN VII - facial
Definition
Which cranial nerve has the sensory of sweet and salty taste on the anterior 2/3 of the tongue?
Term
Bell's Palsy
Definition
What is the condition when a pt demonstrates difficulty closing left eye, raising left eyebrow, raising left corner of mouth and drooping of the left corner of mouth?
Term
CN VIII - vestibulocochlear
Definition
Which cranial nerve would be affected if the pt was not able to stand on one leg and keep balance?
Term
the normal/unaffected side
Definition
Which side does the uvula deviate to if CN 9 is dysfunctioning?
Term
CN 9 - Glossopharyngeal
Definition
Which cranial nerve do you use the gag response to test for?
Term
CN X - vagus
Definition
Which cranial nerve deals with swallow function?
Term
CN 11 - Spinal Accessory Nerve
Definition
Which cranial nerve is associated with movement of the neck?
Term

CN 12 - hypoglossal

 

towards the affected side

Definition
When a pt has a deviated tongue, what cranial nerve is affected? and to which side does it deviate to?
Term
hyperactive, with "clonus"
Definition
A DTR with a grade of +4 is said to be what?
Term
inhibitory upper motor neuron
Definition
A hyperreflexive DTR would indicate damage to which motor neuron?
Term
downward
Definition
Which way do the toes curve in a normal Babinksi's test?
Term
Cerebellum
Definition
What part of the brain is the balance center?
Term
Cogwheel
Definition
A patient with parkinson's whose arm gets stiff after much movement would be said to have what kind of tone?
Term
Palmar Drift Test
Definition
What test is used to check motor strength by asking the pt to extend his arms with palms up and keep them there?
Term
Action tremor
Definition
What kind of tremor occurs with movement and abates with rest?
Term
Postural tremor
Definition
What kind of tremor occurs when arms or legs are extended?
Term
Stereognosis
Definition

 

What is it called when the patient is asked to identify a key, coin, or paperclip in each hand, with eyes closed?
Term
Graphesthesia
Definition

 

What is the test called when the patient is asked to identify a number drawn in the palm, with eyes closed?
Term
Romberg Test
Definition
What test is done when the patient is asked to shut his eyes with his feet together, arms at sides without losing his balance?
Term

Proprioception - posterior column of spinal cord

 

*past pointing is where the pt has closed eyes and is able to return arms exactly to the same position before they were moved

Definition
What is being tested with the Past Pointing Test?
Term

Cerebellum

 

*and basal ganglia

Definition
If the gait in a pt is abnormal, what part of the brain would you worry about?
Term
Meningeal Irritation
Definition
The Brudzinksi test and the Kernig test are used to test for what?
Term
Babinski's test & Hoffmann sign
Definition
Which two tests are used to check for upper motor neuron disease?
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