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Oct. 9 Lecture
Part 1
60
Nursing
Graduate
10/09/2014

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Term
PITUITARY ADENOMAS CAUSE WHAT?
Definition
BITEMPORAL HEMIANOPSIA D/T COMPRESION OF OPTIC CHIASM
Term
HOW DO PATIENTS SEE TO DIFFERENT AREAS THAT HAVE HOMONYMOUS HEMIANOPSIA?
Definition
BY TURNING THE HEAD
Term
WHAT 2 TYPES OF MOTOR EFFECTS DOES CN 3 HAVE?
Definition
SOMATIC MOTOR AND AUTONOMIC MOTOR EFFECTS
Term
WHAT ARE THE MUSCLES TO CN 3?
Definition
SUPERIOR, INFERIOR, MEDIAL RECTUS, INFERIOR OBLIQUE AND LEVATOR PALPEBRAE SUPERIORIS
Term
WHAT DOES THE GENERAL VISCERAL EFFERENT MUSCLES DO FOR CN3.
Definition
WE ARE TALKING ABOUT THE SPHINCTER MUSCLES OF THE IRIS. IT CAUSES CONSTRICTION OF THE PUPIL THROUGH SPHINCTER PUPILLAE MUSCLE AND ACCOMMODATION TO LIGHT FROM THE CILIARY MUSCLES THROUGH CN2
Term
WHAT 3 THINGS RESULTS FROM LESIONS TO CN 3?
Definition
DILATED PUPIL (INDICATES LOSS OF PS INNERVATION), EYE TURNS DOWN AND OUT (SUPERIOR OBLIQUE AND LATERAL RECTUS MUSCLES ARE UNOPPOSED), AND LOSS OF PUPILLARY REFLEX. LIKE THE WITHDRAWL REFLEX THE PUPILLARY REFLEX IS BILATERAL
Term
THE SENSORY COMPONENT OF THE PUPILLARY REFLEX IS WHAT? IN OTHER WORDS WHAT CAUSES THE PUPILS TO CONSTRICT?
Definition
CN 2 OPTIC
Term
IN THE PUPILLARY REFLEX THE SENSORY COMPONENT IS CN __ AND THE MOTOR COMPONENT IS CN __.
Definition
2,3
Term
WHAT CAN BE THE LOSS OF PUPILLARY REFLEX BE RELATED TO? 2 THINGS?
Definition
DAMAGE TO THE OPTIC NERVE OR DAMAGE TO THE OCCULOMOTOR NERVE.
Term
CN 4 COORELATES WITH WHAT MUSCLE?
Definition
SUPERIOR OBLIQUE
Term
DESCRIBE WHAT HAPPENS WHEN THERE IS A LESION TO CN 4.
Definition
WHEN THE PATIENT LOOKS DOWN THEY GET DOUBLE VISION (RARE). INABILITY TO LOOK DOWN WHEN EYE IS ADDUCTED.
Term
WHAT ARE THE 3 BRACNHES OF THE TRIGEMINAL NERVE?
Definition
V1-V3. OPTHAMALMIC, MAXILLARY, AND MANDIBULAR
Term
WHAT IS THE MOTOR FUNCTION OF CN 5? WHAT MUSCLES ARE INVOLVED?
Definition
MASTICATION. THE MASSETOR AND TEMPORALIS
Term
WHAT ARE THE SENSORY COMPONENTS OF CN 5 DO?
Definition
SENSATION TO THE FACE THROUGH OPTHALMIC, MAXILLARY, AND MANDIBULAR REGION
Term
WHAT 5 THINGS CAN LESIONS OF CN 5 CAUSE?
Definition
LOSS OF PAIN AND TOUCH TO FACE, PARASTHESIA, MASSETER AND TEMPORALIS PARALYSIS, IPSILATERAL DEVIATION OF MANDIBLE WHEN MOUTH IS OPEN, LOSS OF CORNEAL AND SNEEZING REFLEX (V2- MAXILLARY). PT MAY PRESENT WITH BITING THE SIDE OF MOUTH.
Term
WHICH CN COORELATES WITH THE CORNEA REFLEX? WHAT IS THE SENSORY COMPONENT? WHAT IS THE MOTOR COMPONENT?
Definition
CN 5. V1-OPTHALMIC. MOTOR COMPONENT WOULD BE TO MUSCLES OF FACIAL EXPRESSION CN 7 TO CLOSE THOSE EYES.
Term
CN 6 COORELATES WITH WHICH MUSCLE? WHAT DOES THAT MUSCLE DO?
Definition
LATERAL RECTUS. PULLS THE EYE LATEAERALLY
Term
IF YOU HAVE A LESION TO CN 6 WHAT RESULTS?
Definition
LOSS OF LATERAL EYE MOVEMENT. IF YOU HAVE THE PATIENT LOOK STRAIGHT AHEAD AND THE LESION IS ON THE RIGHT SIDE THE RIGHT EYE WILL DEVIATE TOWARDS THE NOSE. THE LATERAL RECTUS PULLS THE MUSCLE LATERALLY. SO THE PATIENT IS HALF CROSS EYED
Term
WHAT DOES THE MOTOR FUNCTION DO FOR CN 7?
Definition
MUSCLES OF FACIAL EXPRESSION
Term
WHAT DOES THE PNS DO FOR CN 7?
Definition
LACRIMAL AND SALIVARY SECRETIONS
Term
WHAT 3 THINGS DOES CN 7 DO RELATED TO SENSATION?
Definition
TASTE OF ANTERIOR 2/3 OF TONGUE, SENSATIONS OF PALATE, AND SENSATIONS FROM EXTERNAL AUDITORY MEATUS
Term
WHAT 5 THINGS RESULT FROM A CN 7 LESION?
Definition
PARALYSIS OF FACIAL MUSCLES, EYE REMAINS OPEN (LOSS OF BLINK); ANGLE OF MOUTH DROOPS, INABILITY TO WRINKLE FORHEAD, DRY CORNEA, DRY MOUTH (DECREASE SALIVARY SECRETIONS); LOSS OF TASTE TO ANTERIOR 2/3 OF TONGUE
Term
WHAT IS THE MOTOR COMPONENT OF CN 9?
Definition
ELEVATION OF PHARYNX
Term
WHAT IS THE PARASYMPATHETIC EFFECT OF CN 9?
Definition
PAROTID SALIVARY GLAND
Term
WHAT CN CARRIES SENSATION FROM THE CAROTID SINUS?
Definition
CN9 IS TAKEN BACK UP BY THE BARORECEPTORS
Term
WHERE IS THE CAROTID SINUS LOCATED AT?
Definition
WHERE THE COMMON CAROTID BIFURCATIONS INTO THE INTERNAL AND EXTERNAL CAROTIDS
Term
WHAT OTHER TYPES OF SENSATION DOES CN 9 HAVE?
Definition
TASTE OF POSTERIPR 1/3 OF TONGUE, AND SENSATION IN EXTERNAL AND MIDDLE EAR
Term
IF YOU HAVE A LESION ON CN 9 WHAT DOES THAT RESULT IN? 4 PROBLEMS
Definition
LOSS OF TASTE ON POSTERIOR 1/3 OF TONGUE, LOSS OF SENSATION ON IPSILATERAL PALATE, LOSS OF GAG REFLEX, BLOOD PRESSURE AND ACID/BASE ABNORMALITIES R/T CAROTID SINUS AND CAROTID BODIES
Term
WHAT MUSCLES DOES CN 10 CONTROL?
Definition
MUSCLES OF MOVEMENT TO PHARYNX, LARYNX, AND PALATE
Term
WHERE DOES THE VAGUS NERVES RUN DOWN?
Definition
BILATERAL COMMON CAROTID ARTERIES IN THE SHEATH
Term
BESIDES THE Nn RECEPTORS THAT ARE IN THE CELL BODIES OF POSTGANGLIONIC CELLS WHAT OTHER TYPE OF RECEPTOR IS IN THERE? WHAT DOES THAT RECEPTOR DO?
Definition
M1. M1 ARE IN THERE AS A WAY TO REGULATE THE POST SYNAPTIC POTENTIAL OF THAT CELL
Term
WHERE DOES THE SUPERIOR LARYGENAL NERVE ORIGINATE?
Definition
COMES OFF THE BRAINSTEM
Term
WHAT IS THE NERVE THAT RUNS ALONG SIDE OF THE LIGAMENTUM ARTERIOSUM?
Definition
LEFT RECURRENT LARYNGEAL NERVE
Term
DESCRIBE CN 11 PATHWAY.
Definition
THE EXIT IS AT THE JUGULAR FORAMEN, BUT THE ROOT OF CN 11 IS ACTUALLY ON THE BRAINSTEM SPINAL CORD INFERIOR TO THE FORAMEN MAGNUM. THOSE NERVES ACTUALLY COME OFF THE CNS INFERIOR TO THE FORAMEN MAGNUM OUTSIDE OF THE CRANIL VAULT, BUT THOSE NERVES ACTUALLY ASCEND THROUGH THE FORAMEN MAGNUM INTO THE CRANIAL VAULT AND THEN MOVE TO THE JUGULAR FORAMEN AND THEN EXIT.
Term
WHAT 2 MUSCLES DOES CN 11 INNERVATE?
Definition
STERNOCLEIDOMASTOID AND TRAPEZIUS
Term
WHAT DOES THE CN 11 DO TO MOTOR FUNCTION. WHAT TYPE OF ROTATION?
Definition
IPSILATERAL ROTATION OF THE HEAD WITH CHIN ELEVATION
Term
WHAT IS A COMMON FINDING FOR A DEFECT TO CN 12?
Definition
CN 12 EFFECTS THE TONGUE SO PATIENTS WILL HAVE SLURRED SPEECH
Term
DESCRIBE PAPILARY MUSCLES.
Definition
THESE ARE TINY MUSCLES LOCATED IN THE VENTRICLES OF THE HEART. THE COME OFF THE MYOCARDIAL ENDOTHELIUM AND ARE CONNECTED BY CHORDAE TENDONAE THAT IS ALSO CONNECTED TO THE AV VALVES.
Term
WHAT DOES THE CHORDAE TENDONAE DO?
Definition
IT PREVENTS REGURGITATION OR RETROGRADE FLOW OF BLOOD FROM THE VENTRICLE TO THE ATRIUM. IT CLOSES THE AV VALVE WHEN THE LEFT VENTICLE CONTRACTS
Term
WHAT 4 THINGS SO THE RELATIONSHIP WITH EACH OTHER WITH A WIGGER'S DIAGRAM?
Definition
LAP, LVP, AoP, LEFT VENTRICULAR VOLUME
Term
WHAT ARE THE TRACES THAT WE SEE WITH A WIGGER'S DIAGRAM?
Definition
THE DOTTED LINE AT THE TOP IS THE AoP, THE RED LINE IS THE VENTRICULAR PRESSURE, THE DOTTED LINE AT THE BOTTOM IS THE LEFT ARTRIAL PRESSURE
Term
IN A NORMAL ADULT WITH AVERAGE B/P 120/80 WHAT IS THE PRESSURE OF THE LEFT VENTRICLE?
Definition
120/5. THIS IS CALLED THE B/P OF THE LEFT VENTRICLE
Term
HOW DOES THE LEFT VENTRICULAR VOLUME CHANGE? 2 THINGS
Definition
FILLING AND EJECTION
Term
WHAT ARE THE 3 PARTS OF DIASTOLE?
Definition
RAPID INFLOW, DIASTASIS, AND ATRIAL KICK
Term
DESCRIBE THE LVV CHANGES DURING RAPID INFLOW.
Definition
THE LVV CHANGES FROM 50-100MLS DURING RAPID INFLOW SO THE DELTA CHANGE IS 50MLS.
Term
DESCRIBE THE CHANGE OF THE LVV DURING DIASTASIS.
Definition
THE VOLUME GOES FROM 100-110MLS. SO THERE IS A CHANGE IN VOLUME OF 10MLS
Term
DESRCIBE THE CHANGE IN LVV DURING ATRIAL KICK.
Definition
CHANGE IN VOLUME OF 20 MLS
Term
WHAT IS THE % OF PRELOAD (VENTRICULAR FILLING) THAT OCCURS PRIOR TO ATRIAL SYSTOLE.
Definition
80-90%
Term
HOW DOES THE VENTRICLES FILL?
Definition
PASSIVELY. A MAJORITY OF VENTRICULAR FILLING/ PRELOAD VOLUME IS GOING TO FILL THE VENTRICLES PRIOR TO ATRIAL KICK.
Term
DURING DIASTOLE WHAT IS THE ORDER OF THE PRESSURES?
Definition
AoP>LAP>LVP
Term
WHAT VALVE AND IS CLOSE AND OPEN DURING DIASTOLE
Definition
AORTIC VALVE IS CLOSED AND THE MITRAL VALVE IS OPEN
Term
OPENING AND CLOSING OF VALVES IS DEPENDENT UPON WHAT?
Definition
THE PRESSURE GRADIENT ACROSS THE VALVE.
Term
DURING DIASTOLE WHAT IS THE CHANGE IN VOLUME DOING?
Definition
IT IS INCREASING
Term
THE OTHER WORD FOR AN ISOVOLUMETRIC CONTRACTION IS WHAT?
Definition
IOSMETRIC CONTRACTION
Term
DURING THE ISOVOLUMETRIC CONTRACTION WHAT ARE THE 3 PRESSURES IN ORDER? ARE THE 2 VALVES OPEN OR CLOSED?
Definition
AoP>LVP>LAP. THE MITRAL AND AORTIC VALVES ARE CLOSED
Term
WHAT DOES THE CHANGE IN VOLUME DO WITH AN ISOVOLUMETRIC CONTRACTION?
Definition
IT STAYS THE SAME
Term
DURING THE EJECTION PHASE WHAT ARE THE ORDERS OF THE PRESSURES? WHAT ARE THE 2 VALVES DOING R/T OPEN OR CLOSED
Definition
LVP>AoP>LAP. AORTIC VALVE IS OPEN AND MITRAL IS CLOSED
Term
WHAT DOES THE CHANGE IN VOLUME DO WITH THE EJECTION PHASE?
Definition
IT DECREASES
Term
WHAT ARE THE ORDERS OF THE ISOVOUMETRIC RELAXATION PHASE?
Definition
AoP>LVP>LAP THE AORTIC AND MITRAL VALVES ARE CLOSED.
Term
WHAT IS THE CHANGE IN VOLUME WITH THE ISOVOLUMETRIC RELAXATION PHASE?
Definition
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