Term
Which type of mater in the brain has axons? What is it made out of? |
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Definition
White matter. Surrounded by myelin sheaths |
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Term
where do the cranial nerves exit the skull |
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Definition
1. foramina ovale 2. canals |
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Term
which cranial nerves directly leave the brain? Which ones exit from elswhere |
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Definition
From the brain: CN I - CN II Diencephalon / brainstem: CN III - XII |
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Term
which part of the brain is responsible for movement and reward mechanisms? |
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Definition
Basal ganglia. (has dopamine so can reward but dopamine also important in parkinson so you have movement issues too) |
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Term
What part of the brain modulates the endocrine system |
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Definition
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Term
what part of the brain modulates the pituitary system |
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Definition
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Term
which CN causes pupillary constriction |
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Definition
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Term
what nerve allows for pupil accomodation |
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Definition
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Term
which nerve for masticaiton |
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Definition
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Term
Anterior 2/3 sensory to tongue is what nerve |
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Definition
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Term
chemo and baroreceptors of the carotid bodies are what nerve |
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Definition
CN IX Glossopharyngeal nerve |
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Term
Posterior 1/3 sensory to tongue what nerve |
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Definition
CN IX Glossopharyngeal nerve |
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Term
Shoulder shrugs is what cranial nerve? |
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Definition
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Term
Movement of the tongue is what CN |
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Definition
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Term
what is the mneumonic for which CN is motor and which is sensory |
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Definition
some say marry money but my big brother says big boobs matter more |
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Term
how many vertebrae? How many paired spinal nerves? |
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Definition
33 vertebrae but 31 paired spinal nerves |
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Term
THe most prominent cervical process is C? |
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Definition
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Term
T7 is a landmark that demarcates what? |
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Definition
inferior tip of the scapula |
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Term
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Definition
landmark for the L4. Should correlate with the superior aspect of the iliac crest |
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Term
The posterior, superior iliac spine is around |
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Definition
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Term
The spinal cord starts at the ____ and terminates at the ___ |
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Definition
Starts at the foramen magnum and terminates at L1 in adults and L3 in kids. |
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Term
Spinal roots exit via the _____. In Cervical areas it exits above/below the vertebrae and in Thoracic it exits above/brelow |
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Definition
intervetebral foramina. In cervical above and Thoracic below. |
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Term
The dural sac extends to level ___ in adults and level ____ in kids |
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Definition
Level S2 in adults, and level S3 in kids |
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Term
What connects the bottom of the spinal cord to the cocyx? |
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Definition
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Term
whats the mneumonic to remember segments of the brachial plexus as it branches out? |
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Definition
Real Teenagers Drink Cold Beer R: Roots T: Trunks D: Divisions C: Cords B: Branches |
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Term
The five chief branches of the brachial plexus are? Where does this branching occur |
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Definition
Branching occurs around the lateral border of the pectoralis minor muscle 1. Median 2. Ulnar 3. Musculocutaneous 4. Radial 5. Axillary |
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Term
how many roots are in the brachial plexus? Name them |
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Definition
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Term
What segment of the brachial plexus is where the divisions are formed |
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Definition
as the nerves pass OVER the lateral border of the 1st rib and then under the clavicle |
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Term
how many trunks in brachial plexus? How many divisions after these trunks |
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Definition
3 large truncks formed from roots. Each trunk then branches into anterior and posterior divisions therefore making a total of 6 divisions. |
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Term
Lumbar pleuxs involves how many roots |
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Definition
4-5. (sometimes involves T12) T12 L1 L2 L3 L4 |
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Term
Is L5 part of the lumbar plexus or sacral pleuxs? |
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Definition
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Term
The lumbar pleuxs lies within the ___ muslces |
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Definition
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Term
What are the main branches off the lumbar plexus called> Which roots do they incorporate |
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Definition
1. Lateral Cutaneous: L2, L3 2. Femoral: L2, L3, L4 3. Obutrator: L2, L3, L4 |
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Term
The sacral plexus involves what roots |
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Definition
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Term
sacral PLEXUS supplies nerves to what general area of the body |
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Definition
1. posterior thigh 2. most of the leg and foot 3. broadened band from the ant/post surfaces |
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Term
what percentage of people have Restless leg syndrome |
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Definition
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Term
Are all carotid bruits an stroke risk |
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Definition
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Term
stroke risks correlate more closely with the type of surgery or patient history |
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Definition
types of surgery not pt history |
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Term
pre-eclampsia patients will have what kind of reflex responses |
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Definition
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Term
What grade (0-4) for reflex may have clonus and what is clonus |
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Definition
4+ Is the highest reflex and is hyper-reflexive. It is a brisk response and between flexion/extenions there are rhythmic oscillations which is clonus. |
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Term
average reflex is what number? |
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Definition
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Term
No response for a reflex test is graded what number |
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Definition
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Term
Can a patient voluntarily override a deep tendon response |
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Definition
NO-it is a reflex and no voluntary. |
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Term
how do you test the ankle reflex. What nerve is involved |
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Definition
Have patinet sit, dorsiflex the ankle slightly and hold with hand. Use other hand to strike patients achilles tendon. The foot should platnar flex against your hand. S1 is responsible. |
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Term
how do you illicit the knee reflex. What nerve involved |
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Definition
L2,L3,L4 - Have patient sit/lie with knee flexed. TAP patellar tendon just below the patella. Leg should extend and quads contract. |
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Term
what is the supinator reflex. What nerves involved |
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Definition
C5, C6. Have hand resting across ABD/Lap with radial side up. Strike radial side 2 inches proximal to wrist. The whole forearm should flex. |
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Term
What is the bicep reflex and what nerves invovled |
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Definition
C5,C6. Have arm in the michael jackson thriller zombie stance. Then strike bicep and bicep should contract pulling forarm towards the bicep. |
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Term
what ist he triceps refelx. What nerves innervated |
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Definition
C6, C7. bring arm up like T rex then strike proximal to the elbow over the tricep tendon. That should contract the tricep and then extend the forearm. |
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Term
dscribe the abdominal reflex and what nerve are used |
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Definition
T8, T9, T10 - Upper abdomina reflex. Stroke from superior of umbilicus towards medial and umbilicus moves towards your hand.
T10, T11,, T12 - Lower Abdominal reflex. Except start below umbilius and move medial. Umbilicus should contract towards stimulus. |
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Term
describe what the plantar response is, what spinal nerves involved |
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Definition
L5, S1: stroke underside of foot from heel to ball and curve inward/medially. Foot should plantar flex and big toe move. |
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Term
Give an example of a cutaneous reflex |
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Definition
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Term
Normal Strength is graded as what number |
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Definition
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Term
What grade can the muscle move the joint across full range of motion against gravity but not resistance by the examiner |
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Definition
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Term
what grade would be given for muscle contraction that is seen or palpated but does nothing to move the joint |
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Definition
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Term
what is grade 2 for muscle movement |
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Definition
muscle can move the joint and range of motion ONLY IF NO GRAVITY |
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Term
pain and temperature travel via what tract |
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Definition
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Term
position and vibration travels via what tract |
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Definition
posterior column medial leminiskus |
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Term
Light touch (general) travels via what tract |
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Definition
1. spinothalmamic tract 2. posterior column meidal lemiiniscus |
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Term
Discriminative sensations (proprioception/location/association) uses what tracts/parts of the body |
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Definition
1. Cortex 2. Spino thalamic 3. posterior column medial leminiscus |
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Term
what type of nerve fiber carries somatic motor signals |
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Definition
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Term
What type of nerve fiber carries proprioception |
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Definition
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Term
what receptors are involved in proprioception |
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Definition
1. muscle spindles 2. golgi tendon organs |
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Term
Touch, and pressure uses what type of nerve fiber |
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Definition
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Term
A delta fibers carry what kind of signals? |
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Definition
1. Pain (FAST) 2. COLD 3. Touch |
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Term
what type of nerve fiber is a preganglionic sympathetic nerve |
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Definition
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Term
PAin slow receptors travel via? Pain fast recpetors travel via? |
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Definition
Pain SLOW: C fibers Pain Fast: A - Delta |
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Term
Hot nerves via __ Fiber Cold nerves via ___ Fiber |
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Definition
Hot via C fibers COLD via A-Delta |
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Term
Postganglioinic sympathetic fibers travel via ____ nerve fibers while Preganglionic sympathetic fibers travel via ___ nerves |
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Definition
Preganglionic travel via Beta fibers b/c they are bigger and more important. Then branching off this are hte smaller version and they travel via C fibers to organs. |
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