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USMLE Step 1 Neuro
DIT Neuro
103
Medical
Graduate
05/21/2010

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Cards

Term
Which thalamic nuclei? somatosensory f/ body (via medial lemniscus and spinothalamic)
Definition
VPL
"Very PLeasing"
Term
Which thalamic nuclei? communications with prefrontal cortex
Definition
medial dorsal nucleus
Term
Which thalamic nuclei? cerebellum (dentate nucleus) and basal ganglia --> motor cortex
Definition
ventrolateral nucleus
Term
Which thalamic nuclei? trigeminothalamic and taste pathways to somatosensory cortex
Definition
VPM (Vpm = 5pm)
Term
Which thalamic nuclei? retina--> occipital lobe
Definition
Lateral geniculate body
Term
Which thalamic nuclei? basal ganglia--> prefrontal, premotor, and orbital cortices
Definition
VAN ... Ventral Anterior Nucleus
Term
Which thalamic nuclei? mamillothalamic tract--> cingulate gyrus (part of Papez circuit)
Definition
Anterior nucleus
Term
Which thalamic nuclei? integration of visual, auditory, and somesthetic input
Definition
Pulvinar
Term
Which thalamic nuclei? memory loss if destroyed
Definition
Medial dorsal
Term
Which thalamic nuclei? Auditory info, brachium of inferior colliculus--> primary auditory cortex
Definition
Medial geniculate body
Term
What artery is damaged? aneurysm causes the eye to look down and out
Definition
Posterior communicating A.
Term
What artery is damaged? aneurysm that causes bilateral loss of lateral visual fields
Definition
Anterior communicating A
Term
What artery is damaged? Broca's or Wernicke's aphasia
Definition
Middle cerebral A
Term
What artery is damaged? unilateral lower extremity sensory and/or motor loss
Definition
Anterior Cerebral
Term
What artery is damaged? unilateral facial and arm sensory and/or motor loss
Definition
Middle cerebral A
Term
What are the slow and rapidly adapting receptors in the superficial skin?
Definition
Slow: Merckel
Rapid: Meissner
Term
What are the slow and fast adapting receptors located in the deep layer of skin
Definition
slow: Ruffian
rapid: Pacinian
Term
Which type of sensory receptor? pricking pain (fast, myelinated)
Definition
A-delta fibers
Term
Which type of sensory receptor? burning or dull pain and itch (slow, unmyelinated)
Definition
C fibers
Term
Which type of sensory receptor? receptor for cold sensation
Definition
cold nociceptor (A-delta)
Term
Which type of sensory receptor? receptor for warm sensation
Definition
warm nociceptor (C fiber)
Term
Which type of sensory receptor? vibration and pressure
Definition
Pacinian corpuscle
Term
Which type of sensory receptor? dynamic/changing light, descriminatory touch
Definition
Meissner's corpuscles
Term
Which type of sensory receptor? statis/unchanging light touch
Definition
Merckel's receptor
Term
Which type of sensory receptor? proprioception information--muscle length monitoring
Definition
muscle spindle
Term
Which type of sensory receptor? proprioception information--muscle tension monitoring
Definition
golgi tendon organ
Term
Which type of sensory receptor? resembles an onion in cross section
Definition
Pacinian corpuscle
Term
Which type of sensory receptor? robust spindle-shaped structures found particularly in soles of feet
Definition
Ruffini
Term
Which type of sensory receptor? Found only in areas of skin w/out hair (fingertips, eyelids, lips, etc)
Definition
Meissner's corpuscles
Term
Which type of sensory receptor? simplest sensory thought to be pain receptor or thermoreceptor
Definition
free nerve receptor
Term
Which type of sensory receptor? touch receptor that is tough to distinguish f/ melanocytes
Definition
Merckel receptor
Term
Which nervous system cell? looks like fried egg under histiologic staining
Definition
oligodendroglia
Term
Which nervous system cell? form multinucleated giant cells in the CNS when infected w/ HIV
Definition
microglia
Term
Which nervous system cell? myelinates multiple CNS axons
Definition
oligodendroglia
Term
Which nervous system cell? myelinates one PNS axon
Definition
Schwann
Term
Which nervous system cell? Damaged in Guillan Barre syndrome
Definition
schwann
Term
Which nervous system cell? damaged in multiple sclerosis
Definition
oligodendroglia
Term
Which nervous system cell? macrophages of the CNS
Definition
microglia
Term
Which nervous system cell? cells of the blood-brain barrier
Definition
astrocytes
Term
What dz is associated w/ the degeneration of the basal nucleus of Meynert and less CNS ACh?
Definition
Alzheimers
Term
Which hypothalamic nucleus? considered the "master clock" for most of our circadian rhythms
Definition
SUPRAchiasmic nucleus
Term
Which hypothalamic nucleus? Regulates the parasympathetic nervous system
Definition
Anterior Preoptic nucleus
Term
Which hypothalamic nucleus? Regulates the sympathetic nervous system
Definition
Posterior and lateral nuclei
Term
Which hypothalamic nucleus? Produces ADH
Definition
Supraoptic nucleus
Term
Which hypothalamic nucleus? mediates oxytocin production
Definition
paraventricular nucleus
Term
Which hypothalamic nucleus? receives input from the retina
Definition
suprachiasmic
Term
Which hypothalamic nucleus? savage behavior and obesity result f/ stimulation
Definition
dorsomedial
Term
Which hypothalamic nucleus? savage behavior and obesity result f/ destruction
Definition
ventromedial
Term
Which hypothalamic nucleus? Stimulation=eating... destruction=starvation
Definition
lateral nucleus
Term
Which hypothalamic nucleus? regulates the release of gonadotropic hormones (LH, FSH)
Definition
preOptic nuclei
Term
Which hypothalamic nucleus? responsible for sweating and cutaneous vasodilation in hot temperatures
Definition
Anterior and pre-optic nuclei
Term
Which hypothalamic nucleus? responsible for shivering and decreased cutaneous blood flow in the cold
Definition
posterior and lateral nuclei
Term
Which hypothalamic nucleus? destruction results in neurogenic diabetes insipidus
Definition
supraOptic nuclei
Term
Which hypothalamic nucleus? destruction results in inability to stay warm
Definition
posterior and lateral nucleus
Term
Which hypothalamic nuclei? releases hormones affecting the anterior pituitary
Definition
arcuate nucleus
Term
Motor control on which side of the body would be affected w/ a lesion on one side of the cerebellar hemisphere?
Definition
Motor control on the ipsilateral side would be affected (fibers cross twice)
Term
What structure provides the major output pathway f/ the cerebellum?
Definition
Brachium conjunctivum (aka Superior Cerebellar Peduncle) --> contralateral VL of thalamus
Term
Which type of tremor is associated w/ cerebellar damage?
Definition
intention tremor
Term
What is the most common cause of damage to the floculonodular lobe?
Definition
medulloblastoma in childhood
Term
Where is the lesion? contralateral hemiballismus
Definition
subthalamic nucleus
Term
Where is the lesion? eyes look TOWARD the side of the lesion
Definition
frontal eye fields
Term
Where is the lesion? eyes look AWAY from the lesion
Definition
PPRF
Term
Where is the lesion? Paralysis of upward gaze
Definition
superior colliculi
Term
Where is the lesion? hemispatial neglect syndrome
Definition
Rt/non-dominant parietal lobe
Term
Where is the lesion? coma
Definition
RAS- Reticular Activating Syndrome
Term
Where is the lesion? poor repetition
Definition
conduction
Term
Where is the lesion? poor comprehension
Definition
Wernicke's
Term
Where is the lesion? poor vocal expression
Definition
Broca's
Term
Where is the lesion? resting tremor
Definition
basal ganglia (think Parkinson's)
Term
Where is the lesion? intention tremor
Definition
cerebellar hemisphere
Term
Where is the lesion? hyperorality, hypersexuality, disinhibited behavior
Definition
bilateral amygdala
Term
Where is the lesion? personality changes
Definition
frontal lobe
Term
Where is the lesion? dysarthria
Definition
cerebellar vermis (difficulty articulating words)
Term
Where is the lesion? agraphia and acalculia
Definition
dominant parietal lobe (usu. left)
Term
Where is the lesion? inability to comprehend inflection or emotion in speech
Definition
Wernicke
Term
What is another name for Wallenberg's Syndrome? Where is the occlusion/damage?
Definition
Lateral Medullary Syndrome...PICA is damaged
Term
Where does the dorsal column tracts decussate?
Definition
medulla
Term
Where does the lateral corticospinal tract decussate?
Definition
medullary pyramid
Term
Where does the spinothalamic tract decussate?
Definition
Anterior White Commissure
Term
A male presents with involuntary flailing of one arm. Where is the lesion?
Definition
Contralateral subthalamic nuclei (hemiballismus)
Term
A 28 yo chemist presents w/ MPTP exposure. What NT is depleted?
Definition
Dopamine
Term
If the right vagus nerve or nuclei is damaged, what way does the uvula deviate?
Definition
AWAY from the lesion
Term
If the portion of the right motor cortex that innervates the soft palate is damaged, to which side will the uvula deviate?
Definition
TOWARD the side of the lesion
Term
If the right hypoglossal nerve or nuclei is damaged, to which side will the tongue deviate when stuck out?
Definition
TOWARD the side of the lesion
Term
If the portion of the rt motor cortex that innervate the tongue is damaged, which way will the tongue deviate when stuck out?
Definition
AWAY from the lesion
Term
What is the effect on the face if there is a CNVII nerve or nucleus lesion?
Definition
paralysis of the IPSILATERAL side of the ENTIRE face
Term
What do the symptoms of a lesion to the cortical motor region of the face look like?
Definition
CONTRALATERAL paralysis of LOWER face
Term
Which cranial nerves have their nuclei in the medulla?
Definition
9-12 (IX-XII)
Term
Which cranial nerves have their nuclei in the pons?
Definition
5-8 (V-VIII)
Term
Which cranial nerves have their nuclei in the midbrain?
Definition
3 and 4 (III, IV)
Term
Which nerves are located in the Cavernous sinus?
Definition
EOM cranial nerves and V1 and V2
Term
Which cranial nerve? eyelid opening
Definition
III
Term
Which cranial nerve? Taste in anterior 2/3 of tongue
Definition
VII
Term
Which cranial nerve? head turning
Definition
XI
Term
Which cranial nerve? tongue movement
Definition
XII
Term
Which cranial nerve? Muscles of mastication
Definition
V
Term
Which cranial nerve? balance
Definition
VIII
Term
Which cranial nerve? monitoring carotid body and sinus chemo and baroreceptors
Definition
IX
Term
What information is communicated at the nucleus solitarius (vagal)?
Definition
Visceral Sensory information ("S": Solitary, Sensory)
Term
What information is communicated at the nucleus aMbiguous(vagal)?
Definition
Motor inervation of the larynx, pharynx, and upper esophagus (9,10, 11...swallowing)
Term
What information is communicated at the Dorsal motor nucleus(vagal)?
Definition
sends autonomic (Parasympathetic) fibers to heart, lungs, and upper GI) ...misnomer
Term
A woman involved in an accident cannot turn head to left and has a right shoulder droop. What nerve is damages?
Definition
Rt spinal accessory nerve
Term
What are the muscles of mastication (4)?
Definition
1. temporalis
2. masseter
3. medial pterygoid
4. lateral pterygoid (OPENS jaw)
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