7. Neuro Flashcards

1
Q

What are the cranial nerves?

A

I. Olfactory nerve.- Smell
II. Optic nerve.- Vision
III. Oculomotor nerve-. Motor, eye movement
IV. Trochlear nerve.- Mototr, eye movement
V. Trigeminal nerve.- Mxed sensation and mouth muscles
VI. Abducens nerve- Motor, eye movement
VII. Facial nerve.- Muscles of face
VIII. Vestibulocochlear nerve- Sensory (hearing and balance)
IX. Glossopharyngeal- Mixed, swallowing muscles, tongue
X Vagus- Mixed, throat and organ sensory
XI Acessory- Motor, neck and soft palate
Hypoglossal- motor, tongue

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2
Q

Describe the sensory innervation of the tongue?

A

SENSORY
Anterior 2/3ds- trigeminal
Posterior 1/3rd- glossopharyngeal

TASTE
Anterior 2/3ds- facial nerve
Posterior 1/3rd glossopharyngeal

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3
Q

What are the varies areas of the brain?

A

Frontal- Personality, Motor, intelligence
Parietal- Spatial and visal perception, interpretation of senses
Occipital- Vision
Temporal- Memory, hearing

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4
Q

What are the the important Brodmann areas of the brain?

A

1,2&3- Precentral gyrus
4- postcentral gyrus
22- Wernicke’s- temporal lobe of dominant hemisphere
44- Broca’s- frontal lobe, dominant hemisphere

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5
Q

explain the scoring system of the Glasgow coma scale

A

Eye Opening (E)

4 = spontaneous
3 = to sound
2 = to pressure
1 = none

Verbal Response (V)

5 = orientated
4 = confused
3 = words, but not coherent
2 = sounds, but no words
1 = none

Motor Response (M)

6 = obeys command
5 = localizing
4 = normal flexion
3 = abnormal flexion
2 = extension
1 = none
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6
Q

What nerve is affected in a Bell’s palsy?

A

Facial nerve (7)

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7
Q

What are the various pain fibres?

A

A alpha and alpha B fibres- proprioception, light touch

Ad fibres - nociception (mechanical, thermal, chemical)

C fibres- unmyelinated, temperature, itch, noceceptive

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8
Q

What do the spinothalamic tracts do?

A

Lateral- Convey fast and slow pain
Anterior- conveys sensation of simple touch

Synapse at the level they enter

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9
Q

What does the corticospinal tract do?

A

Descending tract, controls movements of limb sand trunk

Synapses in the pyramidal desiccation

Pyramidal tract

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10
Q

What do the dorsal columns do?

A

deep touch, proprioception, vibration

Decussate at the medulla

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11
Q

What are the differnt types ofbrian tumours?

A

Glioma
Minigioma
Pituitary adenoma

Secondary- metastisis

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12
Q

Name the dural coverings of the brain

A

Falx cerebri- between cerebrum

Falx cerebelli- between cerebellum

Tentorium cereblli- between occipital lobes

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13
Q

What is Guillain-Barré syndrome?

A

rare but serious autoimmune disorder in which the immune system attacks healthy nerve cells in your peripheral nervous system (PNS). This leads to weakness, numbness, and tingling, and can eventually cause paralysis.

Typically post- infectious

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14
Q

What is myasthenia gravis?

A

Myasthenia gravis is a rare long-term condition that causes muscle weakness.

It most commonly affects the muscles that control the eyes and eyelids,

can be triggered by tiredness and stress

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15
Q

Treatment gullian barre?

A

Intravenous immunoglobulins

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16
Q

Treatment myasthenia gravis?

A

acetylcholinesterase inhibitor (pyridostigmine),

chronic immunosuppressive therapies,

rapid but transient immunomodulatory therapies (plasma exchange

and intravenous immune globulin [IVIG]

17
Q

What are some differential sfor dimentia?

A

B12 deficiency

Thyroid disease

HIV, syphillis

18
Q

Wha tare th eparkisons drugs?

A

Levodopa- increases dopamine formation in synaptic terminals

COMT inhibitior- same as above

MOA-B inhibitor- alow mre dopamine release from synaptic terminal

Dopamine agonists- act on receptors

19
Q

Side effects of dopmaine drugs?

A

INVOLUNTARY MOVEMENTS
HALLUCINATIONS
DEPRESSION
DEMENTIA