Ana Flashcards
This nerve innervates your sup. oblique mm
Trochlear nerve
Cerebrospinal fluid is formed primarily by specialized tse in he ventricles called?
Choroid plexus
Human peripheral nerve is composed of
12 pairs of cranial nerve nd 31 pairs of spinal nerves
Lumbar roots below L2 are called
Cauda equina
Largest commissure that connects both hemisphere?
Corpus callosum
True or false. Spinal cord grows FASTER than spinal vertebra
False. Slower
Area of skin supplied by one dorsal root.
Dermatome
True or false. A patient with stab wound in the neck may have respiratory distress
True. Pwd matamaan un phrenic nerve
This structure contains satiety center
Hypothalamus
Total lobes of the brain
6
Clonus indicates lesion of the? A. UMN B. NMJ C. LMN D. AOTA
A
Fracture in the shaft of the humerus result to what nerve damage
Radial nerve
The axillary nerve and radial nerve are second branches of? A. Ant. Cord B. post cord C. Lat. cord D. Medial cord
B
Damage to this area results in paratonia A. Precentral gyrus B. prefrontal lobe C. Para central lobule D. Brodmann 6 E. Brodmann 8
B
This fxn’l map of the motor cortex resembling an image of the body turned upside down and reversed left to right
Homunculus
Where does spinal cord usually end
L1 or 2
The back of the face is innervated by
Cervical plexus
Cranial nerve that innervates your scm and traps mm?
Spinal accessory nerve
Where can you find the Band of Ballerger A. Plexiform B. external granular C. External pyramidal D. Internal granular E. internal pyramidal F. Fusiform
D
the inability to recognize no. or letter traced on the body is termed?
a. stereognosis
b. graphestesia
c. proprioception
d. paesthesia
b
Access point for lumbar puncture procedure
Lumbar cistern
the body’s temperature is regulated by?
hypothalamus
Skin on the Angle of the mandible is innervated by A. Lesser occipital B. greater auricular C. Transverse cutaneous D. Supraclavicular
B
hemiballismus is a movement disorder involving the?
subthalamus
What part of the frontal lobe is associated with foresight A. Precentral gyrus B. prefrontal lobe C. Para central lobule D. Brodmann 6 E. Brodmann 8
B
this type of white mater connects the cerebral cortex with the lower portions of the brain or spinal cord?
projection
Responsible for the dark color of grey matter
Presence of nucleus sent in cell bodies
functional area’s main fxn are: conjugate eye deviation, voluntary scanning and fixation of the eyes
a. premotor
b. primary visual area
c. frontal eye field
d. brocas
c
In the brachial plexus, there are ____ roots, ___ trunks, ____ divisions, ___ cords A. 5, 5, 3,4 B. 5, 4,2,6 C. 5, 3, 6, 3 D. 5, 6, 3, 3
C
which descendingtract is responsible for our ability to perform fine motor skills such as sewing and buttoning clothes?
lateral corticospinal tract
Lesion to this area results in postive babinski reflex A. Precentral gyrus B. prefrontal lobe C. Para central lobule D. Brodmann 6 E. Brodmann 8
A
which component of the motor control system integrates sensory information and selects appropriate motor response according to the demands of the task and/ or environment?
association cortex
Where does ventralateral spinothalamic tract decussates
Anterior white commisure
cranial nerves involve in pupillary light reflex
VII, III, II
What muscle does dorsal scapular innervate
Rhomboids
brachial plexus arises from?
anterior rami of C5 - T1
Largest efferent projection of the amygdala
Stria termimalis
cranial nerves that innervate your extra ocular mm
3,4,6
Spinal cord extends to the sacral portion as
Filum terminale
tic doloreux involves what CN?
trigeminal nerve
True or false. Anterior / Flexor compartment of forearm are innervated by ulnar nerve
False. Median nerve. Except flexor carpi ulnaris and flexor digitorum profundus
type of aphasia with impaire fluency, expression comprehension, and naming
global aphasia
Where can you find the Horizontal cells of Cajal A. Plexiform B. external granular C. External pyramidal D. Internal granular E. internal pyramidal F. Fusiform
A
in anterior circulation stroke, patient looks
a. away from the hemiplegic side
b. towards the hemiplegic side
c. both
d. neither
a
What nerve is damaged in winged scapula
Long thoracic (c5,6,7)
what is impaired in patient with anomia?
naming
Purely motor cranial nerve
Purely motor 3,4,6,7,11,12 Purely sensory 1,2,8 Mixed 10,9, 7, 5
CSF drains into the venous circulation via what structure?
arachnoid villi
Where can you find the venous sinuses A. Dura mater B. arachnoid C. Pia mater
A
what fxn’l area is affected if the patient manifest hemianopsia?
area 17
What part of the frontal lobe is associated with cortical control of bladder A. Precentral gyrus B. prefrontal lobe C. Para central lobule D. Brodmann 6 E. Brodmann 8
C
most common inhibitory neurotransmitter in the cerebral cortex
GABA
Since spinal cord tip is at L1-L2, caudal to L2, lumbosacral roots angulate downward to their corresponding foramina, as the
Cauda equina
posterior circulation of the circle of wllis originate from what blood vessel?
vertebral artery
Thenar muscle is supplied by
Median nerve
increased tendon reflex will be seen on what neurologic lesion?
a. UMN
b. LMN
c. Both
d. NEither
a
Where can you find the inverted cells of Martinotti A. Plexiform B. external granular C. External pyramidal D. Internal granular E. internal pyramidal F. Fusiform
F
G.E. a 39 y/o male came to your clinic with a c/o difficulty on performing over head activity and paresthesia on the lateral forearm upto the middle finger, physical examination were done and noted that there’s an medial winging of the scapula. what would be the most possible affected nerve root
long thoracic nerve
C5 - c7
with C5- C7 dermatomal level presentation
Where does conus medullaris end
L1 or L2
True or false
R cva will manifest (L) hemiplegia with non fluent aphasia if there’s a lesion on area 44?
false. Broca’s sa dominant hemisphere mostly left hemisphere ang dominant
Muscles supplied by axillary nerve
Deltoids, teres minor
How many spinal nerve do you have
30- 31 (8 cervical, 12 thoracic, 5 lumbar, 5 sacral) Coccygeal may be absent
Median nerve is the terminal branch of the ff cords except A. Posterior B. lateral C. Median D. All of the above
A
Where does dorsal column tract decussates
Cervico medullary junction
True or false. Erb – Duchenne’s syndrome mainly affects the PROXIMAL muscles in the uppers limb
True
Ansa cervicalis is formed by except A. Hypoglossal nerve B. c1 C. C2 D. C3 E. c4
E Hypoglossal and c1 unite to form descending branch C2 and c3 unite to form descending cervical
Where does dural sac end
S2
Skin on the Upper part of the deltoid is innervated by A. Lesser occipital B. greater auricular C. Transverse cutaneous D. Supraclavicular
D
Nerve root of the nerve supplying serratus anterior
C5,6,7
What is between L2 and S2
Cauda equina
Point of reference in the cords of the brachial plexus A. Axillary artery B. brachial artery C. Pectoral artery D. Carotid artery
A
True or false. Filum terminale are composed of neurons
False. Composed of glial tissue
Damage to these nerves results to Inability of flexion of the fingers.
Median and ulnar nerve
Pathway of pain modality
Lateral spinothalamic
Pectoralis minor is innervated by
Medial pectoral nerve
Usual site of lumbar puncture
L4
Also known as the accessory phrenic nerve
Subclavius nerve
Dura mater encloses what connective tissue covering A. Endoneurium B. perineurium C. Epineurium D. All of the above
C. Arachnoid- perineurium Pia- endoneurium
Which nerve in the lumbar plexus emerges from the medial border of psoas
Obturator
What are the branches originating from the upper trunk of the brachial plexus
Nerve to sublcavius c5,6 Supra scapular nerve c5,c6
True or false. ThE more CAUDAL the nerve root is the FURTHER it has to travel to exit
True
Main flexor of the forearm
Brachialis
Subarachnoid block _____, epidural block _____ A. Faster onset, longer duration B. faster onset, shorter duration C. Slower onset, longer duration D. Slower onset, shorter duration
A
True or false. Coracobrachialis supinates and flexes the arm
False. It adducts and flexes the arm. Biceps un supinates and flexes forearm
Left and right part of the spinal cord are connected by _____ anteriorly
White commisure If grey commisure- posterior
True or false, there are branches coming from lower trunk of brachial plexus
False. Sa upper LNG meron
Nerve root of the thoracodorsal nerve
C6,7,8. It supplies lats dorsi
Diminished Patellar tendon reflex is an indication of what nerve damage
Femoral nerve
Responsible for the white color of white matter
Myelin sheath
True or false. Lateral cord of the brachial plexus is from the union of the anterior divisions of middle and lower trunk
False. Upper and middle trunk
Muscles in the anterior forearm that is NOT innervated by the median nerve
Flexor carpi ulnaris and flexor digitorum profundus. Both of them are innervated by the ULNAR nerve.
Two point discrimination uses what pathway
Dorsal column medial lemniscus
carrying heavy object on the should could lead to what nerve damage
Long thoracic
Standard cut in CT scan imaging A. Transverse B. sagittal C. Coronal D. Transaxial
Trans axial
Sciatic nerve will be hit in what part of glut max A. Upper lateral B. upper medial C. Lower lateral D. Lower medial
D.
What meninges lines dural sac
Arachnoid matter
The ff is supplied by the musculocutaneuos nerve except A. Coracobrachialis B. biceps brachii C. Brachialis D. Brachioradialis E. none of the above
D
The coccygeal portion of the spinal cord becomes ________ at 8th week of embryonic life
Filum terminale
Only flexor muscle that is supplied by the radial nerve
Brachioradials
In lumbar puncture, what space do you want to penetrate to get CSF
Subarachnoid space
Lost of flexion of lateral fingers is an indication of what nerve damage
Median nerve
In spinocerebellar tract, in the pons where does dorsal tract enter
Inferior cerebellar peduncle Ventral- superior peduncle
Hypothenar muscle is supplied by
Ulnar nerve
Lost of supination is damage to what nerves
Musculocutaneuos and radial nerve
The ff muscles is supplied by the obturator nerve except A. Adductor longus B. petineus C. Gracilis D. Adductor brevis
B. femoral nerve un
True or false. Filum terminale have dural sac
False. Arachnoid and pia only
Surgical neck of the humerus fracture results in what nerve damage
Axillary nerve
True or false, dura mater of the spinal cord is CONTINUOUS with the dura mater of the brain
True
Inf gluteal injury involves what quadrant of glut Max A. Upper lateral B. upper medial C. Lower lateral D. Lower medial
C
Largest branch of the lumbar plexus
Femoral nerve L2,3,4
Results because of traction injury as in excessive abduction of arm A. Upper brachial plexus injury B. lower brachial plexus injury C. Lumbar plexus injury D. Sacral plexus injury
B
Space between periosteum and dura mater
Epidural space
What nerve innervates the posterior compartment of the thigh
Sciatic If anterior except tensor fascia latae- femoral If medial except pectineus- obturator
The ff emerges from the lateral border of psoas except A. Iliohypogastric B. genitofemoral C. Femoral D. Lateral cutaneous femoral
B. sa anterior xa.
What nerve supplies gluteus Maximus
Inf gluteal
What nerve is blocked to suppress labor pain
Pudendal
Which of the ff ANTERIOR muscle is NOT supplied by FEmoral nerve A. Ilapsoas B. Tensor Fascia Latae C. Vastus intermedialis D. Sartorius
B. it is supplied by inf. gluteal nerve
What layer of the dural mater is continuous with the spinal cord dural mater
Meningeal layer
Straight sinus is formed by A. Inferior sagittal and great cerebral vein B. superior sagittal and great cerebral C. Transverse and great cerebral D. Sigmoidal and great cerebral
A
At birth where does spinal cord end
L2 or 3Adult L1 or 2
excessive separation of neck and shoulder or violent stretching of an infant’s neck during childbirth would result to A. Upper brachial plexus injury B. lower brachial plexus injury C. Lumbar plexus injury D. Sacral plexus injury
A
What nerve is most commonly damaged in the pelvis
Obturator
True or false, Klumpke’s results in altered sensation in the lateral side of the upper limb
False. Medial dapat. Altered in lateral side if Erb Duchenne
Nerve root affected in lower brachial plexus injury
C8 T1
A patient has difficulty in raising their arm above their head. What nerve is most likely damaged? A. Long thoracic B. median C. ulnar D. Radial E. axillary
A
What nerve exhibits (+) Trendelenburg sign
Superior gluteal nerve
Fracture on the medial epicondylar part of the humerus results in what nerve damage
Ulnar
What nerve is damage in carpal tunnel syndrome
Median nerve
What supplies the medial side of the forearm A. Median nerve B. radial nerve C. Ulnar nerve D. Axillary nerve
C
What nerve is damage if there is a loss of the rounded contour of the shoulder
Axillary
End of spinal cord is called
Conus medullaries
Lunate dislocation results in what nerve injury
Distal median nerve injury
What part of the spinal cord is the narrowest and roundest A, cervical B. thoracic C. Lumbar D. Sacral
B
Ape hand results from what nerve damage
Distal median nerve
basilar artery orignate on what blood vessel?
vertebral artery
ant part of the cerbral peduncle?
crus cerebripost : tegmentum
narrow cavity found on the midbrain?
cerebral aqueduct
part of the mid brain posterior to cerebral aqueduct?
tectumcorpora quadrigemina
most commonly damaged blood vessel on extradural hemorrhage?
ant division of the mid meningeal artery
depression that projects the falx cerebri?
longitudinal fissure
large motor nerve cell in this area control voluntary movements on the opposite site of the body?
primary area four,, precentral gyrus
lateral ventricle communicate with the third ventricle through what foramen?
interventricular foramenor foramen of monroe…plss wag kalimutan ang CSF FLOW!!!
Function of the pudendal nerve except a. Maintaining voluntary urinary, fecal continence B. Maintains erection C. Facilitate urine expulsion D. Supports pelvis viscera E. none of the above
E
Radial nerve injuries have this distinct position
Wrist drop
Nerve most likely affect if there is a fracture on the supra condylar ridge of the humerus
Median nerve
What is the nerve root of pudendal nerve and the muscle it innervates
S2,3,4… Perineum
The ff suplies the Lower limb that leave the Pelvis through the Greater Sciatic foramen except A. Sciatic nerve B. pudendal nerve C. Sup gluteus D. Inf gluteus
B
Largest nerve in the body
Sciatic
Largest nerve in the sacral plexus
Sciatic nerve
What nerve is damaged if a person has waddling gait
Superior gluteal nerve
Superior gluteal nerve will be injured if _____ of glut max is damaged A. Upper lateral B. upper medial C. Lower lateral D. Lower medial
B
True or false. Sciatic nerve is located in the gluteal area
True. But it has no innervation in the gluteal region
Safest site in IM injection in the glut max
Upper lateral border of glut Max
Fracture of the hamate results to what nerve injury
Ulnar. Claw hand deformity
Lumbar plexus is closely related to what muscle
Psoas major
What nerve in the lumbar plexus will emerge from the anterior surface of the psoas major
Genitofemoral L1, L2
A sickle-shaped fold of dura mater that lies in the midline between the two cerebral hemispheres
Falx cerebri
Nerve root of phrenic nerve
C3,4,5
Nerves mainly affected in Erb Duchenne
Axillary , supra scapular, musculocutaneuos
True or false. In Klumpke’s paralysis, PROXIMAL muscles of the upper limb are affected.
False. distal dapat
Main clinical presentation of proximal median nerve injury
Hand of Benediction
Main nerve affected in lower brachial plexus injury
Ulnar and median nerve
Skin on the Lateral surface of the neck is innervated by A. Lesser occipital B. greater auricular C. Transverse cutaneous D. Supraclavicular
C
The front side of the face is innervated by
Trigeminal nerve
Lost of flexion in the medial finger is indicative for what nerve damage
Ulnar nerve
True or false. All flexors of the forearm are innervated by either median or ulnar nerve
False. Un brachioradialis innervated by radial nerve
Waiter’s tip position is an indication of A. Upper brachial plexus injury B. lower brachial plexus injury C. Lumbar plexus injury D. Sacral plexus injury
A
True or false. Right transverse is a continuation of straight sinus
False. Right transverse continuation of sup. sagittal Left transverse continuation of straight sinus
True or false All muscles in the infra hyoid region is innervated by Ansa cervicalis
False. Thyrohyoid is not. It is innervated by C1
A crescent-shaped fold of dura mater that roofs over the posterior cranial fossa
Tentorium cerebelli
Innervation of teres major
Lower subscapular c5,6
Skin on the Medial surface of the auricle is innervated by A. Lesser occipital B. greater auricular C. Transverse cutaneous D. Supraclavicular
A
The ff is innervated by Ansa cervicalis except A. Sternohyoid B. omohyoid C. Sternothyroid D. Thyrohyoid
D