BMB final exam Flashcards

1
Q

Global aphasia

  • lesion site
  • effects
A

-damage to extensive portions of perisylvian region of brain

INABILITY TO
•	Speak fluently
•	Comprehend language
•	Follow commands
•	Name objects
•	Read 
•	Write
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2
Q

Transcortical motor aphasia

A
  • Lesion anterior or superior to Broca’s area in frontal lobe
  • Characteristics:
  • Good comprehension—Wernicke’s area not affected
  • Non-fluent halting, effortful speech
  • Uses 1-2 words utterance
  • Repetition is preserved—may exhibit delay in initiation of repetition due to damage in frontal lobe
  • Severely impaired writing ability–often more severely affected than speaking
  • Reading may be spared
  • May be due to lesion in region between anterior cerebral and middle cerebral arteries

GOOD COMPREHENSION, GOOD REPETITION, NONFLUENT SPEECH

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3
Q

Transcortical sensory aphasia

A
  • Lesion at left temporal-occipital-parietal junction behind Wernicke’s area
  • Characteristics:
  • Severely impaired comprehension
  • Good repetition
  • Fluent but paraphasic
  • Semantic paraphasias–use another word of similar content (e.g. Apple is mistaken for Orange, Paper is mistaken for Pencil, etc.)
  • Reading/writing impaired
  • May be due to lesion between middle and posterior cerebral arteries

POOR COMPREHENSION, GOOD REPETITION, FLUENT SPEECH

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4
Q

Transection of the arcuate fasciculus causes

A

Conduction aphasia

GOOD COMPREHENSION, POOR REPETITION AND FLUENT SPEECH

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5
Q

Congenital color vision defects

  1. which cone?
    - prot
    - deut
    - trit
  2. type of defect?
    - anomalous trichromatism (anomaly)
    - dichromatopsia (anopia)
    - achromatopsia
A

prot - red
deut - green
trit - blue

anomaly - cone abnormal
anopia - cone absent
achromatopsia - 2-3 cones absent

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6
Q

Myopia

hyperopia

astigmatism

A

myopia - nearsightedness

hyperopia - farsighted

astigmatism - astigmatism is a condition in which an abnormal curvature of the cornea can cause two focal points to fall in two different locations, making objects up close and at a distance appear blurry.

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7
Q

meroencephaly, exencephaly, anencephaly, cranioschisis all have what in common

A

incomplete neurulation at the cranial end of the neural tube, brain is exposed and undeveloped

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8
Q

rachischisis, myeloschisis defined by

A

incomplete neurulation in the caudal region, lumbar/sacral spinal cord exposed and underdeveloped

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9
Q

inionschisis

A

failure of the neural tube near the occipital region to fuse

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10
Q
Clinical reflexes
Biceps
Triceps 
Patella
Achilles
Babinski
A
Biceps - C5 nerve root
Triceps - C7 nerve root
Patellar - L4 nerve root
Achilles - S1 nerve root
Babinski - dorsiflexion of big toe and fanning of other toes
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11
Q

Location for cranial nerve nuclei

A

Midbrain - CN III, IV
Pons - CN V, VI, VII, VIII
Medulla - CN IX, X, XII
Spinal cord - CN XI

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12
Q

Plates for sensory vs motor and division b/w 2

A

Lateral - sensory (alar plate)

Medial - motor (basal plate)

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13
Q

Corneal reflex

A

A - V1 (nasociliary)

E - VII (temporal; orbicularis oculi)

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14
Q

Lacrimation reflex

A

A - V1 (no loss of emotional tears)

E - VII

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15
Q

Jaw jerk reflex

A

A - V3 (sensory - muscle spindle from masseter)

E - V3 (motor - masseter)

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16
Q

Pupillary reflex

A

II and III

17
Q

Gag reflex

A

IX and X

18
Q

Vagal nuclei (3)

A
  1. Solitary nucleus
    - visceral Sensory info
    - VII, IX and X
    - cranial -> taste (VII)
    - caudal -> cardiorespiratory centers (IX and X)
  2. Nucleus aMbiguus
    - motor innv of pharynx, larynx and upper esophagus
    - IX and X
    - swallowing and palate elevation
  3. Dorsal motor nucleus
    - autonomic fibers (parasympathetic) to heart, lungs, and upper GI
    - X