Central Nervous System Flashcards

1
Q

Sensory and motor interpretation, language, stroke (CVA), Cerebral Palsy, Alcoholism, Alzheimers, Tumor

A

Cerebrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Balance, coordination, dysmetria (past pointing), dyssinergia (lack of coordination), diadochokinesia (rapid alternating movement), tandem gait, MS, Alcoholism and a form of cerebral palsy

A

Cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Two point discrimination, vibration, and joint position sense
MS
Tabes DOrsalis, Leprosy

A

Posterior COlumn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Voluntary Motor, Flexor of the hands and feet, UMNL

A

Corticospinal (Pyramidal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pain and temperature

Syringomyelia

A

Lateral Spinothalamic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Crude light touch

A

Anterior Spinothalamic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Balance reflexes and postural muscles.
Benign positional vertigo
Labyrinthitis

A

Vestibulospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Muscle tone and synergy to proximal flexors of the extremities

A

Rubrospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Muscle tone and synergy to voluntary extensor muscles

A

Reticulospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Crosses at medullary pyramids and travels to the flexors of extremities

A

Lateral corticospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Crosses at the segmental level and then to flexor of the trunk. UMNL

A

Ventral corticospinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pathological longitudinal cyst of the central canal of the spinal cord. Fluid filling cavities expand in adult years, congenital weakening usually at C5-6 level

A

Syringomyelia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Loss of sense of pain and temperature over the shoulders and back in CAPE LIKE DISTRIBUTION

A

Syringomyelia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Demyelination of the CNS (oligodendrocytes are responsible for myelination in CNS) producing demyelination of the spinal cord and later the brain. Both motor and sensory tracts are affected.

A

MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MS MC seen in ….

A

Females age 20-40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Periods of exacerbation of pain. Worse when moving from cold to wam climate

A

MS

17
Q

MS best diagnosed with what imaging

A

MRI

18
Q

Intention tremor, Charcot’s triad, Scanning speech, Nystagmus. Associated with?

A

MS

19
Q

Diplopia, Scotoma, transient blindness, Optic neuritis, pain, vertigo, UMNL in legs and causing distal weakness.

A

MS

20
Q

MS positive ortho test

A

+ Lhermitte

21
Q

Myastenia gravis MC demographic

A

Female age 20-40 (same as MS)

22
Q

Autoimmune disease in which the body makes antibodies against the acetylcholine receptors. Myoneural junction dysfunction. Weakness in CN then Proximal muscle affected.

A

Myasthenia Gravis

23
Q

Early signs of Myasthenia Gravis

A

Ptosis, diplopia, dysarthria, fatigue of muscles especially following exercise.
Muscle weakness varies during the day but worse at the end of the day.

24
Q

Myasthenia Gravis is diagnosed with….treated with….

A

Tensilon test

Cholinesterase inhibiting drugs

25
Q

Affects the corticospinal tracts and anterior horn. Usually begins in the hands and feet and life expectancy is short.

A

ALS (Lou gehrig’s disease)

26
Q

ALS MC demographic

A

Male older than 40

27
Q

Fasciculations are present as well as spasticity and increased DTR.
LMNL in arms and UMNL in legs

A

ALS

28
Q

ALS ddx

A

Lateral canal stenosis

29
Q

Degeneration of the posterior column and the corticospinal tract as results of B12 deficiency (pernicious anemia). Neurological symptoms are irreversible

A

Posterolateral sclerosis (PLS)

30
Q

PLS AKA

A

Combined system disease

31
Q

+ Schilling test

A

PLS

32
Q

Glove and stocking paresthesia

A

PLS

33
Q

A hermisection (partially severed) spinal cord usually caused by injury

A

Brown Sequard

34
Q

Ipsilateral loss of motor function and dorsal column (proprioception) with contra lateral loss of pain and temperature

A

Brown sequard

35
Q

A non progressive motor disorder of the cerebral cortex due to anoxia to the brain prenatally or during birth trauma

A

Cerebral palsy

36
Q

SCISSOR GAIT, spastic paralysis, athetoid (MC) and choreiform movements, normal intelligent level

A

Cerebral palsy

37
Q

A chronic progressive condition associated with loss of dopamine in the substantial nigra causing basal ganglionic dysfunction. Extrapyramidal tract involvement with gradual onset over the age of 50

A

Parkinson’s disease AKA Paralysis agitans

38
Q

Resting tremors, mask like face, festinating gait, cogwheel lead pipe rigidity, forward stooped posture, bradykinesia

A

Parkinson’s disease