Chapter 16 Flashcards

1
Q

accommodation

A

in vision, a change in the ability of the eye to focus on objects at different distances

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2
Q

accommodation-convergence reflex

A

Coordination of somatic control of the medial rectus muscles of either eye with the parasympathetic control of the ciliary bodies to maintain focus while the eyes converge on visual stimuli near to the face

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3
Q

anterograde

A

inability to form new memories from a particular time forward

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4
Q

aphasia

A

loss of language function

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5
Q

ataxia

A

movement disorder related to damage of the cerebellum characterized by loss of coordination in voluntary movements

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6
Q

Babinski sign

A

dorsiflexion of the foot with extension and splaying of the toes in response to the plantar reflex, normally suppressed by corticospinal input

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7
Q

cerebrocerebellum

A

lateral regions of the cerebellum; named for the significant input form the cerebral cortex

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8
Q

check reflex

A

response to a release in resistance so that the contractions stop, or check, movement

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9
Q

clasp-knife response

A

sign of UMN disease when a patient initially resists passive movement of a muscle but will quickly release to a lower state of resistance

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10
Q

conduction aphasia

A

loss of language function related to connecting the understanding of speech with the production of speech, without either specific function being lost

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11
Q

conductive hearing

A

hearing dependent on the conduction of vibrations of the tympanic membrane through the ossicles of the middle ear

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12
Q

conjugate gaze

A

coordinated movement of the two eyes simultaneously in the same direction

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13
Q

convergence

A

in vision, the movement of the eyes so that they are both pointed at the same point in space, which increases for stimuli that are closer to the subject

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14
Q

coordination exam

A

major section of the neurological exam that assesses complex, coordinated motor functions of the cerebellum and associated motor pathways

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15
Q

cortico-ponto-cerebellar pathway

A

projection from the cerebral cortex to the cerebellum by the way of the gray matter of the pons

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16
Q

cranial nerve exam

A

major section of the neurological exam that assess sensory and motor functions of the cranial nerves and their associated central and peripheral structures

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17
Q

cytoarchitecture

A

study of a tissue based on the structure and organization of it cellular components; related to the broader term, histology

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18
Q

deep tendon reflex

A

another term for stretch reflex, based on the elicitation through through deep stimulation of the tendon at the insertion

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19
Q

diplopia

A

double vision resulting from a failure in conjugate gaze

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20
Q

edema

A

fluid accumulation is tissue; often associated with circulatory deficits

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21
Q

embolus

A

obstruction in a blood vessel such as a blood clot, fatty mass, air bubble or other foreign matter that interrupts the flow of blood to an organ or some part of the body

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22
Q

episodic memory

A

memory of specific events in an autobiographical sense

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23
Q

expressive aphasia

A

loss of the ability to produce language; usually associated with damage to Broca’s area in the frontal lobe

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24
Q

extrinsic muscles of the tongue

A

muscles that are connected to other structures, such as the hyoid bone or the mandible, and control the position of the tongue

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25
fasciculation
small muscle twitch as a result of spontaneous activity from LMN
26
fauces
opening from the oral cavity into the pharynx
27
fibrillation
in motor response, a spontaneous muscle action potential that occurs in the absence of neuromuscular input, resulting from LMN lesions
28
flaccid paralysis
loss of voluntary muscle control and muscle tone, observed as floppy limbs or a lack of resistance to passive movement
29
flaccidity
presentation of a loss of muscle tone, observed as floppy limbs or a lack of resistance to passive movement
30
flocculonodular lobe
lobe of the cerebellum that receives input from the vestibular system to help with balance and posture
31
gait
rhythmic pattern of alternation movements of the lower limbs during locomotion
32
gait exam
major section of the neurological exam that asses the cerebellum and descending pathways in the spinal cord through the coordinated motor functions of walking; a portion of the coordination exam
33
gnosis
in a neurological exam, intuitive experiential knowledge tested by interacting with common objects or symbols
34
graphesthesia
perception symbols, such as letters or numbers, traced in the palm of hand
35
hemisection
cut through half of a structure, such as the spinal cord
36
hemorrhagic stroke
disruption of blood flow to the brain caused by bleeding within the cranial vault
37
hyperflexia
overly flexed joints
38
hypotonicity
low muscle tone, a sign of LMN disease
39
hypovolemia
decrease in blood volume
40
inferior cerebella peduncle (ICP)
input to the cerebellum, largely from the inferior olive, that represents sensory systems and projects into the cerebellar cortex
41
inferior olive
large nucleus in the medulla that receives input from sensory systems and projects into the cerebellar cortex
42
internuclear opthalmoplegia
deficit of conjugate lateral gaze because the lateral rectus muscle of one eye does not contract resulting from damage to the abducens nerve or the MLF
43
intorsion
medial rotation of the eye around it axis
44
intrinsic muscles of the tongue
muscles that originate out of, and insert into, other tissues within the tongue and control the shape of the tongue
45
ischemic stroke
disruption of blood flow to the brain because blood cannot through blood vessels as a result of a blockage or narrowing of the vessel
46
jaw-jerk reflex
stretch reflex of the masseter muscle
47
localization of function
principle that circumscribed anatomical locations are responsible for specific functions in an organ
48
medial longitudinal fasciculus (MLF)
fiber pathway that connects structures involved in the control of eye and head position, from the superior colliculus to the vestibular nuclei and cerebellum
49
mental status exam
major section of the neurological exam that assesses cognitive functions of the cerebrum
50
middle cerebellar peduncle (MCP)
large, white-matter bridge from the pons that constitutes the major input to the cerebellar cortex
51
motor exam
major section of the neurological exam that assesses motor functions of the spinal cord and spinal nerves
52
neurological exam
clinical assessment tool that can be used to quickly evaluate neurological function and determine if specific parts of the nervous system have been affected by damage or disease
53
paramedian pontine reticular formation (PPRF)
region of the brain stem adjacent to the motor nuclei for gaze control that coordinates rapid, conjugate eye movements
54
paresis
partial loss of, or impaired, voluntary muscle control
55
plantar reflex
superficial reflex initiated by gentle stimulation of the sole of the foot
56
praxis
in a neurological exam, the act of doing something using ready knowledge or skills in response to verbal instruction
57
procedural memory
memory of how to perform a specific task
58
pronator drift
sign of contralateral corticospinal lesion when the one arm will drift into a pronated position when held straight out with the palms facing upward
59
receptive aphasia
loss of ability to understand received language, such as what is spoken to the subject or given in written form
60
red nucleus
nucleus in the midbrain that receives output from the cerebellum and projects onto the spinal cord in the rubrospinal tract
61
retrograde amnesia
loss of memories before a particular event
62
Rinne test
use of a tuning fork to test conductive hearing loss versus sensorineural hearing loss
63
Romberg test
test of equilibrium that requires the patient to maintain a straight, upright posture without visual feedback of position
64
rubrospinal tract
descending tract from the red nucleus of the midbrain that results in modification of ongoing motor programs
65
saccade
small, rapid movement of the eyes used to locate and direct the fovea onto visual stimuli
66
Sensorineural hearing
hearing dependent on the transduction and propagation of auditory information through the neural components of the peripheral auditory structures
67
Sensory exam
major section of the neurological exam that assesses sensory functions of the spinal cord and spinal nerves
68
short term memory
capacity to retain information actively in the brain for brief period of time
69
Snellen chart
standardized arrangement of the letters in decreasing size presented to a subject at a distance of 20 feet to test visual acuity
70
spasticity
increased contraction of a muscle in response to resistance, often resulting in hyperflexia
71
spinocerebellar tract
ascending fibers that carry proprioceptive input to the cerebellum used in maintaining balance and coordinated movement
72
spinocerebellum
midline region of the cerebellum known as the vermis that receives proprioceptive input from the spinal cord
73
stereonosis
perception of common objects placed in the hand solely on the basis of manipulation of that object in the hand
74
stroke (CVA)
loss of neurological function caused by an interruption of blood flow to a region of the CNS
75
superficial reflex
reflexive contraction initiated by gentle stimulation of the skin
76
Superior cerebellar peduncle (SCP)
white-matter tract representing output of the cerebellum to the red nucleus of the midbrain
77
transient ischemic attack (TIA)
temporary disruption of blood flow to the brain in which symptoms occur rapidly but last only a short time
78
vermis
prominent ridge along the midline of the cerebellum that is referred to as the spinocerebellum
79
vestibulo-ocular reflex (VOR)
reflexed based on connections between the vestibular system and the cranial nerves of eye movements that ensure that images are stabilized on the retina as the head and body move
80
vestibulocerebellum
flocculonodular lobe of the cerebellum named for the vestibular input from the eighth cranial nerve
81
Weber test
use of a tuning fork to test the laterality of hearing loss by placing it at several locations on the midline of the skull.
82
Wernicke's area
region at the posterior end of the lateral sulcus in which speech comprehension is localized