Cranial nerve reflexs-Jaw jerk Flashcards

1
Q

49F
Muscle weakness for 3 months
weakness in right hand
tripping
arm + leg = twitching + cramping
inc tone + fasciculations in lower extremity
atrophy in interosseous muscle + bilateral intrinsic muscle of feet

tap the chin - while the mouth in slighlty open - jaw jerk upward briskly

which nerve for the reflex ?

A

jaw jerk reflex (+)
afferent - trigeminal
efferent - trigeminal

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2
Q

jaw jerk reflex + in whom ?

A

bilateral upper motor nueron lesions - ALS
Amyotropic lateral sclerosis ALS

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3
Q

Jaw jerk reflex pathway ??

A

must from UW figure

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4
Q

only tendon reflex above the plane of the foramen magnum ?

A

jae jerk reflex

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5
Q

pathology of jaw jerk f=reflex
\\

A

bilateral lesions of the upper motor nueron
ALS
MS
pseudobulbar palsy

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6
Q

pupillary light reflex - afferent & efferent ?

A

A - CN 2
E - CN 3

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7
Q

A & E means ?

A

A - sensory
E - motor

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8
Q

corneal reflex A & E ?

A

A - opthalmic branch of trigeminal
E - facial
temporal and zygomatic branches of orbicularis oculi
FA - 519

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9
Q

Carotid sinus reflex effect ?

A

inc carotid sinus pressure
dec HR & BP

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10
Q

Carotid sinus reflex E & A ?

A

A - 9 IX
E - Vagus 10 X

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11
Q

Cough reflex A & E ?

A

A + E - X - vagus

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12
Q

gag reflex E & A ?

A

A - IX
E - X
same as carotid sinus reflex

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13
Q

vestibuloccular reflex?

A

A - VIII vestibular component
E - III IV VI

519 + UW box

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