Even More Test 1 Highlights

Question 1

What is the other term for cormiosis, a common sign of Horner’s Syndrome?

Answer 1

pupilloconstriction

Question 2

What are the 4 common S/S of Horner’s Syndrome?

Answer 2

Ptosis, Pupilloconstriction, Facial Anhydrosis, Ipsilateral Facial vasodilation

Question 3

Lesions along the sympathetic pathway distal to the bifurcation of the common carotid (along the internal carotid pathway) will not cause all 4 classic S/S of Horner’s. What will lesions here cause?

Answer 3

pupilloconstrictin and ptosis only

Question 4

Lesions along the sympathetic pathway along the external carotid pathway will cause what?

Answer 4

vasodilation and anhydrosis

Question 5

Theoretically, disruption of sympathetic impulses to the small muscle of Muller will cause what?

Answer 5

Enophthalmos (inward sinking eyes)

Question 6

Checking for eyelid ptosis, pupil asymmetry, and ocular deviations describes the examination of what cranial nerves?

Answer 6

CN III, IV, and VI

Question 7

T/F: Eyelid ptosis may indicate a lesion to the hypothalamus, brain stem, spinal cord, or peripheral sympathetic nerves.

Answer 7

True

Question 8

What reflex involves pinching the skin on the patient’s neck and observing for brisk bilateral pupillodilation?

Answer 8

ciliospinal reflex (assesses sym fnxn in in head and face)

Question 9

What is the term for failure to perceive light stimulus?

Answer 9

medical blindness

Question 10

What is confrontation used to assess?

Answer 10

peripheral vision

Question 11

T/F: Convergence is accomplished by the medial rectus muscles and dependednt on CN II function.

Answer 11

False; CN III

Question 12

T/F: Pupilloconstriction is accomplished by parasympathetic fibers traveling within CN II.

Answer 12

False; CN III

Question 13

What muscle is responsible for lens thickening which allows for the patient to see and focus?
What is its innervation?

Answer 13

ciliary muscles;

CN III

Question 14

What muscle is responsible for lens thickening which allows for the patient to see and focus?
What is its innervation?

Answer 14

ciliary muscles;

CN III

Question 15

When performing the Swinging Flashlight Test, what is it called if the pupil dilates when it should constrict?

Answer 15

Marcus-Gunn phenomenon

Question 16

What is the term for collections of degenerative deposits that often appear in the fundus of elderly people and are considered clinically insignificant?

Answer 16

Drusen Bodies

Question 17

T/F: CN V supplies the cutaneous innervation over the angle of the jaw.

Answer 17

False; this is the great auricular nerve of the cervicoplexus (C2, C3 dermatome)

Question 18

T/F: Forehead mov

ement is usually spared in unilateral lesions involving corticobulbar pathways.

Answer 18

True, hence stroke victims may still exhibit bilateral forehead movement

Question 19

What is prosopoplegia?

Answer 19

peripheral facial paralysis

Question 20

What is ageusia?

Answer 20

complete taste loss

Question 21

T/F: Peripheral lesions to CN VII must be distal to te stylomastoid foramen to affect taste.

Answer 21

False; must be proximal

Question 22

T/F: Peripheral lesions to CN VII must be distal to te stylomastoid foramen to affect taste.

Answer 22

False; must be proximal

Question 23

Nerve of perceptive hearing loss is usually attributed to disease of what organ?

Answer 23

Organ of corti (inside the cochlea) or the auditory nerve

Question 24

What is the cardinal finding in CN XII disease?

Answer 24

paralysis of the tongue

Question 25

What is the cardinal finding in CN XII disease?

Answer 25

paralysis of the tongue

Question 26

What is the term for loss of vibratory perception?

Answer 26

pallanesthesia

Question 27

T/F: If a patient falls during the Romber Test with his eyes open, it signifies a dorsal column pathology.

Answer 27

False; eyes closed

Question 28

What is the term for uncoordinated movement which is considered and abnormal finding during the finger-to-nose test? innacuracy in measuring distance?

Answer 28

Dyssynergia;

Dysmetria

Question 29

What test can show dyssnergia but not dysmetria?

Answer 29

Finger-to-nose-to-finger test

Question 30

What test can show dyssnergia but not dysmetria?

Answer 30

Finger-to-nose-to-finger test

Question 31

What is the term for inability to perform actions properly indicating a possible cerebellar dysfunction?

Answer 31

Dysdiadochokinesia

Question 32

Pinching Achiles tendon

Answer 32

Abadie’s sign

Question 33

pinching testicles

Answer 33

Pitre’s sign

Question 34

Pinching or striking the ulnar nerve?

Answer 34

Biernacki sign

Question 35

Placing pressure on the eyeball tests what?

Answer 35

deep pain sensation

Question 36

Term for patient’s ability to identify an object in his hand while eyes are closed?

Answer 36

stereognosis

Question 37

Term for patient’s ability to assess the relative weight of similarly sized and shaped objects with different weight?

Answer 37

Barognosis