High yield Flashcards

1
Q

what area is located at the front of the nose and is prone to nose bleeds

A

Kiesselbachs area

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2
Q

A defect in the cranial nucleus will result in

A

inability to cry

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3
Q

what is the path of light through the eye ball

A

cornea, aqueous humor, lens, vitreous humor

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4
Q

The incisors drain to the

A

sublingual space

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5
Q

the molars drain to the

A

submandibular space

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6
Q

what is the blood supply to the thalmus

A

posterior cerebral artery

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7
Q

How would you recognize a thalamic defect in your patient

A

all CN tests would fail excpet olfactory

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8
Q

Blunt force trauma to lateral wall of the orbit, x ray reveals disruption of superior orbital fissure, which vein should you make sure has not been ruptured

A

(Superior ophthalmic vein)

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9
Q

Patient presents 2 weeks postop after fractured orbital wall complaining of reduced vision, which vessel is most likely problematic

A

(Central retinal artery)

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10
Q

Patient presents with droopy eyelid and can’t look laterally, which nerve is involved

A

(Occulomotor nerve)

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11
Q

Patient presents with double vision, left medially deviated eye and left ptosis

A

(CN III, IV, and VI)

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12
Q

Trauma to head, inability to distinguish whether they are being touched on their forehead, what is the problem

A

(damage to Ophthalmic division of trigeminal nerve)

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13
Q

Crushing injury to zygomatic arch, which nerve is dysfunctional, no branch of maxillary nerve is given

A

(zygomatic nerve)

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14
Q

Catches a softball to lateral aspect of jaw, fracturing ascending ramus of mandible, which cranial nerve is injured

A

(mandibular branch of trigeminal nerve)

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15
Q

Softball fractures nasal bone, which nerve is damaged

A

nasociliary nerve

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16
Q

CN8 runs through internal acoustic meatus, leads to altered hearing and balance

A

-no problems with hearing, but problem with balance-à damage to vestibular nerve

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17
Q

Carotid endarterectomy, what types of iatrogrenic injuryàwhich two nerve deficits

A

Superior cervical lymph nodes, IJV, damage to CN 9, 11, 12, branches of 10

18
Q

Traversing jugular foramen, which problem results from chondroma of jugular forame

A

Damage to cranial nerves 9-11 along with IJV

dysphagia, hoarseness, deviation of uvula, loss of gag reflex, decrease in parotid gland secretion, soft palate drooping, SCM and trapezius paresis

19
Q

What CN would be damages from pressure on the internal carotid artery

20
Q

Tongue sticking out and deviated, is problem unilateral (which side)

A

(hypoglossal nerve damageàunilateral damage, tongue deviates towards paralyzed/ipsilateral side)

21
Q

Posterior crico-arytenoid function

A

only muscle that abducts/opens the vocal cords by opening the rima glottides

22
Q

What circumstances indicate cricothyrotomy vs tracheostomy

A

Tracheostomy: provides an airway to remove secretions from the lungs or bypass an obstructed airway

-anatomical landmarks easier to palpate, less risk of bleeding b/c of fewer arteries, no need to manipulate the cervical spine, SAFER AND BETTER

Cricothyrotomy: establish airway during airway obstruction by foreign body, angioedema, massive facial trauma

-patient placed in full extension, puncture cricothyroid ligament with a sharp instrument

23
Q

What type of nerve fibers run from one cerebral hemisphere to the other

A

Commissural Fibers

24
Q

A brain stem leash on of the second order nucleus with a loss of conscious proprioception front the right upper limb

A

Dorsal Column Medial Lemniscus (Cuneatus) Lesion will be ipsilateral

25
A patient is unable to move their hands and feet. CN and sensation intact. Where is the lesion?
Decussation of the pyramids
26
Which nucleus is involved in a patient that is having difficulty swallowing?
Hypoglossal nucleus (nucleus ambiguous)
27
A patient presents with a loss of pain and temperature sensation in the face. Which tract/ nucleus must be involved? Which blood vessel must be involved?
Spinal Trigeminal Tract; PICA Same side of face, opposite of body
28
Location of Brainstem lesion in which the patient is unable to abduct the right eye and left sided paralysis of upper and lower extremities.
Medial longitudinal fasiculus and corticospinal fibers in basilar pons along caudal levels
29
What vessel is involved with a hemorrhage lesion of the anterior lobe fo the cerebellum involving the cortex and nuclei
Superior cerebellar artery, which arises from basilar
30
What is the source of climbing fibers in the cerebellum
Inferior Oliver’s nucleus of the medulla
31
patient with double vision (diplopia), the left eye is deviated laterally and lightly inferiorly, the left pupil is dilated and does not constrict to a bright light.
An occlusion of vessels serving the medial portions of the midbrain (quadrigeminal artery) → Weber Syndrome Damage to the right medial midbrain
32
Structure affected by a tumor in the quadrigeminal cistern
posterior surface of the midbrain
33
Midbrain involvement with an absent pupillary light reflex
Pretectal area → Edinger-Westphal nucleus Optic tract fibers will terminate in the pretectal nucleus (area) located in the SUPERIOR COLLICULIS → it will project bilaterally to the Edinger-Westphal nuclei → the axons from the Edinger-Westphal nucleus with the oculomotor nerve → will synapse on the cells in the ciliary ganglion which will innervate the spincter muscle of the pupil and ciliary muscle
34
Neurons involved with a neurodegenerative disease that is related to a progressive loss of dopamine containing cells
Pars compacta of the substantia nigra
35
Blood vessel involved with a midbrain lesion that involves problems with hearing
Basilar artery → AICA → Labyrinthine artery
36
Major arteriol supply to the pons
Basilar
37
Why would optic nerve sheath diameter be assessed?
To measure elevated intracranial pressure
38
blood supply to the inferior and superior coplliculi
quadrageminal
39
contain pigment containing cells
pars compacta
40
which spinal cord comes out inferior to the inferior colliculi
trochlear