IPA Neuro Exam Flashcards

1
Q

Nerves vs ganglia

A

Nerves are bundles of peripheral axons
Ganglia are clusters of peripheral neuronal cell bodies

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

What do motor endings of neurons do

A

Innervate effectors (muscle fibers and glands)

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

What is Praxis

A

ability to perform a motor activity

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

What is apraxia

A

inability to perform a voluntary movement in the absence of deficits (motor strength, sensation, coordination)

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

What is dyspraxia

A

Decreased ability to perform an activity

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

What is constructional apraxia

A

unable to construct or draw a simple shape or design

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

What is paresis

A

impaired strength or weakness

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

What is hemiparesis

A

weakness of one half of the body

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

What is plegia

A

absent strength

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

Contrast hemiplegia, paraplegia, and quadraplegia

A

Hemiplegia- paralysis of 1/2 of body
Paraplegia- Paralysis of lower extremities
Quadriplegia- paralysis of all extremities

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

What does a continuous headache suggest

A

muscle spasm

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

What does a recurrent headache suggest

A

migrane or cluster headache

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

What does a throbbing headache suggest

A

vascular concerns

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

How do we classify a petit mal seizure

A

Absent seizures, loss of consciousness around 10 seconds

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

How do we classify a grand mal seizure

A

Tonic-clonic seizure with convlusions

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

How do we classify a myoclonic seizure

A

contractions of face and upper extremities, no loss of consciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is ataxia

A

persistant unsteadiness while standing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the two changes of consciousness

A

Confusion- disturbed processing of information
Delirium- percieves information abnormally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 2 types of dysphasia

A

Expressive (nonfluent or Broca’s aphasia)- Labored speech pattern, poor articulation, unaltered comprehension (Able to think, cant speak)

Receptive (fluent or Wernicke’s aphasia)- Speak fine but do not make any sense at all when speaking (cognition is impaired). Also have difficulty understanding what other people are saying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Most common cause of dementia

A

Alzheimer’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Causes of CVA/Stroke by percentage

A

Thromboembolic (80% clot. Usually from DVT that goes to brain)
Hemorrhagic (20%- Hypertension is top cause)
Transient ischemic attacks (TIAs)- short episodes of neurological dysfunctions- Small bleeds or small clots that cause temporary deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 4 basic questions for neurology complaints

A
  1. What is the problem
  2. Where is the lesion
  3. What caused the lesion
  4. What do we do about it?
23
Q

When do you develop a thunderclap headache

A

Subarachnoid hemorrhage

24
Q

Confusion vs delirium

A

Confusion- disturbed processing of info
Dilerium- percieves information abnormally

25
Q

What does a parkinson’s disease tremor present as

A

Tremor present at rest, decreased with action, 3-6 cycles per second, increased with anxiety

26
Q

What does Intentional/essential tremor present as

A

slow, 2-4 cycles per second, increases or worsens with movement

27
Q

What type of tremor is huntington’s disease tremor

A

Chorea- involuntary jerky motions

28
Q

Theres no pain like “” pain

A

Ischemic pain

29
Q

Which CN’s control pupilary size

A

2 and 3

30
Q

Which Cranial nerves are parasympathetic

A

3, 7, 9,10

31
Q

Which Cranial nerves are Sensory/Motor/Both?

A

Some Say Money Matters But My Brother Says Big Brains Matter More
(S= sensory, M=motor, B=both, 1-12 nerves)

32
Q

Which nerve moves Lateral Rectus

A

CN 6

33
Q

Which nerve moves Superior Oblique

A

CN 4

34
Q

Which nerve innervates everything but 6 and 4

A

CN 3

35
Q

What part of the tongue does the facial nerve innervate sensorily

A

Anterior 2/3 of the tongue

36
Q

What is the sensory function of the glosopharyngeal nerve

A

posterior 1/3 of tongue

37
Q

Glosopharyngeal function in pharynx

A

elevats pharynx during swallowing

38
Q

If the uvula is pulled to the left, which CN 9 side is not working

A

On the right side it has a lesion/isnt working

39
Q

Why does a vasovagal response make you pass out

A

Decreases heart rate, BP, and breathing rate

40
Q

Which nerve innervates the tongue for motor innervation

A

Hypoglossal

41
Q

If CN 12 is dysfunctional on the right, which side does the tongue deviate to

A

To the right

42
Q

What are the 3 things you look for in muscles

A

atrophy
symmetry
fasiculations

43
Q

Which dermatome is C6

A

thumb

44
Q

Which dermatome is c7

A

middle finger

45
Q

Which dermatome is C8

A

tip of little finger

46
Q

Which dermatome is T4

A

Nipples

47
Q

Which dermatome is T10

A

umbilicus

48
Q

Which dermatome is L4

A

medial calves

49
Q

Which dermatome is L5

A

big toe

50
Q

Which dermatome is S1

A

Little toes

51
Q

What is an MSK emergency with L4-S1?

A

Cauda equina

52
Q

If a patient can’t differentiate between sharp vs dull, what abnormality could be occurring

A

Possible abnormality of spinothalamic tract

53
Q

What is normal 2-point discrimination on tongue, finger tips, toes, palms, and back?

A

Tongue:1mm
Finger tips:2mm
Toes:3-8mm
Palms: 8-12mm
Back:40-60mm

54
Q
A