ME

Question 1

بسم الله الرحمن الرحيم :-
Ventral spinothalmic

Answer 1

Crude touch
crude presure
itch and tickle

Question 2

Lateral spinothalamic

Answer 2

Pain and temperature

Question 3

crude touch

Answer 3

a delta and c fibers
____________________
Hair end organ
Free nerve ending
Ventral spinothalamic

Question 4

Crude touch perception

Answer 4

At level of thalamus

Question 5

adapation of crude touch

Answer 5

Fast Phasic

Question 6

Test of crude touch

Answer 6

Cotton wool test

Question 7

PAIN

Answer 7

Pin prck test for fast
Ischemic pain test for slow

Question 8

pain

Answer 8

nociceptor free nerve endings
A Delta for fast in cortex localized !
C for slow in thalamus
in Lateral spinothalamic tract

Question 9

warm receptors

Answer 9

Free nerve ending
but cold the free + Krasue end bulb

Question 10

Temperature test?

Answer 10

2 test tube test

Question 11

temp

Answer 11

Lateral spinothalamic

Question 12

TEMP afferents

Answer 12

A DETLA FOR COLD
C FOR WARM

Question 12

TEMP afferents

Answer 12

A DETLA FOR COLD
C FOR WARM

Question 13

vESTIBULO CEREELLUM LESION =

Answer 13

trunkal ataxia and dunken gait

Question 14

cerebellar lesion and musckle tone

Answer 14

hypotonia

Question 15

Cerebro cerebellum

Answer 15

تخطيط الحركات المتتابعة
كذلك ؟ التنبؤ بالحركات
التنبؤ بالأحداث
_______________
ضرره يؤدي لحركات متقطعة غير متصلة

Question 16

paleo spinal cerebellum

Answer 16

servocomparator
Damping
Ballistics

Question 17

Neocerebellar syndrome

Answer 17

Ataxia - athenia - atonia ?1 no meant hypotonia
_______________________________
Ataxia :
5d + tremors
aDiadochokinesia
Decompitstion of movements
Dysmetria
Dysarhtria staccato speech
Nystamgus
intention tremors
______________________
Athenia decreeasd muscle strength and tone due decreasd potention effect of cerebellum
_______________________________
Hypotiina pendular jerk !

Question 18

Pendular jerk appear in > ?

Answer 18

Neocerebellar syndrome

Question 19

Rapid alternating movement test for

Answer 19

diadochokinesa
pronation + supination with speed and accuracy

Question 20

point to point movement test observing ?

Answer 20

Dysmetria and Decompistion of movements and intention tremors

Question 21

Tests for Neocerebellar disease

Answer 21

Adiadochokinesia test
Point to point movemnt test
gait exam tandem heel to toe
pronation drift
Wrist slapping test
arm pulling test

Question 22

olfacroty nerve test CN1

Answer 22

Close eye
Each nostril with different object Familiar non irritant
may reveal :
1-Anosmia
2-parosmia : olfactory hallcination

Question 23

Ansomia unilateral is more dangerous why?

Answer 23

It may be due to neurogenic defect in one olfactory nerve
or may be due to ?
deviated septum

Question 24

all3 so4 LR6

Answer 24

ALL occlumotor Except Superior oblique Trochlear Lateral rectus abducent

Question 25

muscles supplied by Occlumotor ?

Answer 25

all extraocular muscles except ? superior oblique and lateral rectus (SOMATIC) + Levator palpebra superioris -Constrictor pupillae + Cilirary muscle ( parasympathatic)

Question 26

Third nerve palsy manifeted as ?

Answer 26

Ptosis Dilated pupil with no light reflex Divergent squint due to action of lateral rectus and superior oblique inferior laterally and paralysis of other extraocular muscles Failure of accommodation if you give him a paper to read cannot !

Question 27

4th cranial nerve exam

Answer 27

for Superior oblique if paralaysed ? The eye deviated supriomedially

Question 28

Abucents palsy leads to ?

Answer 28

Eye deviated medially with no apparent sclera + diplopia on lookin downwards in staris or books forcing patient to tilt head down

Question 29

Exam of eye

Answer 29

ptosis Eye position nystagmus pupil = euqlity- light reflex- accomodation Extraocular muscle movements

Question 30

Test of CN5

Answer 30

sENSORY FOR opthalmic maxillay mandibular _______ Motor ? :- يجذ علي سنانه وتشوف؟ temporalis + masseter ____________ medial and lateral ptergoid for side to side movments if patient mouth is deviated to any side so that side is suffering from Trigeminal Palsy

Question 31

reflexes of the CN5

Answer 31

Corneal reflex afferent CN5 efferent CN7 - Jaw reflex waiting weak of no jaw closure if there is closure this is detecting ? Bilateral UMNL trigmenial nerve

Question 32

facial cn7?

Answer 32

Taste ant 2/3 of tongue motor for muscle of facial expressions ? Frontalis + oribularis oculi Whistling Smile Puffing

Question 33

Bells palsy=

Answer 33

LMNL CN7

Question 34

لو عيان جاي وعينيه الشمال مش عارف يقفلها وفمه رايح ناخىة اليمين مش عارف يقفله عينيه + الفم بيروح للناحية السليمة يعني عنده مشكلة في نص الوش الشمال يعني ؟

Answer 34

Left LMNL facial nerve BELLS

Question 35

ست بتعرف تقفل عنيها بس فمها ناحية الشمال ؟

Answer 35

Right UMNL Facial nerve

Question 36

if uvula deivated to left side ?

Answer 36

there is vagal palsy in the right side

Question 37

glossopharyngeal and vagus exam ?

Answer 37

mid line uvula Gag reflex elcited by touching the palatal arches with tongue depressors afferent 9 efferent 10

Question 38

accessory

Answer 38

For stenromastoid and ? Trapqizus

Question 39

deviatoion pushing muscles : towards the diseased muscle : jaw and tongue as CN12 Pulling muscles: towards helathy mouth cn7 and uvular and cn10

Question 40

deviatoion pushing muscles : towards the diseased muscle : jaw and tongue as CN12

Question 41

Pulling muscles: towards helathy mouth cn7 and uvular and cn10