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A-CNS physio > ME > Flashcards

ME Flashcards

1
Q

بسم الله الرحمن الرحيم :-
Ventral spinothalmic

A

Crude touch
crude presure
itch and tickle

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2
Q

Lateral spinothalamic

A

Pain and temperature

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3
Q

crude touch

A

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

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4
Q

Crude touch perception

A

At level of thalamus

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5
Q

adapation of crude touch

A

Fast Phasic

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6
Q

Test of crude touch

A

Cotton wool test

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7
Q

PAIN

A

Pin prck test for fast
Ischemic pain test for slow

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8
Q

pain

A

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

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9
Q

warm receptors

A

Free nerve ending
but cold the free + Krasue end bulb

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10
Q

Temperature test?

A

2 test tube test

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11
Q

temp

A

Lateral spinothalamic

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12
Q

TEMP afferents

A

A DETLA FOR COLD
C FOR WARM

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12
Q

TEMP afferents

A

A DETLA FOR COLD
C FOR WARM

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13
Q

vESTIBULO CEREELLUM LESION =

A

trunkal ataxia and dunken gait

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14
Q

cerebellar lesion and musckle tone

A

hypotonia

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15
Q

Cerebro cerebellum

A

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

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16
Q

paleo spinal cerebellum

A

servocomparator
Damping
Ballistics

17
Q

Neocerebellar syndrome

A

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 !

18
Q

Pendular jerk appear in > ?

A

Neocerebellar syndrome

19
Q

Rapid alternating movement test for

A

diadochokinesa
pronation + supination with speed and accuracy

20
Q

point to point movement test observing ?

A

Dysmetria and Decompistion of movements and intention tremors

21
Q

Tests for Neocerebellar disease

A

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

22
Q

olfacroty nerve test CN1

A

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

23
Q

Ansomia unilateral is more dangerous why?

A

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

24
Q

all3 so4 LR6

A

ALL occlumotor
Except
Superior oblique Trochlear
Lateral rectus abducent

25
Q

muscles supplied by Occlumotor ?

A

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

26
Q

Third nerve palsy manifeted as ?

A

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 !

27
Q

4th cranial nerve exam

A

for Superior oblique if paralaysed ?
The eye deviated supriomedially

28
Q

Abucents palsy leads to ?

A

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

29
Q

Exam of eye

A

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

30
Q

Test of CN5

A

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

31
Q

reflexes of the CN5

A

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

32
Q

facial cn7?

A

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

33
Q

Bells palsy=

A

LMNL CN7

34
Q

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 ؟

A

Left LMNL facial nerve BELLS

35
Q

ست بتعرف تقفل عنيها بس فمها ناحية الشمال ؟

A

Right UMNL Facial nerve

36
Q

if uvula deivated to left side ?

A

there is vagal palsy in the right side

37
Q

glossopharyngeal and vagus exam ?

A

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

38
Q

accessory

A

For stenromastoid and ?
Trapqizus

39
Q

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

A
40
Q

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

A
41
Q

Pulling muscles: towards helathy
mouth cn7 and uvular and cn10

A

A-CNS physio (29 decks)

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