Monday 1 - robins - intro to cranial nerves and half of NSAIDS (oops) Flashcards

1
Q

How many pairs of spinal nerves are there? cranial nerves?

A

spinal: 31
cranial: 12

these are PAIRS

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2
Q

Where does the trochlear nerves come off of on the brain?

A

dorsal surface right next the the _________ idk

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3
Q

What kind of nuclei are in the sulcas limitans?

A

visceral motor and visceral sensory

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4
Q

Two general sensory tracts in the brain:

one responsible for fine touch, vibration and proprioceptive sensation

one responsible for transmitting pain and temperature information

A

Dorsal column/medial lemniscal tract (made of gracile fasciculus and cuneate fasciculus)

anteriolateral tract (lateral spinothalamic tract and anterior spinothalamic tract) (STT)

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5
Q

cranial nerve signs on one side, coupled with long tract signs on the opposite side is the hallmark of what

A

a brainstem lesion

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6
Q

General function of the reticular formation

A

packing material around cranial nerves, nuclei control arousal, respiration, swallowing, heart reate, BP.

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7
Q

Medial lemniscus

A

Right after the 1st synapse of affarent nerves at either the fasciculus gracilis or fasciculus cuneatus, second order neurons cross hemispheres and ride this lemniscus up.

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8
Q

Ventral posterior lateral nucleus of the thalmus serves what?

Ventral posterior medial nucleus serves what?

A

lateral = body

medial = face

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9
Q

Cell bodies of primary sensory neurons are usually lacated in the periphery and do not cross the midline, what is the exception

A

cranial nerve V that has cell bodies in the CNS, mesencephalic nucleus.

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10
Q

Where in the CNS does the first synapse happen in a tactile receptor pathway

A

in the caudal medulla

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11
Q

Lesions in the medial lemniscus produce what?

A

contralateral sensory defects.

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12
Q

What is receptive field overlap?

A

When the receptive fields or second order neurons overlap, i.e. stimulating one spot on the skin can stimulate multiple second order neurons.

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13
Q

Lesions in the ventral posterio-lateral thalmus result in what?

A

difficulty localizing pain

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14
Q

What is the central lateral nucleus of the thalmus involved in?

What happens if there is a lesion in this area

A

Alternative thalamic relay, which is just general pain and suffering.

Lesions alleviate general pain and suffering, or you could just stop breathing.

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15
Q

Brown sequard syndrome

A

aka hemiplegia

loss of sensation and motor function due to a lateral hemisection of the spinal cord

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16
Q

Naproxen

A

Similar, longer acting that ibuprofen

17
Q

Indomethacin

special because it treats:

A

most potent COX inhibitor, used when other NSAIDs are ineffective. significant toxicity

treats patent ductus arteriosus, a congenital disorder where ductus arteriosus doesn’t close.

18
Q

Ketorolac

A

IV NSAID

can replace morphine if opioid addiction is an issue

combined with opioid - can decrease opioid requirement by 25-50%

19
Q

Celecoxib

A

Selective COX 2 inhibitor

20
Q

Acetaminophen

Tx for overdose?

A

Not anti-inflammatory
analgesic and antipyretic

very weak COX inhibition.
hepatotoxic - especially with EtOH

N-acetylcysteine