Nervous/CNS Flashcards

0
Q

Nerve ending responsible for light touch

A

Meissner (cocoon-shaped)

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1
Q

Nerve ending responsible for pressure/vibration

A

Pacinian (onion shaped)

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2
Q

Atlanto-occipital joint

A

Nodding (yes)

Between C1 and occipital condyles

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3
Q

Atlanto-axial joint

A

Turning from side to side (no)

Between C1 and C2

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4
Q

At what spinal level will patient present with quadriplegia

A

Transection above C3

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5
Q

Spinal cord: sympathetic

Spinal cord: parasympathetic

A

Short pre-ganglionic; thoracolumbar

Long pre-ganglionic; craniosacral

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6
Q

At what age do the following fontanelles close?
Anterior and mastoid
Posterior and sphenoid

A

2 years old

6 months

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7
Q

What are the components of the ANTERIOR foramen?

A

Cribiform plate: Anterior and posterior ethmoid plate

CN I: Anterior and posterior ethmoidal arteries and nerves

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8
Q

What are the components of the MIDDLE foramen?

A

Optic canal: CN II, ophthalmic a., central a./v. of retina
Superior orbital fissure: CN III, IV,V1, VI, ophthalmic v.
Foramen rotundum: V2
Foramen ovale: V3, lesser petrosal n., accessory meningeal a.
Foramen spinsoum: Middle meningeal a., epidural hemorrhage

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9
Q

What are the components of the POSTERIOR foramen?

A

Internal acoustic meatues: CN VII, VIII (otorrhea)
Jugular foramen: CN IX, X, XII
Hypoglossal canal: CN XII
Foramen magnum: Medulla of brainstem, CN XI, vertebral a.

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10
Q

What is a congenital malformation that presents with herniation of the medulla through the foramen magnum

A

Arnold-Chiari malformation (Foramen magnum malformation)

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11
Q

What is the most common site of aneurysm?

A

Anterior communicating artery

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12
Q

What is the etiology of epidural hemorrhage?

A

Middle meningeal artery

Lens/convex-shaped
Lucid interval

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13
Q

What is the etiology of subarachnoid hemorrhage

A

Berry aneurysm involving the anterior communicating artery

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14
Q

What is the etiology of a subdural hemorrhage?

A

Superior cerebelar veins (bridging/bridging veins)

Crescent-shaped

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15
Q

What do the following monitor?
Carotid body
Carotid sinus

A
Oxygen status (Body needs oxygen)
Pressure
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16
Q

What skull bone is not present at birth?

A

Mastoid

Appears at 2 years old
masTWOid

17
Q
What are the Brodmann areas of the following: 
Visual
Primary auditory
Auditory association
Uncus/olfactory
Motor/Premotor
A
17
41,42
22
34
4/6
18
Q

Where is Broca’s area located?

A

Area 44, inferior frontal gyrus, left

19
Q

Where is Wernicke’s area located?

A

Area 22, superior temporal

20
Q

Which disease presents with “box-car” ventricles

A

Huntington’s disease

Atrophy of the caudate nucleus

21
Q

Where is the lesion located if the patient presents with pinpoint pupils?

A

Pons

22
Q

What is the most common site of hypertensive bleed?

A

Putamen

23
Q

What are the branches of internal carotid artery

A
I See A (ICA) CAMPOS
Choroidal
Anterior cerebral
Middle cerebral
Posterior communicating
Ophthalmic artery
Superior hypophyseals
Amaurosis fugax	Ophthalmic artery
24
Q

Which artery is involved in amaurosis fugax?

A

Ophthalmic artery

25
Q

What is the confluence of cerebral sinuses called?

A

Torcular herophili

Superior sagittal, occipital, straight sinus (SOS)

26
Q

What is the vein of Labbe?

A

Inferior anastomotic vein

27
Q

What are the contents of the cavernouse sinus?

A

CN III, IV, V1 and V2, VI, ICA

28
Q

Complication of infection involving the dangerous triangle of the face?

A

Thrombosis of facial vein via the inferior ophthalmic vein

29
Q

What is the most common cause of congenital hydrocephalus?

A

Aqueductal stenosis

30
Q

What is the Meyer’s loop ?

A

Ophthalmic finding of “Pie in the sky” involving the temporal area

31
Q

What is the Herring’s nerve?

A

CN IX

32
Q

What are the purely sensory CN?

A

I, II, VIII

33
Q

What are parasympathetic CN?

A

1973 (IX, X, VII, III)

34
Q

What are the components of basal ganglia?

A

Substantia nigra
Striatum
Globus pallidus
Subthalamic nucleus

35
Q

Landmark: bifurcation of common carotid

A

C4

36
Q

Landmark: Nipple

A

Dermatome: T4
Spinal: 4th ICS

37
Q

Landmark for diaphragmatic apertures
IVC, right prenic nerve
Esophagus, Vagus (Esovagus)
Aorta, Azygos, Thoracic (AAT)

A

I ate (I8) 10 eggs (10E) at 12 (A12)
T8
T10
T12

38
Q

Landmark: inguinal ligament

A

Dermatome L1

39
Q

Landmark: HTC
Hyoid
Thyroid
Cricoid

A

C4
C5
C6

40
Q

Landmark: Umbilicus

A

Dermatome: T10

Vertebral level: L4

41
Q

Landmark: bifurcation of the aorta

A

L4