Neuro Flashcards

1
Q

Understanding speech

A

wernicke’s area

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2
Q

Motor control of speech

A

Broca’s area

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3
Q

Cognition, movement, and sensation

A

Cerebral cortex

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4
Q

Memory & learning

A

Hippocampus

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5
Q

Emotion, appetite, responds to pain and stressors

A

Amygdala

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6
Q

Fine control of movement

A

Basal ganglia

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7
Q

Primary neurohumoral organ

A

Hypothalamus

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8
Q

Acts as a relay station that directs info to various cortical structures

A

Thalamus

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9
Q

Archicerebellum

A

Maintains equilibrium

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10
Q

Paleocerebellum

A

Regulates muscle tone

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11
Q

Neocerebellum

A

Coordinates voluntary muscle movement

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12
Q

Which cranial nerve is most likely to be compressed by a pituitary tumor?

A

Optic

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13
Q
A
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14
Q

Where in the brain is the BBB NOT present?

A

CTZ
Hypothalamus
Pineal gland
Posterior pituitary
Choroid plexus

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15
Q

Where is CSF produced?

A

Choroid plexus (in all 4 ventricles)

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16
Q
A

B

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17
Q

CMRO2 = ____ mL/O2/100g brain tissue/min

A

3.0-3.8

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18
Q

CMRO2 decreases by __% for every __ degree C decrease in temp. EEG suppression occurs at ___ degrees

A

7
1
18-20

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19
Q

CMRO2 is decreased by:

A

Hypothermia
Halogenated anesthetics
Propofol
Etomidate
Barbiturates

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20
Q

CMRO2 is increased by:

A

Hyperthermia
Seizures
Ketamine
Nitrous oxide

22
Q

Respiratory acidosis increases/decreases CBF

23
Q

Respiratory alkalosis increases/decreases CBF

24
Q

Why does metabolic acidosis not affect CBF?

A

The H+ in the blood does not cross the BBB

25
What are the 5 determinants of CBF?
CMRO2 CPP PaCO2 PaO2 Venous pressure
26
A fixed and dilated pupil suggests herniation of the?
Temporal uncus
27
Which cranial nerve is most likely affected by herniation?
CN 3 occulomotor
28
ICP measurement is indicated with what Glasgow coma score?
< or = 7
29
7 signs of increased ICP
Headache N/V Papilledema Neuro deficit Pupil dilation & non-reactivity to light Altered LOC Seizure
30
What is the Monroe Kellie doctrine
Pressure-volume equilibrium b/w brain, blood, & CSF within confines of the cranium. If one rises w.o a compensation by another, there is increased ICP
31
Why do we avoid glucose containing solutions in cerebral cases?
Int he setting of cerebral ischemia, excess glucose in the brain is converted to lactic acid, thereby worsening outcomes
32
_____ & _____ reduce CSF production
Acetazolamide & furosemide
33
How many hours after symptoms of a stroke do you have to give TPA?
4.5 hrs
34
_____ bleeding usually occurs in the subarachnoid space (b/w arachnoid and pia)
Arterial
35
_____ bleeding usually occurs in the subdural space (b/w dura and arachnoid)
Venous
36
37
38
Name the cranial nerves
I- Olfactor II- Optic III- Occulomotor IV- Trochlear V- Trigeminal VI- Abducens VII- Facial VIII- Vestibulocochlear IX- Glossopharyngeal X- Vagus XI- Accessory XII- Hypoglossal
39
What is the mneumonic for identifying which nerves are sensory or motor?
"Some Say Marry Money But My Brother Says (it's) Bad Business (to) Marry Money"
40
Parasympathetic output is carried out by which CNs?
3, 7, 9, 10
41
What nerve is responsible for 75% of all parasympathetic output?
Vagus
42
43
Identify the landmarks and what they control
44
45
46
What is the treatment for hypo/hyperkalemic paralysis?
Acetazolamide
47
Hypokalemic periodic paralysis is a/w a ____ channelopathy
Ca
48
Hyperkalemic periodic paralysis is a/w a ___ channelopathy
Na