Neuro Flashcards

0
Q

Which part of the brain controls body homeostasis?

A

Hypothalamus

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1
Q

Stages of motor learning

A

Skill acquisition- initial instruction and practice of skill
Skill retention- carry over, asked to demonstrate their new skill
Skill transfer- demonstrating skill in a new context

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2
Q

Which part of the brain stem is important in motor control and muscle tone?

A

Substantia nigra

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3
Q

Anterior horns effect what kind of neurons?

A

Efferent motor

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4
Q

Posterior horns effect what kind of neurons?

A

Afferent sensory

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5
Q

Where do neuro pathways cross?

A

Medulla oblongata

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6
Q

The cerebellum is known for?

If damaged can cause?

A

Balance

Ataxia

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7
Q

Which tracts are ascending SENSORY pathways?

A

Dorsal columns

Spinothalamic tracts

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8
Q

If damaged which tract comes back first? Why?

A

Spinothalamic. It is not as heavily myelinated which takes a while to regenerate.

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9
Q

What does dorsal column control?

Spinothalamic?

A

Proprioception and vibration

Pain and temperature

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10
Q

Why is smell so associated with memory?

A

Hippocampus (memory) and smell pathways are next to each other

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11
Q

Symptoms of lower motor neuron lesion*

A

Flaccidity, atrophy

*the kid is hurt, moms is feeling low

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12
Q

Symptoms of upper motor neuron lesion*

A

Spasticity, clonus, primitive reflexes, autonomic dysreflexia

  • moms is hurt kid is HYPER
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13
Q

Peripheral nerves are referred to as

A

Lower motor neurons

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14
Q
Nerve fiber types:
Delta 
Beta
Alpha
Gamma
A

Delta- pain, temp, touch
Beta- touch, pressure

Alpha- proprio, somatic
Gamma- motor

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15
Q

Where does the spinal cord end on the vertebrae?

A

L1 then forms the cauda equina

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16
Q

What is a TIA?

A

Transient ischemic attack. Brief brain blood flow interruption. Symptoms last less than 24hrs.

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17
Q

MCA CVA symptoms:

A

Contra hemi, aphasia, apraxia

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18
Q

ACA CVA symptoms:

A

Contra hemi, incontenence, confusion

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19
Q

Decorticate and decerebrate rigidity are symptoms of?

A

TBI?

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20
Q

Glasgow coma scale measures what? And what are parameters?

A

Eye Verbal Motor response. 3-15. Severe 13.

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21
Q

ASIA SCALE

A B E

A

A- complete NO motor or sensory
B- incomplete, sensory no motor
C- incomplete, motor intact
E- normal

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22
Q

Central cord

A

Hyperextension; effects arms more than legs

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23
Q

Brown- Sequard

A

Hemi section; lose contra pain and temp

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24
Anterior cord
Flexion of cord
25
Conus medullaris
Sacral cord and lumbar nerve roots; reflexive bowel and bladder
26
Cauda equina
L1 and below; flaccid paralysis
27
Name 3 complications of SCI
``` Respiratory, decrease vitals Decubiti Ortho hypo DVT auto dyseflex ```
28
Tremor vs ataxia?
Tremor- rhythmic alternating, resting or intention Ataxia- no coordination during voluntary movement
29
Dyskinesia vs dystonia
Dyskinesia- involuntary nonrepetitive, basal ganglia disorders Dystonia- sustained abnormal postures
30
Tics vs chorea
Tics- brief rapid involuntary repetitive Chorea- brief purposeless involuntary
31
Rancho los amigos scale How many levels? Assess what?
10 | Cognition
32
What is level 2 on rancho scale?
Generalized inconsistent, total assist, responds slow to pain stimuli, can perform sensory stimulating activities
33
What is level 5 on ranchos scale
Confused inappropriate non agitated, performs repetitive self care tasks, hair brushing may wander, not oriented, impaired memory, absent executive functions, follow simple commands with cues, difficult learning new info
34
What is level 7 ranchos?
Automatic and appropriate responses, min assist, poor judgment n problem solving, uncooperative, performs community re-entry activities
35
What is level 3 on ranchos
Localized response, responds to simple commands, turns head, blinks, performs sensory stim activities, moving to music
36
What is ranchos level 4
Confused agitated, alert, non purposeful sitting or walking, aggressive, mood swings,
37
Ranchos level 6
Confused appropriate, carry over for relearned tasks, unaware of impairments, follows simple directions, perform simple meal prep
38
List ranchos 8-10
Purposeful appropriate SBA " " SBA on request " " mod I
39
Which section of the brain does alcoholism attack?
Cerebellum = ataxia
40
Name 3 general neuro Tx's
``` Positioning Postural control Motor learning Adl training Splinting Cognitive perceptual retraining Sensory re-ed ```
41
Dyspraxia
Executing novel actions
42
Sensory processing disorder symptoms
``` Frustration Dyspraxia Poor initiation Poor ideation Difficult with adaptive response ```
43
TBI Tx
Sensory stim, positioning, splints Pelvic realignment/ trunk position, behavior management, fxnl mobility
44
Dysmetria
Decreased coordination
45
Akathisia vs akinesia
Akathisia- motor restlessness Akinesia- delayed initiation
46
Feed forward praxis
Compares motor and sensory plans to detect potential error and correct before attempt
47
Executional praxis
Perform action with precision
48
Which neuro approach Tx uses movement patterns to normalize tone?
PNF
49
Which neuro approach Tx uses handling techniques to I or F tone?
NDT
50
``` Weight Bearing Trunk rotation Scapular mobilization Positioning Bilateral patterns are Tx of what approach? ```
NDT
51
Which PNF pattern begins crossing midline?
D2
52
Quick stretch is utilized to...
Elicit a contraction
53
List brunnstroms 7 stages of motor recovery:
``` Flaccidity Min voluntary movement Spasticity Synergy deviation Greater synergy deviation No spasticity Normal tone ```
54
Demonstrate and verbalize flexor synergy pattern
Shoulder elevation n retraction ABduction external rotation Elbow flexion Forearm supination
55
Name 3 Rood facilitation techniques
``` Fast brushing Tendon tapping Vibration Quick icing Heavy joint compression ```
56
Name 3 Rood inhibitory techniques
``` Gentle rocking Slow stroking Tendon pressure Prolonged stretch Prolonged icing Neutral warmth ```
57
Name 2 evals for motor control dysfunction
Spasticity- 5pt ashworth scale Reflex Sublux Qualitative motor describtion
58
Akinesia
Inability to initiate movements
59
Ataxia
No motor control
60
Athetosis
Writhing worm like
61
Name 3 SI Tx
``` Elicit adaptive response Firm pressure Linear movement Slow movement Active participation Meaningful sensory input Balance structure and freedom ```
62
Central vision loss. Cloudy or opaque vision.
Cataracts
63
Peripheral vision loss.
Glaucoma
64
Changes in the blood vessels of the retina secondary to DM
Diabetic retinopathy
65
Decorticate Vs Decerebrate
Decorticate- UE flexed, internalR, aDduction Decerabrate- UE extended, internalR, ADduction
66
Brocas aphasia
Broken speech. Know what to say, cant say it
67
Dysarthria
Paralysis of speech organs
68
Name 5 cognitive perceptual functional impairments
Alertness, stereognosis, attention, ideational apraxia, ideomotor apraxia, LTM loss, STM loss, organization, sequencing, R/L discrimination, somatognosia, topographical, unilateral neglect, figure ground, perseveration, acalculia, alexia, problem solving, aphasia, agnosia, executive functioning.
69
What part of the brainstem mediates the tonic labyrinthine reflex?
Lower
70
The upper brain stem mediates which reflexes?
Righting
71
Traction is used for and on?
D flexion | To promote mobility
72
Approximation is used for?
To promote joint stability
73
After ECT what kind of loss is typical?
Short term memory
74
Blocked practice
Repeated performance of the same motor skill
75
Parkinsons
Affects dopamine production
76
What neurological symptoms are typically not seen in ALS
``` Cognition Sensation Vision Hearing Bowel and bladder ```
77
What is the primary assessment method for dementia?
Observation and interview