NEURO EXAM

Question 1

Frontal Lobe Function

Answer 1

High level cognitive skills, primary motor functions. Center of our personality and communication abilities.

Question 2

Prefrontal lobe function, assessment and deficit.

Answer 2

Tact, inhibition, insight, judgment, personality
S/S: Flat affect, abulia, inappropriate conversation, impulsive, belligerent
Assessment: LOC

Question 3

Motor/precentral (frontal lobe) function, assessment and deficit?

Answer 3

One step motor commands : hold two fingers up.
S/S: combative, restless

Question 4

Frontal lobe speech area

Answer 4

S/S: expressive aphasia (Brocas area)

Question 5

Frontal lobe strength test

Answer 5

(pronator drift, triple flex, flacid, etc)

Question 6

Parietal lobe cortex?

Answer 6

Somatosensory cortex

Question 7

Parietal lobe function?

Answer 7

Receives stimulus from body and interprets them. (size, shape, weight etc)

Question 8

Parietal lobe assessment

Answer 8

pain and temperature, light touch, proprioception

Question 9

Occipital Lobe function and deficit

Answer 9

Visual interpretation: size, form, color. Deficit: impaired visual

Question 10

Temporal Lobe function and deficit

Answer 10

Hearing, short-term memory, Wernicke’s area. Assessment: short-term memory, understanding

Question 11

Vessels in anterior circulation?

Answer 11

ICA
MCA
ACA
Acomm
Pcomm

Question 12

Internal Carotid Artery deficit

Answer 12

visual acuity, hemiparesis, hemiplegia.

Question 13

Middle Cerebral Artery Deficit

Answer 13

Homonymous hemianopia (visual neglect), contralateral pronator drift, facial droop and weakness

Question 14

Anterior cerebral artery Deficit

Answer 14

(hemiplegia) of Leg weakness, foot drop, urinary incontinence

Question 15

LMCA deficit

Answer 15

Broca’s: Ability to articulate speech. Expressive aphasia
Wernicke’s: Understand speech.
Both? Global aphasia

Question 16

Anterior Communicating Artery Deficit

Answer 16

Hemiplegia of leg/foot, DI, confusion

Question 17

Posterior Communicating Artery Deficit

Answer 17

CNIII palsy: ptosis, pupil dilation, lateral deviation. Supplies circle of willis.

Question 18

Posterior Circulation

Answer 18

Vertebral Artery
Basilar
PCA
PICA

Question 19

Vertebral artery deficit

Answer 19

Supplies brainstem and spinal cord. S/S ataxia, nystagmus. Wallenberg’s and Horner’s.

Question 20

Basilar artery deficit

Answer 20

Quadriparesis (locked in) , LIS, loss of consciousness, respiratory failure

Question 21

PCA deficit

Answer 21

Hemianopsia, memory, vision changes.

Question 22

PICA deficit

Answer 22

Ataxia, coordination (brainstem