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Neuro > Neuro Kaplan, Robbins, and First Aid Q&A > Flashcards

Neuro Kaplan, Robbins, and First Aid Q&A Flashcards

1
Q

Anterior Half of external ear canal - Nerve? Posterior half?

A

Auricular Temporal (V3 branch); Auricular branch of vegus;

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2
Q

Ear innervation: lower auricle? upper?

A

Greater auricular; Lesser occipital

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3
Q

Artery in Middle cranial fossa?

A

Middle Menigial Artery

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4
Q

Innervated by external laryngeal N?

A

Cricothyroid

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5
Q

Cranial Ns that are used to hear?

A

7 and 8

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6
Q

Sensory organ for auditory?

A

Organ of Corti. Inside cochlea.

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7
Q

Pt with a positive Babinski sign. Decussation happens where?

A

Corticospinal tract. Decussates in caudal medulla.

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8
Q

Detect length of muscle? (used in reflexes)

A

Spindle afferents

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9
Q

Location of area postrema?

A

Floor of 4th ventricle

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10
Q

Meningitis - Increased lyphocytes, plasma cells, macrophages. Increased protein and decreased glucose? Type of organism?

A

Chronic organism (plasma cells) like TB

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11
Q

Granulovacular inclusions and Hirano bodies located where?

A

ALZ. Hippocampal pyrimidal neurons/

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12
Q

Negri Bodies found where?

A

Rabies. Purkinje neurons

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13
Q

AD disease with retinal angiomas?

A

VHL

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14
Q

Arnold Chiari 1 vs 2?

A

Small posterior fossa, downward displacement of cerebellar vermis and medulla through the foramen magnum leading to an obstructive hydrocephalus

2 = 1+ sryingomyelia, myelomeningocele

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15
Q

Microbes that causes abcesses in brain?

A

S. aureus, Strep, Bacteriodes

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16
Q

3 month course of dementia, memory loss and personality changes?

A

Prion

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17
Q

Bilateral loss of temp and pain but not touch?

A

Arnold Chirari

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18
Q

Hyperintense signals in cortical ribbon, BG, and thalamus. Bursts of high-voltage slow waves?

A

CJD

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19
Q

72 old pathologically forgetful pt who dies suddenly of intracranial hemorrhage. Cause?

A

Amyloid Angiopathy

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20
Q

Meningitis in a new born. Bugs?

A

Group B strep, E coli, Listeria

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21
Q

Treat central diabeties insipidus with? Nephrogenic?

A

Desmopressin; HCT

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22
Q

Involuntary Limb and facial movements, mood swing and trouble with memory. Mother had same disease. Histo findings? In what brain area?

A

Huntingtons. Gliosis of the caudate nucleus

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23
Q

An inability to:

1) distinguish left from right
2) identify fingers
3) cannot write
4) bad math

A

Damage to angular gyrus (visual associated cortex)

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24
Q

What lies in the Left posterior inferior frontal lobe?

A

Brocas

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25
Q

What lies in the Left posterior superior temporal gyrus?

A

Wernike’s

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26
Q

.

A

.

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27
Q

lesion to brain area that results in poor comprehension, good repitition and non-fluent speech

A

Temporoparieto-occipital junction

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28
Q

Demylination of DCML and spinocerebella tracts. Associated with? and Symptoms?

A

Pernicious anemia (B12 deficiency); loss of position and vibration sense

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29
Q

Demylination of posterior limb of internal capsule? Symptoms?

A

Contrateral spastic paralysis due to disruption of the decending fibers of the corticospinal tract

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30
Q

Loss of neuron in anterior horn and posterior columns. Associated with? and Symptoms?

A

Charcot-Marie-Tooth. Loss of conscious proprioception and lower motor neuron signs.

31
Q

Loss of the anterior horn cells?

A

Polio; flaccid paralysis

32
Q

Neuronal loss in the region of the anterior horn cells and corticospinal tracts in the SC. Associated with? and Symptoms?

A

ALS; SIgns of both upper and lower motor neuron lesions

33
Q

Area Postrema located where?

34
Q

Infant post-meningitis with enlarged head. Mech?

A

Decreased absoption of cerebrospinal fluid by arachnoid villi from scarring.

35
Q

25 year old healthy woman has acute confusion and disorientation. Left temporal lobe hemorrhage. LP shows monos, normal glucose and normal protein. Cause?

A

Herpes simplex.

36
Q

arboviral (horse encephalitis) CSF signs?

A

up CSF protein, neutrophils

37
Q

Hemorrhagic lesions in the brain can be caused by this fungi in immunocompromised pts?

A

Aspergillus

38
Q

subacute meningitis with exudate on base of brain?

39
Q

Acute meningitis with purulent exudate o the cerebral convexities?

A

N. meningitidis

40
Q

Alcoholic pt with asterixis. Blood will show?

A

Hyperammonemia

41
Q

pt with midbrain hemorrhage, in ventral-to-dorsal direction, and bilateral uncal and cerebral herniation. Mech?

A

kinking of branches of the basilar arter leading to hemorrhgic infarcts in ventral to dorsal direction

42
Q

Anencephaly - materal serum sign?

A

increased AFP

43
Q

recent vs remote brain infarct grossly?

A

necrosis vvs cystic space

44
Q

Fetus that is hydropic with extensive necrosis in periventricular pattern with focal calcifications - dx?

A

congenital CMV

45
Q

12 year old with diminishing neurologic function over 3 years. difficulty with movement, decreased mental ability and loss of control over her bladder. Atrophic brain, with shrunken white matter. What is spared?

A

metachromic leukodystrophy. subcortical U fibers spared.

46
Q

lysosomal storage disease that affects infants?

47
Q

Sub-dural bleed. What is disrupted?

A

bridging veins

48
Q

Tumors that arise in the ventricles of children?

A

Ependymomas

49
Q

PT with MS. Likely to deveop?

A

optic neuritis

50
Q

Thromboembolic dz that leads to cerebral infarcts typically affects what organ?

A

heart (endocarditis, mural thrombosis etc)

51
Q

Hypertension linked with brain hemorrhages where?

A

BG, pontine, cerebellar (cerebral from cardiac illnesses)

52
Q

Pt with severe headache for two days. papilledema. Day later, right pupillary dilation and impaired ocular movement. dx?

A

transtentorial medial temporal herniation

53
Q

Lesion in brain with gliosis and evidence of remote hemorrhage. Mass shows toruous vessels surrounded by gliosis. DX?

A

AV malformation

54
Q

Tumor that can result in a non-communicating hydrocephalus in a child?

A

ependymoma

55
Q

25 year old healthy woman has acute confusion and disorientation. Left temporal lobe hemorrhage. LP shows monos, normal glucose and normal protein. Cause?

A

Herpes simplex.

56
Q

arboviral (horse encephalitis) CSF signs?

A

up CSF protein, neutrophils

57
Q

Hemorrhage lesions in the brain can be cause in immunocompromised pts by this?

A

Aspergillus

58
Q

subacute meningitis with exudate on base of brain?

59
Q

Acute meningitis with purulent exudate o the cerebral convexities?

A

N. meningitidis

60
Q

Alcoholic pt with asterixis. Blood will show?

A

Hyperammonemia

61
Q

pt with midbrain hemorrhage, in ventral-to-dorsal direction, and bilateral uncal and cerebral herniation. Mech?

A

kinking of branches of the basilar arter leading to hemorrhgic infarcts in ventral to dorsal direction

62
Q

Anencephaly - materal serum sign?

A

increased AFP

63
Q

recent vs remote brain infarct grossly?

A

necrosis vvs cystic space

64
Q

Fetus that is hydropic with extensive necrosis in periventricular pattern with focal calcifications - dx?

A

congenital CMV

65
Q

12 year old with diminishing neurologic function over 3 years. difficulty with movement, decreased mental ability and loss of control over her bladder. Atrophic brain, with shrunken white matter. What is spared?

A

metachromic leukodystrophy. subcortical U fibers spared.

66
Q

lysosomal storage disease that affects infants?

67
Q

Sub-dural bleed. What is disrupted?

A

bridging veins

68
Q

Tumors that arise in the ventricles of children?

A

Ependymomas

69
Q

PT with MS. Likely to deveop?

A

optic neuritis

70
Q

Thromboembolic dz that leads to cerebral infarcts typically affects what organ?

A

heart (endocarditis, mural thrombosis etc)

71
Q

Hypertension linked with brain hemorrhages where?

A

BG, pontine, cerebellar (cerebral from cardiac illnesses)

72
Q

Pt with severe headache for two days. papilledema. Day later, right pupillary dilation and impaired ocular movement. dx?

A

transtentorial medial temporal herniation

73
Q

Lesion in brain with gliosis and evidence of remote hemorrhage. Mass shows toruous vessels surrounded by gliosis. DX?

A

AV malformation

74
Q

Tumor that can result in a non-communicating hydrocephalus in a child?

A

ependymoma

Neuro (14 decks)

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