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
What lies in the Left posterior superior temporal gyrus?
Wernike's
26
.
.
27
lesion to brain area that results in poor comprehension, good repitition and non-fluent speech
Temporoparieto-occipital junction
28
Demylination of DCML and spinocerebella tracts. Associated with? and Symptoms?
Pernicious anemia (B12 deficiency); loss of position and vibration sense
29
Demylination of posterior limb of internal capsule? Symptoms?
Contrateral spastic paralysis due to disruption of the decending fibers of the corticospinal tract
30
Loss of neuron in anterior horn and posterior columns. Associated with? and Symptoms?
Charcot-Marie-Tooth. Loss of conscious proprioception and lower motor neuron signs.
31
Loss of the anterior horn cells?
Polio; flaccid paralysis
32
Neuronal loss in the region of the anterior horn cells and corticospinal tracts in the SC. Associated with? and Symptoms?
ALS; SIgns of both upper and lower motor neuron lesions
33
Area Postrema located where?
Medulla
34
Infant post-meningitis with enlarged head. Mech?
Decreased absoption of cerebrospinal fluid by arachnoid villi from scarring.
35
25 year old healthy woman has acute confusion and disorientation. Left temporal lobe hemorrhage. LP shows monos, normal glucose and normal protein. Cause?
Herpes simplex.
36
arboviral (horse encephalitis) CSF signs?
up CSF protein, neutrophils
37
Hemorrhagic lesions in the brain can be caused by this fungi in immunocompromised pts?
Aspergillus
38
subacute meningitis with exudate on base of brain?
TB
39
Acute meningitis with purulent exudate o the cerebral convexities?
N. meningitidis
40
Alcoholic pt with asterixis. Blood will show?
Hyperammonemia
41
pt with midbrain hemorrhage, in ventral-to-dorsal direction, and bilateral uncal and cerebral herniation. Mech?
kinking of branches of the basilar arter leading to hemorrhgic infarcts in ventral to dorsal direction
42
Anencephaly - materal serum sign?
increased AFP
43
recent vs remote brain infarct grossly?
necrosis vvs cystic space
44
Fetus that is hydropic with extensive necrosis in periventricular pattern with focal calcifications - dx?
congenital CMV
45
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?
metachromic leukodystrophy. subcortical U fibers spared.
46
lysosomal storage disease that affects infants?
tay-sachs
47
Sub-dural bleed. What is disrupted?
bridging veins
48
Tumors that arise in the ventricles of children?
Ependymomas
49
PT with MS. Likely to deveop?
optic neuritis
50
Thromboembolic dz that leads to cerebral infarcts typically affects what organ?
heart (endocarditis, mural thrombosis etc)
51
Hypertension linked with brain hemorrhages where?
BG, pontine, cerebellar (cerebral from cardiac illnesses)
52
Pt with severe headache for two days. papilledema. Day later, right pupillary dilation and impaired ocular movement. dx?
transtentorial medial temporal herniation
53
Lesion in brain with gliosis and evidence of remote hemorrhage. Mass shows toruous vessels surrounded by gliosis. DX?
AV malformation
54
Tumor that can result in a non-communicating hydrocephalus in a child?
ependymoma
55
25 year old healthy woman has acute confusion and disorientation. Left temporal lobe hemorrhage. LP shows monos, normal glucose and normal protein. Cause?
Herpes simplex.
56
arboviral (horse encephalitis) CSF signs?
up CSF protein, neutrophils
57
Hemorrhage lesions in the brain can be cause in immunocompromised pts by this?
Aspergillus
58
subacute meningitis with exudate on base of brain?
TB
59
Acute meningitis with purulent exudate o the cerebral convexities?
N. meningitidis
60
Alcoholic pt with asterixis. Blood will show?
Hyperammonemia
61
pt with midbrain hemorrhage, in ventral-to-dorsal direction, and bilateral uncal and cerebral herniation. Mech?
kinking of branches of the basilar arter leading to hemorrhgic infarcts in ventral to dorsal direction
62
Anencephaly - materal serum sign?
increased AFP
63
recent vs remote brain infarct grossly?
necrosis vvs cystic space
64
Fetus that is hydropic with extensive necrosis in periventricular pattern with focal calcifications - dx?
congenital CMV
65
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?
metachromic leukodystrophy. subcortical U fibers spared.
66
lysosomal storage disease that affects infants?
tay-sachs
67
Sub-dural bleed. What is disrupted?
bridging veins
68
Tumors that arise in the ventricles of children?
Ependymomas
69
PT with MS. Likely to deveop?
optic neuritis
70
Thromboembolic dz that leads to cerebral infarcts typically affects what organ?
heart (endocarditis, mural thrombosis etc)
71
Hypertension linked with brain hemorrhages where?
BG, pontine, cerebellar (cerebral from cardiac illnesses)
72
Pt with severe headache for two days. papilledema. Day later, right pupillary dilation and impaired ocular movement. dx?
transtentorial medial temporal herniation
73
Lesion in brain with gliosis and evidence of remote hemorrhage. Mass shows toruous vessels surrounded by gliosis. DX?
AV malformation
74
Tumor that can result in a non-communicating hydrocephalus in a child?
ependymoma