Neuro PP Flashcards
1
Q
problem with cn8
A
ipsilateral sensorineural loss
2
Q
moderate mmse
A
17-10
3
Q
which 3 cn are not associated with the brainstem
A
11 1 2
4
Q
macular area of the ocrtex supplied by which arteries
A
post and middle cerebral
5
Q
problem with cn5
A
ipsilateral facial sensory loss
6
Q
what supplies the levator palpebrae superioris
A
cn 3
7
Q
issue with cn 10
A
uvula away from side of lesion
8
Q
what are the 4 nuclei in the pons?
A
5 6 7 8
9
Q
LATERAL cst
A
to limb muscles
10
Q
anterior stt
A
crude touch and pressure
11
Q
nmda receptor antagonist
A
memantine
12
Q
problem with the medial lemniscus
A
contralateral loss of light touch vibration and proprioception
13
Q
problem with the spinothalamic tract
A
contralateral loss of pain and temp
14
Q
main first sign of huntingtons
A
clumsy jerking
15
Q
tau
A
alzheimers
16
Q
what are the 4 cn of the medulla
A
9 10 11 12
17
Q
what are the 4 structures on the side of the brainstem?
A
spinocerebellar spinothalamic spinal trigeminal tract sympathetic tract
18
Q
cause of cn3 palsy?
A
aneurysm
19
Q
over 23 meningitis
A
pneumococcal then meningococcal
20
Q
problem with spinocerebellar tract
A
ipsilateral cerebellar ataxia
21
Q
12-23 meningitis
A
meningococcal then pneumococcal
22
Q
problem with the medial longitudinal fasciculus
A
ipsilateral internuclear ophthalmoplegia
23
Q
lateral stt
A
pain and temp
24
Q
alpha synuclein
A
lewy body
25
criteria for total anterior circulation stroke
all three of - ulilateral weakness - homomomous haemianopia - higher cerebral dysfucnction
26
4 cn above th epons
1 2 3 4
27
signs of a cn4 palsy
vertical diplopia head tilt
28
what supplies the chorda tympani ?
cn7
29
fasciculations are seen in umn or lmn
lmn
30
3 main causes of horners syndrome
carotid dissection Pancoast tumour syringeomylia
31
visual hallucinations and parkinsonism
lewy bodu
32
problem with cn3
down and out dilate dpupil
33
main extrapyramidal symptoms
rigidity and cogwheeling
34
main symptoms of central cord syndrome
upper limb more than lower distal first bladder dysfunction motor more than sensory
35
problem with the motor nucleus and nerve
ipsilateral cn functional loss
36
sign of cn6 damage
diplopia medially rotated rotate their head to look sideways
37
signs of cn3 problem
down and out ptosis and dilated pupil
38
partial anterior circulation syndrome
two instead of the three criteria for the anterior stroke
39
problem with cn7
ipsilateral facial weakness
40
issue with cn 11
ipsilateral shoulder weakness
41
eg postural tremor
essential
42
what supplies the sphincter papillae and the ciliary muscles of the eye
cn 3
43
huntington gene on chromosome
4p
44
posterior circulation sydnorme
one of: cerebellar or brainstem syndomes loss of consciousness isolated homonomous haemianopia
45
treat vascular dementia
aspirin and anti hypertensives
46
eg resting tremor
parkinsosn
47
left eye up and towards the ear
superior rectus
48
anterior cst
to torso
49
spinal nerve of xiphoid process
t8
50
amyloid plaques
alzheiemers
51
lacunar syndrome
one of unilateral weakness pure sensory ataxic hemiparesis
52
right eye up and towards the nose
inferior oblique
53
neurofibrillary tangles
alzheimers
54
severe mmse
9-0
55
describe the function and location of the upper optic radiation
carries fibres from the superior retinal quadrants (corresponding to the inferior visual field quadrants). It travels through the parietal lobe to reach the visual cortex
56
problem with cn12
ipsilateral weakness of the tongue
57
ataxia
coordination balance and speech affected
58
4 main features of cauda equina
bilateral leg weakness incontinence reduced anal tone saddle anaesthesia
59
common cause of cn4 palsy
microvascular damage from diabetes or hypertension (congenital or trauma)
60
what causes locked in syndrome
problem with the pons
61
main eg of frontotemporal dementia
picks disease
62
describe the function oand location of the lower optic radiation
carries fibres from the inferior retinal quadrants (corresponding to the superior visual field quadrants). It travels through the temporal lobe, via a pathway known as Meyers’ loop, to reach the visual cortex. macular area of the cortex is supplied by BOTH post cerebral artery and middle cerebral artery
63
corneal reflex cn
5 (sensory) 7 ( motor)
64
parkinsons features with severe cognitive dysfunction
lewy body dementia
65
spinal nevre of lat malleolus
s1
66
problem with cn4
hypertropia and vertical diplpopia worse on downgaze
67
spinal nerve of big toe
l5
68
what other drugs can you give in parkisons apart from levodopa and carbidopa
dopamine agonists like cabergoline comt I maoi
69
other than tetrabenazine what can be used to treat chorea
neuroleptics and benzos
70
issue with cn9
ipsilateral pharyngeal sensory loss
71
what are the risk factors for having infection in the spine?
diabetic tb recent uti ivdu immunocompromised
72
drugs which induce parkinsonism
antipsychotics antiemetics q
73
spinal nerve of little toe
s1
74
huntingtons results in degeneration of …... in striatum of basal ganglia
cholinergic and GABAergic neurons
75
problem with the spinal trigeminal tract of cn5
loss of pain and temp of the face
76
cause for cn6 damage
downward pressure on the brainstem (increased cranial pressure)
77
spinal nerve medial malleolus
l4
78
mild mmse
26-18
79
tract of lausseur
stt
80
main cause of central cord syndrome
syringeomyleia
81
problemwith cst
contralateral weakness
82
jaw jerk cn
5
83
cn 9 action
stylopharyngeus middle ear parotid
84
behaviour emotion and language affected in
frontotemporal dementia
85
problem with the sympathetic tract
horners
86
main gene in parkinsons on what chromosome
app on c21
87
what are the main features of spinal neoplasm?
previous malignany with constant spinal pain gradual onste
88
which lobes does herpes simplex encephalitis usually effect
temporal
89
where is Meyers loop
temporal lobe where lower optic radiation is
90
back pain from a spinal fracture is relieved by
lying down
91
problem wit cn6
ipsilateral eye abduction weakness
92
eg of action tremor
cerebellar diseasee
93
what are the 4 midline structures of the brainstem?
motor pathway medial lemniscus medial longitudinal fasciculus motor nucleus and nerve
