Neuro PP Flashcards

1
Q

problem with cn8

A

ipsilateral sensorineural loss

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2
Q

moderate mmse

A

17-10

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3
Q

which 3 cn are not associated with the brainstem

A

11 1 2

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4
Q

macular area of the ocrtex supplied by which arteries

A

post and middle cerebral

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5
Q

problem with cn5

A

ipsilateral facial sensory loss

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6
Q

what supplies the levator palpebrae superioris

A

cn 3

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7
Q

issue with cn 10

A

uvula away from side of lesion

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8
Q

what are the 4 nuclei in the pons?

A

5 6 7 8

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9
Q

LATERAL cst

A

to limb muscles

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10
Q

anterior stt

A

crude touch and pressure

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11
Q

nmda receptor antagonist

A

memantine

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12
Q

problem with the medial lemniscus

A

contralateral loss of light touch vibration and proprioception

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13
Q

problem with the spinothalamic tract

A

contralateral loss of pain and temp

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14
Q

main first sign of huntingtons

A

clumsy jerking

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15
Q

tau

A

alzheimers

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16
Q

what are the 4 cn of the medulla

A

9 10 11 12

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17
Q

what are the 4 structures on the side of the brainstem?

A

spinocerebellar spinothalamic spinal trigeminal tract sympathetic tract

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18
Q

cause of cn3 palsy?

A

aneurysm

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19
Q

over 23 meningitis

A

pneumococcal then meningococcal

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20
Q

problem with spinocerebellar tract

A

ipsilateral cerebellar ataxia

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21
Q

12-23 meningitis

A

meningococcal then pneumococcal

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22
Q

problem with the medial longitudinal fasciculus

A

ipsilateral internuclear ophthalmoplegia

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23
Q

lateral stt

A

pain and temp

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24
Q

alpha synuclein

A

lewy body

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25
Q

criteria for total anterior circulation stroke

A

all three of - ulilateral weakness - homomomous haemianopia - higher cerebral dysfucnction

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26
Q

4 cn above th epons

A

1 2 3 4

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27
Q

signs of a cn4 palsy

A

vertical diplopia head tilt

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28
Q

what supplies the chorda tympani ?

A

cn7

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29
Q

fasciculations are seen in umn or lmn

A

lmn

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30
Q

3 main causes of horners syndrome

A

carotid dissection Pancoast tumour syringeomylia

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31
Q

visual hallucinations and parkinsonism

A

lewy bodu

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32
Q

problem with cn3

A

down and out dilate dpupil

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33
Q

main extrapyramidal symptoms

A

rigidity and cogwheeling

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34
Q

main symptoms of central cord syndrome

A

upper limb more than lower distal first bladder dysfunction motor more than sensory

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35
Q

problem with the motor nucleus and nerve

A

ipsilateral cn functional loss

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36
Q

sign of cn6 damage

A

diplopia medially rotated rotate their head to look sideways

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37
Q

signs of cn3 problem

A

down and out ptosis and dilated pupil

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38
Q

partial anterior circulation syndrome

A

two instead of the three criteria for the anterior stroke

39
Q

problem with cn7

A

ipsilateral facial weakness

40
Q

issue with cn 11

A

ipsilateral shoulder weakness

41
Q

eg postural tremor

A

essential

42
Q

what supplies the sphincter papillae and the ciliary muscles of the eye

A

cn 3

43
Q

huntington gene on chromosome

A

4p

44
Q

posterior circulation sydnorme

A

one of: cerebellar or brainstem syndomes loss of consciousness isolated homonomous haemianopia

45
Q

treat vascular dementia

A

aspirin and anti hypertensives

46
Q

eg resting tremor

A

parkinsosn

47
Q

left eye up and towards the ear

A

superior rectus

48
Q

anterior cst

A

to torso

49
Q

spinal nerve of xiphoid process

A

t8

50
Q

amyloid plaques

A

alzheiemers

51
Q

lacunar syndrome

A

one of unilateral weakness pure sensory ataxic hemiparesis

52
Q

right eye up and towards the nose

A

inferior oblique

53
Q

neurofibrillary tangles

A

alzheimers

54
Q

severe mmse

A

9-0

55
Q

describe the function and location of the upper optic radiation

A

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
Q

problem with cn12

A

ipsilateral weakness of the tongue

57
Q

ataxia

A

coordination balance and speech affected

58
Q

4 main features of cauda equina

A

bilateral leg weakness incontinence reduced anal tone saddle anaesthesia

59
Q

common cause of cn4 palsy

A

microvascular damage from diabetes or hypertension (congenital or trauma)

60
Q

what causes locked in syndrome

A

problem with the pons

61
Q

main eg of frontotemporal dementia

A

picks disease

62
Q

describe the function oand location of the lower optic radiation

A

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
Q

corneal reflex cn

A

5 (sensory) 7 ( motor)

64
Q

parkinsons features with severe cognitive dysfunction

A

lewy body dementia

65
Q

spinal nevre of lat malleolus

A

s1

66
Q

problem with cn4

A

hypertropia and vertical diplpopia worse on downgaze

67
Q

spinal nerve of big toe

A

l5

68
Q

what other drugs can you give in parkisons apart from levodopa and carbidopa

A

dopamine agonists like cabergoline comt I maoi

69
Q

other than tetrabenazine what can be used to treat chorea

A

neuroleptics and benzos

70
Q

issue with cn9

A

ipsilateral pharyngeal sensory loss

71
Q

what are the risk factors for having infection in the spine?

A

diabetic tb recent uti ivdu immunocompromised

72
Q

drugs which induce parkinsonism

A

antipsychotics antiemetics q

73
Q

spinal nerve of little toe

A

s1

74
Q

huntingtons results in degeneration of …… in striatum of basal ganglia

A

cholinergic and GABAergic neurons

75
Q

problem with the spinal trigeminal tract of cn5

A

loss of pain and temp of the face

76
Q

cause for cn6 damage

A

downward pressure on the brainstem (increased cranial pressure)

77
Q

spinal nerve medial malleolus

A

l4

78
Q

mild mmse

A

26-18

79
Q

tract of lausseur

A

stt

80
Q

main cause of central cord syndrome

A

syringeomyleia

81
Q

problemwith cst

A

contralateral weakness

82
Q

jaw jerk cn

A

5

83
Q

cn 9 action

A

stylopharyngeus middle ear parotid

84
Q

behaviour emotion and language affected in

A

frontotemporal dementia

85
Q

problem with the sympathetic tract

A

horners

86
Q

main gene in parkinsons on what chromosome

A

app on c21

87
Q

what are the main features of spinal neoplasm?

A

previous malignany with constant spinal pain gradual onste

88
Q

which lobes does herpes simplex encephalitis usually effect

A

temporal

89
Q

where is Meyers loop

A

temporal lobe where lower optic radiation is

90
Q

back pain from a spinal fracture is relieved by

A

lying down

91
Q

problem wit cn6

A

ipsilateral eye abduction weakness

92
Q

eg of action tremor

A

cerebellar diseasee

93
Q

what are the 4 midline structures of the brainstem?

A

motor pathway medial lemniscus medial longitudinal fasciculus motor nucleus and nerve