Neurologic Disorders Flashcards

1
Q

Congenital abnormality in the connection between arteries and veins without a developed capillary, resembling a “bag of worms”

A

arteriovenous malformation

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2
Q

Suspect intracranial AVM when a port-wine stain spans the cutaneous distribution of the trigeminal cranial nerve (CN V). True or False.

A

True

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3
Q

CN conveys impulses related to smell

A

olfactory CN I

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4
Q

CN conveys impulses related to sight; visual acuity

A

optic CN II

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5
Q
  • CN supplies four extraocular muscles: the medial rectus, superior rectus, inferior rectus, and inferior oblique, which adduct, depress, and the elevate the eye
  • Supplies the levator palpebrae superioris muscle, which controls the eye-lid opening
  • Pupil constriction
A

oculomotor CN III

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6
Q

CN controls movement of the superior oblique muscle which intorts the eye

A

trochlear CN IV

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7
Q

CN
- three branches: maxillary, mandibular and ophthalmic
- controls chewing movements
- delivers impulses related to touch, pain, temperature in the facial area
- corneal reflex (with CN VII)

A

trigeminal CN V

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8
Q

CN supplies the lateral rectus muscle that abducts the eye

A

abducens CN VI

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9
Q

CN
- controls the muscles of facial expression including eye-lid closure
- sensation and taste of the anterior two third of the tongue
- controls the tear and salivary glands
- corneal reflex with CN V

A

facial CN VII

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10
Q

CN transmits impulses related to equilibrium and hearing

A

vestibulocochlear CN VIII

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11
Q

CN
- sensation and taste in the posterior one third of the tongue
- controls swallowing
- controls salivary glands
- controls viscera in the thorax and abdomen

A

glossopharyngeal CN IX

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12
Q

CN controls the skeletal muscle movements in the pharynx, larynx, and palate

A

Vagus CN X

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13
Q

CN controls swallowing and controls movement of the head

A

accessory CN XI

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14
Q

CN controls muscles involved in speech and swallowing

A

hypoglossal CN XII

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15
Q

What is the initial diagnostic tool for arteriovenous malformation?

A

CT

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16
Q

What is the radiologic study of choice or “gold standard” for diagnosing AVM?

A

cerebral angiography

17
Q

Emergent medical management of ruptured AVM

A
  • ABCs
  • controlling increased ICP by positioning, hyperosmolar therapy, mild hyperventilation (PaCO2 33-35), temperature control, seizure control, sedation/analgesia, and pharmacologic paralysis
18
Q

a progressive descending neurologic disorder caused by the Clostridium botulinum bacteria, which causes general muscle weakness that can result in respiratory failure

A

Botulism

19
Q

What age group is most often affected by botulism?

A

infants < 6months of age

20
Q

bacteria multiply, colonize the intestines, and produce toxin, which affects the neuromuscular junction, blocking the release of acetylcholine from nerve endings, resulting in paralysis

A

pathophysiology of botulism

21
Q
  • Constipation, poor feeding, lethargy, increasing weakness
  • physical exam: hypotonia and symmetrical CN palsies
  • infants have weak cry, expressionless face, ptosis, and sluggish pupillary responses; gag, suck, and swallow reflexes are diminished or may be absent
A

clinical presentation of botulism

22
Q

how to diagnosis botulism

A

stool sample for botulinum toxin

23
Q

how to treat botulism

A

human botulism immune globulin intravenous (BIG-IV)

24
Q

Botulism Pearl

A

botulism should be suspected of any infant that presents with hypotonia and difficulty with sucking, feeding, swallowing, or weak cry