neurology Flashcards

1
Q

what does 0/5 mean?

A

no muscle contraction

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2
Q

1/5?

A

flicker of muscle contraction but no movement

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3
Q

2/5?

A

muscle contraction with movement only when gravity is eliminated

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4
Q

3/5?

A

movement against gravity but not against applied resistance

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5
Q

4/5?

A

movement against gravity with reduced power against resistance

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6
Q

5/5?

A

movement against gravity and full power against resistance

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7
Q

what does the glossopharangeal nerve do?

A

carries sensation from the pharynx and tonsils

taste sensation from posterior 1/3 of tongue

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8
Q

what does the vagus nerve do?

A

carries parasympathetic fibres to the foregut, midgut, heart, lungs
sensation around the pharynx
motor innervation of the laryngeal and upper pharyngeal muscles

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9
Q

which pharangeal muscles does the vagus supply?

A
levator veli palatini
cricothyroid
salingopharyngeus
palatoglossus
palatorpharyngeaus
all pharangeal constrictors
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10
Q

what are the functions of IX and X

A

swallowing
phonation
sensation

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11
Q

what does the glossopharangeal nerve supply?

A
stylopharangeaus
mucosa of pharynx
tonsils
posterior 1/3 of tongue
parasympathetic of parotid
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12
Q

what does deviation of the uvula suggest?

A

palsy of the vagus nerve, away from the side of the lesion

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13
Q

what do dysphonia and a bovine cough suggest?

A

damage to the recurrent laryngeal nerves

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14
Q

how can the recurrent laryngeal nerves be damaged

A

mediastinal lymphoma
lung cancer
thyroid surgery
aortic arch aneurysm

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15
Q

what does dysphagia and dysarthria suggest, what might they be accompanied by?

A

bilateral X lesion
nasal regurgitation of fluids
escape of air nasally when cheeks are puffed out

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16
Q

what can cause a bilateral X lesion?

A

bulbar palsy from MND

pseudobulbar palsy from MS or cerebrovascular disease

17
Q

Hip flexion

A

Iliopsoas L1-2

18
Q

Hip extension

A

Gluteus maximum L5-S2

19
Q

Knee flexion

A

Hamstrings L5-S2
Semitendinous
Semimembranous
Biceps femoris

20
Q

Knee extension

A

Quadriceps L2-L4

21
Q

Doris flexion

A

Tibialis anterior L4-5

22
Q

Plantarflexion

A

Soleus and gastrocnemius S1-2

23
Q

Knee reflex

A

L3-4

24
Q

Ankle reflex

A

S1-2

25
Q

Babinski roots

A

L5-S2

26
Q

question to assess temp sensation

A

how temp feels in the shower

27
Q

sx of encephalopathy?

A

altered mental state (confusion, orientation, cognition)

28
Q

causes of encephalopathy

A

alcohol-Wernicke’s

autoimmune-anti NMDA receptor-grandiose/hallucination