Neuromuscular Flashcards
What is part of the brainstem?
Midbrain
Substanitia nigra
Basal ganglia
What is function of medulla oblongata?
Vital sign function of cardiac
Respiratory and vasomotor centers
What is part of diecephalon?
Thalamus
Hypothalamus
What is function of hypothalamus?
Homeostasis, metabolism
Heart rate
Primary drives ( food, sex, sleep)
What does lesions in organs of brain and lobes, spinal cord lead to?
Rigidity- organs of brain
Lobes and spinal cord- spasticity
What is cranial nerve 3, 4, 5,6,7 8, 10, 11
3- oculomotor
4- trochlear
5- trigeminal
6- abducens
7- facial
8- vestibulocohlear
10-vagus
11- spinal accessory
What is the function of vestibulocochlear? Motor or sensory?
Sensory- Vestibular ocular reflex (VOR)
Cochlear function
What is the function of spinal accessory nerve? Motor or sensory?
Double motor
Trapezius, SCM muscle function
What are 12 cranial nerves?
- Olfactory
- Optic
- Oculomotor
- Trochlear
- Trigeminal
- Abducens
- Facial
- Vestibulocohlear
- Glossopharyngeal nerve
- Vagus
- Accessory
- Hypoglossal
What artery and lobs is associated with NO homonymous hemianopsia, brocas aphasia, ataxia?
Frontal lobe
Anterior cerebral artery
What lobe and artery is associated with apraxia and anosognosia, wernickes aphasia?
Parietal lobe
Middle cerebral artery
What artery and lobe is associated with visual deficit?
Occipital lobe
Posterior cerebral artery
What lobe and artery is associated with lock of coordination, intention tremors, and 3Ds?
Cerebellum
Vertebral arteries
What are the 3 Ds ?
Dysdiadochokinesia
Dysarthria
Dysmetria
What lobe and artery is associated with lead pipe, cogwheel and athetosis?
Basal ganglia
Anterior cerebral artery
What lobe and artery is associated with pushers syndrome and thalamic pain syndrome?
Thalamus
Posterior cerebral artery
What lobe and artery is associated with altered basic life functions, homeostasis?
Hypothalamus
Posterior cerebral artery
What lobe and nerve is associated with cranial nerve palsy and leads to death?
Brainstem
Vertebral arteries
Left sided hemisphere injury?
Difficulty understanding and producing language both written and spoken
Slow, cautious
Difficulty sequencing movements
Aware of deficits
LFR
Right sided hemisphere injury?
Unable to understand nonverbal communication
Difficulty sustaining movements
Quick and impulsive
Anosognosia
Not aware of deficits
HFR
What position is scapula in with spasticity?
Retraction
Downward rotation
What position is shoulder on with spasticity?
Adduction
IR
Depression
Which was does spasticity start?
Distal to proximal
What is the Glasgow coma scale ranges with mile, moderate, severe?
Mild- 13-15
Moderate 9-12
Severe- <9
Responds slowly and is confused, decreased interest in environment?
Obtunded
Only aroused from sleep w/ painful stimuli, minimal awareness of self and environment?
Stupor
What is the mini mental status examination used for , max score, and severe impairment?
Cognitive dysfunction
Max score of 30
Severe mental impairment < 15
Loss of contralateral half of vision field in both eyes? Which side should you turn toward?
Homonymous hemianopsia
Turn head toward blind side
What is anosognosia?
Sever denial
Neglect
Lack of awareness or dysfunction
HFR
What is agnosia?
Inability to recognize familiar objects with one sensory modality ( just looking at something wont work)
Inability to perform purposeful movements when there is no loss of sensation, strength, coordination or comprehension?
Apraxia
Cannot perform task on command can do when left alone?
Ideomotor apraxia
Cannot perform task w/ command or on own?
Ideational apraxia
Flexor UE
Extensor LE
Diencephalon lesion
Decorticate rigidity
Extensor posturing in LE and UE
Brainstem lesion
Decerebrate rigidity
What is Ramistes phenomenon?
Resisted hip abduction/add of uninvolved extremity causes same reaction in involved extremity.
Increase tone