NRSRGRY 1 Flashcards

1
Q

Part of brain involved in executive function, decision-making and restraint of emotions

A

Frontal areas

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2
Q

How is the homonculus oriented along the precentral gyrus?

A

head inferior and lateral to the lower extremities superiorly and medially

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3
Q

Where is the motor speech area (broca’s area) in most patients?

A

L Posterior inferior frontal lobe

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4
Q

Lobe responsible for Awareness of one’s body in space and relative to the immediate environment, body orientation and spatial relationships

A

Parietal lobe

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5
Q

Visual cortex is arrayed along the apposing medial surfaces of this lobe

A

Occipital lobe

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6
Q

Left occipital lobe receives and integrates data from which half of the retina?

A

Left half of the retina

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7
Q

What is the structure above the temporal lobe which divides it from the parietal lobe?

A

Sylvian fissure

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8
Q

Memory

a. hippocampus
b. amygdala
c. Meyer’s loops
d. Wernicke’s area

A

A

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9
Q

Receptive speech area

A

Wernicke’s

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10
Q

Involved with modulation of movement via inhibition of motor pathways

A

Basal ganglia

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11
Q

Parts of diencephalon

A

Thalamus

Hypothalamus

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12
Q

Key processor and relay circuit for most motor and sensory information going to or coming from the cortex

A

Thalamus

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13
Q

Key regulator of homeostasis via the autonomic and neuroendocrine systems

A

Hypothalamus

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14
Q

Sensory

a. medial lemniscus
b. corticospinal tract
c. spinothalamic tract

A

A and C

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15
Q

These cranial nerves have nuclei at the brain stem

A

III-XII

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16
Q

integrates somatosensory, vestibular, and motor information for coordination and timing of movement

A

Cerebellum

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17
Q

Lesions on the cerebellar vermis leads to

A

truncal ataxia

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18
Q

lateral lesions to the cerebellum lead to

A

termor and dyscoordination in the extremities

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19
Q

T/F the ventricular system is continuous with the subarachnoid space outside the brain.

A

T

20
Q

Communication between lateral ventricles and 3rd ventricle is via the

A

foramen of monroe

21
Q

communication between third ventricle to fourth ventricle is via the

A

Aqueduct of Sylvius

22
Q

passageway of CSF from 4th ventricle to subarachnoid space

A

foramen of Magendie and paired foramina of Luschka

23
Q

What creates CSF?

A

Choroid plexus

24
Q

What is the average CSF volume of an adult?

A

150mL

25
Q

How much CSF fluid is made in an adult per day?

A

500mL per day

26
Q

The spinal cord ends at what vertebral level?

A

L1

27
Q

motor tracts continue from the brain stem down via the _______ to ______ then exit via ventral nerve roots.

A

anterior and lateral corticospial tracts, anterior horn cells

28
Q

sensory information enters via _____, travels up the dorsal column or _____ into the brain stem

A

dorsal nerve roots

spinothalamic tract

29
Q

Menta status

will follow commands and answer questions but return to sleep

A

lethargic

30
Q

Mental status

difficult to arouse

A

stupurous

31
Q

Mental status

no purposeful response to voice or pain

A

comatose

32
Q

motor strength

no muscle movement

A

0/5

33
Q

Motor strength

movement against gravity but not against resistance

A

3/5

34
Q

Motor strength

normal strength against gravity and resistance

A

5/5

35
Q

Motor strength

Movement at the joint but not against gravity

A

2/5

36
Q

Motor strength

Movement against gravity but less than normal resistance

A

4/5

37
Q

Motor strength

visible muscle movement but no movement on the joint

A

1/5

38
Q

GCS

Eye opening max score

A

4

39
Q

GCS Motor response max score

A

6

40
Q

GCS Verbal response max score

A

5

41
Q

Imaging for: Fractures, osteolytic or osteoblastic lesions, pneumocephalus, and to assess for evidence of bony trauma or soft tissue swelling suggesting fracture?

A

Plain films

42
Q

Externally useful diagnostic tool in the setting of new focal neurologic deficit, decreased mental status or trauma. Rapid and almost universally available.

A

CT

43
Q

Excellent imaging of soft tissues structures in the head and spine

A

MRI

44
Q

Gold standard for evaluation of vascular pathology of the brain and spine

A

Angiography (digital subtraction angiography)

45
Q

Assess the function of peripheral nerves

A

EMG-NCS

46
Q

records muscle activity in response to a proximal stimulation of the motor nerve

A

EMG

47
Q

Record the velocity and amplitude of the nerve action potential

A

NCS