patho exam 4 Flashcards

1
Q

myelinated peripheral neurons have capacity for

A

regeneration

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2
Q

substance P transmitters are

A

specific neurotransmitters for Pain

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3
Q

prefrontal lobe function

A

function of frontal lobe is goal oriented behavior, short term or recall memory, thought, movement, decision making

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4
Q

Broca area function

A

motor speech

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5
Q

occipital lobe function

A

visual cortex

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6
Q

medulla oblongata

A

Connects the cardiovascular and respiratory systems- control reflex activities such as heart rate, breathing, and blood pressure coughing sneezing swallowing and vomitting

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7
Q

Anatomy of the tentorium cerebelli

A

separates the cerebellum below from the cerebral structures above

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8
Q

Function of CN 1

A

Olfactory nerve sense of smell

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9
Q

function of arachnoid villi

A

absorption of CSF- Directs CSF outflow into the blood but preventing blood flow into the subarachnoid space

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10
Q

astrocyte cells

A

closely supported to the blood brain barrier

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11
Q

vagus nerve stimulates

A

cardiac muscle and GI lining

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12
Q

alpha 1 receptors

A

when a patient starts a new medication, alpha 1 receptors are activated and they vasodilate- they lower bp, slow gastric motility, widen eyes

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13
Q

How much cardiac output does the brain need

A

20% or 800-1000 ml

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14
Q

cerebral aneurysm is located in

A

the brain around the circle of willis

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15
Q

if pituitary gland was removed which hormone will decrease

A

ADH . TSH, FSH

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16
Q

In osteoporosis if the provider prescribed calcitonin it will

A

inhibit calcium reabsorption to the bones

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17
Q

insulin is regulated by

A

serum glucose levels in the blood

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18
Q

cause of type 1 DM

A

pancreas is no longer producing insulin from destruction of pancreas cells- needs insulin

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19
Q

Cause of type 2 DM

A

genetics-environmental interaction

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20
Q

Complications of Type 1 DM with Elevated glucose and patient in DKA

A

will have insulin deficiency, lipid metabolism, ketones in urine (ketonuria)

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21
Q

complications of DM

A

Hyper and hypoglycemia

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22
Q

3 Ps of DM pt

A

polyuria polydipsia polyphagia

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23
Q

Manifestations of diabetes induced kidney dysfunction

A

Pt will have kidney disease because the hyperglycemia causes micro albumin to get stuck in the kidney cells causing dysfunction

24
Q

Poorly controlled DM 2 is related to

A

related to atherosclerosis - vasculature in the heart and body is affected by DM

25
Q

Complications of cushing’s disease

A

trunkal obesity, moon face, hyperpigmentation from increased cortisol

26
Q

Cause of Addisons disease

A

autoimmune reaction causing an increased secretion of cortisol and aldosterone - hypocortisolism and hypoaldosteronism

27
Q

hyperaldosteronism pt will have

A

HYPOkalemia

28
Q

most common type of traumatic brain injury aka concussion

A

frontal lobe

29
Q

Chronic subdural hematoma can be seen in patients who have

A

alcoholism, ETOH , and drug abuse with opiates

30
Q

mild concussion will be seen as

A

patient would have retrograde amnesia

31
Q

open skull fracture pt has a risk of

A

huge risk of meningeal infection bc skull protects meninges

32
Q

diffuse brain injury

A

entire brain will be swollen on CT scan

33
Q

Autonomic hyperreflexia presents as

A

pt will be very hypertensive, usually from spinal cord injury

34
Q

Spondylolisthesis

A

back pain, no history of trauma, MRI diagnoses this- vertebrae is forward causing severe pain- vertebrae slides anteriorly in relation to the vertebrae below

35
Q

Stroke contributing factors

A

pt who smokes, pt has uncontrolled hypertension, pt whos diabetic

36
Q

Thrombotic stroke RF

A

pt has afib and not on an anticoagulant, old patient whose very dehydrated causing a clot, hypertensive pt

37
Q

Whos at highest risk for having a stroke (CVA)

A

Patients older than 65, african american pt

38
Q

how does MS present

A

chronic disease of the CNS- slow disease progression causes muscle weakness, vision changes

39
Q

Myasthenia gravis pt presents as

A

pt is going to admit to generalized muscle weakness, nothing is working for this patient despite supplements

40
Q

Drug of choice to treat MG

A
41
Q

brain abscess early symptoms

A

low grade fever. headache, nausea/vomitting

42
Q

late symptoms of brain abscess

A

neck rigidity, projectile vomiting

43
Q

cerebral palsy

A

disorder of movement/muscle tone that is caused by injury or abnormal development of the immature brain - up to 1 years old

44
Q

Tay-sachs disease presents in

A

present in infants - muscle rigidity, genetic disease primarily in mother or father of Ashkenazi jewish descent

45
Q

viral meningitis is secondary to

A

measles and mumps

46
Q

brain tumors in children commonly located in the

A

back of the brain structures

47
Q

neuroblastoma location

A

most commonly found in retroperitoneal region in the adrenal medulla

48
Q

abdominal aortic aneurysm presents

A

asymptomatic outside of rupture

49
Q

abdominal aortic aneurysm s/s

A

severe back and abdomen pain, uneven BP, tachycardia, nausea and vomiting, claudication symptom such as leg pain aneurysms are very high risk- has to be bigger than 5 cm to operate on this

50
Q

DVT Can be from provoked or unprovoked event-

A

thrombosis can be occlusive or nonocclusive in deep system of legs or arms
Can occur from a provoked event such as sitting, travel, trauma (fall or malignancy)
Unprovoked event- pt hasn’t done anything and develops leg swelling

51
Q

PAD

A

secondary condition- presents with pain in the feet and toes, arterial wounds, pt feels better with legs dangling , pt may have “rest pain” - pain when sleeping and intermittent claudaication or pain when at rest

52
Q

PVD

A

PVD- swelling in legs, hyperpigmentation, pt benefits with elevation of the legs

53
Q

Varicose veins

A

presents as edema, pain in legs- dvt has to be ruled out
Pregnant women at high risk- main cause from long periods of standing

54
Q

venous insufficiency

A

leg swelling, venous insufficiency wounds - weeping wounds

55
Q

Superior vena cava syndrome

A

venous distention in upper extremities such as shoulders- from chronic occlusion of the superior vena cava in the heart