PDF - PE Flashcards

1
Q

Supratentorial CNs?

A

I &2

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2
Q

Afferent and efferent pupillary CNs?

A

Afferent: 2
Efferent: 3

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3
Q

What is miosis?

A

Smaller pupil on one side

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4
Q

How to test obliques and rectus?

A

Obliques: ADduction
Rectii: ABduction

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5
Q

Where are CN III - IV?

A

Midbrain

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6
Q

Where are CN V - VIII?

A

Pons

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7
Q

Where are CN IX - XII?

A

Medulla

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8
Q

CN III Pupillary palsies?

A

Pupil constricted: likely metabolic with something inside nerve
If dilated: A mass outside is pressing on the nerve

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9
Q

Vascular problem causing 3rd nerve palsy?

A

PCA aneurysm

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10
Q

What does the trochlear nerve do?

A

Superior oblique: CNIV

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11
Q

Only CN within wall of cavernous sinus?

A

CN VI: Abducens (lateral rectus)

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12
Q

Binocular diplopia or monocular leurologic?

A

Binocular

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13
Q

What innervates angle of mandible?

A

C3, no V3

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14
Q

When is asymmetric nasolabial fold seen?

A

CN VII lesion

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15
Q

Lower face innervation? Upper?

A

Lower: by bilateral hemisphere
Upper: bilateral

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16
Q

What is stereognosis?

A

Recognition of an object by touch with eyes closed

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17
Q

Where would a lesion present stereognosis?

A

Parietal sensory cortex

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18
Q

Failure in double simultaneous stimulation is what lesion?

A

Contralateral parietal lobe

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19
Q

Senses first lost in large and small fibers?

A

Large: Proprioception (posterior dorsal column)
Small: Pain / temp

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20
Q

Which dermatome is C5?

A

Lateral Shoulder

21
Q

Which dermatome is C6?

A

Thumb

22
Q

Which dermatome is C7?

A

Index/middle fingers

23
Q

Which dermatome is C8/T1?

A

Ring/little finger

- Medial arm and forearm

24
Q

Which dermatome is T4?

A

Nipple

25
Q

Which dermatome is T10?

A

Umbillicis

26
Q

Which dermatome is L3/4?

A

Anterior Thigh

27
Q

Which dermatome is L5?

A

Dorsal foot

28
Q

Which dermatome is S1?

A

Lateral foot / sole

29
Q

What is the Jendrassik maneuver?

A

Patient hooks together flexed fingers to distract with DTRs are tested

30
Q

Nerves responsible for the bicecps reflex?

A

C5/6

31
Q

Nerves responsible for the Brachioradialis reflex?

A

C5/6

32
Q

Nerves responsible for the Triceps reflex?

A

C7/8

33
Q

Nerves responsible for the Finger flexors reflex?

A

C8/T1

34
Q

Nerves responsible for the Knee jerk reflex?

A

L2-4

35
Q

Nerves responsible for the ankle jerk reflex?

A

S1-2

36
Q

What is clonus?

A

Repetitive muscle contractions when tendon is stretched

37
Q

Nerve in the pupillary reflex?

A

Afferent: CN II
Efferent: CN III

38
Q

Nerve in the corneal reflex?

A

Afferent: CN V
Efferent: CN VII

39
Q

Nerve in the palpebral reflex?

A

Afferent: CN V
Efferent: CN VII

40
Q

Nerve in the gag (pharyngeal) reflex?

A

Afferent: CN IX
Efferent: CN X

41
Q

Strength Grading?

A
0 - No movement
1 - Flicker of movement
2 - Only with no gravity 
3 - Only AGAINST gravity
4 -  Against light resistance 
5- Normal
42
Q

Lesion if bilateral lower limb weakness?

A

Bilateral thoracic cord

43
Q

Lesion in all weakness?

A

Bilateral cervical

Bilateral UMN

44
Q

Type of lesion in spasticity?

A

UMN

45
Q

When is atrophy present?

A

LMN lesion

46
Q

When are fasciculations present?

A

LMN lesion

47
Q

Only place fibrillations visible?

A

Tongue - this is an individual muscle fiber and the tongue is a naked muscle

48
Q

What happens in spinal shock?

A
  1. Expected UMN signs initially absent
  2. Emerge days to weeks later
  3. Paralysis will be initially present with hypotonia