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Stroke > STEP 1 Neuro > Flashcards

STEP 1 Neuro Flashcards

1
Q

Motor cortex—upper limb and face.

A

MCA

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2
Q

Sensory cortex—upper limb and face.

A

MCA

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3
Q

Temporal lobe (Wernicke area); frontal lobe (Broca area).

A

MCA

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4
Q

Aphasia if in dominant (usually left) hemisphere. Hemineglect if lesion affects nondominant (usually right) side.

A

MCA (Temporal lobe (Wernicke area); frontal lobe (Broca area)

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5
Q

MCA (Temporal lobe (Wernicke area); frontal lobe (Broca area)

A

Aphasia if in dominant (usually left) hemisphere. Hemineglect if lesion affects nondominant (usually right) side.

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6
Q

Contralateral loss of sensation— upper limb and face.

A

MCA (Sensory cortex—upper limb and face)

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7
Q

MCA (Sensory cortex—upper limb and face)

A

Contralateral loss of sensation— upper limb and face.

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8
Q

Motor cortex—upper limb and face. Artery and deficit?

A

MCA

Contralateral paralysis—upper limb and face.

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9
Q

Striatum, internal capsule.

A

lenticulo-striate artery

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10
Q

Contralateral hemiparesis/ hemiplegia.

A

lenticulo-striate artery (Striatum, internal capsule.)

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11
Q

Common location of lacunar infarcts, 2° to unmanaged hypertension.

A

lenticulo-striate

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12
Q

Motor to lower limb

A

ACA

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13
Q

Sensory to lower limb

A

ACA

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14
Q

Contralateral loss of sensation— lower limb.

A

ACA (sensory to lower limb)

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15
Q

Contralateral loss of motor - lower limb

A

ACA (motor to lower limb)

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16
Q

ipsilateral Horner syndrome

A

PICA; sympathetics

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17
Q

ataxia, dysmetria (undershoot/overshoot positioning)

A

PICA; inferior cerebellar peduncle

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18
Q

Middle and inferior cerebellar peduncles.

A

AICA

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19
Q

􏰂gag reflex decreased

A

PICA (nucleus ambiguus)

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20
Q

􏰂pain and temperature sensation from ipsilateral face and contralateral body

A

PICA; lateral spinothalamic tract and spinal trigeminal nucleus

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21
Q

Lateral medullary (Wallenberg) syndrome symptoms

A

Vomiting, vertigo, nystagmus; 􏰂pain and temperature sensation from ipsilateral face and contralateral body; dysphagia, hoarseness,􏰂gag reflex; ipsilateral Horner syndrome; ataxia, dysmetria.

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22
Q

Sturctures involved in PICA stoke (wallenberg syndrome)

A

Lateral medulla—vestibular nuclei, lateral spinothalamic tract, spinal trigeminal nucleus, nucleus ambiguus, sympathetic fibers, inferior cerebellar peduncle.

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23
Q

Lateral medullary (Wallenberg) syndrome.

A

PICA

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24
Q

Nucleus ambiguus effects are specific to PICA lesions.

A

Hoarseness and dysphagia

“Don’t pick a (PICA) horse (hoarseness) that cant eat (dysphagia)”

25
Q

Lateral medulla—vestibular nuclei

A

PICA (Vomiting, vertigo, nystagmus)

26
Q

lateral spinothalamic tract

A

PICA

27
Q

Ataxia, dysmetria

A

AICA (Middle and inferior cerebellar peduncles.)

28
Q

structures involved in AICA stroke (Lateral pontine syndrome)

A

Lateral pons—cranial nerve nuclei; vestibular nuclei, facial nucleus, spinal trigeminal nucleus, cochlear nuclei, sympathetic fibers.

29
Q

Lateral pontine syndrome

A

AICA

30
Q

Facial nucleus effects are specific to AICA lesions.

“Facial droop means AICA’s pooped.”

A

Lateral pontine syndrome

31
Q

AICA:
Lateral pons—cranial nerve nuclei; vestibular nuclei, facial nucleus, spinal trigeminal nucleus, cochlear nuclei, sympathetic fibers. Middle and inferior cerebellar peduncles.

A

Vomiting, vertigo, nystagmus. Paralysis of face,􏰂lacrimation, salivation,􏰂taste from anterior 2⁄3 of tongue.
Ipsilateral􏰂pain and temperature of the face, contralateral􏰂pain and temperature of the body. Ataxia, dysmetria.

32
Q

PCA stroke symptoms

A

Contralateral hemianopia with macular sparing.

33
Q

PCA structures ?

A

Occipital cortex, visual cortex.

34
Q

Occipital cortex, visual cortex.

A

PCA

35
Q

Basilar artery

A

Pons, medulla, lower midbrain, corticospinal and corticobulbar tracts, ocular cranial nerve nuclei, paramedian pontine reticular formation.

36
Q

Pons, medulla, lower midbrain, corticospinal and corticobulbar tracts, ocular cranial nerve nuclei, paramedian pontine reticular formation.

A

Basilar artery

37
Q

“Locked in syndrome”

A

Preserved consciousness and blinking, quadriplegia, loss of voluntary facial, mouth, and tongue movements.

38
Q

“Locked in syndrome” artery?

A

Basilar artery

39
Q

Basilar artery symptoms?

A

Preserved consciousness and blinking, quadriplegia, loss of voluntary facial, mouth, and tongue movements. “locked in syndrome”

40
Q

paramedian pontine reticular formation

A

Basilar artery

41
Q

ocular cranial nerve nuclei

A

Basilar artery

42
Q

Pons, medulla, lower midbrain,

A

Basilar artery

43
Q

corticospinal and corticobulbar tracts

A

Basilar artery

44
Q

Contralateral hemianopia with macular sparing.

A

PCA

45
Q

Increase heart rate

A

beta 1

46
Q

vasodilation

A

beta 2

47
Q

Bronchodilation

A

beta

48
Q

vasoconstriction

A

alpha 1

49
Q

glycogenolysis and gluconeogenisis

A

beta 2

50
Q

lipolysis

A

beta 1

51
Q

decrease insulin release

A

apha 2

52
Q

increase insulin release

A

beta 2

53
Q

increase renin release

A

beta 1

54
Q

uterus contraction in non-prego woman

A

alpha 1

55
Q

uterus relaxation in near term woman

A

beta 2

56
Q

gut relaxation

A

beta 2 and alpha

57
Q

bladder sphincter contraction

A

alpha

58
Q

increase contractility of heart

A

beta 1

59
Q

increase systolic pressure

A

beta 1

Stroke (1 decks)

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