Vertigo and syncope Flashcards

1
Q

Which system has long axons that go to the structure instead of multiple chains

A

CNS

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2
Q

Where do preganglionic nerves begin

A

In the brainstem

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3
Q

Which nerve in the PNS will terminate in the innervated organ

A

Post ganglionic

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4
Q

Which nerve innervates vasculature and visceral organs

A

Splanchnic

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5
Q

Where are the splanchnic nerves locates and what vessels of they innervate

A

In front of the aorta
-celiac
-mesenteric (superior / inferior)

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6
Q

Where is the parasympathetic system located

A

Within the brainstem and sacral aspect of the spin

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7
Q

What is the primary neurotransmitter of the parasympathetic system

A

acetylcholine

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8
Q

Which part of the nervous system has a ganglionic chain

A

sympathetic

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9
Q

What happens when you activate the vagus nerve

A

Peristalsis
increased GI secretion
relax sphincters

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10
Q

Where are catecholamines released from

A

Sympathetic ANS
adrenal medulla

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11
Q

Are pre-syncope and syncope the same chief complaint? Why?

A

Yes because it will have the same underlying pathology

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12
Q

What are the major types of syncope

A

Reflex
orthostatic
cardiac arrhythmia
Structural cardiopulmonary disease

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13
Q

What is the number one test that must be ordered in someone with a CC of syncope or pre-syncope

A

EKG

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14
Q

What reflex mediated event can cause syncope

A

Carotid sinus syndrome
vasovagal
subclavian steal syndrome

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15
Q

What causes reflex syncope

A

CNS condition that triggers the drop or elevation in HR or BP leading to decreased cerebral Flow

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16
Q

What can trigger vasovagal syncope

A

High emotions

17
Q

What is subclavian steal syndrome

A

Subclavian artery is stenosed before the vertebral artery and causes reversed flow during times of stress

18
Q

What leads to vertebrobasilar insufficiency

A

Subclavian steal syndrome e

19
Q

What are the four types of dizziness

A

Vertigo
disequilibrium
lightheadedness
pre syncope

20
Q

What is the scary kind of vertigo and why

A

Cerebellar vertigo
think infarction, hemorrhage, or mass

21
Q

If someone has horizontal nystagmus, where is the cause of vertigo

A

peripheral

22
Q

If someone has vertical nystagmus, where is the cause of vertigo

A

Central