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39 Cards in this Set

  • Front
  • Back
Tell me about microglia
Phagocytes
CNS
Mesoderm
not on Nissl stains
Pacinian corpuscles
Deep skin layers, ligaments, joints
vibration, pressure
Hypothalamus is responsible for what functions?
TAN HATS
Thirst, Adenohypophysis, Neurohypophysis, hunger, autonomic regulation, Temp, sexual urges
What are the functions of the limbic system?
Fleeing, fighting, feeding, feeling, FUCKING
What part of the brain is associated with voluntary movements and making postural adjustmants?
Basal ganglia
A person comes in with depigmentation of the substantia nigra pars and alpha synuclein intracellular inclusions. What do they have?
Parkinsons (Lewy bodies)
A person comes in that is an alcoholic. What would be under the DDX if you were thinkin about possible self medication related to a tremor?
Essential/postural tremor
If you damage your hippocampus what happens?
Anterograde memory loss....
cant make new memories
A person cant speak but they can understand what they hear. What type of aphasia is it?
Bocas
(broken boca)
What is the "artery of a stroke" that causes simple motor hemiparesis?
lateral striae
A patient with Marfans complains of the "worste headache of their life" and has a bloody spinal tap. Dx?
subarachnoid hemorrhage
A patient comes in with a brief sx of a stroke and then feels better. What is the etiology and Dx?
Transient ischemic attack
due to neuro dysfunction from foacl ischemia
A patient has the triad of ataxia, urinary incontinence, and dementia (wet, wobbly and wacky). Most likely Dx?
Normal pressure hydrocephaly
What level does the spinal cord stop?
Where is a spinal tap performed?
Disc herniation is most common at what levels?
Where does subarachnoid stop?
L1-L2
L4-L5
L5-S1
S2
Muscle fasciculations, weakness, and atrophy is associated with upper or lower motor neuron lesions?
lower
A patient comes in with both upper and lower neuron signs, however there are no sensory deficits. Caused by superoxide dismutase 1 defect. What is it?
Amyotrophic lateral sclerosis
What sx will one have with a Brown-Sequard syndrome?
(hemisection of spinal cord)
ipslateral UMN signs, loss of vibration, touch, proprioception below lesion.
contralateral pain and temp below lesion
Ipsilateral LMN and loss of all sensation at level of lesion
What are the Sx of Horners syndrome and above what spinal cord level will an injury cause it?
Ptosis, anhydrosis, miosis
Above T1
Muscle spindles monitor what?
Golgi Tendon organs monitor what?
Muscle spindle monitor the length and are parallel
Golgi Tendon monitors tension and are perpendicular
What is Parinaud syndrome?
damage of superior colliculis causing paralysis of the conjugate vertical gaze center
What three things pass through the optic canal?
CN II, opthalmic artery, central retinal vein
What passes through the superior orbital fissure?
CN III, IV, V1, VI, opthalmic vein, sympathetic artery
Label the CN affected.
tongue deviates to right
Jaw deviates to right
uvula deviates to the left
weakness turning head to left and shrugging right shoulder
Right XII
Right V
Left X
Right XI
What muscles open the mouth and close?
Close = Masseter, medial pterygoid, and temporalis
Open = Lateral pterygoid
The ampullae detect what type of movement in the inner ear?
Angular acceleration
alpha 1 acts on what muscle in the eye and does what to the pupil?
acts on the radial musle and causes mydriasis of pupil dilation
A patient comes in with severe eye pain, decreased vision, a rock hard eye, and a frontal headache.What is the most likely Dx?
Closed narrow angle glaucoma
What is a Marcus Gunn pupil?
Decreased bilateral constriction when light is shone in one eye. Afferent pupillary defect
An occlusion of the PCA can cause what vision changes?
hemianopia with macular sparing.
Internuclear opthalmoplegia is caused by and associated with what?
Multiple sclerosis
it is the result of a lesion in the MLF causing nystagmus in the abducting eye
What disease has sx of Parkinson's but also presents with dementia and hallucinations?
Dementia with Lewy bodies
A patient has a bad case of diarrhea fro Campylobacter and then develops distal muscle weakness and face paralysis. What is the most likely Dx and how do you treat?
Guillain-Barre
Tx with resp support and plasmaphoresis or IV immunoglobulins
A patient has a severe headache for longer than 30 minutes which is steady.
It is bilateral and not aggrevated by light and no aura was present. What is it?
Tension headache
A child presents with hydrocephaly. What 2 tumor are the most likely to casue thi problem?
Medulloblastoma and Ependymoma
A patient has ipsilateral midriasis, contralateral honomynous hemainopa, ipsilateral paresis, and duret hemorrages. Most likely Dx?
Uncal herniation
A patient comes in with respiratory depression, pin point pupils, CNS depression, and current prescribed drugs include fentany. How do you treat?
Naloxone
You are taking a drug for epilepsy and experience fatigue, GI distress, and Headache. What is it?
Ethosuximide
(EFGH)
A patient comes in that overdosed on Lorazepam. What do you do?
Give flumazenil
How do you reverse Vecuronium?
Give a cholinesterase inhibitor