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52 Cards in this Set
- Front
- Back
sudden deficit on one side of body. what are you thinking?
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stroke!
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Where is the stroke: Right homonymous hemianopia
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Left PCA
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Where is the stroke: Left homonymous hemianopia
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Right PCA
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Where is the stroke: Right leg weakness
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Left ACA
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Where is the stroke: Left leg weakness
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Right ACA
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Where is the stroke: Nonfluent (Broca's) aphasia with R face and arm weakness
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Left MCA
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Where is the stroke: Left hemineglect
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Right MCA
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Where is the stroke: contralateral paralysis, contralateral hemianopsia, no aphasia, neglect/inattention
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Right (non-dominant) MCA
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Where is the stroke: Dysarthria (slurred speech) and right hemiparesis, right Babinski's sign
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Lacunar infarction of left internal capsule (Left posterior limb of internal capsule)
Note: This is a pure motor stroke. |
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Where is the stroke: Sudden onset of R face, arm, and leg numbess (no motor deficits)
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Lacunar infarct in left lateral thalamus
Note: This is a pure sensory stroke. |
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Where is the lesion: Face and contralateral body numbness, hoarseness, horner's, ataxia
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Brain stem: PICA
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If the eyes aren't lined up, what are the possible involved structures?
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CNIII (and nucleus)
CN IV (and nucleus) CN VI (and nucleus) MLF |
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Were is the lesion: Normal frontal gaze, on look right, left eye doesn't cross midline and right eyes moves right w/ nystagmus
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MLF area of Pons (seen w/ MS)
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unlined up eyes has to be what area of brain stem?
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midbrain or pons
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Where is the stroke: Sudden onset of unilateral ataxia (usually w/ nausea and vomiting)
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ipsilateral cerebellar artery infarct
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What does the medial cerebellum (vermis) control?
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medial body
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What do the lateral hemispheres of the cerebellum control?
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Programmed motor learning
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What do the intermediate hemispheres of the cerebellum control?
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complex movements of arms and legs
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Where is the lesion: unsteady gait, wide-based, falling to the left, HA, normal heel-shin
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cerebellar vermis (medial)
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Where is the lesion: Left leg weakness and R leg numbness
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Left hemicord lesion
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When should you suspect a spinal cord lesion?
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When it looks like you drew a line across the torso and all deficits are below the line.
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Falls, loss of balance, and positive Romberg (loss of position and vibration). What is this syndrome?
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Posterior cord syndrome (posterior columns are jacked up below the lesion)
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Motor deficit on same side and sensory deficit on opposite side. What is the syndrome?
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hemicord syndrome
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Loss of pain and temp and motor function below a certain level. What is the syndrome?
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anterior cord syndrome
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Damage to anterolateral (spinothalamic tract) and lateral corticospinal tract, but sparing the posterior columns. Where is the infarct?
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anterior spinal artery
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Bilateral flacid leg paralysis, decreased rectal tone, distended bladder, sensory level deficits to all modalities. What is the problem?
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transection of the spinal cord at area of deficit
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Pain and Temp loss in a stripe across the torso. What is the syndrome?
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Central cord lesion (small)
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What is the most common non-fracture spinal cord injury?
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central cord syndrome (large lesion)
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Gluteal pain, genital pain in a saddle, constipation, urinary retention, ED, loss of rectal tone. Where is the lesion?
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Cauda equina (common) or conus medularis (rare)
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T or F: Saddle problem assoc w pain is more likely to be cauda equina
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TRUE
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T or F: Saddle deficits w/o pain is more likely to be conus medularis
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TRUE
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Which nerve root: Decreased biceps and pectoralis reflexes
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C5
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Which nerve root: biceps and brachioradialis reflexes decreased
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C6
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Which nerve root: decreased triceps reflex
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C7
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Which nerve root: weakened deltoid, infraspinatus, biceps
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C5
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Which nerve root: weakened wrist extensors, biceps
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C6
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Which nerve root: weakened triceps
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C7
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Which nerve: extension of arm, wrist, finger joints, below shoulder, forearm supination, thumb abduction, in plane of palm
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radial nerve
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Which nerve: neuropathy of fingers 4 and 5
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ulnar
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Which nerve: neuropathy of fingers 1, 2, and 3
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median
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Which nerve: abduction of arm at shoulder beyond 15 deg
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axiallary
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Which nerve: flexion of arm at elbow, supination of forarm
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musculocutaneous
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Which nerve root: decreased patellar reflex
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L4
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Which nerve root: decreased foot dorsiflexion, big toe extension
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L5
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Which nerve root: foot plantar flexion
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S1
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Which nerve root: decreased ankle jerk reflex
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S1
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Which nerve: adduction of the thigh
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obturator
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Which nerve: leg flexion at the knee
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sciatic
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Which nerve: leg flexion at the hip, leg extension at the knee
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femoral
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Which nerve: foot plantar flexion and inversion, toe flexion
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tibial
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Which nerve: foot eversion
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superficial peroneal nerve
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Which nerve: foot dorsiflexion, toe extension
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deep peroneal nerve
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