Neuro Midterms

Front 1

An acquired impairment in which patients have difficulty performing simple mathematical tasks

Back 1

Acalculia

Front 2

Disorder of directional cutaneous kinesthesia

Back 2

Agraphestesia

Front 3

Loss of ability to recognize objects, persons, sounds, or shapes

Back 3

Agnosia

Front 4

Deficit of self-awareness, in which a person some disability seems unaware of its existence

Back 4

Anosognosia

Front 5

Part of neuroaxis except:

A. Neuromuscular joint

B. Brainstem

C. Cortex

D. Subcortical gray matter

E. NOTA

Back 5

D. Subcortical WHITE matter

Front 6

Most important neurological tool

Back 6

Pen light

Front 7

T/F: Tongue blades are divided into 2 for neurological exam

Back 7

F. Divided into 3

Front 8

Part of brain responsible for recognition of body parts

Back 8

Parietal Lobe

Front 9

Connects the limbic system to other parts of brain

Back 9

Epithalamus

Front 10

Central core of the brain

Back 10

Brainstem

Front 11

Area between cerebral hemispheres and the brainstem

Back 11

Diencephalon

Front 12

Keeps a person balanced and coordinated

Back 12

Cerebellum

Front 13

Connections of motor nerves before they leave the spinal cord

Back 13

UMN

Front 14

Cornerstone of medical diagnosis

Back 14

Patient history and physical exam

Front 15

Connection into the peripheral nerve cell bodies towards the nerve endings at the NMJ

Back 15

LMN

Front 16

Past medical history includes all of the following except:

A. Childhood

B. Personal/social history

C. Surgical

D. Psychiatric

E. NOTA

Back 16

B. Personal/Social History

Front 17

How to know further about the chief complaint of the patient?

Back 17

Provoke/palliate

Quality

Region/radiation

Severity

Time

Hint 17

PQRST

Front 18

Caused by sudden excessive electrical discharge in the cerebral cortex or its underlying structures

Back 18

Seizure/s

Front 19

T/F: Testing for altered mental status calls for the test of Babinski reflex upon PE.

Back 19

T

Front 20

In vertigo, what CN is most likely involved?

Back 20

CN VIII - Vestibulocochlear N.

Front 21

Dysarthria may be caused by damages due to the following except:

A. Stroke

B. TBI

C. Degenerative diseases

D. Alcohol intoxication

E. NOTA

Back 21

C. Degenerative diseases (associated with aphasia only)

Front 22

Testing for aphasia includes the following except:

A. Naming

B. Counting

C. Word Comprehension

D. Repetition

E. NOTA

Back 22

B. Counting

Other tests for aphasia:

Reading comprehension

Writing

Front 23

Wernicke's area is located in what hemisphere/s?

Back 23

Left

Front 24

Problem with both receptive and expressive language and can be combined with auditory and visual comprehension deficit

Back 24

Global Aphasia

Front 25

Most common cause of global aphasia?

Back 25

Thrombotic stroke

Front 26

Prevalent emotional state

Back 26

Mood

Front 27

Emotional state that can be observed

Back 27

Affect

Front 28

Cognitive functions except:

A. Calculation

B. Judgment

C. Personality/Behavior

D. Abstraction

E. NOTA

Back 28

E. NOTA

Front 29

Awareness of one's own illness or situation

Back 29

Insight

Front 30

Describes the rate of thoughts, how they flow, and connected

Back 30

Thought process

Front 31

Themes that occupy the patient's thoughts and perceptual differences

Back 31

Thought content

Front 32

Abnormality of thought process wherein the patients fabricates facts or events to fill in gaps in his/her impaired memory

Back 32

Confabulation

Front 33

Abnormalities of thought process except:

A. Illusions

B. Loose associations

C. Clanging

D. Echolalia

E. NOTA

Back 33

A. Illusions (abnormality of thought content)

Front 34

Repetition of the words or phrases of others

Back 34

Echolalia

Front 35

Persistent repetition of words or ideas

Back 35

Preservation

Front 36

Person chooses a word based on sound instead of meaning

Back 36

Clanging

Front 37

Indirection and delay in reaching a point due to unnecessary detail

Back 37

Circumstantiality

Front 38

Invented or distorted words

Back 38

Neologisms

Front 39

Abnormalities of thought content except:

A. Obsessions

B. Anxieties

C. Blocking

D. Delusions

E. NOTA

Back 39

C. Blocking (under thought process abnormalities)

Front 40

Repetitive acts that a person feels driven to perform

Back 40

Compulsions

Front 41

Identity lost is an abnormality of what?

Back 41

Thought content

Front 42

Useful for documenting serial cognitive changes in cognitive impairment

Back 42

Folsten Mini-Mental State Exam

Front 43

An acute, transient, confusion state characterized by global impairment of the sensorium

Back 43

Delirium

Front 44

Sustained pathologic unconsciousness

Back 44

Coma

Front 45

Chronological order of comatose

Back 45

Confusion - Somnolence - Obtunded - Stupor - Coma

Front 46

Inability to obey commands, speak, of open the eyes to pain

Back 46

Coma

Front 47

The following are pre-requisites of coma except:

A. Brainstem

B. Bilateral diencephalic dysfunction

C. Diffuse lesions of both cerebellar hemisphere

D. Lesions on both cerebral hemispheres

E. NOTA

Back 47

C.

Front 48

Complete paralysis of nearly all voluntary muscles except for vertical eye movements and blinking

Back 48

Locked-In Syndrome

Front 49

Decorticate position is associated with problems with:

A. Midbrain

B. Medulla

C. Cervical Spinal Tract

D. Pons

E. NOTA

Back 49

C. Cervical Spinal Tract

(Along with cerebral hemisphere)

Front 50

Ventral pontine infarction

Back 50

Locked-In Syndrome

Front 51

Which of the following tracts are not associated with both decorticate and decerebrate positioning?

A. Rubrospinal Tract and Reticulospinal tract

B. Reticulospinal Tract and Vestibulospinal Tract

C. Vestibulospinal Tract and Rubrospinal Tract

D. Reticulospinal Tract and Corticospinal Tract

E. NOTA

Back 51

D.

Corticospinal Tract - associated with Decorticate position only

Reticulospinal Tract - associated with Decerebrate position only

Front 52

Neurological scale that aims to give a reliable, objective way of recording the conscious state of a person

Back 52

Glasgow Coma Scale

Front 53

T/F: GCS is both a measure of level of consciousness and deficit

Back 53

F

Front 54

Level of coma associated with bilateral diencephalic dysfunction

Back 54

Moderate Coma (GCS 5-6)

Front 55

T/F: Urgent investigation/referral is only required when there's a minimum fall of 2 pts in the GCS

Back 55

T

Front 56

Cushing's Triad are symptoms of what occurrence?

Back 56

Unexplained increase ICP

Front 57

Which of the following is not included in Cushing's Triad?

A. Increased heart rate

B. Respiratory irregularities

C. Hypertension

D. Bradycardia

E. NOTA

Back 57

A.