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47 Cards in this Set

  • Front
  • Back
7 parts of neuro exam?
1) Mental Satus
2) Cranial Nerves
3) Motor Exam
4) Sensory Exam
5) Coordination
6) Reflexes
7) Gait

Men Can Make Sex Creepy, Rough, & Good
Dominant hemisphere contols?
1) speech (aphasia)
2) reading (alexia)
3) writing (agraphia)
4) planning of action (apraxia)
Agraphia, acalculia and finger agnosia caused by?
Gerstmann's Syndrome (linked to dominant left parietal lobe)
another name for transverse temporal gyrus?
Heschl's gyrus

found in primary auditory cortex
What can't you do in conductive aphasia? Damage where?
Repeat

arcuate fasciculus
CN in the medulla?
IX, X, XI, XII
CN nerves near pontomedullary jxn?
VII, VIII
Midline CNs?
II, III, VI, XII

2 x 3 = 6 x 2 = 12
free floating CN?
VI
longest CN
VI
smallest CN
IV
only CN to come off dorsally?
IV
optic neuritis can develope into?
Marcus Gunn pupil
Infarction of motor part of CN III caused by?
diabetes
parasympathetic problem of CN III caused by?
tumor compressing CN III - MEDICAL EMERGENCY
Key warning sign of stroke?
Hollenhorst plaques
Anisocoria is?

Anisocorian w/out motor problems?
Unequal pupils

MEDICAL EMERGENCY - tumor pushing on CN III
Side by side diplopia involves what CNs?
CN 3 & 6
up and down diplopia involves what CNs?
CN 4

bad eye higher when head adjusts

"bully is beating you up, and he's on top of you"
what connects CN 3 & 6?

lesion causes?
medial longitudinal fasciculus (MLF)

Internuclear ophthalmoplegia (INO)
part of brain and pons that controls lateral gaze?
parapontine reticular formation (PPRF)
hyperactive jaw-jerk reflex sign of?
brainstem lesion
corneal reflex test CNs?
CN 5 & 7
Bell's palsy
LMN lesion

weak on opposite side of face (sparing forehead)
Can't open eyelids completely?
Lower MN lesion - problem at NM junction

fascial displagia since both CN 7 are effective

try to hold aird in cheeks but cant
Symmetric weakness in face hould make you think?
NM weakness (ie Myasthenia Gravis)
Air better than bone
Sensory hearing loss
Bone better than air
Conductive hearing loss
Uvula points ___ paralyzed side?
away from
Tongue points ___ paralyzed side?
towards
Upper & Lower MN problem?
ALS (amyotrophic lateal sclerosis)/ Lou Gehrig disease
Vertical nystagmus
ALWAYS cervical medullary jxn lesion

Rare
Rigidity is linked to disease of ____ ?
Basal ganglia
Spastic tone is linked to disease of ____ ?
Upper motor neuron
Pronator drift sign of?
Storke or TIA
Contralateral homonymous superior quandrantaopsia due to damage of?
Meyer's loop
Chorea or Athetoid movements?
Huntington's dz
Decrease in pinprick sensation on one side of face adn the opposite side of body in a lesion of?

Called?
dorsolateral medulla (ipsilateral to the facial deficit)

Walenberg syndrome
Weaknes with loss of vibration and proprioception on one side of body and pinprick loss on the other side caused by?

Called?
hemi-lesion of the spinal cord ipsilateral to the weakness

Brown-Sequard syndrome
Lesion of thalamus or porsterior 1/3 of the posterior limb of internal capsule causes?
contralateral hemisensory deficit
signs of UMN lesions?
Clasp-knife reflex
Babinski
^ velocity-dependent muscle tone
Clonus
Tinel & Phalen exam for? action?
Carpal Tnnel

Tinel = Tap median nerve
"Tinel = Tap"

Phalen = putting hands back-to-back and lifting them upand down
Signs of hysteria (3)?
Splitting the forhead - "feel vibration in half of face"

Lasegue's - stretch leg and dorsiflex foot, should cause more pain

Hoover sign - fake attempted leg lift laying supiene
test for neurosyphilis?
Romberg sign - stand like a soldier at attntion and close eyes, + if fall over
Steps of MMSE
1) Immediate recall
2) Orientation
3) Attention (WORLD backwards or subtract serial 7's from 100)
4) Naming - two common objects in room
5) Repitiion
6) Short term memory


worry if below 26
Denial of blindness with what lesion?

Called?
Bilateral occipital cortex lesions

Anton's syndrome
Muscle tone of demented patients who cannot follow commnads and have frontal lobe damage called?
Paratonia ("gegenhalten")