Neuroexamstuff

Front 1

7 parts of neuro exam?

Back 1

1) Mental Satus
2) Cranial Nerves
3) Motor Exam
4) Sensory Exam
5) Coordination
6) Reflexes
7) Gait

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Front 2

Dominant hemisphere contols?

Back 2

1) speech (aphasia)
2) reading (alexia)
3) writing (agraphia)
4) planning of action (apraxia)

Front 3

Agraphia, acalculia and finger agnosia caused by?

Back 3

Gerstmann's Syndrome (linked to dominant left parietal lobe)

Front 4

another name for transverse temporal gyrus?

Back 4

Heschl's gyrus

found in primary auditory cortex

Front 5

What can't you do in conductive aphasia? Damage where?

Back 5

Repeat

arcuate fasciculus

Front 6

CN in the medulla?

Back 6

IX, X, XI, XII

Front 7

CN nerves near pontomedullary jxn?

Back 7

VII, VIII

Front 8

Midline CNs?

Back 8

II, III, VI, XII

2 x 3 = 6 x 2 = 12

Front 9

free floating CN?

Back 9

VI

Front 10

longest CN

Back 10

VI

Front 11

smallest CN

Back 11

IV

Front 12

only CN to come off dorsally?

Back 12

IV

Front 13

optic neuritis can develope into?

Back 13

Marcus Gunn pupil

Front 14

Infarction of motor part of CN III caused by?

Back 14

diabetes

Front 15

parasympathetic problem of CN III caused by?

Back 15

tumor compressing CN III - MEDICAL EMERGENCY

Front 16

Key warning sign of stroke?

Back 16

Hollenhorst plaques

Front 17

Anisocoria is?

Anisocorian w/out motor problems?

Back 17

Unequal pupils

MEDICAL EMERGENCY - tumor pushing on CN III

Front 18

Side by side diplopia involves what CNs?

Back 18

CN 3 & 6

Front 19

up and down diplopia involves what CNs?

Back 19

CN 4

bad eye higher when head adjusts

"bully is beating you up, and he's on top of you"

Front 20

what connects CN 3 & 6?

lesion causes?

Back 20

medial longitudinal fasciculus (MLF)

Internuclear ophthalmoplegia (INO)

Front 21

part of brain and pons that controls lateral gaze?

Back 21

parapontine reticular formation (PPRF)

Front 22

hyperactive jaw-jerk reflex sign of?

Back 22

brainstem lesion

Front 23

corneal reflex test CNs?

Back 23

CN 5 & 7

Front 24

Bell's palsy

Back 24

LMN lesion

weak on opposite side of face (sparing forehead)

Front 25

Can't open eyelids completely?

Back 25

Lower MN lesion - problem at NM junction

fascial displagia since both CN 7 are effective

try to hold aird in cheeks but cant

Front 26

Symmetric weakness in face hould make you think?

Back 26

NM weakness (ie Myasthenia Gravis)

Front 27

Air better than bone

Back 27

Sensory hearing loss

Front 28

Bone better than air

Back 28

Conductive hearing loss

Front 29

Uvula points ___ paralyzed side?

Back 29

away from

Front 30

Tongue points ___ paralyzed side?

Back 30

towards

Front 31

Upper & Lower MN problem?

Back 31

ALS (amyotrophic lateal sclerosis)/ Lou Gehrig disease

Front 32

Vertical nystagmus

Back 32

ALWAYS cervical medullary jxn lesion

Rare

Front 33

Rigidity is linked to disease of ____ ?

Back 33

Basal ganglia

Front 34

Spastic tone is linked to disease of ____ ?

Back 34

Upper motor neuron

Front 35

Pronator drift sign of?

Back 35

Storke or TIA

Front 36

Contralateral homonymous superior quandrantaopsia due to damage of?

Back 36

Meyer's loop

Front 37

Chorea or Athetoid movements?

Back 37

Huntington's dz

Front 38

Decrease in pinprick sensation on one side of face adn the opposite side of body in a lesion of?

Called?

Back 38

dorsolateral medulla (ipsilateral to the facial deficit)

Walenberg syndrome

Front 39

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

Called?

Back 39

hemi-lesion of the spinal cord ipsilateral to the weakness

Brown-Sequard syndrome

Front 40

Lesion of thalamus or porsterior 1/3 of the posterior limb of internal capsule causes?

Back 40

contralateral hemisensory deficit

Front 41

signs of UMN lesions?

Back 41

Clasp-knife reflex
Babinski
^ velocity-dependent muscle tone
Clonus

Front 42

Tinel & Phalen exam for? action?

Back 42

Carpal Tnnel

Tinel = Tap median nerve
"Tinel = Tap"

Phalen = putting hands back-to-back and lifting them upand down

Front 43

Signs of hysteria (3)?

Back 43

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

Front 44

test for neurosyphilis?

Back 44

Romberg sign - stand like a soldier at attntion and close eyes, + if fall over

Front 45

Steps of MMSE

Back 45

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

Front 46

Denial of blindness with what lesion?

Called?

Back 46

Bilateral occipital cortex lesions

Anton's syndrome

Front 47

Muscle tone of demented patients who cannot follow commnads and have frontal lobe damage called?

Back 47

Paratonia ("gegenhalten")