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66 Cards in this Set
- Front
- Back
Approximately what percentage of the body's total oxygen does the brain use?
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~20%
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Which Arteries are the Major Blood Supply to Brain? Approximately what percentage of the Brain's Blood Supply does each one give?
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-Internal Carotid Arteries - ~80%
-Vertebral Arteries - ~20% |
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In general, what areas of the Brain does the Carotid System Supply?
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Anterior Circulation
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What Arteries, in general, are the source of the Posterior Circulation?
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Vertebral Arteries
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What Structures do we see in between the Circle of Willis?
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-Optic Chiasm
-Infundiblum -Mamillary Bodies |
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What Arteries form the Circle of Willis?
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-Anterior Communicating Arteries
-Anterior Cerebral Arteries -Posterior Communicating Arteries -Posterior Cerebral Arteries |
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What Branches off the Circle of Willis?
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-Middle Cerebral Artery
-Posterior Cerebral Artery |
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Which Artery runs in the Lateral Sulcus?
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Middle Cerebral Artery
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If we Inject dye into the Vertebral Artery, what type of blood will the dye be in 2 seconds? 7 Seconds?
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-Arterial Phase
-Phoenix Suns - Venous Phase |
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If Blood the a region of the brain is blocked, is that region fucked? Why or why not?
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-Not necessarily
-There may be Collateral Circulation |
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What are the 2 Types of Arteries in the Brain? What's the difference between them?
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-Cortical (Circumferential) Branches - Supplies External Brain Structures
-Central (Penetrating) Branches - Small - Penetrates Ventral Surface to Supply Internal Brain Structures |
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What types of Branches supply External Brain Structures?
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Cortical (Circumferential) Branches
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What types of Branches supply Internal Brain Structures?
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Central (Penetrating) Branches
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What are some of the Structures that Central (Penetrating) Branches Supply?
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-Thalamus
-Hypothalamus -Basal Ganglia -Internal Capsule -Choroid Plexus |
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What are the 3 main branches of the Internal Carotid Arteries?
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-Anterior Cerebral Artery
-Middle Cerebral Artery -Anterior Choroidal Artery |
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What Arteries Supply the Anterior Hippocampus and Posterior Limb of the Internal Capsule?
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Anterior Choroidal Arteries
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Interruption of which artery might cause paralysis of Legs and Feet? What else may result?
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Anterior Cerebral Artery
-Difficulty in Prefrontal Lobe Functions of Cognitive Thinking, Judgement, Motor Initiation, and Self Monitoring |
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What Structures do the Middle Cerebral Arteries Supply?
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-Cortex and White Matter of Hemispheric Convexity (2/3 of entire Lateral Surface of Brain
-All 4 Lobes and Insula |
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What is the Insular Cortex responsible for?
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-Assocation Cortex
-Emotion -Conscious Perception of yourself |
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Penetrating Branches of which Arteries supply parts of the Basal Ganglia, Internal Capsule, and Diencephalon?
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Middle Cerebral Artery
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What general region of the brain does the Anterior Cerebral Artery Supply?
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Medial Frontal Perfusion
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What general region of the brain does the Middle Cerebral Artery Supply?
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Lateral Perfusion
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What general region of the brain does the Posterior Cerebral Artery Supply?
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Posterior Medial Perfusion, Cerebellum
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Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Legs?
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Anterior Cerebral Artery
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Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Arms and Hands?
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Middle Cerebral Artery
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Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Head?
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-Somatosensory - Anterior Cerebral Artery
-Motor - Middle Cerebral Artery |
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Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Face?
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Middle Cerebral Artery
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Problems with the Anterior Cerebral Artery might lead to issues with ____ in the Somatosensory and Motor Homunculi.
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Legs and Somatosensory of the Head
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Problems with the Middle Cerebral Artery might lead to issues with ____ in the Somatosensory and Motor Homunculi.
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Arms, Hands, Face, and Motor of the Head
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What forms the Basilar Artery?
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Vertebral Arteries
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What supplies the Brainstem and Cerebellum?
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Basilar Artery
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Which Arteries branch off the Basilar Artery?
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-Posterior Inferior Cerebellar (sometimes)
-Anterior Inferior Cerebellar Arteries -Superior Cerebellar -Posterior Cerebral Arteries |
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Which Arteries Supply all of the following?
-Anterior Inferior Surface and Underlying White Matter of the Cerebellum -Upper Medulla -Lower Pontine Areas |
Anterior Inferior Cerebellar Arteries
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Which Arteries Supply all of the following?
-Pons -Middle Cerebellar Peduncle -Floor of the 4th Ventricle |
Pontine Arteries
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Which Arteries run along the Dorsal Surface of the Cerebellum?
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Superior Cerebellar Arteries
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What Arteries curve around the Midbrain and reach out to the Posterior Cerebral Hemispheres?
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Posterior Cerebral Arteries
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Which areas of the Brain do the Posterior Cerebral Arteries Supply?
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Surface Branches:
-Cortex and White Matter of Medial Occipital Lobes -Inferior Temporal Lobes -Posterior CC Penetrating Branches -Parts of the Thalamus -Parts of the Midbrain |
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What Artery supplies the Ventral 2/3 of the Spinal Cord?
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Anterior Spinal Artery
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Which Arteries supply the Dorsolateral Surface of the SC?
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Posterior SPinal Arteries
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Where do the Cerebral Veins Drain into?
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Internal Jugular Vein
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Trace Venous Blood Flow from the Superior Sagittal Sinus.
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-Superior Sagittal Sinus
-Transverse Sinus -Sigmoid Sinus -Internal Jugular Vein |
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Trace Venous Blood Flow from the Inferior Sagittal Sinus.
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-Inferior Sagittal Sinus
-Straight Sinus -Transverse Sinus -Sigmoid Sinus -Internal Jugular Vein |
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Trace Venous Blood Flow from the Cavernous Sinus.
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-Cavernous Sinus
-Sigmoid Sinus -Internal Jugular Vein |
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What is a Stroke?
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-Loss of Perfusion to a Vascular Territory of the Brain
-Results in Ischemia -Corresponding Loss of Neurologic Function |
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What are some Biochemical components of an Ischemic Stroke?
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-Hypoxia
-Insufficiency of Metabolic Substrates -Accumulation of Metabolic Wastes |
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What are somethings that could cause an Ischemic Stroke?
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-Vascular Insufficiency
-Ahteroslcerosis -Thromobosis -Embolism -Compression and Hypotension -Hemorrhage |
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What percent of Strokes are Ischemic? Hemorrhagic?
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-Due to a clot or occlusion - 80%
-Due to rupture - 20% |
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What is a Lacunar Infarct? What are some predisposing conditions?
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-Occlusion of a small, penetrating artery that provides blood to the deep parts of the brain
-Hypertension -Diabetes |
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What are Arteriovenous Malformations?
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Tangled mass of Arteries and Veins
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What is the Monro-Kellie Doctrine?
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Intracranial Mass is gonna cause some shit to move
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What is Cerebral Perfusion Pressure equal to? What is its Normal Range?
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-CPP = MAP - ICP (Intracranial Pressure)
-80-100 mm Hg |
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What might Low Cerebral Perfusion Pressure (CPP) lead to?
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Inadequate Brain Tissue Oxygenation and shit
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What might cause a Herniation of the Brain?
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Increased Intracranial Volume or Pressure
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What are the 2 classes of Brain Herniations?
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-Supratentorial
-Infratentorial |
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What do the Internal Carotid Arteries travel through to get to the brain?
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-Carotid Canal at the Base of the Skull
-Carotid Siphon -Cavernous Sinus |
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Which Artery is directed medially above the Optic Nerve and ascends in the Longitudinal Fissure?
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Anterior Cerebral Artery
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Which Artery runs in the Lateral Sulcus?
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Middle Cerebral Artery
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What is the Major Source of Energy for the Brain? How is this source taken up?
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-Aerobic Oxidation of Glucose
-Across the BBB using ATP |
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How does the brain get energy during starvation?
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-Ketone Muthafuckin' Bodies
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How does the Brain get Large Neutral AAs? Why do we need them? What is unique about their entry
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-Just like Glucose: Transported across the BBB
-Needed for NTs -Compete for Entry with each other |
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How does the Brain get Small Neutral AAs?
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Synthesizes them
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How does the Brain get Basic AAs?
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Actively Transported across the BBB
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How does the Brain get Acidic AAs?
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Actively Transported across the BBB
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Occlusion of which Arteries could result in Medial Medullary Syndrome?
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-Anterior Spinal Artery (Branches)
-Basilar Artery (Paramedian Branches) |
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Occlusion of which Arteries could result in Lateral Medullary Syndrome (Wallenberg's Syndrome)?
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-Posterior Inferior Cerebellar Artery
-Vertebral Artery |
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What is another name for Wallenberg's Syndrome? What could cause this?
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-Lateral Medullary Syndrom
-Occlusion of: Posterior Inferior Cerebellar Artery or Vertebral Artery |