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94 Cards in this Set

  • Front
  • Back
the usual neural consequence of subluxation is radiculopathy (t/f)
FALSE
radiculopathy most commonly affects which nerve roots?
lumbar
when radiculopathy develops in the low back, the _____ nerve roots are most commonly affected
L5, S1
which of the following is the most common cause of thoracic radiculopathy?
herpes zoster
if a pt is experiencing pain, paresthesia and numbness in the lateral forearm, thumb and index finger due to a cervical radiculopathy, the most likely involved spinal nerve is
C6
if a pt is experiencing pain, paresthesia and numbness in the lateral shin, dorsum of foot and big toe due to radiculopathy, the most likely involved spinal nerve is
L5
Sclerogenic pain refers to pain of ____ tissue origin
sclerogenic
the neurologic signs and symptoms in a neurologic disorder of metabolic etiology will usually present bilaterally (t/f?)
TRUE
which of the following is derived from the neural crest?
ganglia of the autonomic nervous system and dorsal root ganglia
which of the following structures is located in the cerebral hemisphere
lateral ventricles AND corpus striatum
which of the following is not part of the basal ganglia?
all of the above are: putamen, caudate, globus pallidus
two of the cerebral nuclei are functionally related and together are known as the interposed nucleus. these are
globose and emboliform
(fat guys eat donuts)
which of the following is not a real functional division of the cerebellum?
All Are! vestibulocerebellum, spinocerebellum, cerebrocerebellum
numbness around the anus and an inability to urinate should suggest the presence of
cauda equina syndrome
facial weakness resulting from a stroke would most likely involve the
lower half of the contralateral face
when herpes zoster affects the trigeminal nerve, which of the divisions is most commonly affected?
opthalmic
when the following structures deviate due to a lesion of their associated cranial nerve, which of the following is most likely to deviate towards the side of the lesion?
tongue
a pt presents complaining of pain, tingling & numbnessin the lateral shin and of the foot. if this complaint were due to a peripheral nerve injury, which peripheral nerve would most likely be affected?
peroneal
which of the following is a primary cortical area?
All: post central gyrus, precentral gyrus, calcarine sulcus, superior temporal lobe.
which of the following is considered to be an association cortex?
prefrontal and PTO (parietotemporooccipital)
problems understanding language is known as
wernicke's aphasia
problems speaking language (non fluent) is known as
broca's aphasia
when the following structures deviate due to a lesion of their assc cranial N, which of the following is most likely to deviate AWAY from the side of the lesion?
uvula
a stroke involving the anterior cerebral artery will usually result in motor and sensory deficits in the
contralateral lower extremities
an infarct of the anterior spinal artery at the thoracolumbar region will usually result in ______ below the level of the lesion
bilateral weakness and pain and temperature loss
which of the following is most likely to be assc with expressive (broca's) aphasia?
R hemiparesis
which of the following is true concerning the fxn of the thalamus?
both,
serves as a gatekeeper, preventing or enhancing the passage of specific info on its way to the cerebral cortex AND relays info on its way to the cerevral cortex
which of the followoing are functional nuclear groups of the thalamus?
ALL: association, diffuse projecting, relay, thalamic regulatory
a lesion of the VP nucleus would most likely result in
contralateral sensory loss
which of the following thalamic nuclei is the major relay nucleus for the limbic system?
anterior
a lesion of the lateral geniculate nucleus of the thalamus would most likely be associated with:
contralateral homonymous hemianopia
which of the following nuclei project to the association cortex?
dorsomedial (frontal cortex)
which of the following thalamic nuclei belong to the diffuse projecting functional group?
midline & intralaminar
which of the following thalamic nuclei receives input from the trigeminal thalamic tract?
VPM
which of the following thalamic nuclei does not project to the cerebral cortex, but projects to the other thalamic nuclei and is involved in regulating thalamic neuronal activity?
reticular nucleus
according to the article "changes in the brain fxn after manipulation of the cervical spine" by carrick, when blind spots are unequal, the larger blind spot is indicative of...
decreased integration and function of the contralateral thalamus and cortex
according to chiropractic neurology, the mechanoreceptive afferentation from an adjustment is primarily transmitted to
ipsilateral cerebellum and contralateral thalamus and cortex
which of the following best sumarizes the function of the hypothalamus?
maintains homeostasis
the hypothalamus works primarily through the:
all (pituitary, autonomic nervous system, limbic system)
which of the following visual defects would most likely place a lesion in the vicinity of the pituitary and hypothalamus?
bitemporal hemianopia
which of the following is NOT a function of the hypothalamus?
ALL are functions, thermoregulation, food intake regulation , analgesic pain modulation, sexual development and function
which of the following portions of the pituitary is connected to the hypothalamus via a circulatory link?
anterior pit. (adenohypophysis)
the supraopticohypophyseal tract (posterior pituitary) is associated with hypothalamic regulation of:
water balance-ADH & oxytocin
the hypothalamus has a/an _____ center.
both, appetite and feeding, and satiety
the descending hypothalamic projections in the dorsolateral medulla are most commonly damaged as a consequence of occlusion of the_______ artery.
Posterior Inferior Cerebellar Artery (PICA)
which of the following is a cause of horner's syndrome?
BOTH, pancoast tumor and dorsolateral medullary syndrome.
which of the following is a sign and symptom of horner's syndrome?
constriction of the pupis and drooping (ptosis) of the upper eyelid
beta endorphins and endogenous opiates are produced in which of the following hypothalamic nuclei?
arcuate nucleus (ant. lobe pituitary)
a lesion in the somatosensory pathway in the internal capsule ion the right would result in sensory loss on the
LEFT
which of the following is true regarding transmission of somatosensory info from the body?
tactile info transmits up the ipsilateral spinal cord, pain & temp info transmits up the contralateral spinal cord.
a lesion in the midline of the dorsal column in the cervical spine would most likely result in loss of
tactile sensation in the lower extremity bilaterally
compression of the anterolateral aspect of the cervical cord due to DJD would most likely result in loss of:
pain & temp sensation in the contralateral upper extremity
which of the following are components of the anterolateral system?
ALL= spinothalamic, spinoreticular, spinomesencephalic tracts
the early symptoms of syringomyelia are:
bilateral pain and temp loss
which of the following distributions of sensory loss is most consistent with a right brown-sequard syndrome?
pain/temp loss on the left side and tactile loss on the right
in regards to the right brown-sequard syndrome, which of the following motor presentations would most likely occur?
weakness and upper motor neuron signs on the right (same side as tactile loss)
a lesion in the medial lemniscus will result in:
loss of tactile sensation contralaterally
which of the following sensory loss patterns would be most consistent with a dorsolateral medullary syndrome (wallenberg's syndrome)?
pain & temp. loss in the ipsilateral face and contralateral body
astereognosis (loss of the ability to identify objects by handling them) would most likely indicate a lesion of the....
ipsilateral cord
large diameter mechanoreceptive afferentation may inhibit the transmission of nociception in the dorsal horn of the spinal cord (t/f)?
TRUE
disorder of one cerebellar hemisphere will usually result in motor disfunction of the...
ipsilateral limbs
a lesion of the basal ganglia will usually result in motor deficits...
contralaterally
lower motor neuron signs indicate that the lesion is in the PNS...
FALSE
a lesion of the motor fibers of a cranial nerve is classified as an upper motor neuron lesion
TRUE
antigravity postural muscles of the body are controlled primarily by the_____ motor sysem
medial
facial weakness involving the left side of the face would most likeley be due to a
left facial nerve lesion
when a lower motor neuron results in altered muscle tone,______ will most likely occur.
decreased muscle tone, hypotonia
pathological reflexes usually result from:
pyramidal tract lesions
knife clasp phenomenon would most likely be seen with_____ lesion.
UMN
increases deep tendon reflexes would most likely result from a ________ lesion
UMN
a stroke involving theanterior cerebral artery would most likely result with weakness in the:
contralateral lower extremity
weakness resulting from a vascular accident involving the internal capsule would most likely cause:
contralateral hemiplegia w/ the upper part of the face spared
a pt presents with paraplegia, the pt can feel tactile stimulation and pain/temp only down the torso to the nipple level, the abdominal reflexes are absent bilateral. what is the most likely site of the lesion?
thoracic cord transection T10 level
which of the following is most characteristic of amyotrophic lateral sclerosis? (ALS, Lou Gehrig's disease)?
UMN and LMN signs with sensory function intact
guillian-barre is a demyelinating disease of the PNS
True
which of the following is true regarding polio myelitis?
weakness due to LMN lesion
which of the following is true regarding multiple sclerosis?
weakness may occur in MS and present with upper motor neuron signs
which of the following would most likely occur in subacute combined systems disease?
weakness with UMN signs and tactile loss
absence of UMN signs rules out a CNS lesion (t/f)
false
which of the following neuromuscular junction diseases is a post-junctional disease?
myasthenia gravis
one of the most common initial symptoms of myasthenia gravis is...
weakness of the extraocular eye muscles (diplopia)
when myopathy is present, the muscle weakness is typically present in the..
proximal extremities
which of the following presents with sensory loss?
neither (myopathy nor NMJ disease)
which of the following would cause weakness in the distal aspects of both lower extremities?
neurological complications of diabetes (stocking and glove)
which of the following can provide input into the cerebellum?
ALL (climbing, parallel and mossy fibers)
most of the output of the cerebellar cortex is from:
purkinje cell axons
match the cerebellar longitudinal zones with output nucleus...
vermal zone-fastigial nucleus
intermediate zone-globose and emboliform
the interposed nucleus of the cerebellum projects to the _____ motor system of the spinal cord.
lateral
the dentate nucleus projects to the
thalamus and motor cortex contralaterally
afferent info from the limbs through the spinocerebellar tracts project to the _____ zone.
intermediate
alcoholism results in a lesion to the_____ of the cerevellum, and show problems with______.
flocculonodular lobe, eye movements
the cerebelllum plays an important role in ....
ALL (motor learning, cognitive, affective process)
the vermal and intermediate zones of the cerebellum comprise the spinocerebellum (t/f)?
true!
participation in the planning of movement is considered a function of the .....
spinocerebellum and cerebrocerebellum