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11 Cards in this Set
- Front
- Back
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59 yr old presents with left sided hearing loss, numbness over left half of face and unsteadiness of gait; vertigo and ringing in ear; pt falls to left when standing with eyes closed (positive Romberg's sign); sensorineural hearing loss on left esp with high frequencies. possible neoplasm?
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schwannoma of eighth nerve
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with what syndrome are acoustic schwannomas associated?
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type 2 neurofibromatosis (NF-2)
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what is acute torticollis?
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pain and stiffness on one side of neck due to acute spasm of neck muscles from straining; could be trapezius, supraspinatus, rhomboid, splenius capitis, levator scalpula
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57 yr old male uses inappropriate words and phrases to refer to ordinary objects; hypertension and Babinski's reflex present. disorder and cause?
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Wernicke's (receptive) aphasia due to a lesion in superior temporal gyrus due to left middle cerebral artery occlusion; speech is fluent but nonsensical
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what is Broca's aphasia? where is the lesion?
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aka nonfluent "expressive" aphasia is when pts know what they want to say but are unable to do so; inferior frontal gyrus
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young child, severe refractory headache, nystagmus, cystic posterior fossa tumor; ataxic gait, papilledema due to increased intracranial pressure
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astrocytoma; located in cerebellum (ie posterior fossa)
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Bell's palsy is mostly idiopathic; what are other possible causes or associations?
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diabetes, AIDS, Lyme disease, tumors, sarcoidosis
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what are common complications from cavernous sinus thrombosis?
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meningitis and pulmonary septic emboli
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what nerve damage can occur from fracture of the head of fibula?
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damage of the common peroneal nerve; foot drop, numbness and tingling along dorsum of the foot and anterolateral aspect of leg
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young boy complains of pain in his left elbow after falling off the bike; numbness on medial side of his hand, can't abduct fingers. what happened?
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separation of epiphysis of medial epicondyle and damage to ulnar nerve at the medial epicondyle-olecranon groove
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what is a likely problem when bone conduction is better than air conduction?
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perforated tympanic membrane
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