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14 Cards in this Set

  • Front
  • Back
Patient presents with decrease pain and temperature sensation over the lateral aspect of both arms. What is the lesion?
Syringomyelia
Penlight in patient's right eye produces bilateral pupillary constriction. When moved to the left eye, there is paradoxical dilation. What is the defect?
Atrophy of Left optic nerve
Woman involved in a motor vehicle accident cannot turn her head to the left and has right shoulder drop. What structure is damaged?
Right CN XI (runs through the jugular foramen with CN IX and X) innervating the sternocleidomastoid and trapezius muscle
Man presents with 1 wild flailing arm. Where is the lesion?
Contralateral subthalamic nucleus (hemiballismus)
Patient with cortical lesion does not know that he has a disease. What is the lesion?
Right parietal lobe
Patient's tongue protrudes toward the left side, and patient exhibits a right sided spastic paralysis. Where is the lesion?
Left medulla, CN XII
Patient cannot blink his right eye or seal his lips. What is the diagnosis and what nerve is affected?
Bell's palsy, CN VII
Woman presents with headache, visual disturbance, galactorrhea, and amenorrhea. What is the diagnosis?
Prolactinoma
43 year old man dizziness and tinnitus. CT shows an enlarged internal acoustic meatus. What is the diagnosis?
Schwannoma
25 year old woman presents with sudden monoccular vision loss and slightly slurred speech. She has a history of weakness and paresthesias that have resolved. What is the diagnosis?
Multiple sclerosis
10 year old child "spaces out" in class (e.g., stops talking midsentence and then continues as if nothing happened).During the spells the child has slight quivering of the lips. What is the diagnosis?
Absence seizure
23 year old woman crashes her motorcycle. She initially feels fine but minutes later she loses consciousness.At the ER, a CT shows an intracranial hemorrhage that does not cross the suture lines. What bone and vessels were injured during her crash?
Middle meningeal artery and temporal bone, resulting in an epidural hematoma
38 year old man with a history of Marfan's syndrome and hypertension, presents with a severe headache. A spinal tap reveals blood in the CSF. What is the cause of the man's head pain?
Subarachnoid hemorrhage resulting from a ruptured berry aneurysm
78 year old man with Alzheimer's disease falls and presents 3 days later with severe headache and vomiting. What structures were damaged by the fall?
Bridging veins , resulting in subdural hematoma