Wfusm Neuro Pathology Lesions

Front 1

A hemicord spinal lesion shows ipsilateral loss of ___ and contralateral loss of___

Back 1

ipsilateral vibration/proprioception and motor
contralateral pain/temperature

Front 2

A small central cord lesion can damage spinothalamic fibers causing bilateral

Back 2

sensory loss of pain and temperature

Front 3

Posterior column lesion in the spinal cord causes loss of

Back 3

vibration and position sense below the level of the lesion

Front 4

Anterior cord damage is likely to damage the anterolateral path causing loss of

Back 4

pain and temperature

Front 5

muscle weakness in a child is most likely muscular dystrophy or polymyositis?

Back 5

muscular dystrophy than polymyositis

Front 6

Definition of Motor Unit

Back 6

LMN and all the muscle fibers it innervates

Front 7

Fasciculations mean

Back 7

spontaneous twitching of all myofibers in affected motor unit

Front 8

Fibrillations mean

Back 8

spontaneous twitching of an individual myofiber

Front 9

In spasticity increased tone is seen in these muscle groups

Back 9

flexors of arms and extensors of legs

Front 10

Rigidity marks what type of lesion

Back 10

basal ganglia

Front 11

A brisk jaw jerk indicates

Back 11

lesion in the UMN above the trigeminal motor nucleus (mid-pons)

Front 12

lesion above the level of the facial nucleus would cause

Back 12

UMN paresis of face and body on the side contralateral to lesion

Front 13

A pontine lesion involving facial nucleus or nerve and corticospinal tract would cause

Back 13

LMN facial paresis ipsilateral to lesion and hemiparesis in body contralateral to lesion

Front 14

A lesion between the facial nucleus and decussation of pyramids would cause

Back 14

Hemiparesis contralateral to lesion and no facial weakness

Front 15

A lesion below the decussation of pyramids would cause

Back 15

hemiparesis ipsilateral to lesion

Front 16

Lesions in this arterial territory affect the leg

Back 16

Anterior Cerebral Artery

Front 17

Lesions in this arterial territory affect face and arm

Back 17

Middle Cerebral Artery

Front 18

Lesions in the posterior limb of the internal capsule cause problems on contra or ipsilateral side?

Back 18

Contralateral

Front 19

A lesion in the frontal eye field causes eyes to deviate which way?

Back 19

Towards the side of lesion

Front 20

A lesion in MLF causes failure of ADDuction in the ipsi or contra eye and nystagmus in the ipsi or contra eye

Back 20

failed adduction in ipsilateral
nystagmus in the contralateral

Front 21

Bilateral internuclear ophthalmoplegia is associated with

Back 21

MS

Front 22

A lesion in the pons causes eyes to deviate

Back 22

away from side of lesion

Front 23

The involvement of the medial lemniscus with sparing of spinothalmic tract points to a lesion in the

Back 23

medial brainstem

Front 24

Involvement of spinothalmic tract with sparing of the medial lemniscus points to a lesion in the

Back 24

Lateral brainstem area

Front 25

Name the important cranial nerves in the Midbrain

Back 25

III, IV

Front 26

Important CN Nuclei found in the pons

Back 26

V, VI, VII, VIII

Front 27

Important CN Nuclei found in the medulla

Back 27

VIII, IX, X, XI, XII

Front 28

Trigeminal mesencephalic nucleus extends from

Back 28

pons to midbrain

Front 29

Trigeminal spinal tract and nucleus extends from

Back 29

mid-pons to C2

Front 30

Tabes Dorsalis is what syndrome

Back 30

posterior cord syndrome loss of vibration and proprioception can be a form of neurosyphilis

Front 31

Vitamin B12 deficiency could cause degeneration of what part of spinal cord

Back 31

posterior column and corticospinal tract

Front 32

Fredreich's ataxia affects these spinal cod tracts

Back 32

posterior cord, corticospinal, and spinocerebellar

Front 33

Compression of a herniated cervical disc could cause

Back 33

anterior cord syndrome

Front 34

Thumb + Index finger problems represent what spinal nerve?

Back 34

C6

Front 35

Shoulders are what spinal nerve

Back 35

C4-C5

Front 36

Feature of an Argyll Robertson Pupil

Back 36

Accommodates does not react

Front 37

Parkinson's findings include which....
Glial Cytoplasmic inclusions
Neurofibrillary tangles
Ballooned neurons
Lewy bodies

Back 37

Lewy bodies, they are sine qua non of Parkinson's

Front 38

Describe supranuclear palsy

Back 38

cannot look up on command but oculocephalic manuevuer can stimulate it
means brainstem is working but supranuclear control is gone

Front 39

Which part of cerebellum controls the trunk? midline or lateral

Back 39

midline

Front 40

Which part of cerebellum controls limbs? midline or lateral

Back 40

lateral

Front 41

A lens shaped accumulation usually indicates epidural or subdural hematoma?

Back 41

epidural

Front 42

Which nerve does transtentorial herniation affect?

Back 42

CN III occulomotor