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21 Cards in this Set

  • Front
  • Back
Patient presents with decreased pain and temperature sensation over the lateral aspects of both arms

What is the lesion?
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
patint describes decreased prick sensation on the lateral aspect of her leg and foot

deficit of what muscular action is expected?
dorsiflection and eversion of foot (common peroneal nerve)
elderly woman presents with arthritis and tingling over the lateral digits of her right hand

what is the diagnosis?
carpal tunnel syndrome, median nerve compression
decreased reports decreased plantar flexion and decreased sensation over the back of thigh, calf, and lateral half of foot

what spinal nerve is involved
tibial (L4-S3)
patient cannot turn her head to the left and has right shoulder droop?

what structure is damaged?
Right CNXI (runs thru jugular foramen with IX and X) innervating sternocleidomastoid and trapezius muscles
man presents with one wild, flailing arm

where is the lesion
contralateral subthalamic nucleus (hemiballismus)
patient with cortical lesion does not know that he has a disease

where is the lesion
right parietal lobe
patient cannot protruede tongue toward left side and has a right sided spastic paralysis

wehre is the lesion?
left medulla
after fall that injures elbow, pt can't feel medial palm

which nerve and what injury?
ulnar nerve due to broken medial condyle
midshaft break of the humerus

what nerve and artery likely to be damaged
radial nerve and deep brachial artery, which run together
patient cannot blink right eye or seal lips and has mild ptosis on right side

what is diagnosis, what nerve affected?
Bell's palsy, cn vii
patient complains of pain, numbness, and tingling. on exam, wasting of thenar eminence

what diagnosis, what nerve?
carpal tunnel, median nerve
during a particular stage of sleep, man has variable blood pressure, penile tumescence, and variable eeg

what stage?
episodes of hypoglycemia; blood analysis reveals no elevation in c protein

what diagnosis?
factitious disorder; self scripted insulin
headache, visual disturbance, galactorrhea, amenorrhea

what dx?
middle aged pt with dizziness and tinnitus. ct shows enlarged internal acoustic meatus

what dx?
25 year old female with uniocular vision loss, slurred speech. history of weakness and paresthesias that have resolved

child "paces out". quivering lips during spells.

absence seizure
man on antidepressants has mydriasis and becomes constipated

what is cause of sx?
tricyclic antidepressants
woman on MAO inhibitor has hypertensive crisis after a meal

what did she ingest?
tyramine (wine or cheese)