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34 Cards in this Set
- Front
- Back
- 3rd side (hint)
10 CN
what PE exam do we perform = |
Voice check -
there is 1 Nerve branch that is of specific interest off of CN10 = |
recurrent larngeal Nerve
pt will have = |
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recurrent larngeal Nerve Dmgx..
the pt will havewhat S/S = - -__ __ paralysis of soft palate / pharynx -loss of __ ___ reflex.... |
hoarsness
ipsi lateral carotid sinus - __ __ carotid sinus which nucleus' innervates carotid sinus = (alt Answer) if 9 is not present) -10 CN ... aortic arch |
9th CN
dorsal motor nucleus / ambiguous |
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Pt has wounded eye orbit which N =
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3
4 6 Where is Leision when there is no eye movement up & dwn = |
Midbrain
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Tx of diplopia
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Eye patch
Prism Surgx (is the end therapy after 6 months = answ) |
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5 dz offered to recognize =
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Sinusitus
Migraine |
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Role of Medial Vestibule Spinal tract =
Lateral = Vestibule Spinal tract |
eye - head coordination
full body proprioception |
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which N-s are involved in
corneal reflex |
5 sensorial / Motor =
7 sensorial / Motor = (innervates what =) |
Sensorial
Motor Orbital Myo & Blinking |
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2 ct Q
1) Mechanical trauma of branches of 7th N = 2) bells palsey of Peripheral 7th N |
1a) central leision = decusates on mouth droop-paralysis
1b) peripheral Leision (same side) facial paralysis (Answ) 2) Damage is of CN7 thru styloid mastoid foreman |
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Which Nucleus do the fibers for pupilary reflex
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N2 afferent Sensory
& N3 constriction-bilat Motor Nucleus of 3rd N (WESTPHAL / ETTINGER nucleus) Parasympathetic N |
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Pt has Leision on 1 side of invilving
12th N where is the tongue to protrued on which side |
Same side (peripheral Leision)
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Which Nucleus are the pupillary reflex fibers
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Ettinger Westphal
CN 2 optic = & CN 3 Occulomotor |
afferent Sensory
pretectal nuclei constriction-bilat Motor nucleus of 3rd N (WESTPHAL/ETTINGER Nucleus) Parasympathetic N |
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Cerebellum:
what fibers are the input for purkinge fibers |
Climbing fibers (Indirect)
Mossey (direct) |
Which cells are negative in the cerebellum = granular cells (inhibitory)
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what is Dismetria =
What is Dysdiadochokinesia = |
Over shoot the target while trying to catch it.
(Dysmetria (English: difficult to measure) refers to a lack of coordination of movement typified by the undershoot or overshoot of intended position with the hand, arm, leg, or eye. It is a type of ataxia. It is sometimes described as an inability to judge distance or scale) What is Dysdiadochokinesia = fast alternative movements have leison in cerebellum and they can not due to the leision |
dys "bad", diadocho "receive", kinesia "movement"),
often abbreviated as DDK, is the medical term for impaired ability to perform rapid, alternating movements |
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What part of cerebellum is damaged in cerebellar leision =
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Vermis
Vermis damage causes s/s = |
action of patient is Ataxic /ataxia
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cerebellar leision you can expect
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Tremor
Ataxia last S/S:= |
Positive Rhomberg
(Proprioception .... medial lemniscus pathway Leison) |
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What is the course of the cortical pons cerebellar fibers
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cortex
to Pons decustaes to medial cerabellar peduncle ends cerebellum aka= |
Mid barain
Pons Medulla |
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leision damages
dorsal medial - dorsal anterior - ...... related to = ventral anterior - ventral lateral.... input= |
Limbic
motor nuclei Emotion long term behavior motor output is = prefrontal & premotor |
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medial thalamic nucliei
input is = output = |
reticular
prefrontal aurora ... for -arousal -attention -memory |
lateral reticular nucliei
is NOT associated with reticular formation. RAS: reticular activating system |
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2Q
ventral anterior Nucleus what is the input & output |
motor-input =
& premotor cortex = |
prefrontal
output |
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medial thalamic nuclieic
role is = 3 Q |
Assoc-Reticular formation
-Arousal -attention -Memory Input is: = Output: = |
Input is: reticular system
Output: prefrontal cortex |
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Hypothalamus
leison of lat-hypo thalamus ...what can you expect: |
aphagia (Not Hungry)
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What is suprachiasmatic Nucleus do =
Darkness triggers = |
Circadian Rhythm
Seratonin in pineal gland to produce = |
melationin
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Hypothalamus Slide #42
Arcuate Nucleus What is the role = |
-Feeding centers
-release hormones for stimulating anti-pituitary gland to release dopa & stops prolactin What starts prolactin = When Breast feeding it inhibits the Arcuate Nucleus |
Pt has tumor in 3rd ventricle = compresses arcuate nucleus & will stop the hormone & galactarhea
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Hypothalamus Slide #29
which nucleus makes you have the sense of fullness (satiety) = |
ventral Medial nucleus of hypothalamus
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Hypothalamus Slide #10
what can mod the autonomic nervous system |
Hypothalamus
amygdila (part of the Lymbic System) can modualate the ANS. They will send impulses to the solitary nucleus |
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Cranial N slide # 47
Pt has px after swallow & cough |
Leison is of 9 CN
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Cranial N slide # 47
glossopharyngeal has 2 componants motor componant = |
motor componant = nucleus ambiguous
Sensory Componant = |
superior ganglion
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The glossopharyngeal nerve has three nuclei:
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(1) main motor nucleus,
(2) parasympathetic nucleus, (3) sensory nucleus. |
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glossopharyngeal
Lesions cause the following conditions: 1. Loss of the 2. Hypersensitive carotid sinus reflex = aka 3. Loss of general ____ in the pharynx, tonsils, fauces, and back of tongue. 4. Loss of taste from the = 5. Glossopharyngeal neuralgia which is characterized by severe stabbing pain in the = |
1 gag (pharyngeal) reflex
2. (syncope) 3. sensation 4. posterior one-third of the tongue 5. the root of the tongue |
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7th cranial Nerve
3Q -loss of taste but no Dmgx of taste receptors = sensory N..Solitary Nucleus CN 7, 9,10 |
-loss of taste but no receptor Problem nor in solitary Nucleus ... where is it. = genticulate ganglion
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-where is leision loss of taste in 2/3anterior tongue = carried by 7th nerve
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Pt has difficulty in walking down stairs and looking down reading:
where is the leision = |
mid Brain
what Nerve = |
Trochlear 4th
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Pt has infectious dz
experiencse marked instability in blood pressure: Which Cranial N : |
receptors in CN 9/10
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5 dz mentioned know migrane
(3rd Dz) |
trigeminal neuroglia demylenation causes =
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migrains
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Left Leg Paralysis
Left face paralysis where is leision |
Upper motor neuron of the Mid brain
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