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39 Cards in this Set
- Front
- Back
Tell me about microglia
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Phagocytes
CNS Mesoderm not on Nissl stains |
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Pacinian corpuscles
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Deep skin layers, ligaments, joints
vibration, pressure |
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Hypothalamus is responsible for what functions?
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TAN HATS
Thirst, Adenohypophysis, Neurohypophysis, hunger, autonomic regulation, Temp, sexual urges |
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What are the functions of the limbic system?
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Fleeing, fighting, feeding, feeling, FUCKING
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What part of the brain is associated with voluntary movements and making postural adjustmants?
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Basal ganglia
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A person comes in with depigmentation of the substantia nigra pars and alpha synuclein intracellular inclusions. What do they have?
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Parkinsons (Lewy bodies)
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A person comes in that is an alcoholic. What would be under the DDX if you were thinkin about possible self medication related to a tremor?
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Essential/postural tremor
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If you damage your hippocampus what happens?
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Anterograde memory loss....
cant make new memories |
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A person cant speak but they can understand what they hear. What type of aphasia is it?
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Bocas
(broken boca) |
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What is the "artery of a stroke" that causes simple motor hemiparesis?
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lateral striae
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A patient with Marfans complains of the "worste headache of their life" and has a bloody spinal tap. Dx?
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subarachnoid hemorrhage
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A patient comes in with a brief sx of a stroke and then feels better. What is the etiology and Dx?
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Transient ischemic attack
due to neuro dysfunction from foacl ischemia |
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A patient has the triad of ataxia, urinary incontinence, and dementia (wet, wobbly and wacky). Most likely Dx?
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Normal pressure hydrocephaly
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What level does the spinal cord stop?
Where is a spinal tap performed? Disc herniation is most common at what levels? Where does subarachnoid stop? |
L1-L2
L4-L5 L5-S1 S2 |
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Muscle fasciculations, weakness, and atrophy is associated with upper or lower motor neuron lesions?
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lower
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A patient comes in with both upper and lower neuron signs, however there are no sensory deficits. Caused by superoxide dismutase 1 defect. What is it?
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Amyotrophic lateral sclerosis
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What sx will one have with a Brown-Sequard syndrome?
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(hemisection of spinal cord)
ipslateral UMN signs, loss of vibration, touch, proprioception below lesion. contralateral pain and temp below lesion Ipsilateral LMN and loss of all sensation at level of lesion |
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What are the Sx of Horners syndrome and above what spinal cord level will an injury cause it?
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Ptosis, anhydrosis, miosis
Above T1 |
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Muscle spindles monitor what?
Golgi Tendon organs monitor what? |
Muscle spindle monitor the length and are parallel
Golgi Tendon monitors tension and are perpendicular |
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What is Parinaud syndrome?
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damage of superior colliculis causing paralysis of the conjugate vertical gaze center
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What three things pass through the optic canal?
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CN II, opthalmic artery, central retinal vein
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What passes through the superior orbital fissure?
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CN III, IV, V1, VI, opthalmic vein, sympathetic artery
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Label the CN affected.
tongue deviates to right Jaw deviates to right uvula deviates to the left weakness turning head to left and shrugging right shoulder |
Right XII
Right V Left X Right XI |
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What muscles open the mouth and close?
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Close = Masseter, medial pterygoid, and temporalis
Open = Lateral pterygoid |
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The ampullae detect what type of movement in the inner ear?
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Angular acceleration
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alpha 1 acts on what muscle in the eye and does what to the pupil?
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acts on the radial musle and causes mydriasis of pupil dilation
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A patient comes in with severe eye pain, decreased vision, a rock hard eye, and a frontal headache.What is the most likely Dx?
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Closed narrow angle glaucoma
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What is a Marcus Gunn pupil?
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Decreased bilateral constriction when light is shone in one eye. Afferent pupillary defect
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An occlusion of the PCA can cause what vision changes?
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hemianopia with macular sparing.
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Internuclear opthalmoplegia is caused by and associated with what?
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Multiple sclerosis
it is the result of a lesion in the MLF causing nystagmus in the abducting eye |
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What disease has sx of Parkinson's but also presents with dementia and hallucinations?
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Dementia with Lewy bodies
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A patient has a bad case of diarrhea fro Campylobacter and then develops distal muscle weakness and face paralysis. What is the most likely Dx and how do you treat?
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Guillain-Barre
Tx with resp support and plasmaphoresis or IV immunoglobulins |
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A patient has a severe headache for longer than 30 minutes which is steady.
It is bilateral and not aggrevated by light and no aura was present. What is it? |
Tension headache
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A child presents with hydrocephaly. What 2 tumor are the most likely to casue thi problem?
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Medulloblastoma and Ependymoma
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A patient has ipsilateral midriasis, contralateral honomynous hemainopa, ipsilateral paresis, and duret hemorrages. Most likely Dx?
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Uncal herniation
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A patient comes in with respiratory depression, pin point pupils, CNS depression, and current prescribed drugs include fentany. How do you treat?
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Naloxone
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You are taking a drug for epilepsy and experience fatigue, GI distress, and Headache. What is it?
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Ethosuximide
(EFGH) |
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A patient comes in that overdosed on Lorazepam. What do you do?
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Give flumazenil
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How do you reverse Vecuronium?
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Give a cholinesterase inhibitor
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