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52 Cards in this Set

  • Front
  • Back
sudden deficit on one side of body. what are you thinking?
Where is the stroke: Right homonymous hemianopia
Left PCA
Where is the stroke: Left homonymous hemianopia
Right PCA
Where is the stroke: Right leg weakness
Left ACA
Where is the stroke: Left leg weakness
Right ACA
Where is the stroke: Nonfluent (Broca's) aphasia with R face and arm weakness
Left MCA
Where is the stroke: Left hemineglect
Right MCA
Where is the stroke: contralateral paralysis, contralateral hemianopsia, no aphasia, neglect/inattention
Right (non-dominant) MCA
Where is the stroke: Dysarthria (slurred speech) and right hemiparesis, right Babinski's sign
Lacunar infarction of left internal capsule (Left posterior limb of internal capsule)
Note: This is a pure motor stroke.
Where is the stroke: Sudden onset of R face, arm, and leg numbess (no motor deficits)
Lacunar infarct in left lateral thalamus
Note: This is a pure sensory stroke.
Where is the lesion: Face and contralateral body numbness, hoarseness, horner's, ataxia
Brain stem: PICA
If the eyes aren't lined up, what are the possible involved structures?
CNIII (and nucleus)
CN IV (and nucleus)
CN VI (and nucleus)
Were is the lesion: Normal frontal gaze, on look right, left eye doesn't cross midline and right eyes moves right w/ nystagmus
MLF area of Pons (seen w/ MS)
unlined up eyes has to be what area of brain stem?
midbrain or pons
Where is the stroke: Sudden onset of unilateral ataxia (usually w/ nausea and vomiting)
ipsilateral cerebellar artery infarct
What does the medial cerebellum (vermis) control?
medial body
What do the lateral hemispheres of the cerebellum control?
Programmed motor learning
What do the intermediate hemispheres of the cerebellum control?
complex movements of arms and legs
Where is the lesion: unsteady gait, wide-based, falling to the left, HA, normal heel-shin
cerebellar vermis (medial)
Where is the lesion: Left leg weakness and R leg numbness
Left hemicord lesion
When should you suspect a spinal cord lesion?
When it looks like you drew a line across the torso and all deficits are below the line.
Falls, loss of balance, and positive Romberg (loss of position and vibration). What is this syndrome?
Posterior cord syndrome (posterior columns are jacked up below the lesion)
Motor deficit on same side and sensory deficit on opposite side. What is the syndrome?
hemicord syndrome
Loss of pain and temp and motor function below a certain level. What is the syndrome?
anterior cord syndrome
Damage to anterolateral (spinothalamic tract) and lateral corticospinal tract, but sparing the posterior columns. Where is the infarct?
anterior spinal artery
Bilateral flacid leg paralysis, decreased rectal tone, distended bladder, sensory level deficits to all modalities. What is the problem?
transection of the spinal cord at area of deficit
Pain and Temp loss in a stripe across the torso. What is the syndrome?
Central cord lesion (small)
What is the most common non-fracture spinal cord injury?
central cord syndrome (large lesion)
Gluteal pain, genital pain in a saddle, constipation, urinary retention, ED, loss of rectal tone. Where is the lesion?
Cauda equina (common) or conus medularis (rare)
T or F: Saddle problem assoc w pain is more likely to be cauda equina
T or F: Saddle deficits w/o pain is more likely to be conus medularis
Which nerve root: Decreased biceps and pectoralis reflexes
Which nerve root: biceps and brachioradialis reflexes decreased
Which nerve root: decreased triceps reflex
Which nerve root: weakened deltoid, infraspinatus, biceps
Which nerve root: weakened wrist extensors, biceps
Which nerve root: weakened triceps
Which nerve: extension of arm, wrist, finger joints, below shoulder, forearm supination, thumb abduction, in plane of palm
radial nerve
Which nerve: neuropathy of fingers 4 and 5
Which nerve: neuropathy of fingers 1, 2, and 3
Which nerve: abduction of arm at shoulder beyond 15 deg
Which nerve: flexion of arm at elbow, supination of forarm
Which nerve root: decreased patellar reflex
Which nerve root: decreased foot dorsiflexion, big toe extension
Which nerve root: foot plantar flexion
Which nerve root: decreased ankle jerk reflex
Which nerve: adduction of the thigh
Which nerve: leg flexion at the knee
Which nerve: leg flexion at the hip, leg extension at the knee
Which nerve: foot plantar flexion and inversion, toe flexion
Which nerve: foot eversion
superficial peroneal nerve
Which nerve: foot dorsiflexion, toe extension
deep peroneal nerve