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CCEMT-P Neurology
Concepts of Neurology as set forth in the CCEMT-P program of UMBC, and for use in that program.
61
Medical
Professional
03/14/2013

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Term
What are the two main components of the nervous system?
Definition
The Central Nervous System (composed of the Brain and Spinal Cord), and the Peripheral Nervous System (with the efferent and afferent division)
Term
This division of the peripheral nervous system senses stimuli, and sends the impulses to the brain.
Definition
Afferent Division
Term
This division of the peripheral nervous system sends impulses from the brain to the body.
Definition
Efferent Division
Term
This division of the Efferent division of the peripheral nervous system conducts impulses from the CNS to skeletal muscles.
Definition
Somatic (voluntary) nervous system
Term
The Autonomic nervous system is composed of what two divisions?
Definition
Sympathetic division, and parasympathetic division.
Term
This part of the autonomic nervous system has cell bodies located in the spinal cord from T1 to L2, and is responsible for the fight or flight response.
Definition
Sympathetic division
Term
What are the three neurotransmitters of the sympathetic nervous system?
Definition
Acetylcholine, epinephrine, norepinephrine.
Term
This division of the autonomic nervous system is responsible for maintenance, restorative, or "steady state" functions. Often referred to as the feed or breed response.
Definition
Parasympathetic
Term
The neurotransmitter of the parasympathetic system is:
Definition
Acetylcholine
Term
Receptors of the parasympathetic nervous system include:
Definition
Nicotinic and Muscarinic
Term
The layers of the scalp are highly vascular, and can be remembered with the Mnemonic SCALP, which stands for:
Definition
Skin
Cutaneous tissue
Adipose Tissue
Ligamentous Layer
Pericranium
Term
The skull is the bony structure that houses and protects the brains. It is composed of:
Definition
One Frontal Bone, Two Parietal bones, Two Temporal bones, One Occipital bone, One Ethmoid Bone, and One Sphenoid bone.
Term
This large opening at the base of the cranium allows for the connection of the brain and spinal cord.
Definition
Foramen Magnum
Term
PAD is a mnemonic used to remember the meninges layers. They are:
Definition
Pia
Arachnoid
Dura
Term
This outermost meningeal layer is tough and leathery, and lies on the interior of the skull.
Definition
Dura Mater
Term
This spider web like layer is fibrous, and is the middle meningeal layer.
Definition
Arachnoid
Term
This innermost meningeal layer lies directly against the brain.
Definition
Pia mater
Term
What are the four main divisions of the brain?
Definition
Telencephalon (cerebrum), Diencephalon (Thalamus and Hypothalamus), Brainstem (Midbrain, Pons, Medulla Oblongata), Cerebellum.
Term
Cerebrum is divided into _____ hemispheres, that are connected by the _______.
Definition
two, corpus callosum
Term
Localize and interpret sensory inouts, control of voluntary and skilled skeltal muscles, intellectual, and emotional functions are all part of the:
Definition
Cerebrum
Term
What are the four main lobes of the brain?
Definition
Frontal, Parietal, Temporal, Occipital
Term
Personality, Behavior, Intellect, Short term memory, voluntary movement, motor speech are all controlled in the ____ lobe.
Definition
Frontal
Term
Localization of sensory input on the body, primary sensory cortex, sensory integration, object recognition, and position are all functions of the _______ lobe.
Definition
Parietal
Term
Emotion, Long term memory, auditory input, sensory speech are all functions of the _____ lobe.
Definition
Temporal
Term
Processing visual input is a function of the _____ lobe.
Definition
Occipital
Term
This part of the brain receives incoming signals and relays them to the appropriate ares of the brain, and plays a key role in mediating sensation, motor activities, cortical arousal, and memory.
Definition
Thalamus
Term
Maintaining homeostasis, Autonomic control, temperature control, sleep and arousal patterns, regulation of thirst/hunger, and control of hormonal secretion by the pituitary gland are controlled in:
Definition
Hypothalamus
Term
Reticular Activating System, relays stimuli in voluntary motor movement, visual and auditory reflex centers, cranial nerves III and IV are part of the:
Definition
Midbrain
Term
Motor and sensory pathways to other parts of the brain, Pneomtaxic and apneustic ares, and cranial nerves V-VIII are parts of:
Definition
Pons
Term
Cardiac and vasomotor centers, chemo and baro receptors, respiratory control center vomiting center, and cranial nerves IX-XII are all parts of:
Definition
Medulla Oblongata
Term
Contributes to the coordination, precision and timing, awareness of body position in space, are functions of:
Definition
Cerebellum
Term
Cervical Plexus contains sensory and motor innervation to neck, ear, shoulder, and diaphragm, are housed in:
Definition
C1-C5 (C3-C5 phrenic nerve, keeps the diaphragm alive)
Term
Brachial Plexus innervates the arm, hand, scapula, anterior upper chest are housed in:
Definition
C5-T1
Term
Lumbosacral Plexus innervates the leg, foot, lower abdomen, hip, genitalia, buttocks, and perineum, and is housed in:
Definition
L1-S4
Term
In the setting of TBI, a single episode of hypoxia (SPO2 less than or equal to 90%) will increase mortality by:
Definition
200%
Term
Cerebral Perfusion Pressure is found using what formula?
Definition
CPP = MAP - ICP
where MAP is mean arterial pressure, and ICP is intercranial pressure.
Term
Normal ICP is:
Definition
5 - 15 mmHg
Term
Hypoxemia, Hyperthermia, Hypercapnia, Vasodilators are _____ cerebral blood flow.
Definition
Increase
Term
Hypocapnia, Hypothermia, Increased ICP, Barbiturates all _____ cerebral blood flow.
Definition
Decrease
Term
Anterior cerebral artery occlusions result which symptoms?
Definition
Impairments of cognition, personality changes, contralateral hemiparesis, hemiplegia, bowel/bladder dysfunction, and lower extremities are more affected than upper
Term
Middle cerebral artery occlusions result in what symptoms:
Definition
Motor changes, primarily involving arms, hands, face, speech, and have great potential for airway compromise.
Term
Vertebro-basilar artery occlusions result in what symptoms:
Definition
Vertigo (hallmark symptom), dysarthria, dysphagia, facial pain/numbness, nausea, vertigo, severe HTN, extremity weakness/paralysis, and risk of airway compromise
Term
In the setting of TBI, a GCS of 14-15 indicates:
Definition
Mild TBI, can be transported to hospital ED
Term
In the setting of TBI, a GCS of 9-13 indicates:
Definition
Moderate TBI, must be transported to a level 1 trauma center
Term
In the setting of TBI, a GCS of 3-8 indicates:
Definition
Severe TBI, must be transported to a level 1 trauma center with severe TBI capabilities.
Term
The Monro-Kellie Doctrine establishes three main components within the cranial vault. What are they, and their proportions.
Definition
80% Brain, 10% CSF, 10% Blood
Term
Hyperventilating a patient has what effects?
Definition
decreased CO2, which causes cerebral vasoconstriction, decreasing cerebral blood flow, and lowering intercranial pressure.
Term
This temporizing measure, is only clinically indicated in the presence of ongoing brainstem herniation.
Definition
Hyperventilation
Term
Hyperventilation is titrated to ETCO2 reading of:
Definition
35-40 mmHg
Term
Headache, Increasing irritability, decreasing level of consciousness, pupillary changes, hemiparesis, hemiplegia, cranial nerve deficits are indicative of:
Definition
Subdural hematoma
Term
Usually a brief period of unconsciousness followed by a lucid interval and progressively decreasing LOC, Headache, pupillary changes, hemiparesis or hemiplegia are indicative of:
Definition
Epidural hematoma
Term
Sudden sever headache, often described as "worst of my life," localized progressing to generalized headache, nausea, vomiting are indicative of:
Definition
Subarachnoid hematoma
Term
Which scan is considered the gold standard for diagnosing intercranial bleeds?
Definition
CT scan
Term
This retrospective diagnosis, is seen in _____, which has neurologic deficits lasting less than 24 hours, however, should be considered a stroke until proven otherwise.
Definition
TIA - transient ischemic attack
Term
Focal neurologic deficits lasting more than 24 hours, but resolving in 1-3 days are known as:
Definition
RIND - Reversible Ischemic, Neurologic Deficit
Term
An episode of hypotension in the first 48 hours after neurologic insult increases mortality by ______.
Definition
200%
Term
MAP, or Mean arterial pressure, is calculated by:
Definition
MAP = (SBP + [2xDBP])/3
Term
A CPP of _____ is critical minimum in adults.
Definition
60 mmHg
Term
This injury is typically caused by hyperextension, results in weakness in all extremities, with greater motor loss in upper. Sometimes known as the cape injury.
Definition
Central Cord Syndrome
Term
Loss of motor function, pain and temperature sensation below the lesion, propriopception, and typically caused by hyperflexion injuries result as:
Definition
Anterior Cord Syndrome
Term
Ipsilateral motor loss below the lesioan, contra lateral loss of pain and temperature, typically caused by rotational injuries, tumors, or penetrating trauma are:
Definition
Brown-Sequard Syndrome
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