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Qazi
Neurological exam
38
Medical
Graduate
03/11/2011

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Cards

Term
essentials of neuro exam
Definition
mental status, cranial nerve exam, motor exam, reflexes, sensory exam, coordination, gait exam
Term
what is the difference in testing between memory and attention
Definition
the ability to sustain attention can be tested by asking a patient to repeat a sequence backwards, must remember the sequence, but must have the attention to sustain the activity
Term
superior temporal gyrus of dominant temporal lobe
Definition
Wernicke's area; principle area for receptive language
Term
inferior frontal gyrus of dominant hemisphere
Definition
Broca's area; expressive language
Term
arcuate fasciculus
Definition
Conduction; deficit -- retained comprehension and fluency, no repetition
Term
superior temporal gyrus (22)
Definition
deficit -- retained fluency, no comprehension, repetition, or naming
Term
Inferior frontal gyrus (44,45) deficit
Definition
retained comprehension, no fluency, repetition, or naming
Term
remote memory (DOB)
Definition
Term
Intermediate memory
Definition
last five years
Term
recent memory
Definition
3 word memory test where the physician asks the patient to remember 3 words (blue mother car) and asks patient to repeat 3-5- minutes later
Term
Possible cause of dysfunction in memory -- temporal lobe
Definition
cerebral cortex,
limbic memory structures & medial diencephalon
hippocampus and amygdala (temporal lobe
impaired attention
psychogenic amnesia
Term
Possible cause of dysfunction in memory -- temporal lobe
Definition
cerebral cortex,
limbic memory structures & medial diencephalon
hippocampus and amygdala (temporal lobe)
impaired attention
psychogenic amnesia
Term
declarative (explicit ) memory
Definition
Term
non-declarative (implicit) memory
Definition
learned skills/habits/behavior
Term
Amnesia
Definition
memory loss
Term
praxis
Definition
formation of the idea of complex motor act
Term
Agnosia
Definition
lack of awareness of lesion, objects or tactile stimulus
constructional: inability to draw objects which require use of visual spatial organization
Term
Apraxia
Definition
ideomotor: inability to perform purposeful motor acts on command
Term
Neglect
Definition
inability to recognize a sensory stimulus on one side usually seen in non-dominant parietal lobe lesions
Term
hemineglect (form of agnosia and neglect)
Definition
e.g. the left side of a drawing will not be complete
Term
perceiving motion of objects
Definition
projection from occipital to temporal parietal area; tests include visual fields, naming of objects and colors, recognition of faces
Term
Mental Status Exam; Area of Dysfunction
Definition
psychiatric, toxic, metabolic
Term
Depression
Definition
Sigecaps (Sleep, interest, guilt, energy, concentration, attention, psychomotor, suicide)
Term
4 aspects of motor exam
Definition
observation, palpation, testing
Term
number 1 location of stroke
Definition
lesion of basal ganglia (putamen); #2 cerebellum , #3 pons, #4 peripheral nerves?
Term
inspection
Definition
look for muscle atrophy, wasting, hypertrophy
Term
lower motor neuron lesion
Definition
flaccid weakness, atrophy, hyporeflexia
Term
upper motor neuron
Definition
weakness, hyperreflexia, increased tone
Term
ALS
Definition
upper motor and lower motor neuron
Term
upper motor neuron sign
Definition
pronator drift
Term
Babinski's sign;area of dysfunction
Definition
upper motor neuron, lesion in corticospinal tract; normal in children up to one year
Term
bulcocavernous reflex**
Definition
Term
truncal ataxia
Definition
midline damage to cerebellar vermis; Romberg test
Term
point to point
Definition
ataxia; cerebellar
Term
most common romberg sign accord ot Quazi
Definition
proprioception of feet with peripheral neuropathy of diabetes
Term
appendicular ataxia
Definition
lesion in cerebellar, hemispheres, basalganglia, LMN, UMN
Term
hee shin test
Definition
cerebellar ataxia
Term
areas of dysfunction; sensory exam; what are the pathways
Definition
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