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Neurology
Neurology
74
Health Care
Graduate
11/14/2012

Additional Health Care Flashcards

 


 

Cards

Term
Responsible for regulatory functions such as hunger, thirst, body temperature, sleep/wake, basic movement, learning.
Definition
Brain stem
Term
Relay center for sensory information
Definition
Thalamus
Term
Controls all aspects of motivation (pleaure and pain) and regulatory behavior.
Definition
Hypothalamus
Term
Master gland that is closely associated with the regulation and secretion of hormones
Definition
Hypothalamus
Term
Constellation of over 90 nuclei at the base of the brainstem
Definition
Reticular formation
Term
Bundles of fibers and projections that pass from the spinal cord to the forebrain.
Definition
Reticular formation
Term

Involved in aspects of learning as well as coordinating smooth, coordinated movement.

 

Walking

Posture

Equilibrium

Definition
Cerebellum
Term
Role in emotion, learning, and memory as well as spacial learning and memory of odors
Definition
Limbic system
Term
What are the three parts of the limbic system and what do they do?
Definition

Hippocampus - learning and memory

 

Amygdala - emotional responses, learning, and memory of emotion

 

Fornix - a bundle of axons that connects the hippocampus to other areas of the brain

Term
Planning and executing movements takes place
Definition

Anterior to the central sulcus

(Primary motor cortex)

Term
Sensory center, (sensation, perception, learning) occurs....
Definition
Posterior to the central sulcus
Term
Which side of the brain is better at analyzing information, for example recognizing patterns and serial events
Definition
Left
Term
Which side of the brain is better at synthesis, or putting together bits of information to form a complete picture?
Definition
Right
Term
Our perceptions and memories are unified by the...
Definition
corpus callosum
Term
What are the three major parts of the basal ganglia?
Definition
caudate nucleus, putamen, and the globuspallidus.
Term
Control of fine motor movement, production of dopamine
Definition
basal ganglia
Term
Three levels of meninges are....
Definition

Dura Mater

Arachnoid membrane

Pia Mater

Term
CSF is produced by the
Definition
Choroid plexus
Term
Epideral hematoma is caused by
Definition
Arterial bleeding from the middle meningeal artery
Term
Subderal hematoma is caused by
Definition
Venous bleed from cerebral veins at the superior sagittal sinus
Term
Subarachnoid hemorrhage is caused by
Definition
Arterial from cerebral arteries between arachnoid membrane and pia mater
Term
Where do you do a lumbar puncture?
Definition
Between L3 and L4
Term
Normal pressure hydrocephalus is caused by
Definition
Decreased CSF absorption at the arachnoid villi
Term
Middle cerebral artery stroke affects...
Definition
Contralateral motor/sensory deficits in face and arm
Term
Anterior Cerebral Artery strokes affect
Definition
Contralateral motor and sensory deficits in the legs
Term
Upper motor neuron disorders
Definition
Spastic, hyper-reflex, sudden unmotivated laughing or crying
Term
Triad of symptoms for Wernicke's encephalopathy
Definition

Mental confusion

 

Staggering gait

 

Ocular abnormalities

Term
What is Aphasia?
Definition
disorder of language which includes speaking, understanding, reading and writing
Term
What is Apraxia?
Definition
Disorder of the cerebrum.  Characterized by the loss of ability to execute or carry out learned, purposeful movements.
Term
What is Agnosias?
Definition

Loss of ability to recognize objects, people, sounds, shapes, or smells.

 

 

Usually associated with damage to the occipitotemporal region of the brain.

Term
Broca aphasia
Definition

 Low word output, leave out filler words such as “a”, “an”, “the”.

Patients can comprehend, but writing is abnormal

 

(Broca's area is in the postcentral gyri)

 
Term
Wernicke aphasia
Definition

High word output, but language is meaningless.  "Word salad"

 

(Superior temporal gyrus)

Term
Bell's Palsey is often caused by....
Definition
Herpes virus
Term
Glascow coma scale measures response of...
Definition

Eyes

 

Verbal

 

Motor

Term

Altered mental status with ataxia, nystagmus, CN VI palsy.  

 

Seen in chronic alcoholics or people with thiamine deficiency

Definition
Wernicke's encephalopathy
Term
What is Cushing response and what are the triad of symptoms?
Definition

Nervous system response to increased cranial pressure.

 

1. Widening pulse pressure (increased BP)

2. Irregular breathing (Decreased Resp. effort)

3. Reduction of heart rate (Bradycardia)

 

 

Info from Wikipedia (power point)

Term
How do you score the eye response on the glascow coma scale?
Definition

4 - Eyes open

3- Eyes open to voice

2 - Eyes open to pain

1 - No Response

Term
bruising behind the ear is known as a ....
Definition
Battle sign
Term
An epideral hematoma occurs between the
Definition
Skull and the dura
Term
An epideral hematoma is a rupture of the
Definition
Middle menengial artery
Term
A subarrachnoid hemmorhage occurs between the...
Definition
Pia mater and the arachnoid membrane
Term
Which intercranial injury often has a lucid period followed by a rapid decline?
Definition

Epideral hematoma

 

(can also happen with subdermal hematoma but is generally associated with epideral hematoma)

Term
Site of direct trauma of cerebral contusion
Definition
Coup
Term
Subdural hematomas are caused by rupture of the
Definition
bridging veins, especially seen with significant atrophy such as in alcholics and elderly.
Term
Verbal repsonse is measured by the GCS as...
Definition

5 - Alert and oriented

4 - Disoriented

3 - Nonsense speech

2 - Moaning

1 - No response

Term
Injury of site opposite of trauma
Definition
Counter coup
Term
Two signs of a basilar skull fracture are...
Definition
Raccoon eyes and battle sign
Term
Motor response is measured by the GCS as...
Definition

6 - Follows commands

5 - Localizes pain

4 - Withdraws from pain

3 - Decoriate

2 - Decelebrate

1 - No response

Term
carbamazapine is good for most seizure types except
Definition
Myoclonic seizures
Term
Carbamazepine's Mechanism of Action is
Definition
Blocks sodium channels and inhibits glutamine release
Term
Ethosuximide is used for which type of seizures?
Definition
Absense
Term
Phenytoin is used for all types of seizures except...
Definition
absense
Term
Gabapentin works by
Definition
acting as a GABA analouge
Term
A benzo that is used for treatment of acute seizures and status epilepticus
Definition
Lorazepam
Term
Antagonist given for opioid overdose
Definition
Naloxone
Term
Triad of symptoms indicating opioid overdose
Definition

Lethargy or coma

 

Depressed respiration

 

Pinpoint pupils

Term
Classic triad indicating meningitis
Definition

Still neck

 

Fever

 

Altered mental status

Term
Meningitis in 18-50 year olds is often caused by Strep. pneumo or Neisseria meningiticus.  What is the emperical treatment for this age group?
Definition
Vancomycin + Cefotaxime or Ceftriaxone
Term
Essentials to diagnosing Parkinson's is any combination what four symptoms?
Definition

Tremor, rigidity,

bradykinesia, postural instability

Term
Two symptoms that seperate Parkinsons from Huntington's Disease are
Definition
Huntington's Disease is more associated with family history and dementia.
Term
Risk Factors for a stroke
Definition

1. HTN

 

2. Previous TIA

 

3. Atrial Fibrillation

Term
Which of the following to be the best treatment choice in preventing stroke in suspected atherosclerotic TIAs
Definition

 

 

Anti-platelet agents

Term

Normal = _______ cc/100 gm

 

Ischemia = _______ cc/100 gm

 

Infarction = _______ cc/100 gm

Definition

50

 

25

 

13

Term

CPP = 

 

(Cerebral perfusion pressure)

Definition

= MAP - ICP

 

(Mean arterial pressure - Intercranial pressure)

Term
tPA is only indicated if its been less than.....
Definition
3 hours since onset of ischemic stroke
Term
HTN + diabetes is a risk factor for which kind of stroke?
Definition

Lacunar Stroke

 

Small perforating vessels that occur in the deep white matter of the brain

Term
What is the best treatment choice in preventing a second stroke after suspected cardioembolic stroke?
Definition

 

 

Anticoagulation

Term

Temporary loss of consciousness.

 

Fainting

Definition
Syncope
Term
Orthostatic hypertention is diagnosed at a change in blood pressure of _______
Definition
20
Term
What is known as the vital sign for the eyes?
Definition
Visual acuity
Term
Visual defect where a central defect is surrounded by normal vision.
Definition

Scotoma

 

 

Relative - can still see bright objects

Absolute - cannot see anything

Term
Anton's syndrome
Definition
People who are totally blind due to bilateral occipital lesions pretend they can see.
Term
Nerve fibers that coordinate both eyes in horizontal movements—looking from side to side—are damaged.
Definition
internuclear  ophthalmoplegia 
Term
Pupils are different sizes
Definition
anisocoria
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