Shared Flashcard Set

Details

Neurology- CH31
Mosby's Paramedic Textbook 3ED-R
72
Health Care
Undergraduate 1
02/13/2012

Additional Health Care Flashcards

 


 

Cards

Term
How man pairs of nerves originate from the CNS to form the PNS
Definition
43
Term
What are the two divisions of the nervous system?
Definition
the central and peripheral nervous system
Term
How many cranial nerves are there?
Definition
12 pairs
Term
what part of the nerve cell is protected by protective sheaths?
Definition
Axons
Term
What is the name of the cells that make up the sheaths to protect the axon?
Definition
schwann cells
Term
What is gray matter?
Definition
It is a collection of nerve cells
Term
What are interneurons?
Definition
They conduct impulses from senory neurons to motor neurons
Term
Sensory neurons are aka?
Definition
afferent neurons
Term
Motor neurons are aka?
Definition
efferent nerurons
Term
The gaps in the myelin sheaths are known as?
Definition
Nodes of ranvier
Term
Are myelinated axons faster or slower than non-myelinated axons?
Definition
they are faster than non-myelinated axons because of saltatory conduction
Term
What are the well known neurotransmitters?
Definition
acetycholine, norepinephrine, epinephrine, and dopamine
Term
What is the purpose of all reflexes?
Definition
ther function is to maintain healthy survival
Term
Reflex is also known as_____ ?
Definition
Reflex arc
Term
Where does the blood supply from the brain come from?
Definition
It comes from the vertebral arteries and the internal carotid arteries .
Term
What is the arteries that form a circle around the pituitary gland
Definition
circle of willis
Term
What is the purpose of the circle of willis
Definition
it is to provide blood flow in the event of a blood clot in the brain
Term
What veins drain blood from the brain?
Definition
venous sinuses ( kind of like the sinuses near your nose, they drain mucous)
Term
What is the minimum that is needed to maintain adequate CPP?
Definition
60 mm Hg
Term
How is CPP calculated
Definition
CPP is Mean arterial pressure (MAP) minus ICP
Term
If the patient suffers from a head injury, why might the patient go into respiratory arrest?
Definition
as a result form the increased ICP
Term
Regarding oxygen %'s- how can they cause dilation of blood vessels?
Definition
increased carbon dioxide pressure (Pco2) or decreased oxygen pressure (Po2) will cause dilation of blood vessels
Term
What is cushing triad?
Definition
unequal pupils, irregular respirations, increased bp and decreased pulse rate
Term
In what stage would you be able to see cushing triad
Definition
early stages
Term
What physiological sign is found late in the ICP process?
Definition
Hypotension with normal body temp
Term
What is the single most suggestive sign of a serious neurological condition?
Definition
rapid worsening level of consciousness
Term
Of the three postureing poses regarding neurological evaluation which on is the worst?
Definition
flaccidity
Term
What nerve controlls pupillary response
Definition
oculomotor nerve (III)
Term
Is pupillary constriction controlled by the sympathetic system or the parasympathetic system?
Definition
parasympathetic system
Term
what type of pupils would indicate a significant brain injury
Definition
fix and dilated pupils
Term
What drugs are in the coma cocktale?
Definition
thiamine, and naloxone
Term
What is the third leading cause of death in the United States?
Definition
Stroke
Term
How many vessels bring blood to the brain?
Definition
4
Term
What are the vessels that bring blood to the brain?
Definition
carotid arteries and vertebral arteries
Term
What is the most common type of stroke?
Definition
Ischemic
Term
Which type of stroke develops abruptly?
Definition
Hemorrhagic stroke
Term
What is the criteria for a TIA?
Definition
Pt has to return to normal within 24 hours without permanent neuro deficit
Term
What group of people has the highest incidence of seizures
Definition
children under 5
Term
How can you end a pseudoseizure?
Definition
by sharp commands or painful stimuli
Term
What is it called when a seizure activity last 30 min or longer?
Definition
status epilepticus
Term
What causes the pain in a tension headache?
Definition
they are casued by muscle contractions of the face, neck, and scalp
Term
_______________ are severe, incapacitation headacehs and are preceded by visual and or gi disturbances.
Definition
Migraines
Term
What type of headache is also called histamine headaches?
Definition
Clusther headaches
Term
What is a brain abscess?
Definition
Its a build up of purulent material surrounded by a capsul within the brain
Term
What types of headaches are associated with an aura?
Definition
Migraine
Term
What is another term for a neoplasm?
Definition
Brain tumor
Term
What is multiple sclerosis?
Definition
scattered paches of myelin in the brain and spinal cord are destroyed in the cns
Term
def of dystonia
Definition
usually it means abnormal muscle rigidity
Term
What meds are used to manage dystonic reactions?
Definition
diphenhydramine
Term
What common drug is used to manage parkinson disease
Definition
Levodopa
Term
What is parkinsons disease caused by?
Definition
degeneration of the nerve cells in the basal ganglia
Term
How might a parkinsons patient present?
Definition
tremors or shaking
Term
What is the cause of Bell Palsy
Definition
inflammation of the seventh cranial nerve
Term
What bell palsy typically presentation
Definition
facial paralysis or drooping
Term
In this disorder the nerves that control muscular activity degenerate in the brain and spinal cord
Definition
Amyotrophic lateral scerosis
Term
What is Myoclonus?
Definition
referst to rapid and uncontrollable muscular contractions
Term
This condition results from Defects of neural tube closure.
Definition
Spina Bifida
Term
How long are polio vaccinations effective for
Definition
5 years
Term
When are you most likely to see a myoclonus type of movement?
Definition
occur at rest or right before falling asleep
Term
how can you tell the difference between toxic and metabolic coma?
Definition
toxic based comas will have normal pupil response
Term
What about reflexes is unique to the nervous system
Definition
it allows conduction of impulses in one direction
Term
What is the order from best to worst form of posturing
Definition
decorticate, decerebrate, then flaccidity
Term
what are two reasons for a coma
Definition
structural lesions or toxic metabolic conditions
Term
What are S&S of a structural coma
Definition
neruological signs often are one sided or asymmetrical, coma usually develops instantly
Term
What are S&S of a toxic metabolic coma
Definition
neurological findings often are the same on both sides of the body and coma is slow to develop
Term
what are the characteristics of a petit mal seizure
Definition
absence seizure
Term
What is a aura
Definition
it is a olfactory or auditory sensation that precedes a grand mal seizure
Term
what are the two phases of a grand mal seizure
Definition
tonic and clonic phase
Term
what happens during a tonic phase of seizure
Definition
extensor muscle tone activity and apnea sometimes accompanied with tongue biting and bladder or bowel incontinence
Term
What is a jacksonian seizure
Definition
its a partial seizure activity that spreads in an orderly way to surrounding areas
Term
what is a common reason for swelling of the gums in a epileptic patient
Definition
from phenytoin (dilantin) therapy
Term
where does headache pain originate from
Definition
meniges, scalp and blood vessels
Supporting users have an ad free experience!