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Test 4 Health Assessment Neuro
Test 4 Health Assessment Neuro
68
Medical
Graduate
04/20/2015

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Term
Which type of mater in the brain has axons? What is it made out of?
Definition
White matter. Surrounded by myelin sheaths
Term
where do the cranial nerves exit the skull
Definition
1. foramina ovale
2. canals
Term
which cranial nerves directly leave the brain? Which ones exit from elswhere
Definition
From the brain: CN I - CN II
Diencephalon / brainstem: CN III - XII
Term
which part of the brain is responsible for movement and reward mechanisms?
Definition
Basal ganglia. (has dopamine so can reward but dopamine also important in parkinson so you have movement issues too)
Term
What part of the brain modulates the endocrine system
Definition
hypothalamus
Term
what part of the brain modulates the pituitary system
Definition
hypothalamus
Term
which CN causes pupillary constriction
Definition
CN III Oculomotor
Term
what nerve allows for pupil accomodation
Definition
CN III oculomotor
Term
which nerve for masticaiton
Definition
Trigeminal V
Term
Anterior 2/3 sensory to tongue is what nerve
Definition
CN VII Facial
Term
chemo and baroreceptors of the carotid bodies are what nerve
Definition
CN IX Glossopharyngeal nerve
Term
Posterior 1/3 sensory to tongue what nerve
Definition
CN IX Glossopharyngeal nerve
Term
Shoulder shrugs is what cranial nerve?
Definition
CN XI Accessory
Term
Movement of the tongue is what CN
Definition
CN XII
Term
what is the mneumonic for which CN is motor and which is sensory
Definition
some say marry money but my big brother says big boobs matter more
Term
how many vertebrae?
How many paired spinal nerves?
Definition
33 vertebrae but 31 paired spinal nerves
Term
THe most prominent cervical process is C?
Definition
C7
Term
T7 is a landmark that demarcates what?
Definition
inferior tip of the scapula
Term
Tuffier's line refers to
Definition
landmark for the L4. Should correlate with the superior aspect of the iliac crest
Term
The posterior, superior iliac spine is around
Definition
S2
Term
The spinal cord starts at the ____ and terminates at the ___
Definition
Starts at the foramen magnum and terminates at L1 in adults and L3 in kids.
Term
Spinal roots exit via the _____. In Cervical areas it exits above/below the vertebrae and in Thoracic it exits above/brelow
Definition
intervetebral foramina. In cervical above and Thoracic below.
Term
The dural sac extends to level ___ in adults and level ____ in kids
Definition
Level S2 in adults, and level S3 in kids
Term
What connects the bottom of the spinal cord to the cocyx?
Definition
the filum terminalis
Term
whats the mneumonic to remember segments of the brachial plexus as it branches out?
Definition
Real Teenagers Drink Cold Beer
R: Roots
T: Trunks
D: Divisions
C: Cords
B: Branches
Term
The five chief branches of the brachial plexus are? Where does this branching occur
Definition
Branching occurs around the lateral border of the pectoralis minor muscle
1. Median
2. Ulnar
3. Musculocutaneous
4. Radial
5. Axillary
Term
how many roots are in the brachial plexus? Name them
Definition
C5,C6, C7, C8, T1
Term
What segment of the brachial plexus is where the divisions are formed
Definition
as the nerves pass OVER the lateral border of the 1st rib and then under the clavicle
Term
how many trunks in brachial plexus? How many divisions after these trunks
Definition
3 large truncks formed from roots. Each trunk then branches into anterior and posterior divisions therefore making a total of 6 divisions.
Term
Lumbar pleuxs involves how many roots
Definition
4-5. (sometimes involves T12)
T12
L1
L2
L3
L4
Term
Is L5 part of the lumbar plexus or sacral pleuxs?
Definition
SACRAL
Term
The lumbar pleuxs lies within the ___ muslces
Definition
Psoas muscles
Term
What are the main branches off the lumbar plexus called> Which roots do they incorporate
Definition
1. Lateral Cutaneous: L2, L3
2. Femoral: L2, L3, L4
3. Obutrator: L2, L3, L4
Term
The sacral plexus involves what roots
Definition
L5, S1, S2, S3, S4
Term
sacral PLEXUS supplies nerves to what general area of the body
Definition
1. posterior thigh 2. most of the leg and foot 3. broadened band from the ant/post surfaces
Term
what percentage of people have Restless leg syndrome
Definition
6-12%
Term
Are all carotid bruits an stroke risk
Definition
NO
Term
stroke risks correlate more closely with the type of surgery or patient history
Definition
types of surgery not pt history
Term
pre-eclampsia patients will have what kind of reflex responses
Definition
HYPER-reflexive
Term
What grade (0-4) for reflex may have clonus and what is clonus
Definition
4+ Is the highest reflex and is hyper-reflexive. It is a brisk response and between flexion/extenions there are rhythmic oscillations which is clonus.
Term
average reflex is what number?
Definition
2+
Term
No response for a reflex test is graded what number
Definition
0
Term
Can a patient voluntarily override a deep tendon response
Definition
NO-it is a reflex and no voluntary.
Term
how do you test the ankle reflex. What nerve is involved
Definition
Have patinet sit, dorsiflex the ankle slightly and hold with hand. Use other hand to strike patients achilles tendon. The foot should platnar flex against your hand. S1 is responsible.
Term
how do you illicit the knee reflex. What nerve involved
Definition
L2,L3,L4 - Have patient sit/lie with knee flexed. TAP patellar tendon just below the patella. Leg should extend and quads contract.
Term
what is the supinator reflex. What nerves involved
Definition
C5, C6. Have hand resting across ABD/Lap with radial side up. Strike radial side 2 inches proximal to wrist. The whole forearm should flex.
Term
What is the bicep reflex and what nerves invovled
Definition
C5,C6. Have arm in the michael jackson thriller zombie stance. Then strike bicep and bicep should contract pulling forarm towards the bicep.
Term
what ist he triceps refelx. What nerves innervated
Definition
C6, C7. bring arm up like T rex then strike proximal to the elbow over the tricep tendon. That should contract the tricep and then extend the forearm.
Term
dscribe the abdominal reflex and what nerve are used
Definition

T8, T9, T10 - Upper abdomina reflex. Stroke from superior of umbilicus towards medial and umbilicus moves towards your hand.

 

T10, T11,, T12 - Lower Abdominal reflex. Except start below umbilius and move medial. Umbilicus should contract towards stimulus. 

Term
describe what the plantar response is, what spinal nerves involved
Definition
L5, S1: stroke underside of foot from heel to ball and curve inward/medially. Foot should plantar flex and big toe move.
Term
Give an example of a cutaneous reflex
Definition
anal reflex
Term
Normal Strength is graded as what number
Definition
Grade 5
Term
What grade can the muscle move the joint across full range of motion against gravity but not resistance by the examiner
Definition
Grade 3
Term
what grade would be given for muscle contraction that is seen or palpated but does nothing to move the joint
Definition
Grade 1
Term
what is grade 2 for muscle movement
Definition
muscle can move the joint and range of motion ONLY IF NO GRAVITY
Term
pain and temperature travel via what tract
Definition
spinothalamic tract
Term
position and vibration travels via what tract
Definition
posterior column medial leminiskus
Term
Light touch (general) travels via what tract
Definition
1. spinothalmamic tract
2. posterior column meidal lemiiniscus
Term
Discriminative sensations (proprioception/location/association) uses what tracts/parts of the body
Definition
1. Cortex
2. Spino thalamic
3. posterior column medial leminiscus
Term
what type of nerve fiber carries somatic motor signals
Definition
A - ALPHA
Term
What type of nerve fiber carries proprioception
Definition
A - Alpha
Term
what receptors are involved in proprioception
Definition
1. muscle spindles
2. golgi tendon organs
Term
Touch, and pressure uses what type of nerve fiber
Definition
A - Beta
Term
A delta fibers carry what kind of signals?
Definition
1. Pain (FAST)
2. COLD
3. Touch
Term
what type of nerve fiber is a preganglionic sympathetic nerve
Definition
B Fiber -
Term
PAin slow receptors travel via? Pain fast recpetors travel via?
Definition
Pain SLOW: C fibers
Pain Fast: A - Delta
Term
Hot nerves via __ Fiber
Cold nerves via ___ Fiber
Definition
Hot via C fibers
COLD via A-Delta
Term
Postganglioinic sympathetic fibers travel via ____ nerve fibers while Preganglionic sympathetic fibers travel via ___ nerves
Definition
Preganglionic travel via Beta fibers b/c they are bigger and more important. Then branching off this are hte smaller version and they travel via C fibers to organs.
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