NPTE Neuromuscular
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Inflammation of membranes of SC or brain | Meningitis
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Which meningitis is usually sicker with more rapid time course | Bacterial
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Infection and inflammation of brain | Encephalitis
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S/S of brain abscess | HA, fever, brainstem compression, Focal signs in CNII & CNVI
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AIDS dementia syndrome (ADC) | confusion, memory loss, disorientation, ataxia, weak, tremor, hypersensitivity, pain, sensory loss
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Formation of blood clot or thrombus within cerebral arteries or branches | Cerebral thrombosis
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Traveling bits of matter that produce occlusion & infarction in cerebral arteries | Cerebral embolism
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Abnormal bleeding as a result of rupture of blood vessel | Cerebral hemorrhage
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Risk factors for CVA | atherosclerosis, HTN, CD, DM2, TIA
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Lack of oxygen to brain | Cerebral anoxia
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Irreversible cellular damage to brain | Cerebral infarction
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Accumulation of fluids within brain | Cerebral edema
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ICA syndromes include | ACA syndrome and MCA syndrome
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ACA supplies | Supplies anterior 2/3 of medial cerebral cortex.
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ACA syndrome | CL sensory loss, CL hemiparesis, leg > arm.
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Occlusions proximal to anterior communicating artery produce | minimal deficits due to Circle of Willis
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MCA supplies | lateral cerebral cortex, basal ganglia, internal capsule
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MCA syndrome | CL sensory loss, CL hemiparesis arm>leg, Broca’s aphasia, perceptual dysfunction, homonymous hemianopsia, CL los of conjugate gaze, sensory ataxia
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Medial medullary syndrome | VBA occlusion – IL tongue paralysis, CL paralysis of arm and leg, decr sensation
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Lateral medullary syndrome (Wallenberg’s) | IL cerebellar, Horner’s syndrome, dysphagia, impaired speech, decr gag reflex, IL arm/trunk/leg sensory loss, CL pain/temp loss
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Horner’s syndrome | miosis, ptosis, decr sweating
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Basilar artery syndrome | brain stem S/S and PCA s/s. Locked in syndrome
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Locked in syndrome | basilar artery occlusion at level of pons. Preserved consciousness but quadriplegia, anarthria.
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Medial inferior Pontine syndrome | IL symptoms: cerebellar, conjugate gaze paralysis, diplopia. CL symptoms: hemiparesis, decr sensation.
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Lateral inferior pontine syndrome | IL: cerebellar, facial paralysis, conjugate gaze paralysis, deafness, tinnitus. CL: pain/temp sensation
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PCA syndrome | CL homonymous hemianopsia, CL sensory loss, thalamic syndrome, involuntary mvmts, CL transient hemiparesis, Weber’s syndrome, visual s/s.
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Weber’s syndrome | oculomotor nerve palsy with CL hemiplegia
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Lesions of parieto-occipital cortex of dominant hemisphere lead to | aphasia
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Lesions of parietal lobe of non-dominant hemisphere lead to | perceptual deficits
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Pt with lesion of L hemisphere (R hemi) tend to be | slow, cautious, hesitant, insecure
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Pt with lesion of R hemisphere (L hemi) tend to be | impulsive, quick, indifferent, poor judgement, overestimate abilities, underestimate problem
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L hemisphere lesion pts learning guidelines | appropriate communication method, frequent feedback & support, do not underestimate learning ability
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R hemisphere lesion pts learning guidelines | use verbal cues, demo may confuse, give frequent feedback, focus on slow & control, avoid spatial clutter, do not over estimate ability to learn
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