Neurology
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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| Impaired consciousness implies damage to | 1. brainstem reticular formation
2. bilateral thalami or
3. bilateral cerebral hemispheres
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| If immediate recall is intact, but patient has difficulty after 1-5 minute delay, what structures may be damaged? | limbic structures in the medial temporal lobe and medial diencephalon
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| What is apraxia | inability to execute a motor command that is not due to a primary motor deficit or language impairement
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| What is the grading for a normal deep tendon reflex? | 2+ is normal, 3+ is brisk
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| What are the spinal nerve roots involved: 1. abdominal cutaneous reflex above umbilical 2. Cremasteric 3. Bulbocavernosus 4. Anal wink | 1. T8-T10
2. L1-L2
3. S2-S4
4. S2-S4
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| Where is the cerebellar lesion: 1. Dysmetria on finger-nose-finger test or heel-shin test 2. Unsteady gait | 1. appendicular ataxia from lesion of cerebellar hemisphere
2. cerebellar vermis
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| What brain lesion results in bilateral small but responsive pupils | pontine lesions
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| How do you test brainstem dysfunction in a comatose patient? | 1. doll's eyes indicate dysfunction
2. Calorics (COWS indicates intact brainstem)
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| 1. What is Lhermette's sign? 2. What condition is it seen? | 1. bending head forward elicits sharp pain
2. Arnold-Chiari
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Created by:
amichael@siumed.edu
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