WVSOM -- Tips for Success 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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What is function of frontal lobe? | show 🗑
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show | seizures, change in consciousness, paresis and paralysis
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What is the function of the parietal lobe? | show 🗑
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show | impairment in skin sensation on contralateral side of the body
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show | primary visual cortex
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What is the function of teh temporal lobe? | show 🗑
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What is the primary function of the limbic system? | show 🗑
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show | controls muscle tone, equilibrium and posture
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What will a lesion in teh cerebellum result in? | show 🗑
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show | pain and temperature
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show | superficial touch and deep pressure
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show | conscious proprioception, vibration and light touch
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show | unconscious proprioception
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What are the 5 key areas to the neurologic exam? | show 🗑
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show | oriented x 3
Mini mental status exam
geriatric depression scale
consciousness
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show | MMSE is normally a standardized 30 question form filled out with the patient
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What is a bad score in the geriatric depression scale | show 🗑
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show | if tehre is:
confusion
lethargy
delirium
stupor
coma
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what is confusion? | show 🗑
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What is lethargy | show 🗑
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What is delirium | show 🗑
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show | arousable for short poeriods after visual, verbal or painful stimuli
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show | not awake and not aware
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What is glasgow coma scale | show 🗑
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show | patient has no motor deficits but is unable to perform an activity
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What is construct apraxia? | show 🗑
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show | incompletely performs the activity. Leasion in the deep frontal lobe
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show | Some Say marry Money But My Browther Says Big Brains
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How do you test oflaction? | show 🗑
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show | visual acuity using charts. Ophthalmoscopic exam
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How do you test occulomotor/trochlear adn abducens? | show 🗑
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show | Observe and say "I am looking for any muscle atrophy, deviation of the jaw, or fascicualtions"
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show | Ask patient to close eyes.
assess patient's ability to feel light touch on forehead, cheeks, and jaw bilaterally.
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What does the corneal reflex test? | show 🗑
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What happens with an upper motor neuron lesion to CN VII | show 🗑
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show | Bell's Palsy
Total involement of ipsilateral face paralized
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show | increased
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show | little to none
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show | may affect entire limb
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What are reflexes with an upper motor neuron? | show 🗑
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show | no
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What is motor effect with upper motor neuron lesion? | show 🗑
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show | damage above level of brainstem affects CONTRALTERAL side
Damage below level of brainstem affects the IPSILATERAL side
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What is muscle tone with lwer motor neuron lesion? | show 🗑
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Waht is muscle atrophy with lower motor neuron leasion? | show 🗑
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What are reflexes like with lower motor neuron lesion? | show 🗑
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show | yes
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show | damage affects muscle on the ipsilateral side of the body
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show | assess hearing using fingertips moving
Weber-Rinne Test
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How do you test the sensory function of the glossopharyngeal nerve? | show 🗑
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show | swallowing
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show | ability to swallow
quality of speech
inspect the palate and uvula
lesion = uvula deviating away from side of lesion
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How do you test spinal accessory nerve? | show 🗑
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How do you test the hypoglossal nerve | show 🗑
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show | finger-nose-finger
finger-finger
heel-shin
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What does finger-nose-finger test for? | show 🗑
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show | rapid alternating movements
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show | Romberg Test
evaluates mainly balance
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show | band of skin innervated by the sensory nerve root of a single spinal segment
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show | median nerve palsy
use tinnel's and phalen's tests
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show | perform with touch, pain, deep ressure adn vibration.
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show | disorder of the PNS that results in motor and sensory loss in the distribution of 1 or more nerves, most commonly the hands and feet.
Sensation of numbness, tingling, burning and cramping.
Associated with diabetes
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How do you rate reflexes? | show 🗑
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What is normal reflex? | show 🗑
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show | Upper motor neuron disorder
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What if deep tendon reflexes are absent? | show 🗑
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Where do you check deep tendon reflexes? | show 🗑
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What are you tsting with biceps and brachioradial reflexes? | show 🗑
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What are you testing with tricep reflexes? | show 🗑
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show | L2-L4
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show | S1-S2
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show | stroke lateral sole of the foot and move in and upside down J fasion to sole of forefoot
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show | stroke teh lateral foot
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What is schaeffer sign? | show 🗑
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show | press knuckles on skin and move distal
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What is gordon sign? | show 🗑
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show | multiple light pinpricks on the dorslolateral foot surface
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What is gonda/stransky sign? | show 🗑
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What is a bad toe sign? | show 🗑
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What is gait like in a stroke? | show 🗑
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show | shuffling
posture is stopped and body is rigid. Steps are short with heistaion on starting and stopping
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What is gait like with cerebellar infarct? | show 🗑
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What is gait like with tabes? | show 🗑
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What is gate like with sensory deficit | show 🗑
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What is romberg test? | show 🗑
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show | flex teh neck forward
Positive sign -- involuntary flexion of hips and knees when flexing the neck
INDICATES MENINGEAL IRRITATION
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What is Kernig's sign? | show 🗑
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Created by:
tjamrose
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