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75 Cards in this Set
- Front
- Back
The left side of the brain controls the right side of the body except for the
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cerebellum
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Lesion in dominant hemisphere
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aphasia alexia agraphia apraxia
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aphasia
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problems with speech
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alexia
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problems with reading
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agraphia
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problems with writing
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apraxia
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problems with planned actions
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Gerstmann's Syndrome
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lesion in dominant parietal lobe
problems with numbers, left from right, identifying a certain finger and problems writing |
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Lesion in non-dominant hemisphere
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visiospatial (propagnosia)
Apraxia (construction and dressing) Attention/Emotional disturbance = neglect, anosognosia, Dysprosody |
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visual acuity
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cn 2
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visual fields
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cn 2
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discs
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cn 2
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pupils
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cn 2, 3
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extraocular movements
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3, 4, 6
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Face
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5,7
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hearing
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8
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Palate
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cn 10
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tongue
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cn 12
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CN 3 out is level of
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midbrain
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cn 12 out is level of
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medulla
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Hollenhorst plaque
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cholesterol deposit from carotids in eye
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bitemporal hemianopsia
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chiasmal lesion
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paras run with
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cn 3
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Horners syndrome
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sympas out
ptosis anhydrosis small pupil (myosis) |
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CN 3 palsy symptoms
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affected side pupil larger than other, affected eye can't look medially at all
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CN 3 palsy w/o aniscoria
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due to blood vessel in center of vessel. common in diabetics
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tells where the bad eye is
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ptosis
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CN 4 palsy
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double vision
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cn 6 palsy
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affected eye won't go laterally
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MLF lesion
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eye won't move medially but can move medially in convergence (differentiates from cn 3 palsy)
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cn 5 enters the
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pons
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4 nuclei of cn 5
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main sensory
main motor mesencephalic spinal nucleus of 5 (pain into cervical cord) |
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jaw jerk tests
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mesencephalic nucleus of 5
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bell's phoenomenon
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reflex that causes upward eye rotation to protect cornea when your eyes are closed tightly
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most common cause of facial diplegia
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m gravis
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Bell's palsy
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paralysis of cn 7
Get full paralysis on one side |
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stroke spares the
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forehead (how to differentiate from stroke)
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cause and location of Bell's palsy
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virus, peripheral
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cn 10 innervated
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pharynx larynx palate
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Problems from a cn 10 palsy
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dysphagia, dysarthria (problems speaking)
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cn 11
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scm
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only nystagmus that is localizable
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vertical nystagmus to the cervical medullary jxn
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rigidity is a ____ problem
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basal ganglia
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fatiguable weakness is a sign of
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NMJ disease
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fasciculations
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motor neuron still connected, but sick so firing on own
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fibrillation
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muscle separated from the nerve (denervation) can't see with naked eye
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STT does
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pain and temp
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dorsal columns
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proprioreception and vibration
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spinocerebellar
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proprioreception also
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the vibration of the tuning fork tests
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dorsal column medial lemniscus pathway
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the pinprick tests tests
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dorsal column medial lemiscus pathway
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commonly pinched with a slipped disc
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L5, S1
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lateral leg is
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L5
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bottom of foot is
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S1
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bullseye over deltoid
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axillary nerve
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lesion of wrist drop
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radial nerve
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test 2 point discrimination by
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stereognosis (percieve coin) - lesion in cortical sensory areas
agraphesthesia (write # on palm) - says lesion is in cortex |
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Achilles reflex tests
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S1
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Patellar reflex is
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L4
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Brachioradialis is
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C5
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Biceps is
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C6
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triceps reflex is
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c7
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more than 2 beats of clonus is a ___ lesion
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UMN
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spasticity occurs when you are recovering from a
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stroke
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cheyne stokes breathing
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diffuse disfunction
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tachypnea
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central pons or medulla
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vestibular nuclei are intact then the ___ is functioning
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medulla
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lateral gaze centers intact
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cn 6 and pons ok
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vertical gaze centers
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cn 3 and midbrain intact
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MLF lesion testing eyes result
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messed up eye can only deviate to midline b/c it can't go medially
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grimace tests
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7
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oculocephalic reflex checks cn
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8
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decorticate is
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flexor above red nucleus dysfxn on contra CST
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decerebrate is
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extensor below red nucleus - dysfxn of contra CST
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Brain death tests
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Angio
EEG blood flow ultrasonography |
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persistant veggie state for
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1+ months
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