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21 Cards in this Set
- Front
- Back
Patient presents with decreased pain and temperature sensation over the lateral aspects of both arms
What is the lesion? |
Syringomyelia`
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Penlight in patient's right eye produces bilateral pupillary constriction. When moved to the left eye there is paradoxical dilation
What is the defect |
atrophy of left optic nerve
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patint describes decreased prick sensation on the lateral aspect of her leg and foot
deficit of what muscular action is expected? |
dorsiflection and eversion of foot (common peroneal nerve)
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elderly woman presents with arthritis and tingling over the lateral digits of her right hand
what is the diagnosis? |
carpal tunnel syndrome, median nerve compression
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decreased reports decreased plantar flexion and decreased sensation over the back of thigh, calf, and lateral half of foot
what spinal nerve is involved |
tibial (L4-S3)
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patient cannot turn her head to the left and has right shoulder droop?
what structure is damaged? |
Right CNXI (runs thru jugular foramen with IX and X) innervating sternocleidomastoid and trapezius muscles
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man presents with one wild, flailing arm
where is the lesion |
contralateral subthalamic nucleus (hemiballismus)
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patient with cortical lesion does not know that he has a disease
where is the lesion |
right parietal lobe
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patient cannot protruede tongue toward left side and has a right sided spastic paralysis
wehre is the lesion? |
left medulla
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after fall that injures elbow, pt can't feel medial palm
which nerve and what injury? |
ulnar nerve due to broken medial condyle
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midshaft break of the humerus
what nerve and artery likely to be damaged |
radial nerve and deep brachial artery, which run together
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patient cannot blink right eye or seal lips and has mild ptosis on right side
what is diagnosis, what nerve affected? |
Bell's palsy, cn vii
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patient complains of pain, numbness, and tingling. on exam, wasting of thenar eminence
what diagnosis, what nerve? |
carpal tunnel, median nerve
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during a particular stage of sleep, man has variable blood pressure, penile tumescence, and variable eeg
what stage? |
rem
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episodes of hypoglycemia; blood analysis reveals no elevation in c protein
what diagnosis? |
factitious disorder; self scripted insulin
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headache, visual disturbance, galactorrhea, amenorrhea
what dx? |
prolactinoma
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middle aged pt with dizziness and tinnitus. ct shows enlarged internal acoustic meatus
what dx? |
schwannoma
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25 year old female with uniocular vision loss, slurred speech. history of weakness and paresthesias that have resolved
dx? |
MS
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child "paces out". quivering lips during spells.
dx? |
absence seizure
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man on antidepressants has mydriasis and becomes constipated
what is cause of sx? |
tricyclic antidepressants
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woman on MAO inhibitor has hypertensive crisis after a meal
what did she ingest? |
tyramine (wine or cheese)
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