Podiatry Boards Part 2
Card Set Information
Podiatry Boards Part 2
Neurology Review Presby
What are the cranial nerves?
11- Spinal accessory
What is bi-temporal hemianopsia?
Loss of temporal fields of vision
What is Homonymous hemianopsia?
Complete loss of field L or Right. So this means not the whole eye but visual field of one eye.
What are the muscle tone nerves for the tibialis anterior?
Muscle tone nerve for the abductors, EHL, EDL, EDB?
Muscle tone nerve for the intrinsics?
3/5 muscle tone means?
Fair- Complete ROM against gravity
Vibratory, 2 point discrimination, Position sense
Pain and temp
Nerve for DTR?
What are some celebellar tests?
Rapid alternating movements
Heel to shin
Tandem walking (heel to toe)
Diseases with a steppage gait?
Polio, CMT, muscular atrophy (Peripheral or spinal level)
Parkinon's is where?
What characterisics would you see with a UMN?
Lost of voluntary control
What is the MC neuro disorder leading to Cavus foot?
What is the worst form of CMT?
X-linked recessive: onset quicker, and severe
In CMT why the PF?
Peroneus Longus overpowers the Anterior Tib
Cause of CMT RF varus?
Tibialis posterior overpowers the Peroneus brevis
What is a high steppage gait called in CMT?
Progression atrophy of the distal UE?
What is Dejerine-Sottas Disease?
Hypertrophic interstitial polyneuropathy
Distal weakness and sensory loss of primarily LE
Peripheral nerve enlarge
: ONION BULBs
What is Freidrich's Ataxia?
Degeneration of the posterior and lateral columns of spine
Weakness in LE and anterior lateral compartments
Sensory loss also like others
Cerebellar involvement, slurred speech and ataxia
What is Roussy Levy syndrome?
AD and slow progression
Resting tremor, clumsy gait, artophy of distal LE and UX absent DTRs
What is Refsum's disease?
Heredopathia atactia polyneuritis formis
Hypertrophic sensory-motor polyneuropathy
Accumumlation of Phytanic Acid
Ichthyosis, deaf, retinitis pigmentosa
What is spinal dysraphism?
failure of mesoderm and neuroectoderm to fuse and form the neural tube
Many spinal bifidas and meningo problems
See leg weakness, equinovarus, diminished DTR, sensory loss,
What is meningomyelocele?
Protrusion of meninges and spinal cord
What is Spina bifida cystica?
protrusion of meninges
What is meningoradiculocele?
protrusion of meninges and nerve roots
What is Cerebral palsy?
Static brain lesions acquired in utero or delivery or short after.
Common to trauma
Asphyxir or premature
Spasitic diplegia- scissoring gait
Spasitic quadriplegia- LE and UE
Spactic hemiplegia- unilateral spastic hemiparesis less severe mental impairment
What is Muscular Dystrophy?
Duchenne is characteristic of what?
Gower's sign- getting up from the floor, ankle equiuns, equinovarus
Wheelchair bound by 20
Deletion of Dystrophin
PSUEDOHYPERTROPHY of CALF
What is Beckers?
sex linked also
Less severe than Duchene
Mainly affects the facial and should muscles, tonic muscle spasms
LE later in life
Foot drop and tonic muscle spasms
First sign is should pelvic girdle weakness and atrophy
What are the causes of peripheral neuropathy?
This disease is seen with cytoplasmic eosinophilic inclusions in the neurons of substantia nigra?
Signs of parkinson's?
Loss of postrural reflexes
This disease is characterized with demyelinating plaues in white matter of CNS?
What is the time period of a TIA?
Ischemia for >24 hours to an area of the brain
What is a status epilecticus?
Series of seizures without total recovery of consciousness
Do generalized seizures have a prodromal period?
What are the types of generalized seizures?
Absence (Petit Mal)- impairment of consciousness only, mild clonic, atonic or tonic.
What is a focal (partial local) seizure?
Simple focal- in a specific spot of the brain with specific signs such as visual or audio changes
Complex- is a simple folloed by impairment of conscouness
What is myasthenia gravis?
Ach receptor antibodies that destroy the receptor sites on the postsynpatic membrane. Block end plate potentials
Weak and fatigue easily.
Double vision and ptosis
What is Eaton Lambert syndrome?
Like myasthenia gravis but involves defect in nueromuscular transmission die to decrease in number of Ach.
--Use AMGs and tetras with caution
What is Gullain Barre?
Immunological mediated demyelinating polyneuritis
Bimodal peaks of ages 15-35 and 50-75
Preceded by viral or mycoplasma infection, sx, immunization or SLE
Rapid progressive motor weakness distal to proximal
May have elevated proteins in CSF
Resolves in 2-4 weeks