Qtr 3 Head and Neck Neurology Exam 2

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Author:
bradley.knox
ID:
216079
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Qtr 3 Head and Neck Neurology Exam 2
Updated:
2013-04-28 17:26:19
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head neck neurology
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Eye disorders, ear and auditory, internal ear, gustatory, vestibular, olfactory
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  1. What is the condition when two pupils are not equal in size?
    Anisocoria
  2. what disorder is characterized by medial rectus palsy on attempt conjugate gaze with monocular horizontal nystagmus?
    MLF syndrome
  3. what disorder presents with absence of direct and consensual pupillary light reflex but intact accomodation reflex?
    Argyll Robertson pupil
  4. What nerve is most likely damaged when on eye deviates lateral and down, pupil is dilated and fixed, and ptosis?
    oculomotor nerve
  5. What disorder is characterized by intact consensual light reflex but absent direct light reflex?
    Marcus Gunn pupil
  6. What disorder presents with ipsilateral hemiparesis, fixed dilated pupil, ptosis, down and out eye, contralateral homonymous hemianopsia?
    Transtentorial herniation (uncal herniation)
  7. What disease is characterized by a lesion in the ciliary ganglion and in post ganglionic fibers to the iris sphincter pupillae muscle. Symptoms: dilated pupil that is slow to react to light; females absent knee and/or ankle jerk
    Adie pupil
  8. What type of cells are olfactory receptor cells?
    bipolar
  9. What part of the thalamus does the olfactory primary olfactory cortex project too?
    mediodorsal nucleus
  10. NAME THAT DISORDER 
    Symptoms: ipsilateral anosmia, ipsilateral optic atrophy, contralateral papilledema?
    Foster kennedy syndrome
  11. Where are the first order neurons of the tongue located?
    • Ant 2/3 = geniculate ganglion CN VII
    • Post 1/3= Petrosal ganglion CN IX
    • Pharynx= Nodose ganglion CN X
  12. Where do first order gustatory neurons project too?
    Solitary nucleus
  13. Where does the solitary nucleus project taste too?
    Ventral posteromedial nucleus of thalamus via central tegmental tract and Parabrachial nucleus of pons
  14. Where does the parabrachial nucleus project taste input?
    hypothalamus and amygdala
  15. Where does the posteromedial nucleus of the thalamus project taste input?
    Area 43 parietal operculum and parainsular cortex
  16. Where are fungiform papillae located and what is substances do they mainly respond too?
    Anterior 2/3 Sweet, salty, and sour
  17. Where are foliate papillae located and what substance do they mainly respond too?
    posterior edge (sour)
  18. What nerve innervates the foliate and fungiform papillae?
    Chorda tympani branch of facial nerve
  19. Where are circumvallate papillae located and what substances do they respond too?
    junction between anterior 2/3 and posterior 1/3 of the tongue (bitter)
  20. What nerve innervates the circumvallate papillae?
    CN IX
  21. What are the areas of the cortex that taste sensations are projected?
    • somatosensory and frontal
    • Amygdala Hypothalamus
    • hippocampus
  22. What joins the middle ear to the nasopharynx?
    Pharyngotympanic tube
  23. What are the two parts of the tympanic membrane and what is their location to one and other?
    • Pars Flaccida (Superior to lat process of malleus)
    • Pars Tensa (inferior to pars flaccida)
  24. What is the peak of the central cone depression of the tympanic membrane?
    UMBO
  25. What supplies the external surface of the tympanic membrane?
    • Auriculotemporal nerve (branch V3)
    • Auricular branch of X
  26. What nerve supplies the internal surface of the tympanic membrane?
    glossopharngeal nerve
  27. What are the two parts of the middle ear?
    • Tympanic cavity
    • epitympanic recess
  28. What are the muscles of the middle ear?
    • Stapedius m.
    • Tensor tympani m.
  29. What nerve innervates the middle ear?
    Chorda tympani (branch VII)
  30. What bone contains the inner ear?
    Petrous part of temporal bone
  31. How many turns the cochlea make?
    2.5
  32. What are the three divisions of the cochlea?
    • Scala vestibule
    • cochlear duct
    • Scala tympani
  33. What fluid is found in the scala vestibule and scala tympani?
    Perilymph
  34. What fluid is found in the cochlear duct?
    endolymph
  35. What are the two sacs of the vestibular labyrinth?
    • Utricle (superior)
    • Saccule (inferior)
  36. What is the ampullary crest sensitive too?
    motion of head
  37. What is the maculae of the utricle and saccule sensitive too?
    position of head reletive to gravity
  38. what are the bodies and cilia of hair cells in touch with (respectively)?
    • body- basilar membrane
    • Cilia - tectorial membrane
  39. what type of frequency is detected by the base and apex of the cochlea respectively?
    • base = High Freq
    • Apex = Low Freq
  40. What part of the thalamus receives auditory information?
    Medial geniculate nucleus
  41. What tract is responsible if inhibition of auditory sensation which helps sharpen sound?
    Olivocochlear bundle
  42. What are the hair cell cilia of the vestibular system embedded in?
    Cupula
  43. What is a kinocilium?
    Long vestibular cilia
  44. What is a stereocilia?
    small vestibular cilia
  45. What is the effect of stereocilia bending toward kinocilium?
    Depolarization
  46. Where do most vestibular neurons terminate?
    Vestibular nucleus in medulla
  47. What tract carries balance info to the erector spinae m.
    Vestibulospinal tract
  48. How do vestibular nuclei connect to the cerebellum?
    Through the inferior peduncle
  49. what is the most common insidious vascular cause of dimentia?
    Binswagner's disease
  50. what are the symptoms of wernikie encephalopathy? what is the cause?
    • nystagmus
    • ophthalmoplegia¬†
    • gait ataxia
    • confusion

    Caused by thiamine deficiency
  51. what causes wernikie korsakoff's syndrome?
    alcoholism

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