[qwiz style=”width: auto !important; min-height: auto !important; border-width: 4px !important; border-color: #0099cc !important; ” align=”center”]

[h] Neurology System Flashcards

[i] Master this session in just 5 minutes.

[q] …………… which is a branch from vertebral artery supplies the ventromedial part of the medulla.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFudGVyaW9yIHNwaW5hbCBhcnRlcnkgKEFTQSku

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] …………… which is a branch from vertebral artery supplies the dorsolateral part of the medulla.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFBvc3RlcmlvciBpbmZlcmlvciBjZXJlYmVsbGFyIGFydGVyeSAoUElDQSku

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] …………… which is a branch from basilar artery supplies the medial pons.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFBhcmFtZWRpYW4gYXJ0ZXJpZXMgKG5lYXIgdGhlIG1pZGxpbmUpLg==

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] ………….. which is a branch from basilar artery supplies lateral part of rostral pons (upper pons).

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN1cGVyaW9yIGNlcmViZWxsYXIgYXJ0ZXJ5Lg==

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] ………….. which is a branch from basilar artery supplies lateral part of the caudal pons (lower pons).

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFudGVyaW9yIGluZmVyaW9yIGNlcmViZWxsYXIgYXJ0ZXJ5IChBSUNBKS4=

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] Branches of the …………. give different branches that supply medial and lateral midbrain.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHBvc3RlcmlvciBjZXJlYnJhbCBhcnRlcnku

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] Lesions in the brain stem to any of the long tracts except for the descending hypothalamic fibers will result in a (contralateral or ipsilateral) deficit?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGNvbnRyYWxhdGVyYWwu[Qq]

[q] What is the most likely diagnosis?

Spastic paresis, loss of touch, vibration and proprioception on the right side of the body with flaccid paralysis of tongue with tongue deviation to left side of the lesion on protrusion?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGxlZnQgbWVkaWFsIG1lZHVsbGFyeSBzeW5kcm9tZSAoQSkgZHVlIHRvIG9jY2x1c2lvbiBvZiB0aGUgYW50ZXJpb3Igc3BpbmFsIGFydGVyeSAoQVNBKS4=

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] What is the most likely diagnosis?

Loss of pain & temperature of the right side of the body and left side of the face, left side miosis, ptosis and anhydrosis, limb ataxia,  dysarthria, dysphagia, loss of gag reflex and diminished or absent gag reflex?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IExhdGVyYWwgbWVkdWxsYXJ5IChXYWxsZW5iZXJnKSBzeW5kcm9tZSAoQikgZHVlIHRvIG9jY2x1c2lvbiBvZiB0aGUgcG9zdGVyaW9yIGluZmVyaW9yIGNlcmViZWxsYXIgYXJ0ZXJ5IChQSUNBKSBvciB2YXNjdWxhciBkaXNzZWN0aW9uIG9mIHRoZSB2ZXJ0ZWJyYWwgYXJ0ZXJ5Lg==

Cg==

Cg==[Qq]

[q] What is the most likely diagnosis?

Spastic paresis, loss of touch, vibration and proprioception on the left side of the body, and medial strabismus & diplobia of the right eye?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE1lZGlhbCBwb250aW5lIHN5bmRyb21lIChBKSBkdWUgdG8gb2NjbHVzaW9uIG9mIHRoZSBwYXJhbWVkaWFuIGJyYW5jaGVzIG9mIEJhc2lsYXIgYXJ0ZXJpZXMu

Cg==

Cg==[Qq]

[q] What is the most likely diagnosis?

Loss of pain & temperature of the right side of the body and left side of the face, left side miosis, ptosis and anhydrosis, limb ataxia, left side facial paralysis, loss of taste (anterior two third of tongue), lacrimation, salivation, corneal reflex, and hyperacusis and left side hearing loss?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IExhdGVyYWwgcG9udGluZSBzeW5kcm9tZSAoQikgZHVlIHRvIG9jY2x1c2lvbiBvZiBhbnRlcmlvciBpbmZlcmlvciBjZXJlYmVsbGFyIGFydGVyeSAoQUlDQSku

Cg==

Cg==[Qq]

[q] What is the most likely diagnosis?

35 years old patient presenting with paralysis of upward gaze, light-near dissociation (pupils that react to accommodation but not to light), and noncommunicating hydrocephalus (papilledema, headache, and vomiting). Pathology of ……… is the most likely cause of this patient’s symptoms?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEMu

Cg==

Cg==[Qq]

[q] CN II, ophthalmic artery, central retinal vein pass through …….. in middle cranial fossa?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE9wdGljIGNhbmFsLg==

Cg==

Cg==[Qq]

[q] CN III, IV, VI, V1, ophthalmic vein, sympathetic fibers pass through ………… in middle cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN1cGVyaW9yIG9yYml0YWwgZmlzc3VyZS4=

Cg==

Cg==[Qq]

[q] CN V2 of trigiminal nerve pass through ………… in middle cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZvcmFtZW4gUm90dW5kdW0u[Qq]

[q] CN V3 of trigiminal nerve pass through ………… in middle cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZvcmFtZW4gT3ZhbGUu[Qq]

[q] Middle meningeal artery pass through ………… in middle cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZvcmFtZW4gc3Bpbm9zdW0u[Qq]

[q] CN VII, VIII pass through ………… in posterior cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEludGVybmFsIGF1ZGl0b3J5IG1lYXR1cy4=

Cg==

Cg==[Qq]

[q] CN IX, X, XI, jugular vein pass through ………… in posterior cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEp1Z3VsYXIgZm9yYW1lbi4=

Cg==

Cg==[Qq]

[q] CN XII pass through ………… in posterior cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEh5cG9nbG9zc2FsIGNhbmFsLg==[Qq]

[q] Spinal roots of CN XI, brain stem, vertebral arteries pass through ………… in posterior cranial fossa.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZvcmFtZW4gbWFnbnVtLg==

Cg==

Cg==[Qq]

[q] What is the most likely diagnosis?

70 years old patient with history of prostatic cancer presenting with dysphagia, Dysphonia/hoarseness, Loss of taste from the posterior 1/3 of the tongue, Loss of gag reflex and sternocleidomastoid and trapezius muscle paresis. The patient tongue is normal without atrophy or fasciculation or deviation?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEp1Z3VsYXIgZm9yYW1lbiAoVmVybmV0KSBzeW5kcm9tZS4=

Cg==

Cg==[Qq]

[q] What is the most likely diagnosis?

35 years old patient presenting with loss of smell associated with ageusia (loss of taste) and inability to recognise flavor of many food and beverages after head trauma in car accident?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEF2dWxzaW9uIG9mIHRoZSBvbGZhY3RvcnkgbmVydmUgcm9vdGxldHMgYXMgdGhleSB0cmFuc3ZlcnNlIHRoZSBjcmlicmlmb3JtIHBsYXRlIGR1ZSB0byBBY2NlbGVyYXRpb24tZGVjZWxlcmF0aW9uIGZvcmNlcy4=

Cg==

Cg==[Qq]

[q] …………….. are most susceptible to injury in case of cavernous sinus syndrome because they are more medial

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IENOIFZJIGFuZCBpbnRlcm5hbCBjYXJvdGlkIGFydGVyeS4=

Cg==

Cg==[Qq]

[q] Symptoms that mimic cavernous sinus syndrome without pituitary tumor or spreading infection to cavernous sinus is most likely due to ……………….?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IENhdmVybm91cyBjYXJvdGlkIGFuZXVyeXNtLg==

Cg==

Cg==[Qq]

[q] ………… controls the axial and proximal musculature of the limbs.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFRoZSB2ZXJtaXMu

Cg==

Cg==[Qq]

[q]  …………. controls distal musculature of the limbs.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFRoZSBpbnRlcm1lZGlhdGUgcGFydCBvZiBjZXJlYmVsbGFyIGhlbWlzcGhlcmUu

Cg==

Jm5ic3A7

Cg==

[Qq]

[q]  …………. is the part of cerebellum is involved in motor planning.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFRoZSBsYXRlcmFsIHBhcnQgb2YgY2VyZWJlbGxhciBoZW1pc3BoZXJlLg==

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] ……….. is involved in control of balance and eye movement.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFRoZSBmbG9jY3Vsb25vZHVsYXIgbG9iZS4=

Cg==

Jm5ic3A7

Cg==

[Qq]

[q] The symptoms associated with cerebellar lesions will be (ipsilateral or contralateral)? and why?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGlwc2lsYXRlcmFsIGR1ZSB0byBkb3VibGUgY3Jvc3Npbmcu

Cg==

Cg==[Qq]

[q] Ipsilateral ataxic gait, Scanning speech, intention Tremors, Dysmetria, Dysdiadochokinesia, and nystagmus are characteristic for (Medial or lateral) cerebellar lesion.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IExhdGVyYWwgbGVzaW9ucyAobGVzaW9ucyB0aGF0IGluY2x1ZGUgdGhlIGhlbWlzcGhlcmUpLg==[Qq]

[q] Truncal ataxia (wide-based cerebellar ataxic gait) is characteristic for (Medial or lateral) cerebellar lesion.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IE1lZGlhbCBsZXNpb25zIChsZXNpb25zIHRoYXQgaW5jbHVkZSB0aGUgdmVybWlzKS4=[Qq]

[q] How to differentiate ataxic gait in patient with vermal lesion from those with a lesion of the dorsal column?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]ICYjODIxMTsgQnkgUm9tYmVyZyBzaWduOg==

Cg==

wqBJbiBjZXJlYmVsbGFyIGxlc2lvbnMg4oaSIHBhdGllbnRzIHdpbGwgc3dheSBvciBsb3NlIHRoZWlyIGJhbGFuY2Ugd2l0aCB0aGVpciBleWVzIG9wZW4gb3IgY2xvc2Uu

Cg==

[Qq]

 In dorsal column lesion → patients sway with their eyes closed only (+ Romberg sign).

[q] What is the most likely diagnosis?

15 years old patient presenting with muscle weakness in the arms and legs, gait ataxia, staggering gait, frequent fall, nystagmus and dysarthria (slurred speech) with loss of vibratory and proprioception sense + kyphoscoliosis, pes cavus, and hammer toes?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZyaWVkcmVpY2ggQXRheGlhLg==

Cg==

Cg==[Qq]

[q] ………… is an autosomal recessive trinucleotide repeat disorder (expansion of the GAA triplet repeat) on chromosome 9 in gene that codes farataxin protein.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEZyaWVkcmVpY2ggQXRheGlhLg==

Cg==

Cg==[Qq]

[q] The most common cause of death in Friedreich Ataxia is ………..?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGh5cGVydHJvcGhpYyBjYXJkaW9teW9wYXRoeS4=

Cg==

Cg==[Qq]

[q] ………….. symptoms closely mimic Friedreich ataxia because many of the same areas of the CNS are affected?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHZpdGFtaW4gRSBkZWZpY2llbmN5Lg==[Qq]

[x][restart]

[/qwiz]