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level: Neurology 1 - Lecture 9

Questions and Answers List

1. approach to the patient with neurologic disease 2. cerebrovascular diseases 3. parkinson's disease and related disorders 4. a

level questions: Neurology 1 - Lecture 9

QuestionAnswer
In regards to patients with neurological diseases: The first priority is to identify the region of the __________ that is likely to be responsible for the symptoms.Nervous system.
If an issue is in the periferal nervous system, could the disorder in question be located in _______ nerves and, if so, are ______ or ______ nerves primarily affected, or is a lesion in the muscle?peripheral, motor, sensory
If iand issue is in the the CNS, is the ______ ______, _________, _________ or ______ ________ responsible?cerebral cortex, basal ganglia, brainstem, cerebellum, or spinal cord
_________ matter involvement produces predominantly "long tract" disorders of motor, sensory, visual, and cerebellar pathways.White.
________ matter disorders may present as early cognitive disturbances, movement disorders, or seizures.Grey.
Symptoms that worsen after exposure to heat or exercise may indicate _______ _______ in demyelinated axons, as occurs in multiple sclerosis.conduction block
A patient with recurrent symptoms associated with exercise or fatigue may have a disorder of _______ ________ such as myasthenia gravis.neuromuscular transmission; is a process that permits the central nervous system to control the movement of muscles in the body.
During history taking, what are some vital pieces of information you need to learn from the patient, especially when it comes to trying to understand the origin/potential of an illness? (4, but one is a bonus, as it is often forgotten)Family history, Medical illnesses and Drug use and abuse and toxin exposure are essential aspects to cover.
True or False: During the interview, you should look for difficulties with communication and determine whether the patient has recall, and insight into recent and past events.True. This will help you determine how accureate the information your patients give is, as well as their mental faculties.
There are 6 things to do when doing a full neurological examination of a patient. What are they?Mental State, Cranial Nerves, Motor, Sensory, Coordination, Gate
_________ diseases are the third most common cause of death in the developed world after cancer and ischaemic heart disease, and is the most common cause of severe physical disability.Cerebrovascular
Acute _______ is characterised by the rapid appearance (usually over minutes) of a focal deficit of brain function, most commonly a hemiplegia with or without signs of focal higher cerebral dysfunction (such as aphasia), hemisensory loss, visual field defect or brainstem deficit (vertigo).Stroke
_____________ is a temporary period of symptoms similar to those of a stroke. It usually lasts only a few minutes and doesn't cause permanent damage.Transient ischaemic attack (TIA)
What is fibrinogin and how is having too much of it increase your likelihood for strokes?Fibrinogin is a protein used by the liver that helps control blood clots. Having a high amount of it increases blood clotting, including bloodclots in your brain, which causes strokes.
True or false: Social deprivation decreases your liklighood for cerebrovascular diseases.False: Social Deprivation is the reduction or prevention of culturally normal interaction between an individual and the rest of society, which INCREASES your likelihood for cerebrovascular disease.
________ _________usually results from rupture of a blood vessel within the brain parenchyma.Intracerebral haemorrhage
What is parenchyma?It refers to the cells that perform the biological function of the organ – such as lung cells that perform gas exchange, liver cells that clean blood, or brain cells that perform the functions of the brain
What is a haematoma?A hematoma, also spelled haematoma, is a localized bleeding outside of blood vessels, due to either disease or trauma including injury or surgery and may involve blood continuing to seep from broken capillaries. Simple answer: bruises.
Can a haematoma be reabsorbed by the body?Yes; for example, this is what happens when bruises heal (the body reabsorbs the subderma bleed that caused the discolouration).
True or false: Extremely low fibrinogen levels prevents intracerebral haemorrhageFalse: Impaired blood clotting (Anticoagulant therapy, Blood dyscrasia, Thrombolytic therapy) increases your likelihood of Intracerebral haemorrhage.
Reduced conscious level usually indicates a _______ volume lesion in the cerebral hemisphere but may result from a lesion in the ____ _____ or complications (e.g. systemic infection ).large, brain stem
What is a neurodegenerative condition which affects the basal ganglia and which presents with differing combinations of slowness of movement (bradykinesia), increased tone (rigidity), tremor and loss of postural reflexes?What is Parkinson’s disease
What is the typical eitiology of Parkinson's Disease?Trick question. The eitiology of Parkinson's Diseases is currently unknown, and there is not yet any identified genetic components.