WorksheetsNEURO REVIEWER
Total questions: 119
Worksheet time: 1hrs 4mins
2 Structures of CNS
Brain
Spinal Cord
Spinal Nerves
Cranial Nerves
2 Structures of Peripheral Nervous System
Brain
Spinal Cord
Spinal Nerves
Cranial Nerves
ANATOMIC DIVISION OF THE
NERVOUS SYSTEM (2)
Central Nervous System
Peripheral Nervous System
Sensory Division
Motor Division
Made up of all the nerves of the nervous system
Central Nervous System
Peripheral Nervous System
Sensory Division
Motor Division
PHYSIOLOGIC DIVISION OF THE
NERVOUS SYSTEM
Central Nervous System
Peripheral Nervous System
Sensory Division
Motor Division
CELLS OF THE NERVOUS SYSTEM
Neurons
Neuroglia
Serotonin
Dopamine
2 Structures of Motor Division
Somatic Nervous System
Autonomic Nervous System
Cranial Nerves
Spinal Nerves
Consists of the nerves that carry sensory information
towards the central nervous system (ascending tracts)
Sensory Division
Motor Division
Peripheral Nervous System
Central Nervous System
Consists of all the nerves that carry motor impulses to
the effector organs (descending tracts)
Sensory Division
Motor Division
Peripheral Nervous System
Central Nervous System
➢Main cells of the nervous system
➢Conducts nerve impules (action potential)
Neuroglia
Neurons
NEUROTRANSMITTERS
Supporting cells of the nervous system
Neuroglia
Neurons
NEUROTRANSMITTERS
- Communicate messages from one neuron to
another.
- Stored in synaptic vesicles and released at the
synaptic cleft.
- Could either be excitatory or inhibitory.
Neuroglia
Neurons
NEUROTRANSMITTERS
➢Responsible for higher order brain functions
Cerebrum
Diencephalon
Cerebellum
Brainstem
➢Responsible for regulatory functions
Cerebrum
Diencephalon
Cerebellum
Brainstem
➢Responsible for gait, balance and coordination
Cerebrum
Diencephalon
Cerebellum
Brainstem
➢Responsible for vital functions
Cerebrum
Diencephalon
Cerebellum
Brainstem
What are the parts of Cerebrum
Frontal Lobe
Parietal Lobe
Temporal Lobe
Occipital Lobe
Hypothalamus
Diencephalon consists of the following parts:
Epithalamus
Hypothalamus
Thalamus
Midbrain
Medulla Oblongata
Brainstem consists of the following parts
Pons
Midbrain
Medulla Oblongata
Hypothalamus
Thalamus
PROTECTIVE STRUCTURES OF THE
BRAIN
Skull
Meninges
Cerebrospinal Fluid
None of the above
Arachnoid Villus
Meninges consist of the ff:
Dura Mater
Arachnoid Mater
Pia Mater
Gray Mater
White Mater
Cranial Nerve I (Function)
(Olfactory)
Sense of Smell
(Optic)
Visual acuity and visual fields
(Oculomotor)
Muscles that move the eye and lid, pupillary constriction, lens accomodation
(Trochlear)
Muscles that move the eye
Cranial Nerve II (Function)
(Olfactory)
Sense of Smell
(Optic)
Visual acuity and visual fields
(Oculomotor)
Muscles that move the eye and lid, pupillary constriction, lens accomodation
(Trochlear)
Muscles that move the eye
Cranial Nerve III (Function)
(Olfactory)
Sense of Smell
(Optic)
Visual acuity and visual fields
(Oculomotor)
Muscles that move the eye and lid, pupillary constriction, lens accomodation
(Trochlear)
Muscles that move the eye
Cranial Nerve IV (Function)
(Olfactory)
Sense of Smell
(Optic)
Visual acuity and visual fields
(Oculomotor)
Muscles that move the eye and lid, pupillary constriction, lens accomodation
(Trochlear)
Muscles that move the eye
Cranial Nerve V (Function)
(Trigeminal)
Facial sensation, corneal reflex, mastication
(Abducens)
Muscles that move the eye
(Facial)
Symmetry of facial expressions and muscle movement in upper and lower face....
(Acoustic)
Hearing and equilibrium
Cranial Nerve VI (Function)
(Trigeminal)
Facial sensation, corneal reflex, mastication
(Abducens)
Muscles that move the eye
(Facial)
Symmetry of facial expressions and muscle movement in upper and lower face....
(Acoustic)
Hearing and equilibrium
Cranial Nerve VII (Function)
(Trigeminal)
Facial sensation, corneal reflex, mastication
(Abducens)
Muscles that move the eye
(Facial)
Symmetry of facial expressions and muscle movement in upper and lower face....
(Acoustic)
Hearing and equilibrium
Cranial Nerve VIII (Function)
(Trigeminal)
Facial sensation, corneal reflex, mastication
(Abducens)
Muscles that move the eye
(Facial)
Symmetry of facial expressions and muscle movement in upper and lower face....
(Acoustic)
Hearing and equilibrium
Cranial Nerve IX (Function)
(Glossopharyngeal)
Taste, sensation in pharynx, and tongue, pharyngeal muscles, swallowing
(Vagus)
Muscles of pharynx, larynx and soft palate, sensation in external ear
(Spinal Accessory)
Sternocleidomastoid and trapezius muscles
(Hypoglossal)
movement of the tongue
Cranial Nerve X (Function)
(Glossopharyngeal)
Taste, sensation in pharynx, and tongue, pharyngeal muscles, swallowing
(Vagus)
Muscles of pharynx, larynx and soft palate, sensation in external ear
(Spinal Accessory)
Sternocleidomastoid and trapezius muscles
(Hypoglossal)
movement of the tongue
Cranial Nerve XI (Function)
(Glossopharyngeal)
Taste, sensation in pharynx, and tongue, pharyngeal muscles, swallowing
(Vagus)
Muscles of pharynx, larynx and soft palate, sensation in external ear
(Spinal Accessory)
Sternocleidomastoid and trapezius muscles
(Hypoglossal)
movement of the tongue
Cranial Nerve XII (Function)
(Glossopharyngeal)
Taste, sensation in pharynx, and tongue, pharyngeal muscles, swallowing
(Vagus)
Muscles of pharynx, larynx and soft palate, sensation in external ear
(Spinal Accessory)
Sternocleidomastoid and trapezius muscles
(Hypoglossal)
movement of the tongue
Autonomic Nervous System consist of the ff:
Upper Motor Neurons
Lower Motor Neurons
Cranial Nerves
Spinal Nerves
➢Originate in the cerebral cortex, the cerebellum,
and the brainstem
➢Modulate the activity of the lower motor neurons
Upper Motor Neurons
Lower Motor Neurons
Cranial Nerves
Spinal Nerves
➢Are located in either the anterior horn of the
spinal cord gray matter or the cranial nerve nuclei
in the brainstem
➢Terminates through the skeletal muscle at the
myoneural junction
Upper Motor Neurons
Lower Motor Neurons
Cranial Nerves
Spinal Nerves
What are the Cerebellar Tests?
Rapid Alternating Movements
Point-to-Point Testing
Heel-to-Shin Testing
Romberg Test
Gag reflex
TYPES OF TRAUMATIC BRAIN INJURY
Epidural
Hemorrhage
Subdural
Hemorrhage
Subarachnoid
Hemorrhage
Intracerebral
Hemorrhage
Ischemic Stroke
EPIDURAL HEMORRHAGE:
Where it happens?
Epidural Space
Subdural Space
Subarachnoid Space
Parenchyma/Brain Tissue
INTRACEREBRAL HEMORRHAGE
Where it happens?
Epidural Space
Subdural Space
Subarachnoid Space
Parenchyma/Brain Tissue
SUBARACHNOID HEMORRHAGE
Where it happens?
Epidural Space
Subdural Space
Subarachnoid Space
Parenchyma/Brain Tissue
SUBDURAL HEMORRHAGE
Where it happens?
Epidural Space
Subdural Space
Subarachnoid Space
Parenchyma/Brain Tissue
EPIDURAL HEMORRHAGE:
How it happens?
•Blunt Trauma and Skull Fracture
(Affects the Middle Meningeal Artery)
Acceleration, Deceleration, and
Rotational Injury (Affects the Bridging
Veins causing rupture and bleeding)
Blunt Trauma (Results from the rupture
of the small arteries and veins on the
surface of the brain)
- Typically penetrating injury
- Can also be from depressed skull fracture
SUBDURAL HEMORRHAGE:
How it happens?
•Blunt Trauma and Skull Fracture
(Affects the Middle Meningeal Artery)
Acceleration, Deceleration, and
Rotational Injury (Affects the Bridging
Veins causing rupture and bleeding)
Blunt Trauma (Results from the rupture
of the small arteries and veins on the
surface of the brain)
- Typically penetrating injury
- Can also be from depressed skull fracture
SUBARACHNOID HEMORRHAGE:
How it happens?
•Blunt Trauma and Skull Fracture
(Affects the Middle Meningeal Artery)
Acceleration, Deceleration, and
Rotational Injury (Affects the Bridging
Veins causing rupture and bleeding)
Blunt Trauma (Results from the rupture
of the small arteries and veins on the
surface of the brain)
- Typically penetrating injury
- Can also be from depressed skull fracture
INTRACEREBRAL HEMORRHAGE:
How it happens?
•Blunt Trauma and Skull Fracture
(Affects the Middle Meningeal Artery)
Acceleration, Deceleration, and
Rotational Injury (Affects the Bridging
Veins causing rupture and bleeding)
Blunt Trauma (Results from the rupture
of the small arteries and veins on the
surface of the brain)
- Typically penetrating injury
- Can also be from depressed skull fracture
INTRACEREBRAL HEMORRHAGE:
Clinical presentations?
Brief loss of consciousness followed by Lucid
Period/Interval (No Symptoms) then subsequent
rapid deterioration of nervous function
Most often non-localizing signs
Thunderclap Headache (“worst headache of your life”)
• Headache
• Vomiting
• Seizures
• Decreasing Level of Consciousness
• Contralateral Hemiparesis
EPIDURAL HEMORRHAGE:
Clinical presentations?
Brief loss of consciousness followed by Lucid
Period/Interval (No Symptoms) then subsequent
rapid deterioration of nervous function
Most often non-localizing signs
Thunderclap Headache (“worst headache of your life”)
• Headache
• Vomiting
• Seizures
• Decreasing Level of Consciousness
• Contralateral Hemiparesis
SUBDURAL HEMORRHAGE:
Clinical presentations?
Brief loss of consciousness followed by Lucid
Period/Interval (No Symptoms) then subsequent
rapid deterioration of nervous function
Most often non-localizing signs
Thunderclap Headache (“worst headache of your life”)
• Headache
• Vomiting
• Seizures
• Decreasing Level of Consciousness
• Contralateral Hemiparesis
SUBARACHNOID HEMORRHAGE
Clinical presentations?
Brief loss of consciousness followed by Lucid
Period/Interval (No Symptoms) then subsequent
rapid deterioration of nervous function
Most often non-localizing signs
Thunderclap Headache (“worst headache of your life”)
• Headache
• Vomiting
• Seizures
• Decreasing Level of Consciousness
• Contralateral Hemiparesis
SUBARACHNOID HEMORRHAGE:
Dx test?
CT Scan showing
a crescent-
shaped opacity
CT Scan showing a
focal, high density areas
particularly in the
fissures or sulci
• CSF Analysis showing
presence of frank
bleeding or RBC
artifacts
•CT Scan showing
a lesion within
the brain tissue
•CT Scan
showing a lens-
shaped opacity
INTRACEREBRAL HEMORRHAGE:
Dx test?
CT Scan showing
a crescent-
shaped opacity
CT Scan showing a
focal, high density areas
particularly in the
fissures or sulci
• CSF Analysis showing
presence of frank
bleeding or RBC
artifacts
•CT Scan showing
a lesion within
the brain tissue
•CT Scan
showing a lens-
shaped opacity
SUBDURAL HEMORRHAGE:
Dx test?
CT Scan showing
a crescent-
shaped opacity
CT Scan showing a
focal, high density areas
particularly in the
fissures or sulci
• CSF Analysis showing
presence of frank
bleeding or RBC
artifacts
•CT Scan showing
a lesion within
the brain tissue
•CT Scan
showing a lens-
shaped opacity
EPIDURAL HEMORRHAGE:
Dx test?
CT Scan showing
a crescent-
shaped opacity
CT Scan showing a
focal, high density areas
particularly in the
fissures or sulci
• CSF Analysis showing
presence of frank
bleeding or RBC
artifacts
•CT Scan showing
a lesion within
the brain tissue
•CT Scan
showing a lens-
shaped opacity
TYPES OF CEREBROVASCULAR
ACCIDENT
Ischemic Stroke
Hemorrhagic
Stroke
Transient
Ischemic Attack
(Pre-stroke)
INTRACEREBRAL HEMORRHAGE
SUBARACHNOID HEMORRHAGE
• Is a condition that presents with temporary
neurologic deficit
• Manifests as sudden loss of motor, sensory, or
visual function
• The pathognomonic sign of TIA is complete
recovery from the neurological deficits with no
evidence of ischemia upon imaging study
• Symptoms result from temporary impairment of
blood flow (ischemia) to a specific region of the
brain
• Usually serves as a warning for impending stroke
Ischemic Stroke
Hemorrhagic
Stroke
Transient
Ischemic Attack
(Pre-stroke)
INTRACEREBRAL HEMORRHAGE
SUBARACHNOID HEMORRHAGE
Mechanism of Injury:
Disruption of blood supply to a part of the brain
Ischemic Stroke
Hemorrhagic
Stroke
Transient
Ischemic Attack
(Pre-stroke)
Paralysis or weakness on the RIGHT side of the body
Left Hemispheric Stroke
Right Hemispheric Stroke
RIGHT visual field deficit
Left Hemispheric Stroke
Right Hemispheric Stroke
Apashia
Left Hemispheric Stroke
Right Hemispheric Stroke
Altered intellectual ability
Left Hemispheric Stroke
Right Hemispheric Stroke
slow, cautious behavior
Left Hemispheric Stroke
Right Hemispheric Stroke
Paralysis or weakness on the LEFT side of the body
Left Hemispheric Stroke
Right Hemispheric Stroke
LEFT visual field deficit
Left Hemispheric Stroke
Right Hemispheric Stroke
Spatial - perceptual deficits
Left Hemispheric Stroke
Right Hemispheric Stroke
increased distractibility
Left Hemispheric Stroke
Right Hemispheric Stroke
- Impulsive behavior and poor judgement
- Lack of awareness of deficits
Left Hemispheric Stroke
Right Hemispheric Stroke
Mechanism of Injury:
Bleeding into the brain tissue, the ventricles, or the
subarachnoid space
Ischemic Stroke
Hemorrhagic
Stroke
Transient
Ischemic Attack
(Pre-stroke)
are episodes of abnormal motor,
sensory, autonomic, or psychic activity (or a
combination of these) that result from
excessive discharge from cerebral neurons.
Seizures
Epilepsy
as at least two
unprovoked seizures occurring more than 24
hours apart.
Seizures
Epilepsy
Electrical disturbance (dysrhythmia) in the nerve cells in one section of
the brain
SEIZURE DISORDER
Epilepsy
HEMORRHAGIC STROKE
ISCHEMIC STROKE
Inflammation of the fibrous coverings of the nervous system
(meninges)
MENINGITIS
ISCHEMIC STROKE
SUBARACHNOID HEMMORHAGE
All are causative Agents of Meningitis, EXCEPT:
Streptococcus pneumoniae
Neisseria meningitidis
Enteroviruses
Cryptococcus neoformans
Epstein Barr virus
All are signs of Meningeal Irritation, EXCEPT:
Neck immobility (Nuchal rigidity)
Positive Kernig Sign
Positive Brudzinski Sign
Photophobia
Throbbing Headache
An acute inflammatory process of the brain tissue
MENINGITIS
ISCHEMIC STROKE
SUBARACHNOID HEMMORHAGE
ENCEPHALITIS
most common causative agent of ENCEPHALITIS
Herpes simplex virus
Cryptococcus neoformans
Aspergillus fumigatus
Coccidioides immitis
Occur early in VARIANT
CREUTZFELDT–JAKOB (vCJD) and late
onset in CREUTZFELDT–JAKOB (CJD)
True
False
An immune-mediated, progressive
demyelinating disease of the CNS
MENINGITIS
ISCHEMIC STROKE
MULTIPLE SCLEROSIS
ENCEPHALITIS
TYPES OF MULTIPLE SCLEROSIS (MS). Select all that apply.
Relapsing-remitting
Primary progressive
Secondary progressive
Progressive-relapsing
all of the above
- Is an autoimmune
disorder affecting the myoneural
junction
- It is characterized by varying degrees
of weakness of the voluntary muscles
MENINGITIS
MYASTHENIA GRAVIS
MULTIPLE SCLEROSIS
ENCEPHALITIS
- Caused by unilateral inflammation of CN VII
- This results to ipsilateral weakness or paralysis
of the facial muscles
MENINGITIS
MYASTHENIA GRAVIS
MULTIPLE SCLEROSIS
ENCEPHALITIS
BELL’S PALSY
A slowly progressing neurologic movement
disorder that eventually leads to disability
PARKINSON’S DISEASE
MYASTHENIA GRAVIS
MULTIPLE SCLEROSIS
ENCEPHALITIS
BELL’S PALSY
All are cardinal signs of Parkinson’s disease, EXCEPT:
Postural Instability
Orthostatic hypotension
Tremors
Rigidity
Bradykinesia/Akinesia
a chronic, progressive, neurodegenerative brain disease
PARKINSON’S DISEASE
MYASTHENIA GRAVIS
MULTIPLE SCLEROSIS
ALZHEIMER’S DISEASE
BELL’S PALSY
Signs of sepsis in acute fulminant infection during meningitis includes the following, EXCEPT
Disseminated intravascular coagulation
Myalgia
Abrupt onset of high fever
Extensive purpuric lesions
Diffuse slowing or focal changes in the temporal lobe in EEG is seen in what type of encephalitis?
West Nile Encephalitis
CJD/vCJD
Herpes simplex encephalitis
St. Louis Encephalitis
The most common type of Multiple Sclerosis is
Progressive-relapsing
Relapsing-remitting
Secondary progressive
Primary progressive
For Multiple Sclerosis, medications for spasticity would include the following, EXCEPT
Dantrolene (Dantrium)
Diazepam (Valium)
Baclofen (Lioresal)
Dalfampridine (Ampyra)
Myasthenia Gravis is caused by what pathogenic mechanism?
Autoimmune destruction of acetylcholine receptors
Enzymatic destruction of the myoneural junction
Increased breakdown of acetylcholine
Delayed acetylcholine release
The confirmatory test for Myasthenia Gravis is?
.
Single Fiber Electromyography
Repetitive Nerve Stimulation
Tensilon Test
Ice Test
The paralysis caused by Bell's Palsy results in residual neurologic deficit after recovery.
True
False
Diagnosis of Parkinson's disease is confirmed by a positive response to Levodopa trial.
True
False
Majority of the cases of Alzheimer's disease is of Early Onset Alzheimer's.
True
False
The following are drugs given for the depression experienced in Alzheimer's Disease, EXCEPT
Sertraline (Zoloft)
Fluvoxamine (Luvox)
Risperidone (Risperidal)
Fluoxetine (Prozac)
Oculovestibular Reflex
CN VIII
Cerebellum
CN X
CN V
Point-to-point test
CN VIII
Cerebellum
CN X
CN V
Rapid Alternating Movement
CN VIII
Cerebellum
CN X
CN V
Gag Reflex
CN VIII
Cerebellum
CN X
CN V
Corneal Reflex
CN VIII
Cerebellum
CN X
CN V
An upper motor neuron lesion may cause muscle spasticity. A lower motor neuron may cause hyperactive reflexes.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
CN IV is responsible for innervating the superior rectus muscle. CN VI can be tested by letting the patient move their eyes laterally.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
CN V can be tested by checking the taste sensation of the patient. CN XI can be assessed by performing the Gag Reflex.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Epidural Hemorrhage usually occurs due to the rupture of the middle meningeal artery. Subdural hemorrhage usually occurs due to the rupture of the bridging veins.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Epidural Hemorrhage is characterized by a slow progression of the onset of neurologic deficit. It presents as a lens-shaped opacity on CT scan.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Subdural Hemorrhage is usually identified with the presence of a "Lucid Interval" where the patient is asymptomatic. It is then followed by the rapid progression of neurologic deficits.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Subarachnoid Hemorrhage would present a "Thunderclap Headache" in the patient. It is cause by the rupture of the small arteries and veins on the surface of the brain.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Diabetes Mellitus Type 2 is a risk factor for ischemic stroke. Arteriovenous malformation increases the risk of ischemic stroke as well.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Transient Ischemic Attack will present some changes in the brain tissue upon CT scan examination despite having fully recovered from the symptoms. It serves as a warning sign for intracerebral hemorrhage.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Ataxia is defined as the inability to maintain a stable gait and inability to ambulate properly. Hemiparesis is the weakness of one side of the body.
The first statement is TRUE
The second statement is TRUE
BOTH statements are TRUE
NONE of the statements are TRUE
Caused by penetrating brain injury
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Results from excessive discharge of cerebral neurons
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Complete recovery of symptoms with normal CT scan findings
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Thunderclap Headache
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Focal, high-density areas on CT Scan
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Lens-shaped opacity on CT Scan
Intracerebral Hemorrhage
Epilepsy
Transient Ischemic Attack
Subarachnoid Hemorrhage
Epidural Hemorrhage
Crescent-shaped opacity on CT Scan
Intracerebral Hemorrhage
Subdural Hemorrhage
Hemorrhagic Stroke
Ischemic Stroke
Epidural Hemorrhage
Chiefly caused by uncontrolled hypertension
Intracerebral Hemorrhage
Subdural Hemorrhage
Hemorrhagic Stroke
Ischemic Stroke
Epidural Hemorrhage
Mainly caused by occlusion of cerebral blood supply
Intracerebral Hemorrhage
Subdural Hemorrhage
Hemorrhagic Stroke
Ischemic Stroke
Epidural Hemorrhage
Lucid Interval
Intracerebral Hemorrhage
Subdural Hemorrhage
Hemorrhagic Stroke
Ischemic Stroke
Epidural Hemorrhage
