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Notes in
25 Spinal Cord
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romeo-kentucky-louisiana-two-oklahoma-carolina
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Published
12/13/2023
Do upper motor neuron diseases or lower motor neuron diseases present with weakness and atrophy? {{c1::Both :)}}
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Do upper motor neuron diseases or lower motor neuron diseases present with hyperreflexia? {{c1::Upper motor neuron diseases}}
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Do upper motor neuron diseases or lower motor neuron diseases present with spasticity? {{c1::Upper motor neuron diseases}}
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Do upper motor neuron diseases or lower motor neuron diseases present with fasciculations? {{c1::Lower motor neuron diseases}}
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Do upper motor neuron diseases or lower motor neuron diseases present with hypotonia? {{c1::Lower motor neuron diseases}}
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The spinal cord has {{c1::cervical}} and {{c1::lumbar}} enlargements for nerve transmission for the extremities.
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A {{c1::ganglion}} is a collection of nerve cell bodies outside the CNS with similar function.
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A {{c1::tract}} is a collection of nerve fibers with a common origin and destination.
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The {{c1::white}} matter of the spinal cord contains columns and tracts.
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The posterior spinal arteries arise from the {{c1::subclavian}} and {{c1::intercostal}} arteries.
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The artery of {{c1::Adamkiewicz}}, also known as the radicularis magna, arises on the {{c3::left}} side from {{c2::T8}}-{{c2::L2}}.
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Damage of the artery of Adamkiewicz, also known as the {{c2::radicularis magna}}, can result in {{c3::anterior spinal artery}} syndrome.
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The major sensory pathways - {{c1::dorsal column-medial lemniscal system}} and the {{c2::spinothalamic anterolateral system}} come toge…
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The artery of Adamkiewicz perfuses the {{c1::anterior}} spinal cord in the {{c1::thoracolumbar}} region.
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Areas of the spinal cord with a single blood supply are called {{c1::watershed}} areas, and are particularly vulnerable to ischemia.
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12/13/2023
Patients with anterior spinal artery syndrome have a loss of {{c1::temperature}} and {{c1::pain}} sensation.
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12/13/2023
Patients with anterior spinal artery syndrome have a preserved {{c1::touch}} and {{c1::proprioception}} sensation.
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The corticospinal tract is perfused by the {{c1::anterior}} spinal artery.
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Patients with anterior spinal artery syndrome may have {{c1::bowel and bladder}} dysfunction because of damage to {{c2::autonomic motor}} fibers. …
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The spinothalamic tract is perfused by the {{c1::anterior}} blood supply.
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The dorsal column tract is perfused by the {{c1::posterior}} spinal arteries.
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The {{c1::central canal}} is the CSF pathway in the spinal cord.
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The {{c1::lateral}} corticospinal tract is responsible for {{c2::limb}} motor function.
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The {{c1::ventral}} corticospinal tract is responsible for {{c2::posture}} motor function.
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Which type of sensory receptor senses deep/static/continuous touch?{{c1::Merkel's discs}}
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Which type of sensory receptor senses pressure, proprioception, and touch?{{c1::Ruffini's endings}}
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The 2nd-order neurons of the dorsal column medial lemniscal system is joined by the {{c1::trigeminal}} nerve.
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The 2nd-order neuron of the dorsal column-medial lemniscal tract synapses in the {{c3::ventropostero-lateral nucleus (VPL)}} of the thalamus.&nbs…
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The 1st-order neuron of the spinothalamic tract may ascend 1-3 levels via the {{c1::Lissauer}} tract before synapsing with a 2nd order neuron.
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In the spinothalamic tract, most 2nd-order pain fibers will synapse in the {{c1::reticular activating system}}.
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The corticospinal tract is also known as the {{c1::pyramidal}} tract.
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Motor pathways outside the corticospinal tract are collectively termed the {{c1::extrapyramidal tract}}.
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The {{c2::pyramids}} are formed by corticospinal neurons in the {{c1::medulla}}.
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The fibers of the {{c1::ventral}} corticospinal tract decussate in the upper portions of the {{c2::spinal cord}}.
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A small portion of {{c1::upper motor}} neurons in the corticospinal tract inhibit lower motor neurons.
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Does cerebral palsy affect upper or lower motor neurons?{{c1::Upper motor neurons}}
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A normal response to firm stroking of the sole of the foot produces a {{c1::downward}} motion of the toes.
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Babinski's sign: A firm stimulus to the sole of the foot produces a {{c1::upward}} motion of the toes.
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Where are the cell bodies of lower motor neurons located?{{c1::Ventral horn}}
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The most common site of spinal cord injury is {{c1::C7}}.
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12/13/2023
Neurogenic shock due to acute spinal cord injury manifests as {{c1::bradycardia::HR}}, {{c1::hypotension::BP}}, and {{c1::hypothermia::temp}}.
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12/13/2023
In patients with a spinal cord injury, manipulation of hollow organs (e.g. bowel, bladder, uterus) can precipitate {{c1::autonomic dysreflexia}}.
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12/13/2023
Autonomic dysreflexia produces vasoconstriction {{c1::below::above/below}} the level of the injury.
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12/13/2023
Autonomic dysreflexia produces vasodilation {{c1::above::above/below}} the level of the injury.
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Reflex vasodilation in autonomic dysreflexia above the level of the injury is usually characterized by {{c1::nasal stuffiness}}.
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12/13/2023
{{c1::Hypertension}} due to autonomic dysreflexia can cause headache, blurred vision, pulmonary edema, and strokes.
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12/13/2023
In laboring mothers with autonomic dysreflexia, what type of anesthesia is preferred?{{c1::Spinal}}
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12/13/2023
Chronotropes + vasoconstrictors (e.g. epinephrine, dopamine) should not be given to patients with autonomic dysreflexia because it can cause {{c1::wor…
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12/13/2023
Does lidocaine jelly to a cystoscope or foley catheter prevent autonomic dysreflexia?{{c1::No}}
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12/13/2023
What muscles are spared by ALS?{{c1::Ocular muscles}}
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12/13/2023
In patients with ALS, autonomic dysfunction is evidenced by {{c1::orthostatic hypotension}} and {{c2::resting tachycardia}}.
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12/13/2023
Bulbar weakness places a patient at risk for {{c1::pulmonary aspiration}}.
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