Getting on my nerves
Rush of blood to the head
Divide and conquer
Stroke of luck
Up to chance
100

This nerve stems from roots C3, C4, C5 and keeps you alive

Phrenic Nerve

100

The ICA and VA meet to create the 

Circle of Willis 

100

The that division coordinates complex somatic motor patterns, adjusts output of other somatic motor in the brain and spinal chord, relays sensory info to cerebellum and thalamus, subconscious somatic and visceral motor centers. 

Metencephalon (cerebellum/pons) 

100

What is the acronym to determine if you are experiencing a stroke 

FAST: Face drooping, Arm weakness, Speech difficulty - Time to call 911

100

This selective barrier and transport apparatus is formed by endothelial cells and tigh junctions for protection. 

Blood brain barrier

200

This nerve innervates the pelvic floor

Pudendal 

200

The arteries that are majors sources of arterial blood for the brain

Bonus: Both of these arteries arise from the same source called... 

Internal carotid arteries 

Vertebral arteries 

Bonus: The aortic arch 

200

The telencephalon (cerebrum) coordinates the following.

Conscious thought processes, intellectual functioning

memory storage and processing

conscious and subconscious regulation of skeletal muscle contractions 

200

There are two types of stroke. What are they, which one is more dangerous? 

Ischemic, hemorrhagic

- Trick question, more likely to die from Hemorrhagic, but Ischemic is more likely to result in lasting impairments and disability 

200

These structures are the exception to the blood brain barrier

Endocrine structures ie. pineal gland, hypothalamus

Third and of the fourth ventricle

300

This nerve innervates the external oblique abdominal muscles

Obturator 

300

The Anterior cerebral artery supplies these areas of the brain


Each bullet is worth 100 pts

- Medial Aspect of the frontal and parietal lobes 

- Part of the cingulate gyrus and corpus callosum

- part of the basal ganglia and internal capsule 

300

The Diecephalon includes two structures, what are they responsible for? 


Thalamus - relay processing centers for sensory info

Hypothalamus - centers controlling emotions, autonomic functions and hormone production 

300

According to 2016 stats, stroke is the _____ leading cause of death in the world

second

300

Name three of the characteristics of the pathophysiological process of tissue damage

energy failure, acidosis, loss of ion homeostatsis, free radical and cytokine mediated toxicity, infiltration leukocytes necrosis ie cell death
400

This nerve innervates levator scapulae

Dorsal Scapular nerve

400

The three layers of cranial meninges are.... 

Bonus: Which layer contains the venous blood? Which layer contains arterial blood supply? 

Dura matter- dural sinus 

Arachnoid matter - arterial blood supply

400

This division is responsible for processing of visual and auditory data, generation of reflexive somatic motor responses and maintenance of consciousness.

Mesencephalon (Midbrain) 

400
Ninety percent of strokes occur in this artery and result in the following impairments 

MCA

Contralateral: face and arm>leg weakness, sensory loss to all modalities, visual field cut, visual spatial neglect, Ipsilateral gaze preference, dominant hemisphere affected, aphasia, alexia, agraphia, acalcutia, 

400

Why is cerebral autoregulation important? At what pressure is autoregulation lost?

- it is the ability of the brain to maintain relatively constant blow flow despite changes in perfusion pressure

normal is ~50ml/100g, anything above or below 60-160ml/g and autoregulation is lost

500

Serratus anterior is innervated by 

Long thoracic nerve 

500

Draw the circle of willis. Extra 50 pts of you can identify the area where the artery supplies in the brain.

Refer to notes because I am lazy.

500

The Medulla Oblongata is part of which division. What is this division function? 

Myelencephalon - relays sensory information to cerebellum and thalamus, subconscious somatic and visceral motor centers

500

How would the signs and symptoms differ between a right MCA inferior  and a left MCA inferior stroke? 

Right MCA inferior

  • Profound hemineglect

  • Left visual field and somatosensory deficits

  • Dec left voluntary/spontaneous movements

  • Some mild left side weakness, but usually strong

  • Right gaze preference, esp on onset


Left MCA inferior

  • Wernicke's aphasia

  • Right visual deficits

  • Some right face/arm sensory loss

  • Motor for the most part normal (but may seem confused)

  • Mild right sided weakness


500

Factors that influence flow-metabolic coupling are?

CO2, O2, H+, Astrocyte substances