Course Summary

Question 1

The spinocerebellar fibers are lateral to the _____________.

Answer 1

lateral corticospinal tract

Question 2

Review cauda equina syndrome and conus medullaris syndrome.

Answer 2

Ok!

Question 3

One of Fisher’s rules: “Resist the temptation to _________________.”

Answer 3

prematurely place a case or disorder into a diagnositic cubbyhole that fits poorly. Allowing it to remain unknown stimulates continuing activity and thought

Question 4

What is the “HANDS Tremor” mnemonic?

Answer 4

With a cerebellar lesion, the patient develops the following:

• hypotonia
• ataxia
• nystagmus
• dysarthria
• stance/gait problems
• tremor

Question 5

Ojemann wants us to know the “common” and “dangerous” sources of headache. What are they?

Answer 5

Common:

• migraine
• cluster headache
• tension headache

Dangerous:

• Subarachnoid hemorrhage
• Increased intracranial pressure
• Giant cell arteritis
• Meningitis

Question 6

Ojemann wants us to know the “common” and “dangerous” sources of back pain. What are they?

Answer 6

Common:

• lumbar stenosis
• radiculopathy
• muscle strain
• degenerative disk disease

Dangerous:

• cauda equina syndrome
• conus medullaris syndrome

Question 7

Ojemann wants us to know the “common” and “dangerous” sources of visual loss. What are they?

Answer 7

Common:

• cataracts
• presbyopia
• macular degeneration

Dangerous:

• retinal detachment
• pituitary tumor
• glaucoma
• increased ICP

Question 8

Ojemann wants us to know the “common” and “dangerous” sources of numbness. What are they?

Answer 8

Common:

• diabetic neuropathy
• entrapment neuropathy

Dangerous:

• Guillain-Barré syndrome
• syringomyelia

Question 9

One of Fisher’s other rules: “Pay particular attention to ________________.”

Answer 9

the specifics of a patient with a known diagnosis; it will be helpful later when similar phenomena occur in an unknown case