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Exam (elaborations)

Neuro review for NPTE exam

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  • NPTE
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  • NPTE

Neuro review for NPTE exam Neuro review for NPTE exam Neuro review for NPTE exam

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  • November 7, 2024
  • 87
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NPTE
  • NPTE
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lectjoseph
Neuro review for NPTE exam
this lobe of the brain is involved with higher order processing of info; the "doing" lobe; the "smartie"
lobe, the "A CEO" lobe



- combines different modalities of sensory info (e.g. vision with touch/pain)

- contains the pre-central gyrus which is the *primary motor cortex* (controls voluntary sk. muscle
activity)

- involved with problem solving, cognition, behavior, reasoning, delayed behavior, etc.

- Contains *Broca's area (speech production*) - ANS frontal (lobe)



(A CEO: apraxia and aphasia [Broca's]; controls plan, programming, movement; emotional, behavior
control, personality; olfaction)



this brain structure is involved in *executive functions* or the higher cognitive functions such as
initiation/motivation, attention, planning, problem solving, reasoning, judgement, and short-term
memory.



- also involved in behavioral regulation (impulse control, high level coping mechanisms for emotions of
anger, sadness, frustration, hunger, and other emotions)

- supplied by ACA and MCA - ANS PFC (prefrontal cortex)



this lobe of the brain processes *sensory* information regarding location of body parts (perception) and
sensation (touch, pain, temp, pressure, proprioception)



- includes the post-central gyrus which is the *primary somatosensory cortex*, the main sensory
receptive area for the sense of touch

- body orientation and sensory discrimination

,- Main arterial supply: MCA - ANS parietal (the "where system")



Damage to the parietal lobe impacts:



a. ability to process and distinguish sensory info, difficulty with overall body awareness

b. memory dysfunction (retrograde/anterograde amnesia), receptive aphasia, difficulty recognizing
music pitch and rhythm

c. impulsivity, behavioral control issues, expressive aphasia

d. none of the above - ANS a (ability to process and distinguish sensory info, difficulty with overall body
awareness)



Damage to the temporal lobe impacts:



a. ability to process and distinguish sensory info, difficulty with overall body awareness

b. memory dysfunction (retrograde/anterograde amnesia), receptive aphasia, difficulty recognizing
music pitch and rhythm

c. impulsivity, behavioral control issues, expressive aphasia

d. none of the above - ANS b (memory dysfunction [retrograde/anterograde amnesia], receptive
aphasia, difficulty recognizing music pitch and rhythm)



Patients with lesions in the *left* hemisphere typically present with:



a. impulsivity

b. poor judgement

c. overestimate abilities/underestimate problems

d. slow and cautious - ANS d (slow and cautious)

,(LEFT LESION (think OLD person): right side hemiplegia, slow, cautious, hesitant, insight into
impairments - frustration/difficulty with positive emotion, difficulty with VERBAL cues



RIGHT LESION (think BABY): left side hemiplegia, impulsive, quick, indifferent, poor judgement,
overestimate abilities, underestimate problems, difficulty with VISUAL cues, difficulty with negative
emotions)



this lobe of the brain is involved with *language, learning, memory*, and conscious smell perception;
the "What is it?" system



- includes the *primary auditory cortex* (allows us to perceive auditory info/sounds), hippocampus
(memory), and *Wernicke's area (language comprehension*) - ANS temporal



(Left temporal: language, interpretation [Wernicke's], facial recognition, hyposexuality



Right temporal: primary auditory cortex, sounds, rhythm, music, visual performance, emotional
expression, hypersexuality)



this lobe of the brain is involved with vision



- visual info from optic nerve transmitted through the thalamus and into the primary visual cortex - ANS
occipital



the ________ is involved with *balance and coordination* while the __________ is in charge of the
body's *involuntary responses* - ANS cerebellum, brainstem



this brain structure's function is to sequence muscle contractions; *coordination, balance*, equilibrium

, - "small brain within the brain"; *motor learning*; new motor programs created to ensure smooth
movement

- lesions to this area result in motor deficits on the ipsilateral side of the body; ataxia (uncoordinated
and inaccurate movements), dyssynergia (decomposition of synergistic multijoint movements), and
dysmetria (overshoot or undershoot target) - ANS cerebellum



(Cerebellum is involved in BALANCE AND COORDINATION + sequencing muscle contraction for smooth
movement. Lesions to this area result in motor deficits on the IPSILATERAL side of the body. Also results
in motor learning impairments [decreased anticipatory control, feedback, and learning delays].



Ataxia = uncoordinated, inaccurate movements.



Dyssynergia = decomposition of synergistic multi-joint movements.



Dysmetria = overshoot or undershoot a target.)



*_____________ cerebellar* lesion: central vestibular Sx (ocular dysmetria, poor eye pursuit,
dysfunctional VOR, impaired hand-eye coordination), gait/trunk ataxia, little change in tone/dyssynergia
of extremities. - ANS Flocculonodular



*_____________ cerebellar* lesion: hypotonia with weakness/fatigue, key issue with muscle activation
timing, trunk ataxia (dysequilibrium, increased sway, wide BOS, high arm position, worse with eyes
closed), gait ataxia (unsteady, increased falls, uneven/decreased step length) - ANS Spinocerebellum



Match the following *brainstem* structures with the correct description:



-___: regulates breathing, HR, BP, digestion, sneezing and swallowing; supplied by anterior spinal &
posterior inferior cerebellar artery (PICA)

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