Tos Neuro 1 Jeopardy Template

The most sad type of Cancer	Bates is the Bible	Nociception	Applied Neurology.. uh oh	Jack of All Trades
100 Lung, Breast, Skin What are common cancers to metastasize to the brain? (3)	100 1+ If someone is hyporeflexic, but still has a response what would their reflex grading scale be?	100 Parenchyma of the brain Pia mater, arachnoid mater, parts of the duramater Ependymal and choroid plexus Skull except periosteum What is pain insensitive in the brain?	100 thalamus, hypothalamus, pineal gland, pituitary gland What is the diencephalon	100 CT or PET Scan - whole body to ID cancer, biopsy What is Diagnostics used for Brain tumours?
200 more males than females → except meningiomas, which occur more frequently in women What sex is more likely to get a brain tumour?	200 a series of involuntary, rhythmic muscular contractions in response to a rapid muscle stretch reflex What is clonus?	200 pain caused by abnormal neural activity that arises secondary to injury, disease, or dysfunction of the nervous system Central pain - caused by CNS dysfunction, such as ischemic stroke, phantom limb pain Peripheral pain - caused by damage to peripheral nerves burning, deep pain What is neuropathic pain	200 Problems with vision What is the presentation of a brain tumour in the Occipital Lobe	200 without treatment: 1 month with treatment: < 1 year What is the prognosis of Brain Tumours?
300 Primary arise from the CNS and brain itself, secondary metastasize to the brain What is the difference between primary and secondary brain tumours?	300 inability to passively flex neck due to increased tone in neck musculature What is nuchal rigidity	300 pain that is triggered by chemical, mechanical or thermal stimuli (noxious stimuli) Somatic pain (MSK) - localized and sharp pain Visceral pain - dull, diffuse and deep pain What is nociceptive pain	300 Problems with auditory, memory, or speech - aphasia What is the presentation of a brain tumour in the Temporal Lobe	300 C1-C3 joints, ligaments, suboccipital muscles, Lev scap, trapezius, SCM What is 2 structures that can give rise to headaches
400 Seizures, Focal Neuro deficits, Headaches, Cognitive deficits What is the most common clinical features of a brain tumour? (4)	400 Accessory nerve, innervates SCM and Trapezius - test these muscles, Cervical rotation/flexion, shoulder elevation What is Cranial nerve XI? What does it innervate? How would you test it?	400 False - only will cause pain if pressing on a pain sensitive structure or increasing cranial pressure True or false: A brain tumour will always cause pain	400 Problems with reasoning, movement, planning, emotions, speech, problem solving resulting in personality changes, weakness, aphasia, apraxia What is the presentation of a brain tumour in the Frontal Lobe	400 A- advance preparation B- build a therapeutic environment/relationship C- communicate well D - deal with patient and family reactions E - encourage and validate emotions What is the ABCDE of breaking Bad News
500 30% are primary (of which, 40% are benign), 70% secondary in adults In kids, most are primary What percentage are primary vs secondary brain tumours in adults?	500 Test pain (pin prick vs dull), temperature (hot vs cold) along dermatomes How would you test the spinothalamic tracts?	500 nociceptors detect stimulus → conversion of stimulus to an electric signal → C fibers and Aδ fibers carry afferent input to the dorsal horn of SC → secondary nociceptive neurons in the spinothalamic tract carry afferent input to the thalamus → pain perception and a response sent along efferent pathways to modulate pain What is the pain pathway	500 Problems with orientation, perception and recognition of sensory stimuli or faces, understanding What is the presentation of a brain tumour in the Parietal Lobe	500 autonomic, endocrine changes Medulla CTZ NTS gastric dysrhythmias What is the pathophysiology of Nauseau (just name some big pathways involved)

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