How high yield are lesions of brain stem?

[nope80]

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They aren't in FA so i'm wondering what we have to know about them and in what capacity. High yield neuro has a bunch of info on them - chapter 16 - but there is a lot of detail and don't know if this is worth memorizing. They have lateral medullary syndrome, medial inferior pontine syndrome, laterial inferior pontine syndrome, facial colliculus syndrome, etc.

Any suggestions? I hate neuro!!! hehe

 

[nope80]

anyone?

 

[DeeJay2728]

I would assume so. Since different presentations mark different injuries on the brain stem... for example decorticate and deceberate posturing indicate injuries on different locations.

 

[pokerslut]

They aren't in FA so i'm wondering what we have to know about them and in what capacity. High yield neuro has a bunch of info on them - chapter 16 - but there is a lot of detail and don't know if this is worth memorizing. They have lateral medullary syndrome, medial inferior pontine syndrome, laterial inferior pontine syndrome, facial colliculus syndrome, etc.

Any suggestions? I hate neuro!!! hehe

I got two neuro lesion type questions on my step. I took it May 7.

It wasn't as hard as I thought it may have been. USMLE World was REALLY helpful.

 

[kdburton]

They aren't in FA so i'm wondering what we have to know about them and in what capacity. High yield neuro has a bunch of info on them - chapter 16 - but there is a lot of detail and don't know if this is worth memorizing. They have lateral medullary syndrome, medial inferior pontine syndrome, laterial inferior pontine syndrome, facial colliculus syndrome, etc.

Any suggestions? I hate neuro!!! hehe

I'm wondering the same thing - some of the ones in HY neuroanatomy are beyond the scope of what I learned in my neuroscience class which I'm told by upperclassmen prepared them very well for the boards. I think of all the listed ones we covered: the medullary syndromes, the pontine syndromes minus facial colliculus syndrome, and schwannomas (I've never even heard of the midbrain lesions they've listed haha). I guess if we know our anatomy well enough we'd be able to reason our way through these, but does it pay to memorize the cross-sections of the the different brainstem levels or should we assume the lesions will be relatively common/basic? Any other input in addition to the previous poster would be helpful (and maybe if that person could tell us what kind of lesion you were expected to recognize too?). Thanks

 

[fruitloops]

the neuro questions on the usmle are NOT harder than the majority of neuro questions you'll find in the question banks. that is, if you understand the pattern of injury from different lesions, it will be very easy to apply that information to any clinical scenario on your actual exam. there was no neuro question on the actual exam that was harder than any question in UWorld.