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PT 642 DDxI Adult Neuro > Neuro Examination (Orientation, Arousal, Cognition, and Sensation) > Flashcards

Neuro Examination (Orientation, Arousal, Cognition, and Sensation) Flashcards

1
Q

What are 3 screening instruments that can be used to screen for cognition

A
  • Saint Louis University Mental Status Examination (SLUMS)
  • Mini-Cog
  • Folstein Mini-Mental State Examination (MMSE)
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2
Q

differentiating between small objects of different shapes and sizes in a bag

A

stereognosis

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3
Q

what is combined cortical sensations

A
  • combining peripheral sensation and cortical identification
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4
Q

what tests can be used to assess combined cortical sensation

A
  • stereognosis
  • graphesthesia
  • 2-point discrimination
  • Semmes-Weinstein Monofilament test
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5
Q

describe combined cortical sensations regarding Brodmann’s areas

A

tests that asses the intactness of sensory association cortex (5, 7) to accurately integrate and interpret information coming from both superficial and deep receptors as passed on through the primary sensory cortex (3, 1, 2)

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6
Q

stereognosis receptors, location, and tract used to carry information to primary sensory cortex

A
  • merkel, meissners, pacinian
  • deep cutaneous layers of dermis
  • DCML and ALS
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7
Q

graphesthesia receptors, location, and tract used to carry information to primary sensory cortex

A
  • merkel, meissners, pacinian
  • deep cutaneous layers of dermis
  • DCML and ALS
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8
Q

a series/combination of letters, numbers or shapes traced on the palm of pts hand or flat area of skin (back, abdomen)

A

graphesthesia

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9
Q

assess the ability to perceive 2 points applied to the skin simultaneously

A

2-point discrimination

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10
Q

how to document stereognosis

A

document that number of correct responses out of total objects in bag

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11
Q

2-point discrimination receptors, location, and tract used to carry information to primary sensory cortex

A
  • merkels
  • nonglaborous skin (hairless)
  • DCML and ALS
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12
Q

assesses the degree of lack of protective sensation

A

semmes-weinstein monofilament test

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13
Q

what populations is the semmes weinstein monofilament test used on

A

neuropathy from DM, peripheral vascular disease, peripheral N injuries, and those with balance/gait deficits

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14
Q

how to document semmes weinstein monofilament test

A

intact, diminished, absent along with the fiber diameter tested

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15
Q

how many times to complete and how to document sharp/dull pain testing

A
  • 3x on each key point making the sequencing of sharp/dull unpredictable
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16
Q

sharp/dull receptors, location, and tract used to carry information to primary sensory cortex

A
  • free N endings
  • t/o the body in epidermis and dermis
  • ALS
17
Q

how to document temperature testing

A

absent, diminished, intact

18
Q

temperature testing receptors, location, and tract used to carry information to primary sensory cortex

A
  • thermoreceptors
  • t/o the body in superficial cutaneous layers
  • ALS
19
Q

tests the awareness of movement

A

kinesthesia

20
Q

kinesthesia receptors, location, and tract used to carry information to primary sensory cortex

A
  • deep cutaneous mechanoreceptors and proprioceptors (GTO, muscle spindles, ruffini, pacinian)
  • deep layers of dermis, joint capsules, muscle bellies, tendons
  • DCML
21
Q

tests joint position sense

A

proprioception

22
Q

proprioception receptors, location, and tract used to carry information to primary sensory cortex

A
  • deep cutaneous mechanoreceptors and proprioceptors (GTO, muscle spindles, ruffini, pacinian)
  • deep layers of dermis, joint capsules, muscle bellies, tendons
  • DCML
23
Q

how to document kinesthesia and proprioception

A

diminished, absent, intact

24
Q

tests ability to perceive a vibratory sensation

A

vibration testing

25
Q

what receptors detect vibration

A
  • low frequency: meissners
  • high frequency: pacinian
  • in between frequency: both meissners and pacinian
26
Q

how to document vibration tests

A

absent, diminished, intact

27
Q

what tests assess superficial sensation

A
  • light touch testing
  • sharp/dull testing
  • temperature testing
28
Q

what tests assess deep sensory receptors

A
  • kinesthesia
  • proprioception

PT 642 DDxI Adult Neuro (15 decks)

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