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NURS 1145 > Week 6: Neurological Assessment > Flashcards

Week 6: Neurological Assessment Flashcards

1
Q

Observing muscle movement response to sensory stimulus

A

Reflex arch

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2
Q

Where on the spine do the following reflexs intervate

Upper / Lower abdomen

A

Up T 7,8,9
Lower T10, 11

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3
Q

Where on the spine do the following reflexs intervate

Cremasteric

A

T 12

L1,2

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4
Q

Where on the spine do the following reflexs intervate

Plantar

A

L4,5
S1,2

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5
Q

Where on the spine do the following reflexs intervate

Biceps

A

C5,6

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6
Q

Where on the spine do the following reflexs intervate

Triceps

A

C6,7,8

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7
Q

Where on the spine do the following reflexs intervate

Patellar

A

L2, 3,4

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8
Q

Where on the spine do the following reflexs intervate

Achiles

A

S1,2

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9
Q

Increase BP & Heart rate
Vasocontriction
Inhibit gastro peristalsis
Dilate bronchi

This nervous system

A

Sympathetic Nervous System
Fight / Flight

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10
Q

Decreased heart rate / BP
Stimulates gastro peristalsis

Describes this nervous system

A

Parasympathetic

Rest / Digest

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11
Q

CVA stands for

A

Cerebrovascular accident

Stroke

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12
Q

_____ can create an embolism in the Atrium which can get sent to the brain causing a CVA (stroke)

A

Atrial fib

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13
Q

Room spinning, dizzy, desequilibrio, syncope (fainting)

A

Vertigo

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14
Q

Person is spinning

A

Subjective vertigo

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15
Q

HOB up 30°
Oral care @ 8 hrs
Thickened liquids
Speech therapy
Suction setup

Describe what?

A

Intervention for risk of aspiration

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16
Q

Speak in short/ meaningful sentences
Usually understand speech in others

Describes

(Wernicke / Broca) aphasia

A

Broca aphasia

Expressive aphasia

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17
Q

May speak in long confusing sentences, add unnecessary words

Have difficulty understanding speech of others

(Wernicke / Broca) aphasia

A

Wernicke aphasia

Receptive aphasia

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18
Q

Difficulty with understanding and forming speech

A

Global aphasia

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19
Q

Loss of ability to understand or express speech, caused by brain damage (General Term)

A

Aphasia

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20
Q

Impairment in the production of speech resulting brain disease or damage

A

Dysphagia

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21
Q

Olfactory

Test: nose for smell

A

CN 1

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22
Q

CN 1

A

Olfactory

Test nose for smell

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23
Q

Optic

Test eyes, Snellen’s chart, peripheral vision

A

CN 2

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24
Q

Oculomotor *

Extraocular muscle movement

A

CN 3

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25
Q

Trochlear *

Eye movement equally up/down, side / side, obliquely

A

CN4

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26
Q

CN 2

A

Optic

Test: Snellens chart

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27
Q

CN 3 *

A

Oculomotor

Extraocular muscle movement

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28
Q

CN 4

A

Trochlear nerve

Eye movement equally up / down, side to side, obliquely

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29
Q

CN 5 *

A

Trigeminal nerve: Facial Movement and sensation

Test: Clench teeth
Palpate temporal & masster muscle
Light/ deep touch

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30
Q

Trigeminal nerve: Facial Movement and sensation

Test: Clench teeth
Palpate temporal & masster muscle
Light/ deep touch

A

CN5 *

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31
Q

Abducens Extraocular Movement

A

CN 6

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32
Q

Facial criminal nerve

Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks

Light / Deep touch

Anterior 2/3 of tongue

A

CN 7

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33
Q

CN 7

A

Facial criminal nerve

Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks

Light / Deep touch

Anterior 2/3 of tongue

34
Q

Auditory acuity, Weber and Rinne test

A

CN 8

35
Q

CN 8

A

Auditory acuity, Weber and Rinne test

36
Q

Glossopharyngeal nerve

Posterior 1/3 of tongue
Sensory motor test
Open mouth and say Ah

Dysphagia

A

CN 9 *

37
Q

CN 9*

A

Glossopharyngeal nerve

Posterior 1/3 of tongue
Sensory motor test
Open mouth and say Ah

Dysphagia

38
Q

Vagus nerve

Main nerve parasympathetic

Test: Open mouth and say Ah

Gag reflex

Dysphagia

A

CN 10

39
Q

CN 10

A

Vagus nerve

Main nerve parasympathetic

Test: Open mouth and say Ah

Gag reflex

Dysphagia

40
Q

Spinal accessory nerve

Test shrug shoulders

A

CN 11

41
Q

CN 11

A

Spinal accessory nerve

Test shrug shoulders

42
Q

Hypoglossal Nerve: Test movement of tongue in 4 directions.

This indicates trouble swallowing/ eating

A

CN 12

43
Q

CN 12

A

Hypoglossal Nerve: Test movement of tongue in 4 directions.

This indicates trouble swallowing/ eating

44
Q

Facial nerve paralysis =

A

Bells Palsey

45
Q

Conductive hearing loss can come from…

A

Wax build up

46
Q

Kinesthetic Sensation

Describe

A

Examiner moves patients finger or toe up.

Patients eyes closed

Examiner ask which posistion their digit is in

47
Q

Stereognosis

A

ID familiar object in hand

48
Q

Where is 2 point touch discrimination felt best

A

Face & Hands

49
Q

Lower motorbl neuron damage
Ca/ Mg excess
Hypothyroidism
Spina bífida
Guillain-Barré
ALS
Spine Cord Injury
Herniated disk

Hypo or Hyper Reflexes

A

Hyporeflexia

50
Q

Upper motor neurons damage,
spinal cord injury,
Ca/ Mg deficits,
Hyperthyroidism
MS
Sever brain trauma

Hypo / Hyper reflexia

A

Hyperreflexia

51
Q

Hyperactive deep tendon

Prefrom: ______ test

Dangle foot, dorsiflex, if foot trembles, Positive Result

A

Ankle Clonus

52
Q

Evaluation of superficial reflexes

Cremasteric: stroke inner thigh and …

A

Testicle will lift

53
Q

Higher level function, controlled by Reticular Activating system

Describes

A

Awareness

54
Q

Wakefulness is controlled by …

A

Brain stem

55
Q

A & O X 4

Is short hand for…

A

Alert & Oriented by 4

Person, Place, Time, Situation

56
Q

Painful stimuli

Start peripherally at

Finger nails
___________
___________

Move centrally

_________

A

Trapezous muscle

Supraorbital

Central

Sternal Rub

57
Q

Identificación of number / letter drawn on back of patient

A

Graphesthesia

58
Q

Anterior 2/3 of tongue controlled by

A

CN 7

59
Q

Posterior 1/3 of tongue is controlled by

A

CN 9

60
Q

Ascending order of consciousness

Can be aroused but return to sleep when stimuli is removed

Louder, more vigorous needed to awake patient, will return to sleep

Will withdraw from painful stimuli

Responds to painful stimuli with abnormal flexion and extension

A

Lethargic

Obtunded

Stuporous

Semicomatose

61
Q

Nuchal Rigidity (define): most reliable sign for ______.

A

Inability to flex neck forward due to rigidity neck muscles

Meningitis

62
Q

Photophobia, phonophobia, headache, neck stiffness, fever, pitichea

Are all signs / symptoms of…

A

Meningitis

63
Q

____ inteligencia is maintained throughout life

Riding a bike & Writing

A

Crystallized

64
Q

____ intelegence is ability to acquire new concepts & adapt to unfamiliar situations

A

Fluid

65
Q

Involuntary rapid muscle movements that are too weak to move a Limb

A

Fasciculations

66
Q

Chorea

A

Jerky involuntary movements

67
Q

Athetosis

A

Slow, continous, involuntary writhing movements, hands

68
Q

Opisthotonos

A

Backward arching back and head
Tetanus & meningitis

69
Q

CN 7 facial (On Test)

Function

A

Controls facial movement and expressions

Involved in taste to anterior 2/3 tongue

Tear production

70
Q

(On Test)

Controls facial movement and expressions

Involved in taste to anterior 2/3 tongue

Tear production

A

CN VII

71
Q

(ON TEST)

allows movement of eye muscles

Constriction of pupils

Focusing of eye / Posistion of upper eyelid

A

CN III

Oculomotor nerve

72
Q

ON TEST)

Oculomotor never

CN III

A

allows movement of eye muscles

Constriction of pupils

Focusing of eye / Posistion of upper eyelid

73
Q

ON TEST

Sends signals from brain to muscles

Together with CN III controls eye movements

A

CN IV

Trochlear nerve

74
Q

CN IV

Trochlear nerve

A

Sends signals from brain to muscles

Together with CN III controls eye movements

75
Q

ON TEST

Provides sensory innervation to the face

A

CN V

Trigeminal nerve

76
Q

CN V

Trigeminal nerve

A

Provides sensory information to the face

77
Q

ON TEST

CN IX

Glossopharyngeal nerve

Function

Which part of the body is it associated with

A

Swallowing

Posterior 1/3 of tongue

78
Q

Thyroid Eye Disease (TED) Autoimmune and associated with Graves disease

Only occurs with an overactive thyroid

True or False

A

False

It can occur in an underactive or normal thyroid

79
Q

Which CNs function to move the eyeball

A

CN III Oculomotor

CN IV Trochlear

CN VI Abducens

80
Q

Damge to thr auditory nerve or hair cells of inner ear can lead to

A

Sensorineural hearing loss

NURS 1145 (11 decks)

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