chapter 18 nervous system Flashcards

1
Q

Petite Mal seizure

A
  • aka absent seizure
  • sudden loss of consciousness for 10 seconds
  • appears to day dreaming
  • common in children ages 5-15
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2
Q

Grand Mal seizure

A
  • major motor convulsion
  • loss of consciousness and may fall
  • tonic phase:body becomes rigid and extends
  • clonic phase: involuntary movements of body with salvation, incontinence
  • postictal phase:deep sleep for hours, confusion
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3
Q

Myoclonic seizure

A
  • minor motor seizure-sudden the contraction of face/upper extremities
  • no loss of consciousness
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4
Q

Febrile convulsions

A

Usually ages 6 months-6 years

-with high fever may have seizures lasting longer than 10 minutes

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5
Q

Assessing mental status

A

Includes the following:

  • level of consciousness
  • speech
  • orientation
  • knowledge of current events
  • judgement (what would you do if…)
  • abstraction ( interpret colloquialism)
  • memory
  • emotional response
  • vocabulary
  • calculation
  • object recognition
  • praxis
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6
Q

CNS II

A

Optic nerve-ends at retina

-visual acuity and optic discs

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7
Q

CNS III

A

Oculomotor nerve

  • controls eye movements
  • controls pupil constriction and accommodations
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8
Q

CNS IV

A

Trochlear nerves

-superior oblique muscles of eye

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9
Q

CNS V

A

Trigeminal nerves: optic, maxillary, mandibular

-test corneal reflex, sensory, motor (clench jaw)

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10
Q

CNS VI

A

Abducens

Lateral eye movements

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11
Q

CNS VII

A

Facial nerves

Test motor by smiling, puff up cheeks, raise eyebrows (looking for symmetry)

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12
Q

Common disorders

A
Headaches
Seizures
Loss of consciousness 
Numbness/weakness
Visual disturbance
Dementia
Gait disturbance
Tremors
Pain
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13
Q

CNS VIII

A

vestibulococholear-hearing, balance, auditory testing

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14
Q

CNS XI

A

glossopharyngeal-test: gag reflex, say “ahhhh”

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15
Q

CNS X

A

Vagus-same test as xi

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16
Q

CNS XI

A

spinal accessory-test: turn head agains hand, shrug shouders

17
Q

CNS XII

A

hypoglossal-stick out tongue

18
Q

glascow coma scale

A
  • perfect score 15
  • verbal response 1-6
  • motor response 1-5
  • eyes opening 1-4
19
Q

spinal reflexes

A
ankle reflex: S1
knee reflex: L2,3,4
supinator-C5,6
biceps-C5,6
triceps-C6,7
abdominal-T8,9,10,11,12
plantar-L5, S1
branchioradialis-C5, 6
patellar- L2,3,4
achilles- S1,2
20
Q

muscle strength grading

A

0: total paralysis, no movement
1: palpable or visible contraction
2: active movement, gravity eliminated
3: active movement agains gravity
4: active movement, against some resistance
5: active movement against full resistance

21
Q

Scoring DTRs

A
0: No response
1+: sluggish
2+: active
3+: brisk
4+: hyperactive