Ch 23- Neurologic

Question 1

Cranial nerve VIII

Answer 1

Acoustic (Vestibulocochlear) nerve

Test hearing

Whispered test

Question 2

Cranial nerve IX and X

Answer 2

Glossopharyngeal (pharynx)

Vagus Nerve (pharynx and larynx) talking and swallowing

Question 3

Cranial nerve XI

Answer 3

Spinal accessory nerve

Equal size in sternomastoid and trapezius muscles

Head strength

Question 4

Cranial nerve XII

Answer 4

Hypoglossal nerve

Movement of tongue

Question 5

Rapid Alternating Movements (RAM)

Answer 5

Ask to pat knees with both hands, lift up, turn over and pat knees with back of hands

Rhythmic

Question 6

Finger to finger test

Answer 6

Persons eyes open

He/she use index finger to touch your finger and then to his/her nose

Question 7

Finger to nose test

Answer 7

Closed eyes

Ask person to touch their nose with index fingers and alternating increasing speed

Question 8

Heal to shin test

Answer 8

Test lower extremity

Supine

Place heel on opposite knee and run down to shin from knee to ankle

Question 9

Romberg test

Answer 9

Stand feet together and arms at sides

Close eyes and hold for 20 sec

Balance

Question 10

Cranial nerve I

Answer 10

Olfactory

Smell

Question 11

Cranial nerve II

Answer 11

Optic : vision

15 degrees

Question 12

Cranial nerve III

Answer 12

Pupillary construction and accommodation

Question 13

Cranial nerve IV

Answer 13

Trochlear

Down and inward movement of eye

Question 14

Cranial nerve V

Answer 14

Trigeminal

Muscles of mastication

Question 15

Cranial nerve VI

Answer 15

Abducens

Lateral movement of eye

Question 16

Cranial nerve VII

Answer 16

Facial

Muscles,close eye, close mouth

Question 17

Alzheimer’s 10 warning signs

Answer 17

Memory loss

Losing track

Forgetting words

Getting lost

Poor judgment

Abstract failing

Losing things

Mood swings

Personality change

Growing passive

Question 18

Flaccidity

Answer 18

Decrease muscle tone (hypotonia)

Lower motor neuron injury

Peripheral neuritis, poliomyelitis, Guillain-Barré syndrome

Question 19

Spasticity

Answer 19

Increased tone (hypertonia)

Increased resistance

Upper motor neuron injury

Paralysis with stroke

Question 20

Rigidity

Answer 20

Resistance

Dystonia

Injury to extrapyramidal motor tracts

Basal ganglia or Parkinsonism

Question 21

Cogwheel rigidity

Answer 21

Tone is released during passive range of motion

Feels like small regular jerks

Parkinsonism

Question 22

Rapid alternating finger test

Answer 22

Cerebellar function

Cerebellar disease or alcohol intoxication

Question 23

Anosmia

Answer 23

Olfactory

Cranial nerve 1