CHAPTER 6 NEURO ASSESSMENT Flashcards

(83 cards)

1
Q

DOES THE NEUROLOGIC SYSTEM IMPACT THE RESP SYSTEM

A

YES

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2
Q

NEUROLOGICAL ASSESSMENT INCLUDES

A

MENTAL STATUS

CRANIAL NERVES, MOTOR FUNCTION

MOTOR SYSTEM

COORDINATION

SESNORY SYSTEM

REFLEXES

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3
Q

MEANINGFUL NEUROLOGIC ASSESMENT REQUIRES

A

ADEQUATE STIMULATION

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4
Q

FUNCTIONAL NEROANATOMY

A

NEUROLOGIC SYSTEM

CNS

BRAIN (BRAINSTEM, CEREBRUM, AND CEREBELLUM,)

SPINAL CORD

PNS

CRANIAL NERVES

SPINAL NERVES

FUNCTIONAL SYSTEM

SENSORY SYSTEM (AFFERENT)

MOTOR SYSTEM (EFFERENT)

CEREBRUM

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5
Q

WHAT ARE THE PARTS OF THE BRAIN

A

CEREBRUM

BRAINSTEM

CEREBELLUM

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6
Q

WHICH TYPE OF NEURONS ARE PART OF THE MOTOR SYSTEM

A

EFFERENT neurons that transmit signals from the CNS to the muscles.

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7
Q

WHAT TYPE OF NUERONS ARE SESNORY SYSTEM

A

AFFERENT neurons that carry sensory information from the peripheral nervous system to the central nervous system.

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8
Q

WHAT ARE THE FUNCTIONS OF THE NERVOUS SYSTEM

A

LOC

SPEAKING AND WRITING

EMOTIONS

MEMORY

COORDINATE MOVEMENTS

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9
Q

WHAT IS THE ROLE OF THE SESNORY DIV

A

O TRASMIT INFORMATION FROM PERIPHERY TO CNS\

CONTAINS RECEPTORS

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10
Q

WHAT ARE THE 2 DIVISONS OF THE SENSORY DIVSION

A

SOMATIC AND VISCERAL

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11
Q

WHAT IS THE ROLE OF THE SOMATIC SENSORY DIV

A

RECIEVES SESNORY INFORMATION FROM:

SKIN

FASCIA

JOINTS

SKELETAL MUSCLES

SPECIAL SENSES

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12
Q

WHAT IS THE ROLE OF THE VISCERAL SENSORY DIV

A

RECIEVES SENSORY INFORMATION FROM VISCERA

such as internal organs and glands, including sensations of pain, pressure, and temperature.

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13
Q

WHAT ARE THE 2 DIV OF THE MOTOR DIV OF THE NERVOUS SYSTEM

A

SOMATIC AND AUTONOMIC

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14
Q

WHAT IS THE ROLE OF MOTOR DIV OF THE NERVOUS SYSTEM

A

TRASMITS INFORMATION FROM CNS TO THE REST OF THE BODY

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15
Q

WHAT IS THE ROLE OF THE SOMATIC MOTOR DIV

A

CONTROLS VOLUNTARY MOVEMENTS OF SKELETAL MUSCLE

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16
Q

WHAT IS THE ROLE OF THE AUTONOMIC MOTOR

A

NVOLUNTARY NERVOUS SYSTEM INNERVATES

CARDIAC SMOOTH

SMOOTH MUSCLE

GLANDS

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17
Q

WHERE DO MOST CRANIAL NERVES ORGINATE

A

BRAINSTEM

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18
Q

WHAT ARE THE PARTS OF THE BRAINSTEM

A

Midbrain, Pons, Medulla Oblongata

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19
Q

WHAT IS THE PURPOSE OF THE BRAINSTEM

A

REGULATE BREATHING, BP, AND HR

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20
Q

WHAT IS CAUDAL

A

Referring to the tail end of the body or structure, often used in anatomical terms to denote a position further from the head.

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21
Q

WHAT IS ROSTRNAL

A

Referring to the beak or front end of the body or structure, commonly used in anatomical terminology to indicate a position closer to the head.

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22
Q

WHAT IS THE JOB OF THE CEREBELLAR REGION

A

RESPONSIBLE FOR:

EQuilibrium, coordination, and fine motor control.

MUSCLE TONEand proprioception.

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23
Q

CEREBELLAR LESIONS CAUSE

A

LOSS OF COORDINATION (ATAXIA)

TREMORS

DISTURBANCES IN GAIT AND BALANCE

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24
Q

WHAT IS ATAXIA

A

Loss of muscle coordination that affects movement and balance, often resulting in unsteady gait.

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25
WHERE IS THE CEREBELLUM LOCATED
The cerebellum is located at the back of the brain, beneath the cerebral hemispheres and above the brainstem. It plays a crucial role in motor control and balance.
26
HOW MANY PAIRS OF SPINAL NERVES ARE THERE
31 PAIRS
27
WHERE DOES THE SPINAL CORD START AND STOP
FROM THE BASE OF THE BRAIN AND DOWN TO L1 45 CM
28
WHAT DOES THE SPINAL CORD CONNECT
THE BRAIN TO THE BODY FOR MOTOR AND SENSORY FUNCTION
29
HOW MANY PAIRS OF EACH AREA OF VERTEBRA CERVICAL THORACIC LUMBAR SACCRAL COXXYGEAL
CERVICA; - C1-C8 THORACIC - T1-T12 LUMBAR - L1-L5 SACCRAL - S1-S5 COXXYX - COXYGEAL 1
30
DORSAL NERVE ROOTS ARE ASLO CALLED WHAT
posterior nerve roots
31
VENTRAL NERVE ROOTS ARE ASLO CALLED
anterior nerve roots
32
POSTERIOR (DORSAL) NERVE ROOT ARE RESPONSIBLE FOR
SENSORY
33
ANTERIOR (VENTRAL) NERVE ROOT ARE RESPONIBLE FOR
MOTOR functions
34
WHERE DOES THE PHRENIC NERVE ARISE FROM
C3-C5
35
WHAT CAN DAMAGE TO THE PHRENIC NERVE DO
Can lead to diaphragmatic paralysis, affecting breathing.
36
LOC AND MENTATION ARE
IMPORTANT PART OF NEURO ASSESSMENT EXAM
37
INITIAL NEURO EXAM, THE GOAL IS TO
DETERMINE PT AWARENESS
38
A COMPROMISE OF LOC MAY BE DUE TI=O
ENERALIZED DYSFUNCTION (OVERDOSE) ABNORMALITY IN SPEC. AREA
39
WHAT IS CORTICAL FUNCTION
Refers to the higher-level brain functions including cognition, perception, and voluntary movement that are managed by the cerebral cortex.
40
WHAT IS THE JOB OF THE PARIETAL AREA
RECOGNITION OF R/L DIFFERENTATION SENSATION RECOGNITION OF BODY PARTS
41
WHAT IS THE JOB OF THE FRONTAL LOBE
JUDGEMENT HUMOR SOCIAL MORES AFFECT PERSONALITY MOTOR MOVEMENT EXPRESSIVE LANG INFORMATION
42
WHAT HEMISPHERE IS RESPONSIBLE FOR INFORMATION
RIght hemisphere processes visual and spatial information, while the left hemisphere is responsible for language and analytical tasks.
43
WHAT HEMEISPHERE IS RESPONISBLE FOR EXPRESSIVE LANGUAGE
Left hemisphere is responsible for expressive language, controlling speech production and language comprehension.
44
WHAT IS THE BROCA AREA
The Broca area is a region in the frontal lobe of the left hemisphere that is involved in language processing, specifically in the production of speech and language expression.
45
WHAT IS THE TEMPORAL LOBE RESPONSIBLE FOR
HEARING COMPREHENSION OF SPOKEN WORD AND WRITTEN WORD LONG TERM MEMORY
46
WHAT AREA OF THE BRAIN IS RESPONSIBLE FOR COMPREHENSION OF WRITTEN AND SPOKEN WORDS
The Wernicke area, located in the left temporal lobe, is responsible for the comprehension of written and spoken language LEFT HEMISPHERE.
47
WHAT IS THE JOB OF THE OCCIPTAL LOBE
INTERPRETATION. OF WRITTEN WORD VISUAL INTERPRETATION
48
WHAT AREA IS RESPONSIBLE FOR COMPREHENDING WRITTEN WORD
LEFT HEMISPHERE
49
WHAT IS THE DOMINANT LOBE
PARIETAL
50
THE FRONTAL LOBE, ITS COROTCAL FUNCTION IS
ATTENTION WORKING MEMORY JUDGMENT ABSTRACT REASONING
51
WHAT ASSESSMENTS ARE USED TO ASSESS FRONTAL LOBE
DIGITAL SPAN SPELLING BACKWARDS RENAMING THE MONTHS OF YR BACKWARD PROBLEM SOLVING VERBAL SIMILARIZATION PROVERBS
52
THE TEMPORAL LOBE, ITS COROTCAL FUNCTION IS
ORIENTATION MEMORY
53
WHAT ASSESSMENTS CAN BE DONE TO ASSESS THE TEMPORAL LOPE
UESTIONS ABOUT MONTH, DATE, YR AND PLACE THREE WORD RECALL NAMING PRESIDENTS (ROTE MEMORY)
54
THE FRONTAL-TEMPORAL LOBE, ITS COROTCAL FUNCTION IS
RECIEVE LANGUAGE EXPRESSIVE LANGUAGE
55
WHAT ASSESSMENTS CAN BE DONE TO ASSESS THE FRONTAL-TEMPORAL REGION
FOLLOWING COMMANDS FLUENCY AND CORRECTNESS OF CONTENT AND GRAMMAR READING COMPREHENSION
56
THE PARIETAL LOBE, ITS COROTCAL FUNCTION IS
GNOSIS CONSTRUCTIONA; PRAXIS
57
WHAT ASSESSMENTS CAN WE EVALUATE THE GNOSIS FUNCTION OF THE PARIETAL LOBE
IDENTIFYING ONJECTS IN HAND AND NUMBERS ON THE HAND WITH EYES CLOSED
58
WHAT ASSESSMENTS CAN WE EVALUATE THE CONSTRUCTIONA;FUNCTION OF THE PARIETAL LOBE
ATTENDING TO THE CONTRALATERAL SIDE OF THE BODY DRAWING A FACE ON A CLOCK GEOMETRIC FIGURES
59
WHAT ASSESSMENTS CAN WE EVALUATE THE PRAXIS FUNCTION OF THE PARIETAL LOBE
PERFORMING SKILLED MOTOR TASKS WITHOUT ANY PROMPTING
60
THE OCCIPTAL-TEMPORAL LOBE, ITS COROTCAL FUNCTION IS
VIDUSL RECOGNITION
61
WHAT ASSESSMENT CAN BE DONE TO ASSESS FOR THE VISUSAL REGONITION OF THE OCCIPTAL-TEMPORAL
RECOGNITION OF COLORS AND FACES
62
WHAT ARE THE LEVELS OF CONSCIOUSNESS
FULL LETHARGY OBTUNDATION STUPOR AND COMA.
63
WHAT IS A FULL LEVEL OF CONSCIOUSNESS
HE PT IS ALERT AND ATTENTIVE FOLLOWS COMMANDS RESPONDS PROMPTLY TO EXTERNAL STIMULI IF ASLEEP ONCE AWAKE REMAINS ATTENTIVE
64
WHAT IS THE LETHARGY LEVEL OF CONSCIOUSNESS
THE PT IS DROWSY BUT PARTIALLY AWAKENS TO STIMULATION THE PT WILL ANSWER QUESTIONS AND FOLLOW COMMANDS BUT WILL DO SO SLOWLY AND MORE INATTENTIVELY
65
WHAT IS OBTUNDATION OF LEVEL OF CONSCIOUSNESS
THE PT IS DIFFCULT TO AROUSE AND NEEDS CONSTANT STIMULATION TO FOLLOW A SIMPLE COMMAND
66
WHAT IS STUPOR LEVEL OF CONSCIOUSNESS
THE PT AROUSES TO VIGROUROUS AND CONTINOUS STIMULATION, TYPICALLY A PAINFUL STIMULI IS REQUIRED THE ONLY RESPONSE MAY BE AN ATTEMPT TO WITHDRAW FROM REMOVE THE PAINFUL STIMULUS OR A GRUNTING SOUND.
67
WHAT IS THE COMA LEVEL OF CONSIOUSNESS
THE PT DOES NOT RESPND TO CONTINOUS OR PAINFUL STIMULATION THERE ARE NO VERBAL SOUNDS AND NO MOVBEMENT EXCEPT POSSIBLY BY REFLEX
68
most widely used instrument to assess neurologic imapirment
Glasgow Coma Scale (GCS)
69
IN THE GLASCOW SCALE SCORES ARE GIVEN FOR
MOTOR RESPONSES AND VERBAL REPSONSES
70
poorly suited pt for glascow coma scale
aphasia hearing loss tracheal intubation eye opening
71
what is maximum points for a Glasgow coma scale
15
72
GCS 12-15
NON ICU
73
GCS 9-12
SIGNIFCANT INSULT
74
GCS LESS THAN 9
SEVERE COMA
75
AT WHAT SCORE IS INTUBATION REQUIRED
LESS THAN 9
76
WHAT IS THE MMSE OR FOLSTEIN TEST
A cognitive assessment tool used to measure mental status and screen for cognitive impairment, focusing on functions such as memory, attention, and language.
77
WHAT DOIES THE MMSE OR FOLSTEIN TEST TEST FOR
RITHEMATIC MEMORY ORIENTATION
78
MMSE SCORE OF 27/30 MEANS
NORMAL
79
MMSE SCORE OF 20-26
MILD DEMENTIA
80
MMSE SCORE OF 16-19 MEANS
MODERATE DEMENTIA
81
MMSE SCORE OD LESS TAHN 10
SEVERE COGNITIVE IMPAIRMENT
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