Exam 3 - Neuro

Question 1

CNS consist of which 2 things?

Answer 1

brain

spinal cord

Question 2

peripheral nervous system consist of…

Answer 2

12 cranial nerves

31 spinal nerves

Question 3

4 lobes

Answer 3

frontal
parietal
temporal
occipital

Question 4

what controls each lobe?

Answer 4

cerebrum

Question 5

what is the frontal lobe responsible for?

Answer 5

voluntary movement
speech
emotions
intellectual activites

Question 6

what is the parietal lobe responsible for?

Answer 6

sensation

Question 7

what is the occipital lobe responsible for?

Answer 7

vision

Question 8

what is the temporal lobe responsible for?

Answer 8

hearing

Question 9

where is Wernicke’s area located?

Answer 9

temporal lobe

Question 10

what is the Wernicke’s area responsible for?

Answer 10

language comprehension

Question 11

where is the Broco’s area?

Answer 11

frontal lobe

Question 12

what is the Broco’s area responsible for?

Answer 12

motor speech

Question 13

what is Wernicke aphasia

Answer 13

inability to grasp meaning of spoken word or sentences

*L brain is damaged, altered

Question 14

what is Brocas aphasia

Answer 14

inability to understand speech or produce fluent, coherent speech

*damage to Brocas area on L side

Question 15

function of the cerebellum

Answer 15

muscle coordination
equilibrium
smooth movements
muscle tone

Question 16

the only cranial nerve to serve a muscle and body region below the neck

Answer 16

vagus nerve

Question 17

what makes up the 31 spinal nerves

Answer 17

8 cervical
12 thoracic
5 lumbar
1 coccygeal

Question 18

which direction does a nurse test

Answer 18

distal to proximal

Question 19

mini mental state exam (MME)

Answer 19

set of 30 questions

after a head injury, sudden episode of illness such as infection

Question 20

addenbrookes test screens for what?

Answer 20

Alzheimer

fronto-temporal dementia

Question 21

Confusion Assessment Method (CAM) criteria (4)

Answer 21

acute onset
inattention counting backwards from 20-1
disorganized thinking
altered LOC

Question 22

when is CAM considered positive

Answer 22

2 +

Question 23

CN I

Answer 23

Olfactory

Sense of smell

Question 24

loss of smell

Answer 24

anosmia

Question 25

CN II

Answer 25

Optic Vision acuity

Question 26

CN III

Answer 26

Oculomotor eye movement; pupillary constriction; upper eyelid movement

Question 27

CN IV

Answer 27

Trochlear Down, in eye movement

Question 28

CN V

Answer 28

Trigeminal chewing, corneal reflex, face and scalp sensation

Question 29

CN VI

Answer 29

Abducens lateral eye movement

Question 30

CN VII

Answer 30

Facial expressions in forehead, eyes, mouths; taste, salivation, tearing

Question 31

CN VIII

Answer 31

Acoustic hearing, balance

Question 32

CN IX

Answer 32

Glossopharyngeal swallowing, salivating, taste

Question 33

CN X

Answer 33

Vagus gag reflex

Question 34

CN XI

Answer 34

Spinal accessory shoulder movement, head rotation

Question 35

CN XII

Answer 35

Hypoglossal tongue movement

Question 36

asterognosis

Answer 36

unable to identify items in hand

Question 37

graphesthesia

Answer 37

write a number in hand

Question 38

involuntary and rhythmic muscle contraction caused by permanent lesion in the descending neurons

Answer 38

clonus

Question 39

0 - deep tendon reflex

Answer 39

no response

Question 40

1 + - deep tendon reflex

Answer 40

diminished

Question 41

2+ -deep tendon reflex

Answer 41

normal

Question 42

3+ - deep tendon reflex

Answer 42

brisk, above normal

Question 43

4+ - deep tendon reflex

Answer 43

hyperactive

Question 44

Babinski is normal in which age group

Answer 44

< 2 y/o

Question 45

Babinski reflex

Answer 45

dull object ran across bottom of foot big toe doriflex, other toes fan out - abnormal unless 2 or younger

Question 46

Brudzinski tests for

Answer 46

meningeal

Question 47

+ Brudzinski

Answer 47

pt lays supine, flex head forward hips, knees will flex

Question 48

pt is unable to flex head forward d/t un-natural rigidity of neck muscles

Answer 48

nuchal rigidty

Question 49

Glasgow coma scale monitors which 3 things?

Answer 49

eye opening response motor response verbal response

Question 50

GSC < 3 indicates what?

Answer 50

comatose state (nonresponsive)

Question 51

Bells Palsy affects which CN?

Answer 51

VII

Question 52

how long can it take for Bells Palsy to resolve on its own

Answer 52

hours to weeks

Question 53

During a stroke the ___ side of the brain is affected from the deficit side

Answer 53

opposite

Question 54

If you have a pt with a possible head injury from a MVA or and LOC, what do you assess first?

Answer 54

pupillary responses