Last minute

Question 1

Pyramidal is associated with loss of? peripheral?

Answer 1

1. UMN

2. LMN

Question 2

Romberg is a test of…

Answer 2

proprioception

Question 3

Hyperactive responses indicate? hypo?

Answer 3

• central problem

- peripheral problem

Question 4

Frontal lobe release reflexes

Answer 4

rooting, grasping, glabellar and palmo-mental

Question 5

Abdominal reflex

Answer 5

Abdominal reflex – (T10-12) – test all four quadrants, stroking abdomen causes umbilicus to move toward area of stimulation

Question 6

Anal wink reflex

Answer 6

Anal wink reflex – (S4, S5) – useful for cauda equina or lesions that affect the sacral region, touch areas around perirectal region and note if contraction

Question 7

NURSE

Answer 7

Name, understand, respect, support, explore

Question 8

SNOOP

Answer 8

S - systemic symptoms 
N - neuro abnormalities
O - onset is new
O - other conditions 
P - previous HA history with HA progression or change

*bad: could be space-occupying mass, vascular lesion, infection, metabolic disturbance, systemic problem

Question 9

What can Dix Hallpike dx?

Answer 9

BPPV (not VN)

*you can have BPPV and Menieres so can be +

Question 10

Obtundation, Lethargy, Stupor

Answer 10

1. less than full alertness
2. lack of energy/enthusiasm
3. near unconsciousness or insensibility

Question 11

What two things in the question stem make you say no to live attenuated vaccines?

Answer 11

1. immunocompromised

2. received blood products in past year (some 11 months)

Question 12

What are the ages Newman said to know?

Answer 12

“For “general recommendation” you need to know that the age of birth-24months is an extremely busy period of time for vaccinations. There are booster vaccines given between 4yrs-6yrs of age. Meningococcal and HPV vaccines are given to older children.”