Mental Status/Neurologic Exam/Pelvic/Peds/Geriatric Flashcards Preview

Physical Diagnosis Block III > Mental Status/Neurologic Exam/Pelvic/Peds/Geriatric > Flashcards

Flashcards in Mental Status/Neurologic Exam/Pelvic/Peds/Geriatric Deck (97)
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1

Can evaluate this with the MMSE:

Cognitive Abilities

2

Ability to draw clock, A/O x4?

cognitive abilities

3

crying, depression, bipolar

Emotional Stability

4

repeating words, word salads, made-up words

Speech and language skills

5

Making up words just for yourself

Neologisms

6

Takes you 20 minutes to tell something very simple, round about way of explanation

Circumlocution

7

What are signs and symptoms of Wernickes?

Patient doesn't realize they have a disorder, words don't make sense together, nonsensical, neologisms, motor skills are perfect

8

What are the sign and symptoms of Brocas?

They know they have a problem, broken production of speech, takes them a long time, still in sensical words.

9

A/O x 4?

person, place, time, event

10

Limitation of the MMSE?

only checks cognitive abilities, ie. slowly progressing Dementia

11

5 areas tested on MMSE?

orientation (what times is it?), registration (3 words), attention and calculation (count backwards from 100 by 7), recall (3 words later), language (point to a pencil, what is this?)

12

Maximum score of the MMSE?

30 (24-26 are a positive screen)

13

Drawing 2 pentagrams test what?

Tests language (following directions)

14

Where is the motor cortex located?

Frontal Lobe

15

Where is proprioception processed?

Parietal Lobe

16

Postive Babinski sign shows a problem in which motor neuron?

Upper

17

Dysarthria

difficult or labored speech, listen for when testing Hypoglossal nerve (12)

18

Superficial reflex to evaluate T12, L1 and L2 spinal nerves

Cremasteric reflex in males

19

Superficial reflex to evaluate T8-T10 spinal nerves

upper abdominal reflex

20

Superficial reflex to evaluate T10-T12 spinal nerves

lower abdominal reflexes

21

Abnormal response to plantar reflex?

Babinski = dorsiflexing. Unless under 2 years of age

22

Where are you more likely to feel the 2 points as separate?

Finger tips easier than back

23

Sustained clonus is a sign of?

Upper Motor Neuron Disease

24

Difference between delirium and dementia?

Delerium can be acute, dementia cannot (is progressive). Delerium more perception, dementia more confusion.

25

Difference between Stupor or Lethargy?

Stupor responds to pain or verbal, where as lethargy respond appropriately when aroused. Stupor both slow to respond and doesn't to 4 questions. Lethargy answers questions but slowly.

26

Absence of reflexes

Areflexia, may also indicate neuropathy

27

Total number of deliveries (not babies) after 20 weeks

Parity (twins are 1)

28

Total number of pregnancies (regardless of when, where, etc)

Gravida

29

Easily irritated or inflamed cervical tissue

Friable cervix

30

Chadwick's sign

Bluish color in cervix which is a sign of increased vascularity, appears 8-12 weeks