Neuro and Mental Assessment

Question 1

What is 13 items of subjective data you could collect?

Answer 1

1. headache?
2. head injury?
3. dizziness/vertigo?
4. seizures?
5. tremors?
6. weakness?
7. coordination?
8. numbness/tingling?
9. difficulty swallowing?
10. difficulty speaking?
11. environmental/occupational hazards?
12. problems with attention span, memory, reasoning?
13. are they meeting developmental milestones?

Question 2

If they had a head injury what do you ask?

Answer 2

new or old?
loss of consciousness?

Question 3

What do you ask if a child had a head injury?

Answer 3

Did they cry right away? most likely didn’t lose consciousness

Question 4

What is vertigo?

Answer 4

inner ear problem

Question 5

What factors do you take into consideration when asking about past seizures?

Answer 5

duration?
type?
aura?

Question 6

What is aura?

Answer 6

warning of impending seizure

Question 7

What does weakness on one side of the body indicate?

Answer 7

stroke

Question 8

What is a word salad?

Answer 8

words are mixed up

Question 9

What do you ask pertaining to drugs?

Answer 9

current medications?
alcohol use?
mood-altering drugs?

Question 10

When should babies have head control?

Answer 10

by 4 months old

Question 11

When is a child’s sensory assessed?

Answer 11

7-9 months

Question 12

What is the babinski reflex?

Answer 12

fanning of toes

Question 13

Where do senile tremors start?

Answer 13

hands and head

Question 14

What is the most sensitive indicator of neurologic function?

Answer 14

consciousness

Question 15

How do you describe obtunded consciousness?

Answer 15

transitional state between lethargy and stupor
-mostly sleeps, difficult to arouse
-acts confused when aroused

Question 16

How do you describe stupor consciousness?

Answer 16

responds only to vigorous shaking or pain with groans and mumbling

Question 17

What is 7 pieces of objective data that you could collect?

Answer 17

1. consciousness
2. language
3. mood and effect
4. orientation
5. attention
6. memory
7. abstract reasoning

Question 18

How is mood displayed?

Answer 18

by emotion

Question 19

How is affect displayed?

Answer 19

by facial expression

Question 20

What is dementia in relation to memory?

Answer 20

impaired recent memory and intact remote memory

Question 21

At what age should a child be able to communicate?

Answer 21

4

Question 22

At what age do children become logical and concrete?

Answer 22

7

Question 23

At what age do children have abstract thinking?

Answer 23

12-15

Question 24

What does ABCT stand for during a mental status exam?

Answer 24

Appearance
Behavior
Cognitive function
Thought process and perceptions

Question 25

When under the influence of alcohol or drugs or extremely fatigued what can be impaired?

Answer 25

cognitive function

Question 26

What is a mini-mental state exam assessing?

Answer 26

Recall Orientation Registration Attention and calculation Language

Question 27

What does a score of 24-30 on a mini-mental state exam mean?

Answer 27

normal

Question 28

What does a score of <16 on a mini-mental state exam mean?

Answer 28

more severe mental impairment

Question 29

Cranial nerves: On Old Olympus Towering Top A Finn And German Viewed Some Hops

Answer 29

Olfactory Optic Oculomotor Trochlear Trigeminal Abducen Facial Acoustic Glossopharyngeal Vagus Spinal Hypoglossal

Question 30

What is the scale used for strength

Answer 30

0-5

Question 31

What is involved when inspecting tone?

Answer 31

ROM should produce some resistance to stretch

Question 32

What is tandem walking?

Answer 32

heel-to-toe

Question 33

What is the Romberg test?

Answer 33

eyes close, 20 seconds with feet together and arms at sides

Question 34

What does RAM stand for?

Answer 34

rapid alternating movements

Question 35

What is another word for pain?

Answer 35

spinothalamic tract

Question 36

How are reflexes graded?

Answer 36

0-4+

Question 37

What is clonus?

Answer 37

abnormal rapid contraction of muscle

Question 38

What is the normal pupil size?

Answer 38

3-4mm

Question 39

What does PERRLA stand for?

Answer 39

Pupils are Equal, Round, Reactive to Light and Accommodation

Question 40

What is the highest score a person can achieve on the Glasgow Coma Scale?

Answer 40

15

Question 41

What is the lowest score a person can have on the Glasgow Coma Scale?

Answer 41

3

Question 42

What does the Glasgow Coma Scale Assess?

Answer 42

eye opening, motor response, verbal response

Question 43

What 10 factors does the Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA) assess?

Answer 43

1. agitation 2. anxiety 3. auditory disturbances 4. orientation/clouding of sensorium 5. headache 6. nausea and vomiting 7. paroxysmal sweats 8. tactile disturbances 9. tremors 10. visual disturbances

Question 44

What does paroxysmal mean?

Answer 44

sudden

Question 45

How would you describe tactile disturbances?

Answer 45

abnormal or false sensation of touch or perception of movement on the skin or inside the body

Question 46

What score on the CIWA is concerning and needs medication for withdrawal?

Answer 46

20-67

Question 47

What score on the CIWA is mildly concerning?

Answer 47

9-20

Question 48

How would you test CN III?

Answer 48

reactive to light and accommodation 6 fields of gaze

Question 49

How would you test CN IV?

Answer 49

6 fields of gaze

Question 50

How would you test CN V?

Answer 50

clench teeth facial sensation, corneal reflex

Question 51

How would you test CN VI?

Answer 51

6 fields of gaze

Question 52

How would you test CN VII?

Answer 52

raise eyebrows frown close eyes tightly show upper and lower teeth smile puff out cheeks taste test

Question 53

How would you test CN VIII?

Answer 53

whisper test nystagmus (involuntary movements)

Question 53

How would you test CN VIII?

Answer 53

whisper test nystagmus (involuntary movements)

Question 54

How would you test CN IX?

Answer 54

ahh movement of soft palate and pharynx voice quality gag reflex

Question 55

How would you test CN X?

Answer 55

ahh movement of soft palate and pharynx voice quality gag reflex taste test

Question 56

How would you test CN XI?

Answer 56

rotate head against resistance shrug shoulders against resistance

Question 57

How would you test CN XII?

Answer 57

stick out tongue, say "light, tight, dynamite"