Neuro Assessment Flashcards

(46 cards)

1
Q

what is part of the central nervous system

A

brain, spinal cord, cranial nerves I and II

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2
Q

what is part of the peripheral nervous system

A

cranial nerves III-XII; spinal nerves; autonomic nervous system

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3
Q

components of the neurological system

A

cerebrum, cerebellum, brain stem, and spinal cord

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4
Q

components of the cerebrum

A

brain hemispheres, thalamus, limbic system, hypothalamus, basal ganglia

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5
Q

parts of the frontal lobe

A

pre-frontal cortex, pre-motor cortex, primary motor cortex, broca’s area

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6
Q

prefrontal cortex

A

cognitive functioning, memory, judgment

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7
Q

premotor cortex

A

head and voluntary eye movement

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8
Q

primary motor cortex

A

voluntary motor movements

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9
Q

Broca’s area

A

motor control of speech

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10
Q

parietal lobe functions

A

sensory information processing of vision, hearing, taste, and touch (where the sense come together for understanding)

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11
Q

temporal lobe functions

A

hearing, acquiring memory, short term memory, Wernicke’s area, seizures

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12
Q

Wernicke’s area

A

processing spoken words

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13
Q

occipital love functions

A

visual perception

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14
Q

parts of the cerebral limbic system

A

thalamus, hypothalamus, hippocampus

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15
Q

thalamus

A

all sensory pathways with the exception of smell, conscious pain

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16
Q

hypothalamus

A

regulates hunger, temperature, thirst, and sexual arousal (tells the pituitary to release hormones)

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17
Q

hippocampus

A

converts short term to long term memories

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18
Q

cerebellum

A

balance

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19
Q

what are the parts of the brain stem

A

midbrain, pons, medulla

20
Q

what cranial nerves are connected to the midbrain

21
Q

what cranial nerves are connected to the pons

A

V, VI, VII, and VIII

22
Q

what cranial nerves are connected to the medulla

A

IX, X, XI, and XII

23
Q

medulla

A

transfers messages from spinal cord and brain throughout body, breathing, heart function, digestion, sneezing, and swallowing

24
Q

ascending tracts of the spinal pathway

A

carry sensory information to higher levels of CNS

25
descending tracts of the spinal pathway
carry impulses responsible for muscle movement; pyramidal (voluntary) tract; extrapyramidal system (involuntary movement)
26
dermatones
an area of skin that is supplied with the nerve fibers of a single, posterior, spinal root
27
autonomic nervous system
acts largely unconsciously and regulates bodily functions, such as HR, digestion, RR, pupillary response, urination, and sexual arousal
28
components of neuro assessment
mental status/LOC; behavior; cranial nerves; motor; sensory; coordination
29
pain response in unconscious patients
painful/noxious stimuli; does the patient reflex?
30
mental status
orientation person, place, time, situation
31
Glascow coma scale
LOC less than 8 is DEAD
32
cranial nerve I
olfactory
33
cranial nerve II
optic (visual)
34
cranial nerve III
oculomotor (PERRLA) aneurysm, tumors, vasculitis
35
cranial nerve IV
trochlear (outward, downward) double vision when reading
36
cranial nerve V
trigeminal sensation (corneal reflex, disturb patient to see reflex)
37
cranial nerve VI
abducens assess for nystagmus, twitching, difficulty to follow gaze (EOM)
38
cranial nerve VII
facial face muscles (look for symmetry)
39
cranial nerve VIII
acoustic/vestibulocochlear Weber/Rinne's test to test hearing loss
40
cranial nerve IX/X
glossopharyngeal/Vagus taste, swallowing ability, gag
41
cranial nerve XI
spinal accessory shrug shoulders, move head
42
cranial nerve XII
hypoglossal tongue movement and ability to speak
43
motor function test
0- no movement to stimuli; 2- active movement not against gravity; 5- active movement against gravity with full resistance
44
cerebellar function
ability to walk straight? balanced?
45
what increases intracranial pressure
coughing, gagging, HOB, flat, pain
46
what are some signs of neurological compromise?
change in LOC/MS; subtle changes; know baseline mental status/vitals; pupillary and vitals are very late signs