Neuro Assessment

Question 1

Reflexes 4+ meaning

Answer 1

very brisk

Question 2

Reflexes 3+ meaning

Answer 2

Brisker than average

Question 3

Reflexes 2+ meaning

Answer 3

average, normal

Question 4

Reflexes 1+ meaning

Answer 4

diminished normal

Question 5

Reflexes 0 meaning

Answer 5

no response

Question 6

clonus

Answer 6

involuntary, muscle contractions

Question 7

Positive test for clonus

Answer 7

feel and see rapid rhythmic contractions of calf muscle and movement of foot

Question 8

biceps reflex normal response

Answer 8

biceps muscle contraction and forearm flexion

Question 9

triceps reflex normal response

Answer 9

forearm extension

Question 10

brachioradialis reflex normal response

Answer 10

forearm flexion and supination

Question 11

quadriceps reflex normal response

Answer 11

lower leg extension, palpable quadriceps contraction

Question 12

Achilles reflex normal response

Answer 12

plantar flexion against hand

Question 13

Plantar reflex normal response

Answer 13

plantar flexion of toes, inversion, flexion of the foot

Question 14

Babinski sign

Answer 14

dorsiflexion of big toe and fanning of all toes
normal for infants

Question 15

romberg test

Answer 15

feet together, eyes closes stand still for 20 sec
positive sign: multiple sclerosis, ethyl alcohol

Question 16

CNI

Answer 16

olfactory nerve
smell

Question 17

CNII

Answer 17

optic nerve
vision

Question 18

CNIII

Answer 18

occulomotor nerve
eye movement

Question 19

CNIV

Answer 19

trochlear nerve
eye movement

Question 20

CNV

Answer 20

trigeminal nerve
facial sensation, tongue sensations, biting and chewing

Question 21

CNVI

Answer 21

abducens nerve
eye movement

Question 22

CNVII

Answer 22

facial nerve
taste, facial expression

Question 23

CNVIII

Answer 23

vestibulocochlear nerve
balance and hearing

Question 24

CNIX

Answer 24

glossopharyrgeal nerve
taste/senstation, swallowing, salivation

Question 25

CNX

Answer 25

vagus nerve swallow, speech, cough, autonomic (increase HR, GI motion, sweating), taste/sensation

Question 26

CNXI

Answer 26

accessory nerve shoulder shrug, head turning

Question 27

CNXII

Answer 27

hypoglossal nerve tongue movement

Question 28

tactile discrimination: extinction

Answer 28

touching both sides of the body at the same time and ask patient how many sensations they felt and where normally both sensations felt

Question 29

tactile discrimination: point location

Answer 29

touch skin and within stimulus promptly tell person "put finger where I touched you" perform simultaneously with light touch sensation

Question 30

tactile discrimination: stereognosis

Answer 30

place object in PT hand with eyes closed and pt tells you what the object is

Question 31

tactile discrimination: graphesthesia

Answer 31

draw on pt hand a letter or a number and have them tell you what was written

Question 32

normal aging neuro responses from people over 65

Answer 32

general loss of muscle bulk loss of muscle tone decrease muscle strength impaired fine coordination and agility decreased or absent achilles' reflex diminished sensation of touch, pain, taste and smell

Question 33

Glasgow coma scale minor brain injury

Answer 33

13-15 pts

Question 34

glasgow coma scale moderate brain injury

Answer 34

9-12 pts

Question 35

glasgow coma scale severe brain injury

Answer 35

3-8 pts

Question 36

glasgow coma scale score less than 7 meaning

Answer 36

comatose

Question 37

glasgow coma scale score of 3 meaning

Answer 37

totally unresponsive

Question 38

frontal lobe

Answer 38

personality, behavior, emotions, and intellectual function broca's area (expressive aphasia)

Question 39

parietal lobe

Answer 39

primary center for sensation

Question 40

occipital lobe

Answer 40

visual receptor center

Question 41

temporal lobe

Answer 41

primary auditory reception center, taste, and smell

Question 42

thalamus

Answer 42

main relay station sensory pathways of spinal cord, cerebellum, and brains term form synapses

Question 43

hypothalamus

Answer 43

appetite, sex drive, temp, heart rate, blood pressure, sleep, pituitary gland regulation, stress response, and emotional status

Question 44

lethargic or somulent

Answer 44

no fully alert, drifts off to sleep when not stimulated, can be aroused to na,e when called in normal voice, but looks drowsy, responds appropriately to questions

Question 45

obtunded

Answer 45

sleep most of the time, difficult to arouse, need loud shout or vigorous shake, acts confused when aroused, speaks with single words or mumbles

Question 46

stupor or semi coma

Answer 46

spontaneously unconscious, responds only to persistent and vigorous shake or pain, only groans

Question 47

coma

Answer 47

completely unconscious, no response to pain or any external or internal stimuli

Question 48

delirium

Answer 48

inattensive, incoherent conversation, impaired memory often agitated and having visual hallucinations, disoriented