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Flashcards in Neuro Assessment Deck (44):
1

when might tendon reflexes be heightened?

hyperreflexia, caused by CNS lesions

2

what is somatic pain?

classic pain felt with injury, typically on the periphery

3

what is visceral pain?

vague, not easy to localize, think abdominal organ

4

what is neuropathic pain?

burning, electrical pain due to specific disease of nerves

5

what is dyesthesia?

abnormal sensation such as burning or tingling of the skin
-diabetic peripheral neuropathy

6

what is paresthesia?

peculiar sensation without obvious stimulation

7

what is allodynia?

when a normally painless stimulus is now painful

8

what are common causes of syncope?

CNS/PNS disorder
cardiac
volume
vasovagal

9

what is a resting tremor?

most prominent at rest, but decreases with activity

10

what is a postural tremor?

comes on when you maintain a posture
-hyperthyroidism

11

what is an intention tremor?

comes on when you go to do an action
-associated with cerebellar problems

12

what is chorea?

brief, rapid, jerky, but not repeated
-Huntingtons

13

what is dystonia?

twisting positions with trunk
-affect of medicines

14

what is athetosis?

twisting positions associated with distal extremities
-CP

15

what is a focal seizure?

specific part of one cerebral hemisphere is affected
-may be with or without impaired consciousness

16

what is a generalized seizure?

originates at some focal point and rapidly spread through cortical structures

17

what is a tonic-clonic seizure?

muscle contraction, then jerking (grand mal)

18

what is an absence seizure?

typically affects cognition and level of consciousness

19

what is a myoclonic seizure?

muscular jerking that is localized to certain muscle groups

20

what is an atonic seizure?

rapid weakening

21

what are the levels of consciousness?

Alert ->lethargic ->obtunded -> stupor -> coma

22

what will an obtunded person do?

have to speak to loudly and may answer a few questions

23

what will a stuporous person do?

give you non-sensical mumbling

24

what is orientation x 4?

who, where, when, why
person, place, time, situation

25

what is delirium?

acute, short-term altered mental status

26

what are possible causes of delirium?

uremia
alcohol withdrawal
acute infection (high fever)
toxicity

27

what is dementia?

long term altered mental status associated with progressive brain dz

28

what are possible causes of dementia?

B12 deficiency
thyroid dz
alzheimers
vascular

29

what is aphonia/dysphonia?

abnormal quality of speech
-hoarseness, high or low pitch
-laryngial problems

30

what is dysarthria?

someone speaking with marbles in their mouth -saying the right thing, but the muscles that form the words are impaired

31

what are the types of aphasia?

Broca's-expressing words
Wernickes-understanding words and expressing with meaning

32

what are good recent memory questions?

what was the weather like this morning?

33

what are good remote memory questions?

what is your birthday?
who was the past president?

34

why would you use a proverb as part of the neuro assessment?

assess abstract thinking

35

when might you test CN I?

elderly pts who are losing weight and may have lost sense of smell

36

which facial muscles are innervated by trigeminal?

temporalis and masseter

37

what sensory input is facial nerve responsible for?

anterior 2/3 of tongue

38

what is bell's palsy?

peripheral cranial nerve VII problem

39

motor neurons in the brain that synapse with facial neurons that control lower face always do what?

cross at the level of the brain

40

a peripheral facial nerve lesion will cause what symptoms?

inability to close eye and mouth on same side (upper and lower sections)

41

a central facial nerve lesion will cause what symptoms?

lower section of face on one side (brain neurons that don't cross still innervate upper section)
-forehead sparing

42

what motor responsibility does CN IX have?

pharynx

43

what motor responsibility does CN X have?

palate, pharynx, larynx

44

what sensory responsibility does CN IX have?

pharynx, taste of posterior 1/3 of tongue
posterior eardrum and canal

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