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Neuro Observed Exam > Neuro Observed Exam > Flashcards

Neuro Observed Exam Flashcards

(58 cards)

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1
Q

MENTAL STATUS

A

MENTAL STATUS

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2
Q

judgment

A

situation explanation - ex: what to do with a letter found on the ground by a mailbox

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3
Q

orientation

A

person, place, time

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4
Q

intellect

A

name 5 continents

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5
Q

short term / working memory

A

recall of 3 words at start and end of exam; chair, wall, clock

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6
Q

long term memory

A

recall remote life event - childhood trip / pet

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7
Q

appearance

A

hygiene and appropiate dress - state aloud

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8
Q

calculation

A

serial 3s, count back from 30 by 3s

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9
Q

CRANIAL NERVES

A

CRANIAL NERVES

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10
Q

CN II - optic nerves - visual acuity

A

pt. holds eye card 14 inches from face, test each eye alone, test each eye with and without corrections (glasses)

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11
Q

CN II - optic nerve - visual fields

A

confrontation, stand behind pt and randomly place fingers in 6 (3 on each side) different parts of the visual field - if fields affects do each eye alone as well

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12
Q

CN II / III - optic and oculomotor nerves - pupillary reflexes

A

far and near - converge eyes and then look to distance; light in each pupil twice for direct and consensual constriction reflex

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13
Q

CN III / IV / VI - oculomotor / trochlear / abducens nerves - extraocular muscles

A

H follow my finger with convergence at the end - also look for nystagmus laterally (CN VIII) named for direction of fast twitch

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14
Q

CN V - trigeminal nerve - ophthalmic branch - sensory

A

sensation on forehead, light touch to forehead

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15
Q

CN V - trigeminal nerve - maxillary branch - sensory

A

sensation on tip of nose / lower eyelid / upper lip, light touch to upper lip / tip of nose

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16
Q

CN V - trigeminal nerve - mandibular branch - sensory and motor

A

motor to muscles of mastication and sensory to lower lip, light touch to lower lip, close and open jaw (bite down)

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17
Q

CN VII - facial nerve - motor

A

muscles of facial expression, close eyes tight, wrinkle forehead, bear teeth, smile, puff out cheeks

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18
Q

CN VIII - vestibulocochlear nerve - hearing acuity

A

hearing acuity, stand in front of pt, rub fingers together randomly on either or both sides

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19
Q

CN VIII - vestibulocochlear nerve - rinne test

A

hold vibrating tuning fork to mastoid and then in front of ear, which is louder (should be air conduction) also have pt state when it goes away

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20
Q

CN VIII - vestibulocochlear nerve - weber test

A

hold vibrating tuning for in middle top of pt skull, have pt state which side is louder and when it goes away

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21
Q

CN VIII - vestibulocochlear nerve - nystagmus

A

nystagmus, have pt look at finger laterally on H test and state no seen nystagmus

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22
Q

CN IX - glossopharyngeal nerve

A

motor to one pharyngeal muscle, taste to post 1/3 tongue and pharynx, note elevation of uvula, note lack of hoarseness aloud

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23
Q

CN X - vagus nerve

A

motor to pharyngeal and laryngeal muscles, sensory to larynx, note elevation of uvula, note lack of hoarseness aloud

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24
Q

CN XI - accessory nerve

Study These Flashcards
A

motor to trapezius and sternocleidomastoid, shoulder shrug against resistance, turn head against resistance

25
CN XII - hypoglossal nerve
motor to tongue, tongue protrusion and side to side movement
26
CN XII - hypoglossal nerve
motor to tongue, lingual speech, say - sally sells seashells by the seashore
27
MOTOR FUNCTION, bicep strength
arm flexion against resistance
28
tricep strength
arm extension against resistance
29
deltoid strength
arm abduction against resistance
30
grip strength
squeeze fingers against resistance
31
wrist extension strength
wrist extension against resistance, don't forget to isolate the wrist
32
thumb opposition
thumb to forefinger against resistance
33
intrinsic hand muscles
thread fingers and squeeze against resistance
34
hip flexion strength
lift leg against resistance
35
hip extension strength
leg backwards against resistance
36
hip adduction strength
leg inward against resistance
37
hip abduction strength
leg outward against resistance
38
knee flexion strength
lower leg backwards against resistance
39
knee extension strength
lower leg forward against resistance
40
foot dorsiflexion strength
foot toward calf against resistance
41
plantar flexion strength
foot toward ground against resistance
42
deep tendon reflexes - biceps
reflex hammer to inside bend of elbow
43
deep tendon reflexes - triceps
reflex hammer to back / outside bend of elbow
44
deep tendon reflexes - brachioradialis
reflex hammer to lower arm above thumb
45
deep tendon reflexes - patellar
reflex hammer to tendon below knee cap
46
deep tendon reflexes - achilles
reflex hammer to tendon behind ankle - shoes off
47
babinski sign (extension of big toe, flaring of toes)
run reflex hammer handle along lateral sole, medially across ball of foot - state result -> negative means none, positive means present - shoes off
48
pain and temperature sensory - one location on each extremity
sharp prick of pointed tip versus dull end of Qtip - OR - coolness of tuning fork vs. normal temp of tongue depressor
49
vibration and position sensory - one location on each extremity
vibration of tuning fork on bony prominence (tell when it stops) - OR - close eyes position pts finger and pt tells you what you have done
50
general coordination
finger nose finger - AND - heel to shin
51
fine coordination
rapid alternating movement, flip hands and slap top of thighs while doing it
52
gait - normal
look for foot placement, posture, arm movement, state normal
53
gait - tandem
walk heel to toe on a straight line
54
gait - walk on heels
walk on heels, coordination and strength
55
gait - walk on toes
walk on toes, coordination and strength
56
Romberg
stand with feet together, eyes open for 20 sec, eyes closed for 20 sec without waivering, positive means it happens
57
pronator drift
hold arms outstretched with hands upward with eye closed, if arm drifts down = cerebrospinal tract damage, if arm drifts up = proprioception damage, positive means it happens
58
STOP!!! ask 3 words again
chair, wall, clock

Neuro Observed Exam (1 decks)

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