Neurological Flashcards

1
Q

When collecting subjective data regarding neurological, what should be asked regarding:

  • Headaches
  • Head injury
A
  • Headache: Unusually frequent/severe headaches
  • Head injury: Have they any head injuries; describe them
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2
Q

When collecting subjective data regarding neurological, what should be asked regarding:

  • Dizziness/vertigo
  • Seizures
A
  • Dizziness/vertigo: ever feel lightheaded?;

Swimming sensation/faint

  • Seizures: Ever/when did they start;

How often?

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3
Q

When collecting subjective data, what are these types of tremors:

  • Intention tremor
  • Resting tremor
A
  • Intention tremor= Shakes when person moves towards direction (finger to nose)
  • Resting tremor= Shakes when resting
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4
Q

When collecting subjective data, what is:

  1. Muscular weakness caused by nerve damage
  2. Loss of muscle function by nerve damage
A
  1. Paresis
  2. Paralysis
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5
Q

What are the medical terms for:

  • Incoordination
  • Involuntary movements
A
  • Incoordination= Dysmetria
  • Involuntary movements= Dyskinesia
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6
Q

What are the medical terms for:

  • Numbness/tingling
  • Difficulty swallowing
A
  • Numbness/tingling= Paresthesia
  • Difficulty swallowing= Dysphagia
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7
Q

What is the medical term for:

Difficulty speaking

A

Aphasia

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8
Q

What are 10 warning signs of Alzheimer’s?

Don’t memorize, just recognize and know

A
  • Memory loss
  • Losing track
  • Forgetting words
  • Getting lost
  • Poor judgment
  • Abstract failing
  • Losing things
  • Mood swings
  • Personality changes
  • Growing passive
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9
Q

What do these tests assess:

Gait

Tandem Walking

A

Cerebella function; balance

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10
Q

What do these tests assess:

  • Romberg’s test
  • Shallow knee bend
A

Cerebellar function; balance

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11
Q

What do these tests assess:

  • Rapid alternating movement
  • Finger-to-finger
  • finger-to-nose
  • Heel to shin
A

Cerebellar function; Coordination

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12
Q

When collecting objective data, what indicates normal sensory system function?

A

Person is alert and cooperative

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13
Q

Patients demonstrate these with normal function of these sensory tracts:

  • Spinothalamic
  • Posterior Column Tract
A

Spinothalamic

  • pain
  • temperature
  • light touch

Posterior column tract

  • Vibration
  • Position
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14
Q

When assessing level of consciousness, what do you check?

A
  • Alert
  • Awake
  • Orientation
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15
Q

What important tests can be performed during a physical exam to assess neurological function?

A
  • Level of consciousness
  • PERRLA
  • Vital Signs
  • Glasgow Coma Scale (GCS)
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16
Q

What are the differences in:

  • Delirium
  • Dementia
A

Delirium= Has cause; short term

Dementia= Usually age related; chronic

17
Q

When assessing level of consciousness, what is;

  • Alertness
  • Awakeness
A
  • Alert: Responds to stimulus (walking in room/questions)
  • Awake: How much stimulus is needed to keep them awake
18
Q

When assessing level of consciousness, what should be checked for orientation?

  • What does AAOx3 mean?
A
  • Person (who are they)
  • Place (where are they/why)
  • Time (what day/time is it)

AAOx3= oriented to person, place, and time

19
Q

What two tests assess peripheral strength (motor function)?

A

Hands= Finger grips

Feet= Pedal pushes

20
Q

Be familiar with this:

A

Just know what it is

how it works

what is assesses for (brain injury)

21
Q

How do strokes damage the nervous system?

A

Damage upper motor neurons that convey impulses from brain to spinal cord.

22
Q

Ischemic stroke

  • What is it?
  • What are some signs?
A

Occlusion that blocks blood flow to the brain.

SIgns= facial droop, unilateral weakness, confusion

23
Q

Hemorrhagic stroke

  • What is it?
  • What are some signs?
A

Rupture of artery in brain

Signs:

  • Severe headache,
  • nausea,
  • loss of consciousness,
  • seizures