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Health Assessment > Neurological Assessment > Flashcards

Neurological Assessment Flashcards

(49 cards)

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1
Q

Dysphasia

A

impaired speech

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2
Q

DysphaGia

A

cant swallow

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3
Q

5 things tested for in neuro

A
  1. Mental Staus
  2. Cranial Nerves
  3. Motor and cerebellar
  4. sensory
  5. reflexes
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4
Q

Aphasia

A

impairment of producing or understanding language

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5
Q

What does GCS test for?

A

eyes open
Best verbal response
best motor response

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6
Q

Highest GCS Score

A

15 ( lower the score the worse their neuro function is)

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7
Q

PErRLA

A

pupils equal round and responsive to light and accommodation

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8
Q

Eye opening catergories

A

spontaneous
to sound
to pressure
none

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9
Q

Verbal response catergories

A

orientated
confused
words
sounds
none

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10
Q

Motor response catergories

A

obey commands
localising
normal flexion
abnormal flexion
extension
none

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11
Q

13-15 on GCS

A

Mild

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12
Q

9-12 on GCS

A

Moderate

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13
Q

3-8 on GCS

A

severe

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14
Q

GCS score < 8

A

comatose

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15
Q

GCS Score 3

A

unresponsive

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16
Q

Decorticate

A

arms brought to core/ chest

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17
Q

Decerebrate

A

extension of limbs

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18
Q

Mini mental state exam

A

ask patient to restate 3 words you told them earlier

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19
Q

Cranial nerve 1

A

Olfactory; tests for smell; sensory

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20
Q

Cranial Nerve 2

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A

Optic; fundoycopic exam, visual acuity, confrontation test, snellen chart; sensory

21
Q

Cranial Nerve 3,4 and 6

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A

Oculomotor, trochlear, adbucens; eyelid elevation, cardinals fields of gaze, pupil reactions; tests motor

22
Q

Cranial Nerve 5

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A

Trigeminal: Motor- temporal and masseter muscle strength; Sensory- use sharp/dull test on forehead and cheeks and corneal reflex; motor and sensory

23
Q

Cranial Nerve 7

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A

Facial; observe for facial drooping or asymmetry; have patient- frown, raise eyebrows, wrinkle forehead, close both eyes to resistance, smile, puff out cheeks; mostly motor, some sensory

24
Q

Cranial Nerve 8

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A

Acoustic (vestibular); hearing and balance; romberg test, cover uncover test for nystagmus, weber and rinne test; sensory

25
Cranial Nerve 9 & 10
Glossopharyngeal and vagus; say "ah"; look for movement of soft palate and pharynx; inspect uvula; gag reflex; say "k,q,ch,b,d"; sensory and motor function
26
Cranial Nerve 11
spinal accessory; trapezius muscle, shrug and move shoulders against resistance; motor function
27
Cranial Nerve 12
hypoglossal; say "la la la"; protrude tongue and move side to side; motor
28
Cerebellar function
balance!!
29
Romberg test
stand with eyes closed; feet together and stand straight. Abnormal is they sway
30
Cerebellar Ataxia
wide-based, staggering, unsteady gait; cerebellar disease or intoxication
31
Parkinsonian Gait
shuffling gait, stooped posture with flexed hips and knees; parkinson disease
32
Spastic Hemiparesis
flexed arm held close to body while leg is dragged; stroke
33
Finger to nose test
tests coordination
34
Rapid alternating movements
flipping hands over; tests coordination
35
Heel to shin test
run heel down opposite shin; tests coordination
36
Vibration sense
use tuning fork and put on bony prominence and they should feel vibration index fingers & big toes bony prominence
37
Stereognosis
tests sensory; placing a common object in their hand
38
Graphesthesia
draw a number on hand and have them guess what it is
39
Deep Reflex Grade 0
absent- have someone double check
40
Deep Reflex Grade 1
present, but diminished
41
Deep Reflex Grade 2
normal
42
Deep Reflex Grade 3
mildly increased but not pathologic
43
Deep Reflex Grade 4
markedly hyperactive
44
Plantar Reflex
normal: feet curls up abnormal; brudzinski; toes spread out
45
Nuchal Rigidity
stiff neck; patient resists bending head to chest
46
Kernigs sign
pain when attempting to extend a flexed knee, patient needs to be laying down
47
Brudzinki's sign
flexion of kids when neck is flexed
48
Hypoactive Reflexes
Hypothyroidism, sedation, increased intracranial pressure, hypocalcemia, hypermagnesemia
49
Hyperactive Reflexes
Hyperthyroidism, hypercalcemia, hypomagnesemia

Health Assessment (10 decks)

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