Quiz 4 SG Flashcards
On - CN I - __________
Old - CN II - ________
Olympus - CN III - __________
Towering - CN IV - ____________
Tops - CN V - ____________
A - CN VI - __________
Finn - CN VII - _________
And - CN VIII - _________
German - CN IX - ______________
Vended - CN X - _______
At - CN XI - _________
Hops - CN XII - ___________
CN I - Olfactory
CN II - Optic
CN III - Oculomotor
CN IV - Trochlear
CN V - Trigeminal
CN VI - Abducens
CN VII - Facial
CN VIII - Acoustic
CN IX - Glossopharyngeal
CN V - Vagus
CN VI - Accessory
CN VII - Hypoglossal
CN __ - __________
Function - mastication, sensation to ______, teeth, ______, anterior __/__’s of tongue. Tensor veli palatine, EU tube function, upward and anterior movement of _______ (anterior belly of digrastic), innervates forehead, cheek, ____, Has 3 branches: _________, __________, __________.
Lesion - Unilateral paralysis = deviation of jaw to side of _______, inability to move jaw to ________ side of lesion. Bilateral lesion = limited jaw movement, reduced _____
Assessment - stroke above eyebrows (opthalmic), stroke upper lip (maxillary), stroke between lower lip and chin toward cheek bone, compare sides of tongue for sensitivity, open mouth, clench teeth, open jaw tihgt against resistance, palpate.
CN V - Trigeminal
Function - mastication, sensation to face, teeth, gums, anterior 2/3’s of tongue. Tensor veli palatine, EU tube function, upward and anterior movement of larynx (anterior belly of digrastic), innervates forehead, cheek, jaw, Has 3 branches: opthalmic, maxillary, mandibular.
Lesion - Unilateral paralysis = deviation of jaw to side of lesion, inability to move jaw to opposite side of lesion. Bilateral lesion = limited jaw movement, reduced ROM
Assessment - stroke above eyebrows (opthalmic), stroke upper lip (maxillary), stroke between lower lip and chin toward cheek bone, compare sides of tongue for sensitivity, open mouth, clench teeth, open jaw tihgt against resistance, palpate.
CN ___ - ________
Function - All facial _________, movement of _______ up/back, and taste
Lesion - LMN lesion = __________ involvement on entire side of face. UMN lesion = paralysis of _________ facial expression. ______ emotional expression __________, __________ muscle paralysis (ordinary sounds become uncomfortaby loud, acoustic reflex compromised)
Assessment - Assess face at rest, ask to wrinkle forehead, close eyes tightly, smile, pucker lips, show teeth, puff out cheeks, check for symmetrical movement
CN VII - Facial
Function - All facial expression, movement of larynx up/back, and taste
Lesion - LMN lesion = ipsilateral involvement on entire side of face. UMN lesion = paralysis of voluntary facial expression. true emotional expression unaffected, stapedius muscle paralysis (ordinary sounds become uncomfortaby loud, acoustic reflex compromised)
Assessment - Assess face at rest, ask to wrinkle forehead, close eyes tightly, smile, pucker lips, show teeth, puff out cheeks, check for symmetrical movement
CN ___ - _________/Vestibulocochlear
Function - controls _________, sound __________
Lesion - SLP’s do not test.
Assessment - Rub fingers together by client’s ears one at a time
CN VIII - Acoustic/Vestibulocochlear
Function - controls hearing, sound sensitivity
Lesion - SLP’s do not test.
Assessment - Rub fingers together by client’s ears one at a time
CN __ - ______________
Function - innervates ____________ muscle (elevation of pharynx and larynx), swallowing, ___________ fibers for ________ production
Lesion - No pharyngeal gag reflex after feeling a stimulus
Assessment - tested with CN X at same time
CN IX - Glossopharyngeal
Function - innervates stylopharyngeus muscle (elevation of pharynx and larynx), swallowing, secretomotor fibers for saliva production
Lesion - No pharyngeal gag reflex after feeling a stimulus
Assessment - tested with CN X at same time
CN __ - ________
Function - motor for viscera, ________ muscles, ____________ constrictors, all __________ laryngeal muscles, general sensation for larynx, pharynx, skin of external ear, and external auditory canal.
Lesion - Silent __________ (no reflexive cough), UMN - hyperactive ____ reflex, uneven palatal elevation, vocal cord ________, strain-strangle voice. LMN - __________ vocal cord paralysis, hoarseness, breathiness. Loss of __________ and reflexive _________ activity. Uneven palatal elevation, vocal cord paresis, _______ voice
Assessment - Asess sense of taste on back of tongue, observe swallowand how patient handles secretions, uvula shoould be midline, palate should rise when saying /a/, ask to change pitch of a vowel.
CN X - Vagus
Function - motor for viscera, palatal muscles, pharyngeal constrictors, all intrinsic laryngeal muscles, general sensation for larynx, pharynx, skin of external ear, and external auditory canal.
Lesion - Silent aspiration (no reflexive cough), UMN - hyperactive gag reflex, uneven palatal elevation, vocal cord paresis, strain-strangle voice. LMN - ipsilateral vocal cord paralysis, hoarseness, breathiness. Loss of volitional and reflexive palatal activity. Uneven palatal elevation, vocal cord paresis, harsh voice
Assessment - Asess sense of taste on back of tongue, observe swallowand how patient handles secretions, uvula shoould be midline, palate should rise when saying /a/, ask to change pitch of a vowel.
CN __ - ___________
Function - neck, shoulder, ______ movement
Lesion - unable to elevate __________ against resistance. unusual weakness in _________________ (SCM) muscle
Assessment - Ask client to raise shoulders against hand to assess trapezius, ask client to turn head against resistance of your hand (assesses SCM), palpate SCM
CN XI - Accessory
Function - neck, shoulder, head movement
Lesion - unable to elevate shoulders against resistance. unusual weakness in sternocleidomastoid (SCM) muscle
Assessment - Ask client to raise shoulders against hand to assess trapezius, ask client to turn head against resistance of your hand (assesses SCM), palpate SCM
CN ___ - ___________
Function - All ________ movement, __________ (elevates hyoid)
Lesion - Unilateral UMN = __________ tongue _________. deviation of tongue to ___________ side. Bilateral damage = unable to protrude tongue beyond ______, fasciculations
Assessment - ask to protrude tongue, should be midline. inspect for atrophy. check for strength and mobility inculding lingual protrusion, elevation, lateralization, assess movement against resistance
CN XII - Hypoglossal
Function - All tongue movement, phonation (elevates hyoid)
Lesion - Unilateral UMN = ipsilateral tongue atrophy. deviation of tongue to contralateral side. Bilateral damage = unable to protrude tongue beyond lips, fasciculations
Assessment - ask to protrude tongue, should be midline. inspect for atrophy. check for strength and mobility inculding lingual protrusion, elevation, lateralization, assess movement against resistance
______ Dysarthria
________ is primary cause, trauma and ________ as well. mild/__________ symptoms, impercse ___________, slow rate, harshness, reduced __________, ______nasality, silent aspiration, positive __________ sign on affected side, _____reflexia, _________ infarcts
s/s - speech deteriorates under ________, drooling, __________ difficulties, ____________ crying/laughing, articulation mostly affected, cortical strokes, lower facial ___________
UUMN Dysarthria
Stroke is primary cause, trauma and tumors as well. mild/transitory symptoms, impercse articulation, slow rate, harshness, reduced loudness, hypernasality, silent aspiration, positive babinski sign on affected side, hyporeflexia, lacunar infarcts
s/s - speech deteriorates under stress, drooling, swallowing difficulties, psuedobulbar crying/laughing, articulation mostly affected, cortical strokes, lower facial weakness
_________ Dysarthria
caused by stroke, trauma, tumor, infection, ___________ disease. has __________ damage to ____________ tract and _____________ pathways.
positive __________ sign, problem with neuromuscluar __________. reduced muscle ______ and weakness _______ actue lesion but evolves to increased ______ and spasticity.
severe impairment of oral ____, tongue can only protrude to _____, overall _________, dysphagia, drooling
strain-strangled quality, effortful _______ @ end of vocalizations, _____loudness, inapropriate _________ stress, ______nasality, ___________ palsy.
Spastic Dysarthria
caused by stroke, trauma, tumor, infection, degenerative disease. has bilateral damage to corticospinal tract and extrapyramidal pathways.
positive babinski sign, problem with neuromuscluar execution. reduced muscle tone and weakness after actue lesion but evolves to increased tone and spasticity.
severe impairment of oral ROM, tongue can only protrude to lips, overall slowness, dysphagia, drooling
strain-strangled quality, effortful grunt @ end of vocalizations, monoloudness, inapropriate syllabic stress, hypernasality, psuedobulbar palsy.
__________ Dysarthria (bulbar palsy)
casued by virus, _______ trauma, __________ stroke.
_________ paralysis, _____reflexia, atrophy, _____nasality, _______ emission, reduced articulation, aspiration, ___________ gravis, ________ (drooping eyelid), _________ (double vision), breathiness and decreased _________.
often speaks in _______ phrases, reduced VC __________, _________ (audible inspiration)
____________ is most prominent feature, _____tonia, asymmetry, fasciculations, short _________
Flaccid Dysarthria (bulbar palsy)
casued by virus, nerve trauma, brainstem stroke.
flaccid paralysis, hyporeflexia, atrophy, hypernasality, nasal emission, reduced articulation, aspiration, myasthenia gravis, ptosis (drooping eyelid), diplopia (double vision), breathiness and decreased loudness.
often speaks in short phrases, reduced VC adduction, stridor (audible inspiration)
weakness is most prominent feature, hypotonia, asymmetry, fasciculations, short breaths
Ataxic dysarthria is caused by lesions in the ___________.
The three cardinal features of hypokinetic dysarthria (parkinsons) are ________, ________, and ___________ (reduced speed of movement of a muscle through its range)
Ataxic dysarthria is caused by lesions in the cerebellum.
The three cardinal features of hypokinetic dysarthria (parkinsons) are tremor, rigidity, and bradykinesia (reduced speed of movement of a muscle through its range)
