Week 8 Neurological Assessment

Question 1

Difficulty in putting words together or comprehending words

Answer 1

Dysphasia

Question 2

Speech and language disorder. May be impaired in 1 or several communication modalities

Answer 2

Aphasia

Question 3

Difficulty swallowing

Answer 3

Dysphagia

Question 4

Having the sens that either they or objects around them are moving when they are not

Answer 4

Vertigo

Question 5

Loss of smell

Answer 5

Anosmia

Question 6

Drooping or falling of the upper eyelid

Answer 6

Ptosis

Question 7

Loss of hearing as we age

Answer 7

Presbycusis

Question 8

Long sightedness due to the loss of elasticity in the lens of the eye

Answer 8

Presbyopia

Question 9

Blindness over half the field of vision

Answer 9

Hemianopia

Question 10

Extreme sensitivity to light

Answer 10

Photophobia

Question 11

Difficult articulation of speech that is otherwise normal

Answer 11

Dysarthria

Question 12

Difficulty in speaking due to a physical disorder of the mouth, tongue or throat

Answer 12

Dysphonia

Question 13

Abnormal sensation due to pressure on or damage to peripheral nerves

Answer 13

Parasthesia

Question 14

Double vision

Answer 14

Diplopoa

Question 15

PEARTL

Answer 15

pupils equal and reacting to light

Question 16

A conditional period of heightened watchfulness or preparation for action

Answer 16

Full alertness

Question 17

The act of confusing or being confused. Unable to think with clarity or act with understanding

Answer 17

Confusion

Question 18

Causing a person to feel sleepy or fatigued. Slow sluggish speech and slow mental process

Answer 18

Lethargy

Question 19

Arousable with stimuli. Limited verbal responses. Appears drowsy

Answer 19

Obtundation

Question 20

Minimal spontaneous movement. Unresponsive except to repeated stimuli

Answer 20

Stuporous

Question 21

Sleep like state. Nil verbal sound. Does not respond to body stimuli

Answer 21

Comatose

Question 22

Hands - Coming towards, hands in, tensed.
Legs - extension

Answer 22

Decorticate

Answer 23

Decerebrrite

Question 24

Different pupil reactions

Answer 24

Anisocoria

Question 25

Normal pupil size

Answer 25

2 - 4mm in bright light

Question 26

Are pupil size part of GCS

Answer 26

Not part of GCS but in addition to it

Question 27

Lowest possible GCS (Unresponsive)

Answer 27

3

Question 28

Highest possible GCS

Answer 28

15

Question 29

Comatose GCS

Answer 29

8 or Less

Question 30

Level of consciousness is defined as?

Question 31

When do you raise a MET call?

Answer 31

Drop of 2 points on GCS

Question 32

What should you do after getting GCS?

Answer 32

Compare with last result to see change

Question 33

Cushings triad

Answer 33

- Abnormal breathing - Widen pulse pressure (difference between systolic and diastolic) - Bradycardia

Question 34

Change in neurological

Answer 34

- Dribbling doodle (incontinence) - Forgetful - Disturbed gait

Question 35

Level of consciousness is defined as?

Answer 35

The degree of awareness and alertness a person has

Question 36

A group of drugs that may cause a loss of consciousness as a side effect are?

Answer 36

Antihypertensives

Question 37

The preferred positioning for an unconscious person is?

Answer 37

Left lateral

Question 38

It is important during neurological history taking to ask about any?

Answer 38

Weaknesses anywhere

Question 39

During neurological history taking, questions about Past Medical History need to include assessment of?

Answer 39

Childhood development

Question 40

Airway management may be required for a person with a Glasgow Coma Score equal to or less than?

Answer 40

8

Question 41

If it is necessary to provide painful stimulation to assess motor response or eye opening, an appropriate and approved method is via?

Answer 41

Trapezius muscle squeeze

Question 42

To score a 4 for ‘Motor response’ using the Glasgow Coma Scale a person would be?

Answer 42

Showing normal flexion

Question 43

An AVPU score of ‘U’ is equivalent to a Glasgow Coma Score of ?

Answer 43

3