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NCM 101 > ASSESSING NEUROLOGIC SYSTEM > Flashcards

ASSESSING NEUROLOGIC SYSTEM Flashcards

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1
Q

what are the functions of the nervous system

A
  1. receiving sensory input
  2. integrating information
  3. controlling muscles and glands
  4. maintaning homeostasis
  5. establishing and maintaning mental activity
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2
Q

it is made up of the brain and spinal cord ; body’s control center

A

central nervous system

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3
Q

made up of all the nerves that carry messages to and from the central nervous system ; similar to telephone

A

peripheral nervous system

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4
Q

relay information between skin, skeletal muscles, and CNS ; consciously control this pathway

A

somatic nervous system

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5
Q

relay information from CNS to organs ; not consciously control

A

autonomic nervous sytem

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6
Q

controls in times of stress such as flight or fight

A

sympathetic nervous system

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7
Q

controls body in times of rest

A

parasympathetic nervous system

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8
Q

if client is not alert to person, place, day, or time, maybe your client has a problem with the level of __

A

consciousness

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9
Q

if the client does not respond after shaking, apply a __ stimulus

A

painful

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10
Q

client with lesion of corticospinal tract, draws hands towards the __

A

chest

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11
Q

client having lesion of the diencephalon, midbrain, or pons, the client __ the arms and legs and __ the neck

A

extends ; arches

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12
Q

if client has slump posture he or she may have

A

depression or brain disease

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13
Q

desire body movements may be noted in __

A

schizophrenia

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14
Q

clients elevating their shoulders towards their ear and hold the entire body stiffly indicate that they are __ or __

A

tense or anxious

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15
Q

__ clients are often fidgety and restless

A

anxious

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16
Q

prolonged euphoric laughing is a typical manifestation of __

A

mania

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17
Q

meticulous grooming and finicky may be seen in _

A

obsessive compulsive behavior

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18
Q

poor hygiene and inappropriate dress may be seen with __

A

organis brain syndrome

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19
Q

bizarre dress and exaggerated makeup or cosmetics may be seen in __ or __

A

schizophrenia or manic disorders

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20
Q

extreme unilateral neglect may result from a lesion due to a __

A

cerebral vascular accident

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21
Q

unshaven, unkept apperance with a foul body odor may reflect __

A

depression, drug abuse, or low socioeconomic level

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22
Q

reduced eye contact is seen in __ or __

A

depression or apathy

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23
Q

extreme facial expression of hapinnes, anger, or fright may be seen in __ clients

A

anxious

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24
Q

slow repetitive speech is characteristic of __ or __

A

depression or pakinsons disease

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25
Q

loud rapid speech may occur in manic phases of _

A

bipolar disorder

26
Q

disorganized speech or nonstop speech may indicate __

A

mental illness or neurological disorder

27
Q

expression of elation and grandiosity, high energy level, and engagement in high risk but pleasurable activities is seen in __ phases

A

manic

28
Q

eccentric moods nor appropriate to the situation are seen in

A

schizophrenia

29
Q

confabulation is seen in __ syndrome

A

korsakoff

30
Q

clients who have depression early in life have a two-fold increased risk for

A

dementia

31
Q

for assessment of cranial nerves, have client sit in a comfortable position at __ level

A

eye

32
Q

cranial nerve I

A

olfactory nerve

33
Q

cranial nerve II

A

optic nerve (vision)

34
Q

results in blurred optic disc margins and dilated pulsating veins

A

papilledema (swelling of the optic nerve)

35
Q

cranial nerve III

A

oculomotor nerve

36
Q

is seen with weak eye muscles such as in myasthenia gravis

A

ptosis (drooping of eyelids)

37
Q

cranial nerve IV

A

trochlear nerve

38
Q

it is a rhythmic oscillation of the eyes

A

nystagmus

39
Q

paralysis of the oculomotor, trochlear, or abducens nerves

A

paralytic strabismus

40
Q

cranial nerve VI

A

abducens

41
Q

oculomotor nerve paralysis

A

dilated pupil (6-7mm)

42
Q

constricted fixed pupils,

A

narcotics abuse or damage to the pons

43
Q

unilaterally dilated pupil unresponsive to light or accommodation

A

damage to cranial nerve III

44
Q

unilateral muscle weakness may indicate a lesion of cranial nerve

A

5 / trigeminal

45
Q

these pupiles are seen in cns syphilis, meningitis, brain tumor, alcoholism

A

argyll robertson pupils

46
Q

cranial nerve V

A

trigeminall

47
Q

asymmetric strength in moving the jaw may be seen with lesion or injury of the __ cranial nerve

A

5th

48
Q

sharp and dull sensation

A

cranial nerve 5

49
Q

cranial nerve VII

A

facial nerve

50
Q

inability to close eyes, wrinkle forehead, or raise is seen with what disease

A

bell’s palsy

51
Q

cranial nerve VIII

A

vestibulocochlear / acoustic

52
Q

to assess the cochlear, these tests are performed

A

weber and rinne test s

53
Q

air conduction is twice as long as bone conduction

A

rinne test

54
Q

craniel nerve IX

A

glossopharyngeal nerve

55
Q

cranial nerve X

A

vagus nerve

56
Q

cranial nerve XI

A

spinal accessory

57
Q

cranial nerve XII

A

hypoglossal nerve

58
Q

strength and mobility of the tongue

A

cranial nerve XII

59
Q

may be seen in diseases of the lower motor neurons or muscle disorders

A

muscle atrophy

60
Q

Loss of motor function, pain and temperature is seen in

A

anterior cord syndrome

61
Q

Loss of proprioception seen in

A

posterior cord syndrome

62
Q

A loss of strength, proprioception, pain and temperature is seen in

A

Brown-Séquard syndrome

NCM 101 (20 decks)

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