Beth - Exam 1 Definitions Flashcards

1
Q

what are the 4 levels of consciousness?

A

lethargy
obtunded
stupor
coma

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2
Q

define lethargy

A

sleepy

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3
Q

define obtunded

A

appears drowsy but easily aroused

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4
Q

define stupor

A

requires lots of stimulation to arouse for brief periods

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5
Q

define coma

A

does not arouse to noxious stimuli

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6
Q

what is the babinski reflex?

A
  • abnormal sign*

- great toe moves upward and other toes fan in response to stroking the bottom of the foot

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7
Q

what is the kernig’s sign?

A

indication of meningeal irritation - pain and/or resistance when leg is flexed at the knee

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8
Q

what is the brudzinski’s sign?

A

indication of meningeal irritation - knees flex upward and neck pain when neck is flexed

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9
Q

what is cushing’s triad?

A

dismal sign - ↓ HR, ↑ systolic pressure, and widening pulse pressure > 40

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10
Q

what are dolls eyes?

A

indicates midbrain injury/dysfunction - when turning the head to the right the eyes should move to the left and vice versa.this is in contrast to the painted eyes of a doll that always look straight forward (abnormal sign).

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11
Q

what are dermatome?

A

sensory levels for the spinal cord

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12
Q

what are raccoon’s eyes?

A

bilateral black eyes

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13
Q

what is battle’s sign?

A

bruising behind the ears - indicates basilar skull fractures

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14
Q

what is decerebrate posturing?

A

abnormal extension of extremities in response to noxious stimuli

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15
Q

what is decorticate posturing?

A

abnormal flexion of extremities in response to noxious stimuli

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16
Q

what is the cold caloric test?

A

testing brain stem function - instilling cold water in a patient’s ear. they should move toward the irrigated ear and nystagmus should occur.

17
Q

what is nystagmus?

A

involuntary rapid, rhythmic movement of the eye, which can be horizontal or vertical

18
Q

what is hemiparesis?

A

paralysis affecting only one side of the body

19
Q

what is word search problems?

A

inability to find words