Case 5 - Tests Flashcards

1
Q

what is the Glasgow coma scale

A

a neurological scale that aims to give a reliable, objective way of recording the convisous state of a. person for initial as well as subsequent assessment

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2
Q

what does a score of 3 indicate

A

deep unconsciousness

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3
Q

what does 15 indicate

A

fine

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4
Q

Glasgow Coma Scale diagram

A
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5
Q

what is NIHSS

A

a systematic assessment tool to measure stroke related neurological deficit. in clinical practice is can be used to evaluate acute stroke patients and determine the appropriate treatment

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6
Q

what is the method of use of the NIHSS

A

15 item neurological examination stroke scale

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7
Q

how is each item scored

A

on a 3- to 5- point scale, with 0 as normal and there is an allowance for untestable items.

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8
Q

what is a very severe score

A

> 25

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9
Q

what is a severe score

A

15-24

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10
Q

what is a mild to moderately severe score

A

5-14

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11
Q

what is a mild score

A

1-5

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12
Q

when can the validity of the NIHSS score be reduced

A

when there is a language barrier, neurological deficit or intubated

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13
Q

what is confrontation visual field testing

A

involves the patient looking directly at your eye or nose and testing each quadrant of the patients visual field by having them count the number of fingers you are showing. this is a test of one eye at a tine. it is useful for the examiner to close one eye so one can determine if the patient is seeing appropriately In their visual field

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14
Q

what is the MRC muscle power scale

A

neurological exam of the upper and lower limbs

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15
Q

scoring of the MRC scale

A

0 - no contraction
1 - flicker or trace of contraction
2 - active movement with gractity eliminated
3 - active movement against gravity
4 - active movement against gravity and resistance
5 - normal power

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16
Q

what is monophonic

A

no rebound of the vessel - atherosclerotic and not normal

17
Q

are biphasic and triphasic normal

A

yes

18
Q

what is a non construct CT

A

demonstrate haemorrhage immediately but in cerebral infraction is often not detected or only subtle changes are seen initially

19
Q

what does MRI show

A

shows changes in early infarction and later MRI shows the full extent of the damaged area or penumbra

20
Q

what is a diffusion weighted MRI

A

can detect cerebral infarction immediately but is a accurate as CT for the detection of haemorrhage