Ch. 2 Neurologic Assessment Flashcards

1
Q

True or False:

Most pts have received a neurological exam conducted by a neurologist before they get to the SLP.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which are the parts of a Neurological Exam?

A
  • Cranial Nerves
  • Visual Field Assessment
  • Motor System Evaluation
  • Somesthetic Sensation
  • Eval. equilibrium (dizziness, and vertigo)
  • Conscioussness and Mental Status
  • Laboratory Tests
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In visual field assessment, information from the right side visual space goes to the ______ of each retina.

A

Left side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The _______ of each retina connects to the ______ in the _________.

A

Left side, visual cortex, left hemisphere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Info from the left-side visual space goes to the ______ of each retina

A

right side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

loss of vision in one-half of the visual field is called:

A

hemianopia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HEMIANOPIA means

A

Half vision/ half blindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When the same part of the visual field is affected in each eye is called:

A

Homonymous Hemianopia (Hemianopsia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When/where does the lesion for HOMONYMOUS hemianopia occurs? C

A

if a lesion destroys the OPTIC TRACT POSTERIOR to the OPTIC CHIASM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When/where does the lesion for HEMIANOPIA occurs? B

A

if a lesion destroys the CROSSING FIBERS AT the OPTICAL CHIASM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lesions in the optic nerve causes:

A

blindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HOMONYMOUS means

A

the same part of the visual field is affected in each eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

MOTOR SYSTEM evaluation includes:

A

evaluating movement, reflexes, muscle tone & range of motion, muscle strength, volitional movements, gait, somesthetic sensation, equilibrium, including dizziness & vertigo, consciousness and mental status.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SOMESTHETIC SENSATION refers to:

A

sensory awareness of body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When Evaluating Consciousness & Mental Status, you are also looking at:

A

confusion, attention & concentration, mood, orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name some of the different types of RADIOLOGIC IMAGING STUDIES

A

Cerebral Angiography and Computerized tomography (CT Scan)

17
Q

The study where die is injected into veins and arteries – usually carotid artery to detect occlusions in blood vessels is called:

A

Cerebral Angiography

18
Q

TRUE OR FALSE…. Can CEREBRAL ANGIOGRAPHY also see narrowed, but not occluded, vessels as they fill slowly?

A

TRUE

19
Q

What is STENOSIS?

A

The narrowing of vessels is called stenosis (of any structure-not just arteries).

20
Q

The narrowing of vessels is called?

A

Stenosis

21
Q

It allows visualization of soft tissue that can’t be seen on regular x-rays. Main disadvantage is that pt is exposed to radiation

A

Computerized tomography (CT Scan)

22
Q

Main disadvantage of CT Scans

A

Pt is exposed to RADIATION

23
Q

MAIN disadvantage of RADIOLOGIC IMAGING STUDIES

A

PT Expose to RADIATION

24
Q

Name some NON-RADIOLOGIC IMAGING STUDIES

A

Magnetic Resonance Imaging (MRI) and Positron emission tomography (PET) scans,

25
Q

Main advantage of NON RADIOLOGIC IMAGING STUDIES

A

pt isn’t exposed to radiation & provides greater detail than CT scan

26
Q

Disadvantage of MRIs

A

CANNOT be used for people with metal plates in their bodies. MRI takes LONG TIME & pt must lie still in CONFINING SPACES

27
Q

CT SCANS are better than MRIs in detecting AVMs and aneurysms.. TRUE OR FALSE

A

FALSE

MRIs are better in detecting AVMs and Aneurysms.

28
Q

The body part to be imaged is put in a magnetic field and detectors measure electromagnetic signals.

A

MRI Magnetic Resonance Imaging

29
Q

Measure metabolic activity of areas of brain.

A

Positron Emission Tomography (PET) scans –

30
Q

Name 2 different Electrophysiologic Studies

A

Electroencephalogram (EEG) and Electromyography (EMG)

31
Q

What does the ELECTROENCEPHALOGRAM (EEG) measures?

A

the ELECTRICAL ACTIVITY OF THE CORTEX through placing electrodes on scalp. Lesions in the brain can be determined.

32
Q

What does the ELECTROMYOGRAPHY (EMG) measures?

A

The electrical activity in muscles

33
Q

What is a BIOPSIE?

A

The removal of a sample of suspected tissue from body.

34
Q

Biopsy of brain tissue CANNOT be done for brain tumor to determine nature of tumor. T or F

A

False. it MAY be done

35
Q

Muscle tissue biopsy can also be done as well as artery biopsy to investigate degenerative diseases. T or F

A

True