Ch. 23 Neuro

Question 1

Parietal lobe is responsible for

it assists in tactile sensations to

recognition of _ _ and awareness of body position also called

Answer 1

processing sensory data as it is received.

temperature, pressure, pain, size, shape, texture, and two point discrimination

also visual, taste, smell, and hearing sensations.

body parts, proprioception

Question 2

occipital lobe =

Answer 2

vision

Question 3

temporal lobe=

reception and interpretation of speech is located in

hippocampi responsible for

Answer 3

responsible for the perception and interpretation of sounds and determination of their source.

also taste, smell, and balance

Wernicke area

memory

Question 4

basal ganglia refine

Answer 4

motor movements

Question 5

cerebellum aids in

Answer 5

voluntary movement, have ipsilateral same side control of the body

Question 6

motor or efferent fibers of anterior root carry impulses from the spinal cord to the _ and _ of the body

afferent of posterior root carry impulses from the sensory receptors of the body to the _ _ and then to the brain for interpretation by cerebral sensory cortex.

Answer 6

muscles and glands

spinal cord

Question 7

Infants/children major portion of brain growth occurs in first year of life alone with _ of the brain and nervous system

primitive reflexes present at birth are:

motor maturation proceeds in a _ direction

Answer 7

myelinization

Moro, stepping, plantar and palmar grasp.

cephalocaudal (motor control of head and neck occur first then trunk and extremities)

Question 8

Elderly brain size _ as well as cerebral neurons

taste smell and _

_ _ _ may be diminished from velocity of nerve impulse conduction declining.

_ disturbances also occur

Answer 8

decreases

vision are diminished

deep tendon reflex

sleep

Question 9

Automatism means

Answer 9

eyelid fluttering, chewing, lip smacking, swallowing during seizures.

Question 10

when assessing olfactory nerve this is only done when there is a problem with odors this is done by closing one nostril and alternating odors.

Inflammation, allergic rhinitis, _ may interfere with odor,
with _ this diminishes as well

Anosmia is when

Answer 10

smoking , age

there is a loss in sense of smell or inability to discriminate odors.

Question 11

the _ cranial nerve is first to lose function in presence of increased intracranial pressure

Answer 11

6th (abducens)

Question 12

Romberg test is done to assess

if positive this means

Answer 12

balance

cerebellar ataxia, vestibular dysfunction, or sensory loss..

Question 13

loss of sensation can mean

if lose of sensory modalities when moving big toe up and down can mean

Answer 13

spinal stract, brainstem, or cerebral lesions.

peripheral neuropathy or if symmetric sensory loss indicates polyneuropathy

Question 14

tactile agnosia is the inability to

Answer 14

recognize objects by touch and can suggest a parietal lobe lesion.

Question 15

graphesthesia

extinction phenomenon is when

Answer 15

draw a letter, number or shape on palm of patients hand while eyes closed

simultaneously touch two areas on each side of the body with sharp edge ask patient to tell where touched and number of stimuli.

Question 16

plantar reflex use end of _ to stroke lateral side of foot from _ to ball and then across the _

expect plantar flexion of all toes

Babinski is common in _ if in adult can mean _ _ _ _

Answer 16

hammer, heel, ball.

children <2 , upper motor neuron disorder

Question 17

absent deep tendon reflex can mean

hyperactive can suggest an

Answer 17

neuropathy or lower motor neuron disorder

upper motor neuron disorder.

Question 18

Brachioradial reflex hit tendon directly 1-2 in above wrist result should be

achillis reflex causes

sustained clonus after moving foot up and down is related to

Answer 18

pronation of forearm and flexion of the elbow

plantar flexion of the foot

upper neuron motor disease

Question 19

classic symptoms of meningitis (3)

also

Answer 19

fever, stiff neck, altered mental status

headache, nausea, vomiting, rash, chills, myalgia

Question 20

Decorticate and decerebrate found in unresponsive patients with brain injury

decorticate or _
Decerebrate or _

in both feet or _ _

Answer 20

flexor above brainstem (arms flexed on chest)

extensor injury to brainstem (arms to side)

plantar flexed

Question 21

infants hands are usually held in fists up to _ months

purposeful movement like reaching or grasping occurs at _ months

transfer objects hand to hand at _ months

rooting reflex in infant is when
sucking reflex put finger in mouth CN V

Answer 21

3

2

7

CN V touch corner of infants mouth the infant should open mouth and turn head in that direction unless recently fed.

Question 22

palmar grasp strongest at

rooting gone by

plantar gone by

asymmetric tonic neck or “fencing” by 2-3 months.

Answer 22

1-2 months gone by 3 months

3-4 months

8 months

turn head… arm on that side should extend and leg on same side extend… opposite side flexed disappears by 6 months

Question 23

positive babinski reflex should be normal until

Answer 23

16-24 months

Question 24

For children to assess for deep tendon reflex use _ _

light touch sensation you can _ child

graphesthesia use only _

Answer 24

index finger instead of hammer because threatened

tickle and ask where felt

figures instead of numbers

Question 25

The Timed Up and Go Test is used to test _ _ and _ function in elderly

walking assistive devices can be used but no support from examiner.

Tinetti Balance and Gait Assessment Tool also known as performace oriented mobility assessment POMA is used for

a score of _ or less indicates high risk for fall

Answer 25

balance, strength, and cerebellar

any older adult thought to be at risk for falls or people who have difficulty performing daily activities requiring mobility or performing a task that involves unsupported standing.

21 out of 28

Question 26

with aging it is normal to see a decrease in _ _ reflex or even absent

achilles and plantar reflex _ or difficult to elicit

Answer 26

deep tendon

absent

Question 27

most common type of stroke is _

Answer 27

ischemic

15% intracranial or subarachnoid bleeding