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Health Assessment (NRSE-210) > Ch. 24 (Neurological System) > Flashcards

Ch. 24 (Neurological System) Flashcards

1
Q

What concept describes the idea that the left brain gets info from the right side of the body and the right brain gets info form the left side of the body?

A

crossed representation

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2
Q

Sensory receptors help perceive what from the external environment?

A
  • temperature
  • position
  • pressure
  • pain
  • vibration
  • touch
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3
Q

What lobe contains brocas area?

A

frontal lobe

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4
Q

What area helps in the production of speech?

A

brocas area

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5
Q

What lobe contains wernicke’s area?

A

temporal lobe

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6
Q

What area helps in the comphrension/understanding of speech?

A

wernickes area

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7
Q

What control autonomic association of the body (as we walk our arms naturally swings)?

A

basal ganglia

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8
Q

What is the relay center in our brain

A

thalamus

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9
Q

What is the purpose of reflex arcs?

A
  1. involuntary
  2. permit quick reaction to a potential dangerous situation
  3. help body maintain mucle tone
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10
Q

What are the different types of reflex arcs?

A
  1. deep tendon
  2. superficial [cornea reflex]
  3. visceral (organic) [PERRLA]
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11
Q

What type of neurological test tests your balance through your walking?

A

balance test

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12
Q

What type of neurological test makes you watch your pt and see if they fall with their eyes close?

A

romberg

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13
Q

What type of neurological test makes the pt bend their knee?

A

shallow knee bends

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14
Q

What type of neurological test makes the pt move their finger from their nose to your finger repeatedly?

A

finger-to-nose test

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15
Q

What type of neurological test makes the pt alternate patting their thighs?

A

rapid alternating movements test

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16
Q

What type of neurological test makes the pt use their heel to trace their shin from superior to inferior?

A

heel-to-shin test

17
Q

When assessing the sensory system, how do you asses pain?

A
  • sharp versus dull test (sometimes done with broken tongue depressor)
18
Q

When assessing the sensory system, how do you asses light touch?

A
  • cotton ball and wisp random sites - pt reports when it is felt
19
Q

When assessing the sensory system, how do you asses vibration?

A
  • use tuning fork, apply on distal joint (pt should feel it)
20
Q

When assessing the sensory system, how do you asses position?

A
  • hold sides of pt’s straight finger and adjust angle of finger - pt should be able to tell whether you adjusted the finger to be pointing down or up
21
Q

When assessing the sensory system, how do you asses stereognosis?

A

giving the pt a random object and having them feel it with their eyes close and then guessing what object you gave them

22
Q

When assessing the sensory system, how do you asses graphesthesia?

A

take pt palm and draw a number with your finger on their palm and they should be able to say what number it is

23
Q

When testing deep tendon reflex, when the knee does not move at all in response, where would it be graded on the grading scale?

A

0

a healthy person can have a 0 reflex

24
Q

If someone score a 0 on their deep tendon reflex test, does that automatically mean there is something neurologically wrong?

A

no

has to be compared with all the other tests

25
Q

How do you perform a deep tendon reflex exam on the biceps?

A

support pt arm, thumb on bicep tendon, strike thumb with reflex hammer - cause flexion of elbow

26
Q

How do you perform a deep tendon reflex exam on the triceps?

A

support pt arm 100% at 90 degree angle - extension upon hit of tendon above olecranon process of elbow

27
Q

How do you perform a deep tendon reflex exam on the brachioradialis?

A

thumb on bicep tendon, palm facing down, forearm relaxed, locate radial styloid process (bony prominence of wrist) and hit it - flexion and supination of forearm

28
Q

How do you perform a deep tendon reflex exam on the patellar?

A

use flat end of hammer, hit below kneecap - extension of knee

29
Q

How do you perform a deep tendon reflex exam on the achilles?

A

knee is flexed (on exam table), external rotation of hip and dorsiflexion of foot, strike achilles tendon - plantar reflex should occur

Health Assessment (NRSE-210) (22 decks)

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