Chap. 4 - neuro exam Flashcards

1
Q

Adult reflexes (6)

A
Biceps
Triceps
Brachioradialis
Patellar
Achilles
Plantar
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2
Q

Primitive reflexes (7)

A
Head lag
Flexion
Rooting
Grasping
Moro
Glabellar
Babinski
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3
Q

A positive Babinski is normal or abnormal up to age 2?

A

Normal

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4
Q

Cranial nerves

A
I - Olfactory
II - Optic
III - Oculomotor
IV - Trochlear
V - Trigeminal
VI - Abducens
VII - Facial
VIII - Vestibulocochlear (acoustic)
IX - Glossopharyngeal
X - Vagus
XI - Accessory
XII - Hypoglossal
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5
Q

CN I test

A

Sniff

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6
Q

CN II tests (2 of them)

A

Snellen chart

Confrontation

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7
Q

CN III tests (4 of them)

A

EOMs
PERRL
Accommodation
Corneal light reflex

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8
Q

CN IV is tested with 2 others. Name them.

A

CN III and VI

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9
Q

CN V tests (2)

A

Clench teeth, check masseter muscle

Sharp and soft stimuli to cheeks

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10
Q

CN VI is tested with 2 others. Name them.

A

CN III and IV

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11
Q

CN VII tests (generally)

A

Make faces

Puff cheeks

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12
Q

CN VIII (2 tests)

A

Weber

Rinne

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13
Q

CN IX is tested with another nerve. Name it.

A

CN X

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14
Q

CN X (2 tests)

A

Say “ahh” - look for elevation

Gag reflex

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15
Q

CN XI test

A

Shrug against resistance

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16
Q

CN XII

A

Stick out your tongue - look for midline deviation and tremors

17
Q

In a Weber test the tuning fork is placed ___________.

In a Rinne test, the tuning fork is placed ___________.

A

Weber - midline of the forehead or above the teeth.

Rinne - on the mastoid process and then just outside the ear.

18
Q

A positive Rinne test means…

A

Air conduction is louder than bone conduction (normal hearing).

19
Q

You administer a Romberg test. The client loses balance. How do you document? Positive or negative?

A

Positive.

20
Q

Dysdiadochokinesia

A

Inability to perform rapid alternating movements; damage to the cerebellum

21
Q

Dyssynergia

A

A disturbance of smooth muscular coordination, resulting in uncoordinated and abrupt movements. Tested with finger-to-nose, heel-to-knee tests.

22
Q

Astereognosis

A

Inability to distinguish between objects based on touch alone; damage to the parietal lobe

23
Q

Agraphesthesia

A

Inability to recognize figures or letters traced on the skin of the palm of the hand.

24
Q

BMI 26-29 is…

A

Overweight

25
Q

BMI greater than 30 is…

A

Obese

26
Q

BMI 20-25 is…

A

Normal

27
Q

Skin lesion mnemonic ABCDE

A
Asymmetry
Border irregularity
Color variation
Diameter greater than 6 mm
Elevation
28
Q

How many lymph nodes? Can you name them?

A
6
Preauricular
Postauricular
Tonsillar
Submandibular
Submental 
Anticervical
29
Q

AP diameter: greater or less than transverse diameter?

A

Less

30
Q

Normal breath sound at peripheral lung is called…

A

Vesicular

31
Q

Normal breath sound at 1st and 2nd intercostals at the sternum is called…

A

Bronchovesicular

32
Q

Normal breath sound at the trachea is called…

A

Bronchial

33
Q

7 peripheral pulse points

A
Carotid
Brachial
Radial
Femoral
Popliteal
Pedal
Posterior tibial