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N211F > CNS I > Flashcards

CNS I Flashcards

1
Q

CN I

A

olfaction

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2
Q

CN II

A

Vision

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3
Q

CN III

A

Eye movement & eyelid movement & pupil constriction

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4
Q

CN IV

A

Eye movement: down & outward

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5
Q

CN V

A

facial sensation & tongue sensation
Motor: bite & chew

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6
Q

CN VI

A

Eye movement: outwards (abduction)

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7
Q

CN VII

A

Motor: facial expression

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8
Q

CN VIII

A

Hearing

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9
Q

CN IX

A

taste sensation

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10
Q

CN X

A

Pharyn & laryn sensation

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11
Q

CN XI

A

shoulders & neck movement

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12
Q

CN XII

A

tongue movement

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13
Q

9 questions to ask patient after seizure

A
  1. What seem to initiate seizure
  2. What body part does seizure start from
  3. What happen befre seizure
  4. Lose bladder control when seizure?
  5. How often?
  6. How do you feel after?
  7. Take any precaution?
  8. Wear medical alert band?
  9. Take medication afterwards?
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14
Q

Questions related to CNS to ask patient

A

Any head/ spinal cord injury/ trauma/ sugery?
past hx. of meningitis/ encephalitis/ spinalcord injury/ herniated intervertebral disc/ epilepsy? Any treatment?

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15
Q

Rationale of asking patient: Any head/ spinal cord injury/ trauma/ sugery?

A

Baseline for physica assessment
might affect patient current mental state, cognitive function, sensation

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16
Q

Rationale for asking patient: past hx. of meningitis/ encephalitis/ spinalcord injury/ herniated intervertebal disc/ epilepsy? Any treatment?

A

these disease increase risk of mucoskeletal problem & loss of sensation

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17
Q

5 neuro checks

A
  1. Level of Consciousness
  2. Pupillary checks
  3. Strength & movement of extremeties
  4. Extremeties sensation
  5. v/s
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18
Q

2 neurological scales

A
  1. Glasgow Coma Scale: unstale pt, severity of head injury & if loss of consciousness
  2. MoCa (Montreal Cognitive Assessment): stable pt
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19
Q

GCS 3 ranges of score:

A

mild: 13-15
moderate: 9-12
Severe: 8-3

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20
Q

Lowest score to highest score can be obtained in GCS

A

3-15

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21
Q

Nursing interventoin regarding GCS

A

> 15: require immediate alert
8: considered coma

22
Q

What is normal score in GCS

23
Q

GCS: 3 columns

A

Eye-opening, verbal, motor

24
Q

GCS: eye-opening levels

A
  1. spontaneously
  2. respond to verbal command
  3. respond when pain applied to limbs/ sternum
  4. none
25
Q

GCS: verbal levels

A
  1. oriented
  2. disoriented, able to answer questions
  3. inappropriate answers, understandable words
  4. uncomprehensible sounds
  5. none
26
Q

GCS: motor levels

A
  1. obey verbal commands
  2. respond pain with purposeful movement
  3. withdraw pain
  4. respond to pain with abnormal flexion
  5. respond to pain with abnoral extention
  6. none
27
Q

4 neurological domain to be checked in MoCA

A
  1. Attention
  2. Executive learning & language
  3. Memory
  4. Orientation
28
Q

examples of conditions suitable for MoCA

A

dementia, transient ischemic attack, stoke

29
Q

s/s: seizure
from cerebellum/ brain stem/ cerebrum?

30
Q

s/s: muscle weakness
from cerebellum/ brain stem/ cerebrum

31
Q

s/s: visual disturbance
from cerebellum/ brain stem/ cerebrum

32
Q

s/s: hearing loss
from cerebellum/ brain stem/ cerebrum

33
Q

s/s: vertigo (sensation of feeling off balance)
from cerebellum/ brain stem/ cerebrum

34
Q

s/s: Aphasia (失語症)
from cerebellum/ brain stem/ cerebrum

35
Q

s/s: memory loss (recent/ remote)
from cerebellum/ brain stem/ cerebrum

36
Q

which part of the cerebrum is responsible for the folllowign cognition & sense/ motor? Memory & emotion: voluntary movement

A

frontal cerebrum

37
Q

which part of the cerebrum is responsible for the folllowign cognition & sense/ motor?
Computation & Language: 2 point sensation

A

Parietal cerebrum

38
Q

which part of the cerebrum is responsible for the folllowign cognition & sense/ motor?
Auditory

A

Tmeporal cerebrum

39
Q

which part of the cerebrum is responsible for the folllowign cognition & sense/ motor?
Vision

A

occipital cerebrum

40
Q

s/s: pupil fixed & dilated
from cerebellum/ brain stem/ cerecbum

A

brain stem

41
Q

s/s: coma
from cerebellum/ brain stem/ cerebrum

A

brain stem

42
Q

s/s: apnoea (not brathing spontaneously)
from cerebellum/ brain stem/ cerebrum

A

brain stem

43
Q

which part of the brain stem is responsible for the following function?
consciousness awareness & learning & memory

44
Q

s/s: Ataxia
from cerebellum/ brain stem/ cerebrum?

A

cerebellum

45
Q

s/s: fall
from cerebellum/ brain stem/ cerebrum

A

cerebellum

46
Q

3 Functoin of cerebellum

A

control balance
sense positions
(proprioception)
coordinate
movement

47
Q

s/s: high fever
from cerbrospinal fluid/ blood brain barrier/ spinal cord

A

cerebrospinal fluid

48
Q

s/s: seizure
from cerbrospinal fluid/ blood brain barrier/ spinal cord

A

cerebrospinal fluid

49
Q

s/s: mood & mental changes
from cerbrospinal fluid/ blood brain barrier/ spinal cord

A

blood brain barrier

50
Q

s/s: one/ both side weakness
from cerbrospinal fluid/ blood brain barrier/ spinal cord

A

blood brain barrier

51
Q

s/s: Paraesthesia, Muscle twitching or cramps, Muscle weakness or
paralysis, Muscle atrophy, Foot drop, Constipation or diarrhea, Bowel incontinence, Erectile dysfunction, Excessive sweating or lack of
sweats, Retention of urine
from cerbrospinal fluid/ blood brain barrier/ spinal cord?

A

spinal cord

N211F (14 decks)

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