ECR Mental Status and Higher Cogntive Function 11.20.12

Question 1

What are neurologic symptoms to look for (6)

Answer 1

Weakness

Numbness or tingling

Headaches

Tremors

Imbalance

Seizures

Question 2

Types of neurolgoical illnesses

Answer 2

Dementia (Alzheimer’s) or stroke

Neurodegenerative disease (Huntington’s)

Infections process (Encephalitites/meningities)

Brain tumor (Glioma, meningioma)

Seizure (flappign aorund; petite mal, (

Question 3

What can be another cause of confusion

Answer 3

hyper/hypoglycemia

diabetes

Question 4

waht can be antoehr cause of disorientation

Answer 4

medication side effect

Question 5

waht can cause a change in memory

Answer 5

chronic alcohol abuse

Question 6

what can cause a change in mood

Answer 6

depreession/ hypothyroidism

Question 7

What can cause one to behave strangely-

Answer 7

lupud OCD/ Wilson’s disease

Question 8

What are the components of a neurological exam (5)

Answer 8

1. Appearance and behavior
2. Speech and language
3. Mood
4. Thoughts and perceptions
5. Cognitive Functions

Question 9

What do you check for Appearance and Behavior

Answer 9

Level of consiousness

Posture and motor behavior

Dress, grooming and personal hygeine

Facial Expresson

Manner, affect

Question 10

What do you check for in Appearance and Behavior?

Answer 10

level of consciousness
posture and motor behavior
dress, grooming/personal hygiene
Facial expression
manner,affect

Question 11

What do you check for Speech and Language

Answer 11

Quantity
Rate
Loudness
Articulation
Fluency- Word compehension, repetition, naming, reading, comprehension, writing

Question 12

What is Aphasia?

Answer 12

problems with fluency

Question 13

Hallucination vs Illusion

Answer 13

Hallucination- thoughts in ABSENCE of stimulus “hearing voices”

Illusion- misinterpretation of stimulus; Paper on floor see as pond of water

Question 14

What do you look for when testing cognitive function

Answer 14

orientation
attention
learning and memory
general info/fund of knowledge/vocab
calculations
abstract thinking
constructional abillity

Question 15

Orientaiotn (cognitive)

Answer 15

Person Place Time

Question 16

What does it mean to have Orienation x 3

Answer 16

awareneess of self, present realities and facts

Person,
Place
Time

Question 17

How to test attention (cognitive)

Answer 17

1. Ability to focus and concentrate
2. Digit Span
3. Serial 7’s
4. W-O-R-L-D

Question 18

Remote vs recent (learnigna nd memory)

Answer 18

REMOTE- old response
-ask about birthdays, anniversaries, schools attended, or who was teh first president you voted for?

RECENT
-ask about events of the day, weather outside

Registration, immediate recall and short term memory

Question 19

What are discriminative sensation

Answer 19

ability of sensory cortex to correlate, analyze, and interpret sensations

Stereognosis
Graphesthesia
2-pt discrimination
point localization
extinction

Question 20

Stereognosis

Answer 20

Stereo=3D
stimulus in hand (batterny)
manipulate in hadn whiel eyes closed

Question 21

Graphesthesia

Answer 21

close eye

Put # in hand and have him guess

Question 22

2-pt discrimination

Answer 22

stimulate with paper clip0 one side or 2 sides

Question 23

Point localization

Answer 23

where ?right arm? which left arm

Question 24

Extinction

Answer 24

stimulus in one or two palces-

ask where if in 2 places