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N1109 - Physical Assessment > Exam 3 - Neuro > Flashcards

Exam 3 - Neuro Flashcards

1
Q

CNS consist of which 2 things?

A

brain

spinal cord

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2
Q

peripheral nervous system consist of…

A

12 cranial nerves

31 spinal nerves

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3
Q

4 lobes

A

frontal
parietal
temporal
occipital

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4
Q

what controls each lobe?

A

cerebrum

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5
Q

what is the frontal lobe responsible for?

A

voluntary movement
speech
emotions
intellectual activites

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6
Q

what is the parietal lobe responsible for?

A

sensation

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7
Q

what is the occipital lobe responsible for?

A

vision

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8
Q

what is the temporal lobe responsible for?

A

hearing

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9
Q

where is Wernicke’s area located?

A

temporal lobe

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10
Q

what is the Wernicke’s area responsible for?

A

language comprehension

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11
Q

where is the Broco’s area?

A

frontal lobe

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12
Q

what is the Broco’s area responsible for?

A

motor speech

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13
Q

what is Wernicke aphasia

A

inability to grasp meaning of spoken word or sentences

*L brain is damaged, altered

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14
Q

what is Brocas aphasia

A

inability to understand speech or produce fluent, coherent speech

*damage to Brocas area on L side

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15
Q

function of the cerebellum

A

muscle coordination
equilibrium
smooth movements
muscle tone

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16
Q

the only cranial nerve to serve a muscle and body region below the neck

A

vagus nerve

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17
Q

what makes up the 31 spinal nerves

A

8 cervical
12 thoracic
5 lumbar
1 coccygeal

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18
Q

which direction does a nurse test

A

distal to proximal

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19
Q

mini mental state exam (MME)

A

set of 30 questions

after a head injury, sudden episode of illness such as infection

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20
Q

addenbrookes test screens for what?

A

Alzheimer

fronto-temporal dementia

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21
Q

Confusion Assessment Method (CAM) criteria (4)

A

acute onset
inattention counting backwards from 20-1
disorganized thinking
altered LOC

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22
Q

when is CAM considered positive

A

2 +

23
Q

CN I

A

Olfactory

Sense of smell

24
Q

loss of smell

A

anosmia

25
Q

CN II

A

Optic

Vision acuity

26
Q

CN III

A

Oculomotor

eye movement; pupillary constriction; upper eyelid movement

27
Q

CN IV

A

Trochlear

Down, in eye movement

28
Q

CN V

A

Trigeminal

chewing, corneal reflex, face and scalp sensation

29
Q

CN VI

A

Abducens

lateral eye movement

30
Q

CN VII

A

Facial

expressions in forehead, eyes, mouths; taste, salivation, tearing

31
Q

CN VIII

A

Acoustic

hearing, balance

32
Q

CN IX

A

Glossopharyngeal

swallowing, salivating, taste

33
Q

CN X

A

Vagus

gag reflex

34
Q

CN XI

A

Spinal accessory

shoulder movement, head rotation

35
Q

CN XII

A

Hypoglossal

tongue movement

36
Q

asterognosis

A

unable to identify items in hand

37
Q

graphesthesia

A

write a number in hand

38
Q

involuntary and rhythmic muscle contraction caused by permanent lesion in the descending neurons

A

clonus

39
Q

0 - deep tendon reflex

A

no response

40
Q

1 + - deep tendon reflex

A

diminished

41
Q

2+ -deep tendon reflex

A

normal

42
Q

3+ - deep tendon reflex

A

brisk, above normal

43
Q

4+ - deep tendon reflex

A

hyperactive

44
Q

Babinski is normal in which age group

A

< 2 y/o

45
Q

Babinski reflex

A

dull object ran across bottom of foot

big toe doriflex, other toes fan out - abnormal unless 2 or younger

46
Q

Brudzinski tests for

A

meningeal

47
Q

+ Brudzinski

A

pt lays supine, flex head forward

hips, knees will flex

48
Q

pt is unable to flex head forward d/t un-natural rigidity of neck muscles

A

nuchal rigidty

49
Q

Glasgow coma scale monitors which 3 things?

A

eye opening response
motor response
verbal response

50
Q

GSC < 3 indicates what?

A

comatose state (nonresponsive)

51
Q

Bells Palsy affects which CN?

A

VII

52
Q

how long can it take for Bells Palsy to resolve on its own

A

hours to weeks

53
Q

During a stroke the ___ side of the brain is affected from the deficit side

A

opposite

54
Q

If you have a pt with a possible head injury from a MVA or and LOC, what do you assess first?

A

pupillary responses

N1109 - Physical Assessment (14 decks)

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