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Neuro 1 - Exam 4 > GCS Scale, Memory and Amnesia > Flashcards

GCS Scale, Memory and Amnesia Flashcards

1
Q

GCS scale includes

A

eye opening

verbal responses

motor responses

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2
Q

eye opening grades

A

1-4

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3
Q

eye opening 4

A

spontaneous

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4
Q

eye opening 3

A

to verbal command

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5
Q

eye opening 2

A

to painful stimulation

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6
Q

eye opening 1

A

no response

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7
Q

verbal response grades

A

1-5

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8
Q

verbal response 5

A

oriented and converses

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9
Q

verbal response 4

A

disoriented and converses

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10
Q

verbal response 3

A

inappropriate words

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11
Q

verbal response 2

A

incomprehensible sounds

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12
Q

verbal response 1

A

no response

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13
Q

motor response grades

A

1-6

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14
Q

motor response 6

A

obeys verbal commands

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15
Q

motor response 5

A

localizes to pain

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16
Q

motor response 4

A

withdraws from pain

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17
Q

motor response 3

A

decorticate rigidity (flexion)

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18
Q

motor response 2

A

decerebrate rigidity (extension)

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19
Q

motor response 1

A

no response

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20
Q

motor response 1

A

no response

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21
Q

memory

A

ability to register, store and ultimately retrieve the info

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22
Q

temporal classification –> memory

A

immediate –> within minutes

short term –> minutes to hours

long term –> days, months, years

23
Q

declarative memory

A

explicit

24
Q

types of declarative memory

A

episodic

semantic

25
Q

episodic

A

experiences specific to a context

time or place

26
Q

semantic

A

fact-based

knowledge

independent of context

27
Q

location of declarative memory

A

medial temporal lobe

hippocampus

amygdala

thalamus

prefrontal cortex

28
Q

memory centers declarative memory

A

very close together

easy to destroy these memory centers with a single dz

29
Q

procedural memory

A

implicit, automatic, skill acquisition

30
Q

examples of procedural memory

A

riding a bike

playing the piano

getting out of bed

walking

dressing

etc.

31
Q

what does procedural memory do

A

increase many of the fxnal activities we could do in rehab

32
Q

location of procedural memory

A

basal ganglia

cerebellum

primary motor cortex

premotor cortex

supplemental motor areas )SMA)

33
Q

can the procedural memory centers be wiped out by a single dz

A

no

spread out enough

34
Q

anterograde memory

A

from time of injury forward (future)

35
Q

anterograde amnesia

A

loss or disturbance of memory for events that occur after an event

inability to remember events that occur after the brain injury

36
Q

retrograde memory

A

from time of injury backwards

past

37
Q

retrograde amnesia

A

loss or disturbance of memory for events that occurred before and event

inability to remember events that occurred before the brain injury

38
Q

post-traumatic amnesia

A

inability to form consistent day-to-day memories

39
Q

“eternal now”

A

many range from minutes to hours

40
Q

when is a person determined to be “out of PTA”

A

when they can give a clear, accurate and ordered account of what is happening around them

&

can maintain episodic memory from day to day

41
Q

what does PTA also measure

A

severity of TBI

42
Q

longer duration of PTA correlates w/

A

longer period to recovery

43
Q

what may PTA not be reliable for

A

outcomes d/t factors influencing accurate measure of PTA

44
Q

PTA <5 min

A

very mild

45
Q

PTA 5-60 min

A

mild

46
Q

PTA 1-24 hrs

A

moderate

47
Q

PTA 1-7 days

A

severe

48
Q

PTA 1-4 weeks

A

very severe

49
Q

PTA >4 wks

A

extremely severe

50
Q

duration of PTA correlates well w/

A

GCS score

51
Q

how long does PTA occur

A

4 times longer than length of unconsciousness

52
Q

mild

A

GCS 13-15

PTA <1 hr

LOC <30 min

53
Q

moderate

A

GCS 9-12

PTA 30 min-24 hrs

LOC 1-24 hrs

54
Q

severe

A

GCS 3-8

PTA >1 day

LOC >24 hrs

Neuro 1 - Exam 4 (12 decks)

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