Hatch Lecture HP Vocab

Question 1

Anesthesia

Answer 1

W/o sensation temporary state of unconsciousness loss of memory pain and includes muscle relaxation

Question 2

Paresthesia

Answer 2

Sensation of tingling and tickling on persons skin- transient or chronic “pins and needles” “falling asleep” sensation

Question 3

Formication

Answer 3

Sensation that resembles that of small insects crawling under the skin

Question 4

Areflexia

Answer 4

Absence of neurologic reflexes such as knee jerk reaction

Question 5

Nystagmus

Answer 5

Involuntary movement of eyes side to side or up and down in a rapid swinging motion.

Horizontal nystagmus occurs: ETOH, Amphetamines, Barbituates, ketamine, thiamine deficiency

Vertical nystagmus occurs: cerebrellar ataxia, MS, CVA, Tumors, Phenytoin toxicity

Question 6

Clonus

Answer 6

Muscular spasms involving rhythmic contractions

Causes: CVA, MS, Spinal cord damage, hepatic encephalopathies

Question 7

Anosmia

Answer 7

Loss of smell

Question 8

Hypochondriasis

Answer 8

An overwhelming fear that you have a serious disease even though the health care providers can find no evidence of illness

Question 9

CVA

Answer 9

Sudden death of brain tissue d/t lack of oxygen and blood flow to the brain

Types: Ischemic versus hemorrhagic more likely Ischemic

Question 10

TIA

Answer 10

A Mini Stroke Produces similar sx that a stroke but does not have sequela and does not have lasting permanent damage - resolves in 24 hours.

Patient Education: Having a TIA puts the patient at higher risk for a true stoke, this is a good time to discuss lifestyle changes. TIA can serve as a warning and an opportunity to take steps to prevent a stroke.

Question 11

Ataxia

Answer 11

Difficulty with gait

Question 12

Diplopia

Answer 12

Double vision

Question 13

Dysarthria

Answer 13

Difficulty forming words

Question 14

Postitcal

Answer 14

Recovery period following seizure activity period varies in duration

Question 15

Vertigo

Answer 15

Perception of the environment spinning around you

Question 16

Dizziness

Answer 16

Lightheaded, faint, nearly passing out

Question 17

Aniscoria

Answer 17

Difference greater than 0.4 mm in diameter of one pupil compared to the other can be considered a nml variant

Question 18

Tremors

Answer 18

Resting: muscle is relaxed, mostly in hands and in Parkinson’s disease “pill rolling”

Action: voluntary muscle movement- purposeful movement toward target

Question 19

Dermatome

Answer 19

Area of skin that is mainly supplied by a single spinal nerve 
8 cervical nerves 
C1- not associated w/ dermatome 
12 thoracic nerves 
5 lumbar nerves
5 sacral nerves

Question 20

ON 
OCCASION
OUR 
TRUSTY 
TRUCK 
ACTS 
FUNNY
VERY
GOOD
VEHICLE 
ANY 
HOW 

CRANIAL NERVES

Answer 20

OLFACTORY 
OPTIC
OCULOMOTOR 
TROCHLEAR 
TRIGEMINAL 
ABDUCENS 
FACIAL 
VESTIBULARCHOCLEAR 
GLOSSOPHARYNGEAL 
VAGUS
ACCESSORY 
HYPOGLOSSAL

Question 21

Cranial nerves continued. 
Some 
Say 
Marry 
Money 
But 
My 
Brother 
Says
Big
Brains 
Matter
More

Answer 21

But means both for the trigeminal nerve

Question 22

Vertigo

Answer 22

Presence of nystagmus or focal neurological signs diplopia-ataxia-dysarthria

Question 23

Mental Status

Answer 23

Asses body language, affects, hygiene, emotions 
Orientation 
Name 
Date/time
Location 
Reasoning “if a fire started ? What would you do?”
Simple math 
Complex word world

Question 24

Cerebellar test

Answer 24

Rapid alternating hands, finger to thumb, finger to nose, toe tapping, heels to shin

Question 25

Cerebellar test
Romberg
Pronator Drift

Answer 25

Romberg: feet together eyes clothes
Pronator: arms out tap on arms
Gait watch

Question 26

Sensory Derma tomes

Answer 26

Shoulders: C4
Inner forearms: T1
Outer Forearms: C6
Thumbs: C6
Little thumbs:C8
Medial calve L4
Lateral calf: L5
Great toe L5 
Little toe S1

Question 27

Meningeal Signs and Tests

Answer 27

Test Brudzinski:
Supine position when neck flexed lower extremities will flex

Kernig: with hip flexed and knee flexed