Head Neck Neuro

Question 1

AAOx4

Answer 1

Awake, Alert and Oriented to person, place and time

Question 2

Mini-Mental State Examination (MMSE)

Answer 2

1. Measure cognitive function

2. Used during a full neuro assessment

Question 3

Glasgow Coma Scale checks what responses?

Answer 3

Eye opening
Verbal
Motor

Question 4

1. Loss of understanding

2. Loose expression

Answer 4

Aphasia

Question 5

Sensory

Motor

Answer 5

Receptive

Expressive

Question 6

How are we testing motor function? (4 things)

Answer 6

Cerebellum function
Coordination
Strength
Balance–Romberg’s test

Question 7

how are we testing intellectual function? 5 things

Answer 7

i. Memory
ii. Knowledge
iii. Abstract thinking
iv. Association
v. Judgment

Question 8

Sensory function how are we testing?

Answer 8

ii. Temperature, light touch, vibration, position, two point discrimination (using two end of paper clips)

Question 9

Reflexes 0-4+

Answer 9

0: no response
1+: sluggish/diminished
2+: active/expected response (normal)
3+: more brisk than expected, slightly hyperactive
4+: brisk and hyperactive with intermittent or transient clonus

Question 10

anterior triangle of neck muscles

Answer 10

1. Trachea, thyroid

2. Anterior cervical lymph nodes

Question 11

Posterior Triangle

Answer 11

Posterior cervical lymph nodes

Question 12

What are we inspecting with the neck?

Answer 12

Ant. triangle
Post. triangle
Lymph nodes
Carotid artery
Jugular vein
Bend chin to chest
Palpate back of neck

Question 13

Preauricular, supraclavicular, submandibular, posterior cervical, anterior cervical, tonsillar, submental

Answer 13

Lymph nodes

Question 14

Lymph nodes that are:

Answer 14

large, fixed, inflamed, or tender indicate a problem such as local infection, systemic disease or neoplasm

Question 15

local skin breakdown of the naris

Answer 15

Excoriation

Question 16

tumorlike growths

Answer 16

Polyps

Question 17

Examine external ear canal

Answer 17

otoscope

Question 18

20/60

Answer 18

you can see at 60ft what others can see at 20ft

Question 19

Extraoccular movements (EOM) 6 cardinal fields

Answer 19

Nystagmus
Superior, inferior rectus
Superior, inferior oblique
Lateral rectus
Medial rectus

Question 20

Bright light: what do pupils do?

Answer 20

Contracts (gets smaller)

Question 21

Dim light: what do pupils do?

Answer 21

Dilates (expands)

Question 22

Tests measures the distance from your eyes to where both eyes can focus without double vision

Answer 22

Convergence

Question 23

The person fixes on a distance object

The person is then asked to look at a close object -there eyes converge & pupils constrict

Answer 23

Accommodation Eye Test

Question 24

3 types of hearing loss

Answer 24

Conduction
Sensorineural
Mixed
Ototoxicity

Question 25

Interrupts sound waves

Answer 25

Conduction

Question 26

Involves inner ear, auditory nerve, or hearing center of brain

Answer 26

Sensorineural

Question 27

Combo of conduction and sensorineural loss

Answer 27

Mixed

Question 28

Injury to auditory nerve resulting from high maintenance doses of antibiotics

Answer 28

Ototoxicity