HPI/PE

Question 1

Anesthesia

Answer 1

without sensation a temporary state consisting of unconsciousness, loss of memory, lack of pain, and muscle relaxation

Question 2

Paresthesia

Answer 2

a sensation of tingling, tickling, pricking, or burning of a person’s skin with no apparent long-term physical effect

Question 3

Formication

Answer 3

sensation that exactly resembles that of small insects crawling on or under the skin

Question 4

Areflexia

Answer 4

absence of DTRs

Question 5

Nystagmus

Answer 5

involuntarily eye movement from side to side or up and down in rapid swinging motion

Question 6

Clonus

Answer 6

muscular spasms involving repeated, often rhythmic contractions

Question 7

Anosmia

Answer 7

loss of smell

Question 8

Hypochondriasis or hypochondria

Answer 8

overwhelming fear that you have a serious disease while there is no evidence of illness

Question 9

Cerebrovascular accident (CVA)

Answer 9

the sudden death of brain tissue due to lack of oxygen and blood flow to the brain

Question 10

Transient Ischemic Attack (TIA)

Answer 10

a “mini-stroke”, producing similar symptoms, but usually lasting only a few minutes to less than 24 hours causing no permanent damage

Question 11

Ataxia

Answer 11

difficulty with gait or balance

Question 12

Diplopia

Answer 12

double vision

Question 13

Dysarthria

Answer 13

difficulty forming words

Question 14

Postictal

Answer 14

recovery period following seizure activity

Question 15

Vertigo

Answer 15

a perception of movement - usually spinning of whirling

Question 16

Dizziness

Answer 16

lightheadedness, feeling faint or nearly passing out

Question 17

Anisocoria

Answer 17

difference of >0.4 mm in the diameter of one pupil compared to the other

Question 18

Resting Tremor

Answer 18

• muscle is relaxed
• mostly hands and fingers
• Parkinsons disease “pill-rolling”

Question 19

Action Tremor

Answer 19

• voluntary muscle movement
• no movement at rest
• spontaneous

Question 20

Dermatome

Answer 20

an area of skin that is mainly supplied by a single spinal nerve

Question 21

What are some s/sx that tells you if the CNS is involved?

Answer 21

Migraines
TIA/CVA
Demyelinating lesions
Infections

Question 22

What are some s/sx that tells you if the PNS is involved?

Answer 22

Diabetic neuropathies
Guillain-Barre Strohl Syndrome
Poly/Mono Neuropathies
Amyotrophic Lateral Sclerosis

Question 23

What part of the brain involves CNS?

Answer 23

Cerebral Cortex
Basal Ganglia
Brainstem
Cerebellum
Spinal Cord

Question 24

What part of the brain involves PNS?

Answer 24

Motor Nerves
Sensory Nerves
Neuromuscular junction

Question 25

A rapid onset of a neurological complaint indicates what?

Answer 25

A vascular event, seizure, or migraine.

Question 26

A slower onset of a neurological complaint indicates what?

Answer 26

Ischemic process rather than a hemorrhagic event.

Question 27

A slower and progressive onset of a neurological complaint indicates what?

Answer 27

Toxic, metabolic, infectious, or inflammatory process.