Labs CN Flashcards

1
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What cranial nerve is CN III and what’s responsible for?

A

Oculomotor- coordinated eye movement, eyelid drop, pupil dialation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What’s CN IV responsible for

A

Trochlear - downward, inward eye movement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CN V and responsible for

A

Trigeminal - ophthalmic, maxillary, mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CN VI and action

A

Abducens- eye movement, downward gaze.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name cranial nerves X-XII and what’s it responsible for.

A

X - vagus nerve, vital signs, vocal tone, swallowing
XI- accessory spinal - shoulder shrug, head turn, scapular winging
XII - hypoglossal tongue movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What cranial nerve is CN III and what’s responsible for?

A

Oculomotor- coordinated eye movement (smooth eye movement), eyelid elevation, pupil dialation, inward eye movement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What’s CN IV responsible for

A

Trochlear - downward, inward eye movement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CN V and responsible for

A

Trigeminal - ophthalmic, maxillary, mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CN VI and action

A

Abducens- eye movement, downward gaze.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CN VII

A

Facial nerve - facial expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CN VIII

A

Vestibulococlear - hearing and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CN IX

A

Glosopharyngeal - gag reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Normal Hgb level

A

Male -14-17
Female-12-16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Reasons for elevated Hgb

A

Polycythemia, smoker, COPD, dehydration, prolonged tourniquets, transfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Reasons for decreased Hgb

A

Blood loss, fluid overload (hemodilution), anemia, nutritional deficiency, renal insufficiency, aplastic anemia, phlebotomy

17
Q

Normal WBC level

18
Q

Elevated WBC cause

A

Infection, inflammation, mania, acute stress, leukemia

19
Q

Decreased WBC

A

Immunosuppression, medication induced, radiation, nutritional deficiency

20
Q

Normal platelets

21
Q

Decreased platelets

A

Bleeding, polycythemia, leukemia, inflammation, malignancy, chronic hypoxia

22
Q

Elevated platelets cause

A

Clumping, splenomegaly, aplastic anemia, leukemia, medication induced

23
Q

Normal neutrophil level

24
Q

Reasons increase neutrophils

A

Acute stress, inflammation, tumors, steroids, epinephrine, lithium, bleeding, seizures, myeloproliferative disorder.

25
Reasons decreases neutrophils
*Medication- methotrexate, clozapine. Antipsychotics *aplastic anemia, megaloblastic anemia (folate, B12 deficiency), margination (redistribution) hypersplenism, severe sepsis, viremia, aids, radiation therapy, immunosupression meds, uremia
26
Normal basophil
0-200
27
Normal eosinophil
0-600
28
Normal lymphocyte
1000-5000
29
Elevated lymphocytes
Viral infections, leukemia, thyrotoxicosis, allergic reaction, mania
30
Lab values in dehydration
Increased creatinine, BUN, serum sodium
31
Normal creatinine
0.6-1.3
32
Normal BUN
7-18
33
Normal Na+
136-145
34
What should normal AST/ALT ratio be?
1.15 in normal adults (2:1 alcoholic liver disease)
35
If AST/ALT ratio =1
=1 acute viral hepatitis or hepatotoxicity
36
If AST/ALT ratio less than 1
Normal or NASH/NAFLD
37
Normal ammonia level
9-33
38
What elevates ammonia and what two meds combined cause a significant increase and why
Depakote, severe liver disease. Most common when depakote combined with amitryptyline and fluoxetine (inhibit metabolism of valpofic acid.