Mental Status Exam - Class 8 Flashcards
what is key to understanding the neuro mental status exam
review of cerebral hemispheres
review of cerebral hemispheres
frontal
temporal
parietal
occipital
frontal lobe is important for
attention
executive fxn
motivation
behavior
tests for frontal lobe
working memory
judgement
fund of knowledge
task organization
working memory –> frontal lobe
digit span
spelling backwards
task organization –> frontal lobe
naming list in particular order
temporal lobe
emotional response
memory
emotional response –> temporal
amygdala and its connections of the hypothalamus
memory –> temporal
hippocampus
main tests for temporal lobe
declarative memory
language
temporal and frontal
types of language
receptive language
expressive language
receptive language
wernicke’s area
located in the posterior part of the dominant temporal lobe
expressive language
Broca’s aphasia
located in the posterior portion of the dominant part of the frontal lobe
parietal lobes are important for
perception and interpretation of sensory info
non-dominant lobe
dominant lobe
perception and interpretation of sensory info –> parietal lobe
esp somatosensory
non-dominant lobe –> parietal
important for visual-spatial info
dominant lobe –> parietal lobe
important for praxis
praxis –> parietal
the formation of the idea of a complex purposeful act
clinical test for parietal lobes
check for agnosias
apraxia
check for agnosias –> tests for parietal lobe
inability to identify objects by tactile exploration
occipital lobe is important for
perception of visual info
inferior temporal lobe
important for the recognition of color, shape, faces
superior temporal lobe and temporal-parietal region
detects movement
what must we avoid
time of day, stress, fatigue, pain greatly affect exam
what is the pts social and educational background
mental status
affect
orientation
memory
concentration and calculating
3 step commands
language
apraxia
affect –> mental status
withdrawn
depression
indifference
orientation –> mental status
person
place
time
memory –> mental status
immediate recall
recent recall
concentration and calculation –> mental status
subtracting 7s fromm 100
language –> mental status
fluent
non-fluent
apraxia –> mental status
difficulty performing motor tasks on command with the absence of true motor or sensory impairment
ideomotor
ideational
ideomotor apraxia
your asked to do a fxnal task and you can’t do it on command
but you may be able to do that task not on command
ideational apraxia
you have forgotten how to do the task whether on command or not on command
