Mental Status Exam - Class 8 Flashcards

1
Q

what is key to understanding the neuro mental status exam

A

review of cerebral hemispheres

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2
Q

review of cerebral hemispheres

A

frontal

temporal

parietal

occipital

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3
Q

frontal lobe is important for

A

attention

executive fxn

motivation

behavior

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4
Q

tests for frontal lobe

A

working memory

judgement

fund of knowledge

task organization

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5
Q

working memory –> frontal lobe

A

digit span

spelling backwards

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6
Q

task organization –> frontal lobe

A

naming list in particular order

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7
Q

temporal lobe

A

emotional response

memory

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8
Q

emotional response –> temporal

A

amygdala and its connections of the hypothalamus

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9
Q

memory –> temporal

A

hippocampus

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10
Q

main tests for temporal lobe

A

declarative memory

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11
Q

language

A

temporal and frontal

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12
Q

types of language

A

receptive language

expressive language

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13
Q

receptive language

A

wernicke’s area

located in the posterior part of the dominant temporal lobe

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14
Q

expressive language

A

Broca’s aphasia

located in the posterior portion of the dominant part of the frontal lobe

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15
Q

parietal lobes are important for

A

perception and interpretation of sensory info

non-dominant lobe

dominant lobe

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16
Q

perception and interpretation of sensory info –> parietal lobe

A

esp somatosensory

17
Q

non-dominant lobe –> parietal

A

important for visual-spatial info

18
Q

dominant lobe –> parietal lobe

A

important for praxis

19
Q

praxis –> parietal

A

the formation of the idea of a complex purposeful act

20
Q

clinical test for parietal lobes

A

check for agnosias

apraxia

21
Q

check for agnosias –> tests for parietal lobe

A

inability to identify objects by tactile exploration

22
Q

occipital lobe is important for

A

perception of visual info

23
Q

inferior temporal lobe

A

important for the recognition of color, shape, faces

24
Q

superior temporal lobe and temporal-parietal region

A

detects movement

25
what must we avoid
time of day, stress, fatigue, pain greatly affect exam what is the pts social and educational background
26
mental status
affect orientation memory concentration and calculating 3 step commands language apraxia
27
affect --> mental status
withdrawn depression indifference
28
orientation --> mental status
person place time
29
memory --> mental status
immediate recall recent recall
30
concentration and calculation --> mental status
subtracting 7s fromm 100
31
language --> mental status
fluent non-fluent
32
apraxia --> mental status
difficulty performing motor tasks on command with the absence of true motor or sensory impairment ideomotor ideational
33
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
34
ideational apraxia
you have forgotten how to do the task whether on command or not on command