Mental Status Exam - Class 8 Flashcards

1
Q

what is key to understanding the neuro mental status exam

A

review of cerebral hemispheres

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

review of cerebral hemispheres

A

frontal

temporal

parietal

occipital

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

frontal lobe is important for

A

attention

executive fxn

motivation

behavior

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

tests for frontal lobe

A

working memory

judgement

fund of knowledge

task organization

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

working memory –> frontal lobe

A

digit span

spelling backwards

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

task organization –> frontal lobe

A

naming list in particular order

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

temporal lobe

A

emotional response

memory

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

emotional response –> temporal

A

amygdala and its connections of the hypothalamus

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

memory –> temporal

A

hippocampus

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

main tests for temporal lobe

A

declarative memory

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

language

A

temporal and frontal

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

types of language

A

receptive language

expressive language

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

receptive language

A

wernicke’s area

located in the posterior part of the dominant temporal lobe

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

expressive language

A

Broca’s aphasia

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

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

parietal lobes are important for

A

perception and interpretation of sensory info

non-dominant lobe

dominant lobe

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

what must we avoid

A

time of day, stress, fatigue, pain greatly affect exam

what is the pts social and educational background

26
Q

mental status

A

affect

orientation

memory

concentration and calculating

3 step commands

language

apraxia

27
Q

affect –> mental status

A

withdrawn

depression

indifference

28
Q

orientation –> mental status

A

person

place

time

29
Q

memory –> mental status

A

immediate recall

recent recall

30
Q

concentration and calculation –> mental status

A

subtracting 7s fromm 100

31
Q

language –> mental status

A

fluent

non-fluent

32
Q

apraxia –> mental status

A

difficulty performing motor tasks on command with the absence of true motor or sensory impairment

ideomotor

ideational

33
Q

ideomotor apraxia

A

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
Q

ideational apraxia

A

you have forgotten how to do the task whether on command or not on command