Mod 2 HEENT, Neuro, and Mental Status Exam

Question 1

Four lobes of cerebral cortex

Answer 1

frontal
parietal
temporal
occipital

Question 2

frontal lobe function

Answer 2

personality, behavior, emotions, intellectual function, voluntary movements

Question 3

precentral gyrus of frontal lobe function

Answer 3

initiates voluntary movement

Question 4

parietal lobe function

Answer 4

sensation - processes sensory data (pain, vision, taste, hearing)

Question 5

occipital lobe function

Answer 5

vision

Question 6

temporal lobe function

Answer 6

interpretation of hearing, taste, smell

Question 7

Wenicke’s area location

Answer 7

temporal lobe

Question 8

Wenicke’s area function

Answer 8

language comprehension

Question 9

When wenicke’s area is damaged in person’s dominant hemisphere, you would expect …

Answer 9

receptive aphasia - person hears sound but it has no meaning, like hearing a foreign language

Question 10

broca’s area location

Answer 10

frontal lobe

Question 11

Broca’s area function

Answer 11

mediates motor speech

Question 12

when Broca’s area is injured within dominant hemisphere you would expect …

Answer 12

expressive aphasia (person can understand language and knows that they want to say but can only produce garbled sound)

Question 13

hypothalamus functions

Answer 13

• major respiratory center
• temperature
• appetite
• sex drive
• heart rate
• bp control
• sleep center
• anterior/posterior pituitary gland regulator
• coordinator of autonomic nervous system activity / stress response

Question 14

cerebellum location and function

Answer 14

• located under occipital lobe

- concerned with: motor coordination of smooth voluntary movements, equilibrium, muscle tone

Question 15

3 areas of brainstem

Answer 15

midbrain
pons
medulla

Question 16

Number of spinal nerves

Answer 16

31 pairs

Question 17

neuro subjective data

Answer 17

HA
Hx of TBI / head injury
Dizziness/Vertigo 
Seizures
Tremors
Weakness
Incoordination 
Numbness/tingling 
Difficulty swallowing or speaking 
Environmental hazards (lead, arsenic)

Question 18

sudden loss of strength, a temporary loss of consciousness caused by lack of cerebral blood flow

Answer 18

syncope

Question 19

subjective vertigo vs objective vertigo

Answer 19

subjective: feel like they are spinning
objective: feel like room is spinning; caused by near disease in vestibular apparatus in ear or vestibular nuclei in brainstem

Question 20

partial or incomplete paralysis

Answer 20

paresis

Question 21

inability to control the distance, power, and speed of a muscular action

Answer 21

dysmetria

Question 22

dysarthria

Answer 22

difficulty forming words

Question 23

dysphasia

Answer 23

difficulty with language comprehension or expression (receptive or expressive)

Question 24

what is nystagmus and when does it occur

Answer 24

back and forth oscillation of the eyes

occurs with disease of the vestibular system, cerebellum, or brainstem

Question 25

spinal nerve level evaluated by biceps and brachioradial deep tendon reflexes

Answer 25

C5 and C6

Question 26

spinal nerve level assessed with triceps deep tendon reflex

Answer 26

C6-8

Question 27

spinal nerve level assessed by patellar deep tendon reflex

Answer 27

L2, L3, L4

Question 28

spinal nerve level assessed by achilles deep tendon reflex

Answer 28

s1 and s2

Question 29

opacity in lens of eye

Answer 29

cataract

Question 30

disease of optic nerve wherein the nerve cell dies, usually due to excessively high intraocular pressure

Answer 30

glaucoma

Question 31

embryonic malignant tumor arising from retina

Answer 31

retinoblastoma

Question 32

contraindications to irrigation ear wax removal

Answer 32

otitis externa perforated TM pressure equalizing tubes opening into mastoid bone