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Health Assessment > Module 10 > Flashcards

Module 10 Flashcards

1
Q

what is the role of the cerebrum

A

general movement, visceral functions, perception, behavior, voluntary movement, interpretation of sensory data

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2
Q

what is the role of the cerebellum

A

muscle tone, equilibrium, posture, coordination

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3
Q

what is the role of the brainstem

A

involuntary functions, perception of sensations

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4
Q

what is the role of the cranial nerves

A

motor and sensory functions

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5
Q

what is the role of the basal ganglia

A

processing station between cerebrum and upper brainstem; gross intentional movement without conscious thought

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6
Q

these convey info from the brain to muscle groups and control muscle tone and posture

A

descending tracts (motor)

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7
Q

these carry impulses for voluntary movement

A

pyramidal tract

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8
Q

these mediate various sensations and facilitate sensory signals

A

ascending tracts

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9
Q

these discriminate touch, deep pressure, vibration, position, stereognosis, and two part discrimination

A

dorsal tract (posterior column)

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10
Q

these discriminate light and crude touch, pressure, temperature and pain

A

spinothalamic tract

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11
Q

what muscle groups do the descending tracts convey info to

A

facilitative and inhibitory

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12
Q

how many pairs of spinal nerves are there

A

31

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13
Q

these supply and receive info in specific dermatomes

A

spinal nerves

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14
Q

what are the two types of spinal nerves

A

ventral (motor) and dorsal root (sensory)

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15
Q

these carry impulses from spinal cord to muscles

A

ventral (motor)

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16
Q

these carry impulses from sensory receptors to the body of the spinal cord then to brain for interpretation or initiate reflex response

A

dorsal root (sensory)

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17
Q

current problems that are related to neurological assessment

A

seizures/convulsions, pain, gait coordination, weakness/paresthesia, change in mental status, change in the five senses

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18
Q

past history related to neurological assessment

A

trauma, CVA, meningitis, deformities, hypertension, neurologic disorder, brain surgery

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19
Q

family history related to neurological assessment

A

hereditary diseases, alcoholism, metal retardation, epilepsy, thyroid disease, diabetes, hypertension, learning disorder, Alzheimer’s

20
Q

personal and social history related to neurological assessment

A

environmental hazards, ADL, sleeping patterns, anxiety, alcohol and tobacco

21
Q

what techniques do you use

A

inspection and palpation

22
Q

how can the neurological system be examined

A

constantly

23
Q

what is the first portion of the neurologic assessment

A

mental status

24
Q

what are the components of the mental status

A

orientation, memory, logic/judgment, reasoning, emotional stability, speech, language

25
Q

what are the components of orientation

A

person, place, time and situation

26
Q

this is recall after short interval

A

immediate

27
Q

how do you test immediate memory

A

give 3 things to remember

recall this 3-5 min after given

28
Q

this is recall of several minutes to several hours ago

A

recent

29
Q

how do you test recent memory

A

what they had for breakfast

30
Q

this is recall of several days to several years ago

A

remote

31
Q

how do you test remote

A

history

32
Q

how do you test logic and judgement

A

what would you do if you were inside a burning building

33
Q

how do you test reasoning and decision making

A

ask the meaning of a proverb

34
Q

awake, readily aroused

A

alert

35
Q

not fully alert, drifts off to sleep when not stimulated

A

lethargic

36
Q

sleeps most of the time, difficult to arouse

A

obtunded

37
Q

spontaneously unconscious, responds only to persistent and vigorous shake or pain, reflex activity persists

A

stuporous or semi comatose

38
Q

completely unconscious, no response to pain or any external or internal stimuli

A

comatose

39
Q

what is the scale of consciousness

A

Glascow coma scale (highest score/normal is 15 and lowest score/deep coma is 3)

40
Q

what is the normal pupil range

A

2-6 mm

41
Q

what do drugs do to pupils

A

pinpoint them

42
Q

what occurs with increased intracranial pressure

A

pupils begin to dilate

43
Q

what is the second portion of the neurologic assessment

A

cranial nerves

44
Q

pneumonic to remember the cranial nerves

A

oh, oh, oh to take a family vacation go vegas after hours

45
Q

how to remember if the cranial nerves are motor, sensory, or both

A

some say marry money but my brother says bad business marry money

46
Q

what is the third portion of the neurologic assessment

A

muscle tone and strength

Health Assessment (28 decks)

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