Motor Assessment Study Guide

Question 1

list the steps of mental status:

Answer 1

alert 
legtharic 
stupor
semicomatose 
comatose

Question 2

description of alert:

Answer 2

responds appropriately, briskly
oriented
alert means open eye spontaneously

Question 3

description of letharigic:

Answer 3

sleepy 
obtuned
short attention span 
slow to responds but appropriate 
opens eye to verbal stimuli

Question 4

description of stupor

Answer 4

the homer simpson
confused conversation unclear
never fully awake
responds to stimuli usually with groans and moans

Question 5

description of semi-comatose:

Answer 5

responds to painful stimuli
no conversation
only protective reflexes are present

Question 6

Glasgow coma scale measures three things what are they /

Answer 6

motor movement
eye opening
verbal response

Question 7

what are the three definitions for alertness not on the scale:

Answer 7

unconscious
and persistent vegetative state
brain dead

Question 8

persistent vegetative state def:

Answer 8

no cognitive brain function
wake sleep cycles
very poor prognosis
w/ > 3-6 months

Question 9

unconscious def

Answer 9

non medical word and can range form stupor to coma

Question 10

brain dead def:

Answer 10

no brain function

only reflexive movements

Question 11

there are five ways to give a stimulus name the order you should perform them:

Answer 11

1. voice
2. touch
3. shaking
4. voice + shaking
5. noxious stimulus

Question 12

how many response options are there for eye opening on glasgow

Answer 12

4

Question 13

what are the levels for eye opening

Answer 13

4 - spontaneous
3 - to speech
2- to pain
1 - nil

Question 14

how many levels are there for motor response on glasgow

Answer 14

6

Question 15

what are the levels for motor responses?

Answer 15

6: obeys
5: localizes
4: withdraws
3: decorticate : abnormal flexion
2: decerebrate: extension repnose
1 - no response

Question 16

how many levels are there for verbal responses on glasgow

Answer 16

5

Question 17

what are the levels for glasgow?

Answer 17

5: spontaneous
4: confused conversation
3: inappropriate
2: sounds
1: none

Question 18

what is the scale for Glasgow coma?

Answer 18

13: mild
9-12: moderate
<8: severe (coma)

Question 19

what does decerebrate posturing suggests:

Answer 19

severe injury to the brain at the level of the BRAINSTEM

Question 20

what does decoriticate posturing suggest?

Answer 20

damage to corticospinal tract: more favorable than decerebrate posture

Question 21

what level is decerebrate on the glasgow scale:

Answer 21

2

Question 22

what elvel is the decorticate on the glasgow scale?

Answer 22

3

Question 23

decerebrate posturing is what type?

Answer 23

extended

Question 24

decorticate posturing is what type?

Answer 24

flexion: mummy type

Question 25

opisthotonos

Answer 25

severe muscle spasm of the neck and back

Question 26

battle’s sign:

Answer 26

bruising over the mastoid: suggests skull fracture

Question 27

raccoon’s eyes:

Answer 27

periorbital edam and bruising : suggests frontal-basal fracture

Question 28

rhinorrhea:

Answer 28

drainage of CSF from nose

suggest fracture of cribiform with torn meninges

Question 29

otorrhea:

Answer 29

drainage of CSF from the ear: suggests: fracture of the temporal bone with torn meninges

Question 30

what are the three types of evaluations:?

Answer 30

occupation
qualitative
dynamic