Nervous Assessment Flashcards
Damage to Broca’s area and difficulty communicating what they have to say.
Expressive aphasia
What is the key component of the nervous system?
LOC (level of consciousness)
Damage to Wernicke’s area in the temporal lobe means can talk to them but they don’t understand “word salad”
Receptive aphasia
What does ETOH affect?
The frontal lobe
What test is used to look for swaying by having them put feet together, arms at sides, eyes open then closed.
Rombergs Test
The ability to identify objects
Stereognosis
What does the spinothalamic tract test?
Pain and temperature
What is the name for the inability to identify objects?
Astereognosis
The ability to recognize letters and numbers being drawn on the palm
Graphesthesia
Abnormal continued oscillating rhythmic movement is called
Clonus
Reflexes are documented on a scale using which numbers
0- absent 1- weak 2- normal 3- exaggerated 4- hyperreflexia with clonus
Stroke the lateral aspect of the foot sole if the toe fans this is called
A positive babinski
A shortened version of a full neuron exam
Neuro check
Alert and attentive
Full consciousness
Alert but not sure where they are
Confusion
Oriented responses are slowed
Lethargy
Difficult to arouse
Obtundation
Needs vigorous stimulation and cannot follow commands
Stupor
Sleep like state, cannot be aroused and doesn’t respond to stimuli
Coma
Abnormal flexion response where upper arms are pulled tightly in, elbows, wrists, and fingers are pulling in, and legs are extended with internal rotation.
Decortication
Abnormal extension response where elbows are extended, arms are abducted and stiff, forearms are pronated, legs are extended and feet are flexed.
Decerebration
Needs to be reported immediately
Turn the patients head side to side while holding the eyes open
Favorable - eyes stay straight ahead
Non-favorable - eyes move with the head
Nonresponsive patient
Oculocephalic reflex
Cold water is pressed into the ear and observed for eye movement
Favorable - eyes will look at you
Nonfavorable - eyes will stay still
Unconscious patient
Oculovestibular reflex
Olfactory; smell; sensory only; both sides and eyes closed
CN I
Optic; vision; sensory function; Snellen chart for visual acuity; peripheral eye exam by wiggling fingers on each side
CN II
Oculomotor; eye movement; eye elevation; pupil constriction; motor only. When examiner uses a penlight to test for constriction.
CN III
Troclear; eye movement; motor only. Examiner moving fingers in a N or wide H.
CN IV
Abducens; eye movement; motor only when examiner make an N or wide H with fingers
CN VI
Trigeminal; facial sensation; chewing; sensation and motor; touch the forehead, cheeks, and jaw with eyes closed; clench teeth and try to open the jaw against resistance and try to close the jaw against resistance.
CN V
Facial; taste and facial expression; sensory and motor; when the examiner uses sugar and salt to test tasting; when the examiner asks the patient to smile, puff cheeks, close eyes, and try to open.
CN VII
Acoustic/Vestibulocochlear; hearing and equilibrium; sensory; tuning fork test or rusting fingers; walk a straight line; stand with eyes closed
CN VIII
Glossopaharyngeal; taste posterior tongue; larynx and pharynx; gag and swallow; sensory and motor; tongue depressor; make a kuh kuh kuh sound; ask to swallow.
CN IX
Vagus; sensation of pharynx and larynx; sensory and motor; gag and swallow; use a tongue depressor; make a kuh kuh kuh sound; ask to swallow.
CN X
Spinal accessory; muscle of neck, sternocleidomastoid, shoulders; shoulder shrug; head turn.
CN XI
Hypoglossal; tongue muscle; motor; stick tongue out.
CN XII
