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Health Assessment > Nervous system > Flashcards

Nervous system Flashcards

1
Q

coronal or frontal view

A

body is split from front to back

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2
Q

median or saggital view

A

body is split in half down the middle

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3
Q

axial or transverse

A

body is split in half from top and bottom

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4
Q

cerebellum controls?

A

motor control, fine movement

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5
Q

Parasympathetic nervous system function

A

homeostasis of bodily functions, respiration, cardiac function, digestion, metabolism

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6
Q

neuro symptoms that are emergent

A

LOC, new onset seizures, head trauma, stroke s/s

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7
Q

what’s the first thing that goes in the elderly?

A

smell

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8
Q

what happens to reflexes, hearing and vision as we age?

A

they decrease

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9
Q

when doing a neuro exam, how do you assess?

A

in order of highest to lowest level of function

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10
Q

cognitive function examples

A

memory, orientation, attention span, calculation ability, thought content

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11
Q

lethargic

A

droozy

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12
Q

obtunded

A

difficult to arouse

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13
Q

stuporous

A

arousable only with vigorous stimulation

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14
Q

cranial nerve 1 and how to test

A

olfactory; smell

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15
Q

cranial nerve 2

A

optic nerve

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16
Q

how to test cranial nerve 2

A

confrontation, fundoscopic exam, snellen chart

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17
Q

cranial nerve 3

A

oculomotor

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18
Q

how to test cranial nerve 3

A

elevation of eyelid and pupillary constriction, extraocular movement

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19
Q

which cranial nerves are sensory?

A

1,2,5,7,8,9,10

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20
Q

which cranial nerves are motor?

A

3,4,5,6,7,9,10,11,12

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21
Q

which cranial nerves are both sensory and motor?

A

5,7,9,10

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22
Q

how to test cranial nerve 4

A

down and in eye movements (EOMs)

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23
Q

cranial nerve 4

A

trochlear

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24
Q

cranial nerve 5

A

trigeminal

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25
Q

how to test cranial nerve 5

A

sensation to corneas, nasal and oral mucosa, facial skin, motor function of jaw

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26
Q

cranial nerve 6

A

abducens

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27
Q

how to test cranial nerve 6

A

lateral eye movement

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28
Q

cranial nerve 7

A

facial nerve

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29
Q

how to test cranial nerve 7

A

taste, have patient smile, show teeth

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30
Q

which cranial nerve effects bells palsy

A

cranial nerve 7

31
Q

cranial nerve 8

A

acoustic

32
Q

how to test cranial nerve 8

A

whisper test, rinne, weber

33
Q

a positive Romberg (meaning the patient is swaying) effects which cranial nerve?

A

8

34
Q

cranial nerve 9

A

Glossopharyngeal

35
Q

cranial nerve 10

A

vagus

36
Q

how to test cranial nerve 9

A

swallowing, TASTE

37
Q

how to test cranial nerve 10

A

swallowing, GAG

38
Q

cranial nerve 12

A

hypoglossal

39
Q

how to test cranial nerve 12

A

tongue movement in swallowing and speech, stick out tongue

40
Q

cranial nerve 11

A

spinal accessory

41
Q

how to test cranial nerve 11

A

place palm against cheek and ask them to turn head against resistance, place patients shoulders and ask them to shrug against your resistance

42
Q

kinesthesia

A

ability to perceive extent, direction, or weight of movement; you move body part and patient tells you where it is..”up or down”

43
Q

stereognosis

A

ability to recognize the form of solid objects by touch; you give patient a familiar object and they tell you what it is with their eyes closed

44
Q

extinction phenomenon

A

disorder that impairs the ability to perceive multiple stimuli of the same type simultaneously

45
Q

graphesthesia

A

ability to recognize outlines, numbers, words, or symbols traced or written on the skin

46
Q

point location

A

patient closes eye, you point to body part and patient point to where you pointed

47
Q

Barre test and what is it also called?

A

pronator drift, hold hands up straight and see if there is a drift

48
Q

how to test for coordination and fine motor skills (cerebellum)?

A

Barre test, heel to shin test, rapid hand movement, touch thumb to fingers one at a time

49
Q

proprioception

A

the awareness of posture, movement, and changes in equilibrium and the knowledge of it (Romberg test, hop in place, shallow knee bend, gait)

50
Q

Agraphesthesia

A

inability to recognize what you are writing on their hands when their eyes are closed

51
Q

how are reflexes graded?

A 
0 absent
1 diminished
2 normal
3 increased but normal
4 hyperactive
52
Q

cremasteric reflex

A

rub inner thigh and scrotum will rise

53
Q

grasp, snout, sucking motion and glabella are reflexes that are normal in infant but abnormal in?

A

adults

54
Q

glabella reflex

A

repeated blinking when nose touched

55
Q

snout reflex

A

tap above mouth

56
Q

where are the spinal roots for Biceps?

A

C5, C6

57
Q

where are the peripheral nerves located for biceps?

A

musculo-cutaneous

58
Q

where are the spinal roots for brachioradialis?

A

C6

59
Q

where are the peripheral nerves located for brachioradialis?

A

radial

60
Q

where are the spinal roots for triceps?

A

C7

61
Q

where are the peripheral nerves located for triceps?

A

radial

62
Q

where are the spinal roots for patellar quadriceps femoris?

A

L2-L4

63
Q

where are the peripheral nerves located for patellar quadriceps femoris?

A

femoral

64
Q

where are the spinal roots for Achilles gastrocnemius soleus?

A

S1

65
Q

where are the peripheral nerves located for Achilles gastrocnemius soleus?

A

Tibial nerve

66
Q

How is muscle resistance graded?

A 
5=they can push against hand/against gravity
4= can move with some resistance
3= can move against gravity
2= can move it with support
1=barely detectable
0=no muscular contraction
67
Q

aphasia

A

absent or impaired ability to communicate by speech, writing or sign

68
Q

dysphagia

A

inability to swallow

69
Q

dysarthria

A

speech is difficult to understand

70
Q

apraxia

A

inability to perform purposive movements

71
Q

agnosia

A

inability to recognize or comprehend sights, sounds, words

72
Q

dysarthria, aphasia and dysphagia are usually seen with damage to what?

A

cerebral cortex

73
Q

normal pressure hydrocephalus (3 Ws)

A

wacky-dementia
wet- loose bladder
wild- gait is all over

Health Assessment (15 decks)

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