neuro

Question 1

difficulty swallowing

Answer 1

dysphagia

Question 2

inability to communicate through speech

Answer 2

aphasia

Question 3

order of neuro assessment

Answer 3

mental status
cranial nerves
motor & cerebellar
sensory
reflexes

Question 4

what is the glasgow coma scale based on?

Answer 4

eyes open
best verbal response
best motor response

Question 5

GCS comatosed score

Answer 5

< 8

Question 6

GCS best score

Answer 6

15

Question 7

GCS unresponsive score

Answer 7

3

Question 8

decorticate abnormal posture

Answer 8

arms brought to core

Question 9

decerebrate

Answer 9

extension

Question 10

what can cognitive impairment be caused by?

Answer 10

dementia, mental retardation, aphasia, delirium, stroke, trauma, alcohol, drug abuse

Question 11

the romberg test goes with which part of a neuro exam?

Answer 11

motor & cerebellar

Question 12

cerebellar ataxia

Answer 12

wide-based, staggering, unsteady

Question 13

what can cause a cerebellar ataxia gait

Answer 13

cerebral disease or intoxication

Question 14

parkinsonian gait

Answer 14

shuffling, stooped posture, with flexed hips and knees

Question 15

what causes parkinsonian gait

Answer 15

parkinson’s disease

Question 16

spastic hemiparesis

Answer 16

flexed arm held close to body while leg is dragged

Question 17

what can cause a spastic hemiparesis gait

Answer 17

stroke

Question 18

what does cerebellar function test for

Answer 18

coordination
- finger to nose test
- rapid alternating movements

Question 19

stereognosis

Answer 19

being able to identify what object is placed in hand

Question 20

graphesthesia

Answer 20

draw letter or number on the had for pt to guess

Question 21

how is a deep reflex graded

Answer 21

0 absent
1 present, but diminished
2 normal
3 mildly increased, but not pathologic
4 marked hyperactive

Question 22

what causes hypoactive reflexes

Answer 22

hypothyroidism, sedation, increased intraocular pressure, hypocalcemia, hypermagnesemia

Question 23

what causes hyperactive reflexes

Answer 23

hyperthyroidism, hypercalcemia, hypomagnesemia

Question 24

signs and symptoms of meningeal irritation

Answer 24

nuchal rigidity
kernig’s sign

Question 25

nuchal rigidity

Answer 25

stiff neck
- pt resists bending head to chest

Question 26

kernig’s sign

Answer 26

pain when attempting to extend flexed knee

Question 27

exam used for meningeal irritation

Answer 27

brudzinki’s exam
- flexion of hips and knees when neck is flexed

Question 28

neuro gerontological variations

Answer 28

• changes in temperature control, mood, and sleep due to changes in neurotransmitters
• total brain weight decreases with age
• alterations in vision, hearing, and proprioception
• decreased memory and increased learning time

Question 29

CVA

Answer 29

unilateral, sudden headache, dysphagia, aphasia