Neuro

Question 1

How to test cranial nerve 1

Answer 1

Have client close eyes and occlude one nostril with a finger
Ask the client to identify odours
Repeat with other nostril

Question 2

What is cranial nerve 2

Answer 2

Optic

Question 3

How to assess cranial nerve 2

Answer 3

Snellen chart for visual acuity
Check peripheral by confrontation
Check colour vision

Question 4

What is cranial nerve 3

Answer 4

Occulomotor - controls pupillary constriction , upper eyelid elevation and most eye movement

Question 5

What is cranial nerve 4

Answer 5

Trochlear

Controls downward and inward eye movement

Question 6

Hat is cranial nerve 5

Answer 6

Trigeminal

Sensation in the cornea nasal and oral mucosa facial skin as well as mastication

Sensory and motor

Question 7

What is cranial nerve 6

Answer 7

Abducens

Motor controls lateral eye movement

Question 8

What is cranial nerve 7

Answer 8

Facial

Sensory and motor
Controls movement of the face and taste sensation

Question 9

Cranial nerve 8 what is it

Answer 9

Vestibulocochlear

Sensory
Controls hearing and vestibular function

Question 10

What is cranial nerve 9

Answer 10

Glossopharyngeal

Sensory and motor
Controls swallowing ability sensation in the pharyngeal soft palate and tonsillar mucosa taste perception on the posterior third of the tongue and salvation

Question 11

What is cranial nerve 10

Answer 11

Vagus

Sensory and motor
Controls swallowing and phonation sensation in the exterior ear’s posterior wall and sensation behind the ear
Controls sensation in the thoracic and abdominal viscera

Question 12

What is cranial nerve 11

Answer 12

Motor

Controls strength of neck and shoulder muscles

Question 13

What is cranial nerve 12

Answer 13

Motor

Controls tongue movements involved in swallowing and speech

Question 14

What is Addison’s disease

Answer 14

Hyposecretion of the adrenal cortex hormones - glucocorticoids and mineralcorticoids

Can be primary or secondary

Fatal if left untreated

Question 15

Assessment of Addison’s disease

Answer 15

Lethargy fatigue and muscle weakness
GI disturbances
Weight loss
Menstrual changes in women impotence in men

Hypoglycemia hyponatremia
HYPERKALEMIA HYPERCALCEMIA
Hypotension
Hyperpigmentagio of skin - bronzed with primary disease

Question 16

What is addisonian crisis

Answer 16

Acute adrenal insufficiency life threatening

Can cause HYPONATREMIA HYPERKALEMIA hypoglyclycemia and shock

Question 17

Assessment of addisonian crisis

Answer 17

Severe headache 
Severe abdominal leg and lower back pain 
Generalized weakness 
Irritability and confusion 
Severe hypotension 
Shock

Question 18

What is cushings disease

Answer 18

Hyper secretion of glucocorticoids from the adrenal cortex

Increased cortisol caused by increased ACTH

Question 19

Assessment of cushings disease

Answer 19

Generalized muscle wasting and weakness
Moon face Buffalo hump
Truncal obesity with thin extremities supraclavicular fat pads weight gain
Hirstuism

Hyperglycaemia HYPERNATREMIA 
Hypokalemia HYPOCALCEMIA 
Hypertension
Fragile skin that easily bruises 
Reddish purple steaks on abdomen and upper thighs

Question 20

What is conns syndrome

Answer 20

Hyper secretion of the mineralcorticoids- aldosterone from the adrenal cortex of the adrenal gland

Question 21

What is pheochromocytoma

Answer 21

Catecholamine producing tumour - found in the adrenal medulla but can be found in other locations

Question 22

What is cranial nerve 1

Answer 22

Olfactory