Neuro-7 Questions

Question 1

What is all involved in the Neurological assessment?

Answer 1

Level of Consciousness (LOC), physical status, chief complaint, cognitive function, appearance
and behavior, speech

Question 2

What all is included in the health history ?

Answer 2

ADL abilities, changes in sensation, neurological “red flags”, cranial nerves, sensory/motor function.

Question 3

What does LOC indicate?

Answer 3

Person, place, time, situation

Question 4

How many times should you assess for alert and oriented?

Answer 4

4x or x4

Question 5

What does “alert” mean?

Answer 5

Fully awake, responding to all stimuli, following verbal commands.

Question 6

What is “lethargic” mean?

Answer 6

Drowsy or asleep a lot, can be woken with gentle shake or name, spontaneous movements, forgetful, delayed responses to verbal command.

Question 7

What is “obtunded” mean?

Answer 7

Extreme drowsiness, minimally responsive, barely follows commands, vigorous stimulation to awake, difficulty, staying awake.

Question 8

What is stuporous or Semi-comatose?

Answer 8

unconscious most of the time, no spontaneous movements, awakens briefly only with repeated vigorous stimulation, responds in groans or moans, responds to painful stimuli with purposeful movements.

Question 9

What is comatose mean?

Answer 9

no response to verbal or painful stimuli, cannot be awakened, some reflexes
may be present, decorticate position (abnormal flexion) or decerebrate position (abnormal extension).

Question 10

For the Glasgow coma scale, what rating is a mild brain injury?

Answer 10

13-15

Question 11

For the Glasgow coma scale, which rating is a moderate brain injury?

Answer 11

9 to 12

Question 12

For the Glasgow coma scale, which rating is a severe brain injury?

Answer 12

8 or less

Question 13

What should you check for speech?

Answer 13

Pace, volume, fluidity, spontaneity, ability to articulate (coherent)

Question 14

For ineffective speech, what should assess for further for?

Answer 14

Aphasia

Question 15

What is Aphasia?

Answer 15

Person loses the ability to understand or express speech.

Question 16

What motor or expressive Aphasia for (Broca’s)?

Answer 16

Impaired fluency and difficult finding words.

Question 17

What is Sensory or Receptive Aphasia (Wernicke’s)?

Answer 17

Inability to understand written words or
speech and the use of made-up words

Question 18

What is Global aphasia?

Answer 18

lacks both expressive and receptive language

Question 19

When repeating a series of numbers what memory is that?

Answer 19

Immediate recall

Question 20

When stating 3 unrelated objects or “what did you have for breakfast?” what memory is that ?

Answer 20

Recent Memory

Question 21

When stating “What is your birthday?” what memory is that?

Answer 21

Remote (Past) Memory

Question 22

For memory what should you assess for or check for?

Answer 22

knowledge, abstract thinking, association, judgement

Question 23

What cranial nerve is CN I?

Answer 23

olfactory-smell

Question 24

What cranial nerve is CN II?

Answer 24

Optic - visual acuity

Question 25

What cranial nerve is CN III?

Answer 25

Oculomotor - Pupil constriction and PERRLA

Question 26

What cranial nerve is CN IV (4)?

Answer 26

Trochlear- eye movements: down and inward

Question 27

What cranial nerve is CN V (5)?

Answer 27

Trigeminal - light touch and pain on face and neck

Question 28

What cranial nerve is CN VI (6)?

Answer 28

Abducens =eye movement lateral

Question 29

What cranial nerve is CN VII (7)?

Answer 29

Facial - sense of taste, facial symmetry, expression

Question 30

What cranial nerve is CN VIII (8)?

Answer 30

Auditory -hearing

Question 31

What cranial nerve is CN IX (9)?

Answer 31

(glossopharyngeal) – movement of pharynx, swallowing, gag reflex, taste

Question 32

What is cranial nerve CN X (10)?

Answer 32

(vagus) – swallowing and speaking

Question 33

What is cranial nerve CN XI (11)?

Answer 33

(accessory) – movement of shoulder muscles

Question 34

What is cranial nerve CN XII (12)?

Answer 34

(hypoglossal) – position, strength, and movement of tongue

Question 35

What abnormal pupil findings are unequal pupil size (CNS disease)?

Answer 35

Anisocoria

Question 36

What abnormal pupil findings are dilated and fixed pupils (brain damage, drug induced, ‘blown pupils’?

Answer 36

Mydriasis

Question 37

What abnormal pupil findings have no reaction to light; small and irregular bilaterally (CNS syphilis, brain tumor, meningitis, chronic alcoholism)?

Answer 37

Argyll Robertson Pupil

Question 38

What abnormal pupil findings are one pupil large, fixed, dilated?

Answer 38

Temporal lobe herniation

Question 39

What abnormal pupil findings are constricted, fixed pupils, bilaterally (often drug induced)?

Answer 39

Miosis

Question 40

What is it called when different nerve pathways relay sensations; area of skin that is supplied mainly from one spinal cord segment through a particular spinal nerve?

Answer 40

Dermatomes

Question 41

When it comes to sensory function what should you testy for and include?

Answer 41

pain, temperature, light touch, vibration, position, two-point discrimination.

Question 42

When it comes to motor function what two things do you look for ?

Answer 42

Coordination and Balance

Question 43

What are the movements for the motor function test ?

Answer 43

Touch each finger to nose, stand on one foot, pat knees

Question 44

What is the Romberg's Test ?

Answer 44

It tests Balance -stands feet together, arms at side, eyes open and then closed, watch for side to side swaying (slight swaying is normal)

Question 45

What two reflexes do you assess for reflexes?

Answer 45

Deep tendon reflexes and cutaneous reflexes

Question 46

What are the three common reflexes assessed ?

Answer 46

bicep, patellar, and plantar (Babinski)

Question 47

What kind of scale do you grade reflexes ?

Answer 47

0-4 0: no response, 1: sluggish, 2: active/normal, 3: slightly brisk, 4:brisk and hyperactive with intermittent or transient clonus

Question 48

What parts of the brain is effected by decerebrate posture?

Answer 48

Damage to the upper Brain stem.

Question 49

What part of the brain is effected by the decorticate posture?

Answer 49

Damage to one or both corticospinal

Question 50

What is the posture of Decerebrate ?

Answer 50

Arms are adducted and extended, wrists pronated, and fingers flexed. legs extended and feet plantar flexion.

Question 51

What is the posture of Decorticate?

Answer 51

Arms are adducted and elbows are flexed, with the wrists and fingers on the chest.