Neuro

Question 1

Neuro - Focused Hx Q

Answer 1

-hx of neurological problems, any head trauma, loss of consciousness, dizziness, head aches or seizures.
-Any memory problems, forgetfulness, inability to concentrate?
-Any changes in sense of spell, taste, hearing, feeling or balance?
-Any weakness, numbness or paralysis?
- Difficulty with ADLS?
- tremors or involuntary movements?
- mood problems or depression?
Alcohol or drug use?
-ever been treated for neurological or psychiatric problmes
-Hx of hypertension, diabetes, stroke or circulation?

Question 2

Brief Neuro Exam( 4)

Answer 2

1. level of conciousness
2. glasgow coma scales
3. pupillary response
4. Vitals

Question 3

Unconcious

Answer 3

still aroused by painful stimuli

Question 4

unresponsive

Answer 4

not aroused by verbal, tactile or painful stimuli

Question 5

Coma

Answer 5

Prolonged unconsciousness, unresponsiveness

Question 6

Glasgow coma scales ( three assessments and their highest score)

Answer 6

1. eye ( highest score 4)
2. motor ( highest score 6)
3. verbal ( highest score 5)

Question 7

Results of Glasgow coma scale (6 states)

Answer 7

1. Mild ( 13-15)
2. Moderate ( 9-12)
3. severe disability ( 3-8)
4. Vegetative state ( < 3)
5. Persistent vegetative state (lasting longer than one month)
6. Brain death

Question 8

Decorticate

Answer 8

abnormal bodily position in which hands are curled in towards chin

Question 9

Decerebrate

Answer 9

abnormal bodily position in which hands at side curled in thumbs down.

Question 10

Abnormal pupills

Answer 10

Inequality of > 1mm

Question 11

Dolls Eye movement (oculocephalic Reflex)

Answer 11

Abnormal: Eyes movements follow the head movement
Normal: Eyes move opposite of head- aka they can stay fixed on an image

Question 12

Cerebellar function tests

Answer 12

observe gait ( smooth, rhythmic, effortless, opposing arm swing
tandem walking ( heel to toe)

Question 13

Romberg Test

Answer 13

Close eyes, with feet together
Abnormal: excessive swaying/ loss of balance
Normal: mild sway, can hold with eyes closed for 20 seconds

Question 14

Coordination and skilled movement tests (4)

Answer 14

1. finger to nose, with eyes open and then closed
2. finger( mine) nose ( theirs) finger ( mine)
3. Heel to shin
4. finger to finger

Question 15

Where do you test Reflexes (5)

Answer 15

1. tricep
2. bicep
3. Brachioradialis
4. Pateller
5. Achilles

Question 16

Lethergy

Answer 16

sleepy

Question 17

Obtunded

Answer 17

refers to less than full alertness (altered level of consciousness)

Question 18

stupor

Answer 18

is an excessively long or deep state of unresponsiveness. People can be aroused from it only briefly by vigorous stimulation, such as repeated shaking, loud calling, or pinching.

Question 19

Ptosis

Answer 19

Droopy eye lids

Question 20

Exophthalmos

Answer 20

Bulging of the eye

Question 21

Allens Test

Answer 21

Snellen chart but with pictures for children