Neuro Flashcards

1
Q

GCS motor

A
6- obeyed commands
5- localises to pain
4- normal flexion to pain
3- abnormal flexion to pain
2- extension to pain
1- no response
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2
Q

Power

A

Shoulder to fingers
Hips to toe
Include pronator drift UL

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3
Q

Reflexes - 6

A

Bicep, tricep, supinator
Ankle, knee
Plantar response

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4
Q

Cranial nerves

A
Optic
Olfactory
Oculomotor
Trochlear
Trigeminal
Abducens
Facial
Vestibulococclear
Glossopharyngeal 
Vagus
Accessory
Hypoglossal
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5
Q

Facial nerve

A

Screw up eyes
Smiles
Puff out cheeks and press against
Taste

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6
Q

Hypoglossal

A

Tongue for fasciculations, wasting or deformity
Movement of tongue
Speech

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7
Q

Comms questions- 10
4 head
3 monkeys
3 body

A
Headaches
Cognitive impairment
Fits, faints, funny spells
Dizzy/vertigo
Vision
Hearing
Speech disturbances
Pins and needles
Balance
Weakness
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8
Q

Sensation - 4

A
Light
Pinprick
Vibration sense
Joint position
Babinski
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9
Q

List for examinations - 6

A
Tone
Power
Coordination
Reflexes
Sensation
Gait
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10
Q

Trigeminal

A

Cotton wool and neurotip to forehead, cheeks and lower jaw
Palpate masseter and clench teeth
Open jaw against muscles
Corneal reflex

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11
Q

Limbs inspection

A
Muscle atrophy
Fasciculation
Skeletal deformity
Scars
Tremors
Involuntary movements
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12
Q

Oculomotor

A

Pupil abnormality
Ptosis
Abnormal gaze
H test

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13
Q

Tone

A

Hypo or hypertonic

Clonus LL

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14
Q

Fundoscopy

A
Fix gaze on distant object
0 lens
Red reflex
Correct + or -
Optic disc shape, edges, vessels
Arteries/veins
Colour retina
Haemorrhages
Exudate
Check macula by asking patient to look into light
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15
Q

GCS eye

A

4- spontaneous
3- to speech
2- to pain
1- no response

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16
Q

Accessory

A

Shrug shoulders and feel

Turn head to each side and resist

17
Q

Glossopharyngeal and vagus

A

Look inside mouth
Cough
Gag reflex

18
Q

Vestibulocochlear

A
Nystagmus
Balance
Hearing- whisper test
Rinnies
Webbers
19
Q

GCS verbal response

A
5- orientated
4- confused - sentences but no disorientated
3- verbalises- words no sentances
2- grunts or groans
1- no words
20
Q

Coordination - 4

A

Sign of tremor
Finger-nose test
Dysdiadochokinesis
Heel shin test

21
Q

Optic

A
Sneller chart
Size and shape of pupil
Pupillary response to light
Ipsilateral and contralateral
Pupilary reflex
Visual fields
Visual inattention- finger waggles
Accommodation- pen
Fundoscopy