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Clin Assess > Neuro and Some of Male GU > Flashcards

Neuro and Some of Male GU Flashcards

1
Q

alert

A

opens eyes, looks at you, responds well

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2
Q

lethargic

A

drowsy, can open eyes look at you to respond, then fall back asleep

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3
Q

obtunded

A

opens eyes looks at you, confused responses, no interest in environment

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4
Q

Stuporous

A

wakens only with painful stimuli, verbal response slow/absent

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5
Q

comatose

A

unarousable to any stimuli

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6
Q

decorticate

A

upper extremities flexed, lower straight and externally rotated, brain stem not inhibited by motor function of cerebral cortex

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7
Q

decerebrate

A

damage to pons/lesion compressing lower thalamus/midbrain

upper and lower extended

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8
Q

speech and language

A

quantity, rate, volume, articulation, fluency (word comprehension, repetition, naming, reading, writing)

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9
Q

Affect

A 
external emotional expression 
Hypo/hyper
change quickly
eye contact
situation-appropriate
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10
Q

Mood

A

labile, intensity, suicidal, situation appropriate

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11
Q

thought process - derailment/loose association

A

changes quickly unrelated topics

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12
Q

thought process - tangentiality

A

responses irrelevant

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13
Q

thought process - pressured speech

A

quick, long answers, doesn’t finish thought b/f changing

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14
Q

thought process - incoherence

A

word salad

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15
Q

thought process - circumstantiality

A

speech delayed in reaching goal b/c too much detail, but organized

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16
Q

thought process - distractable speech

A

change subject to unrelated thing in environment

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17
Q

thought process - perseveration

A

persistent repetition

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18
Q

thought process - clanging

A

words chosen based on sound/rhyme

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19
Q

thought process - confabulation

A

fabrication of facts to fill memory gaps

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20
Q

Thought content -

A

obsessions, compulsions, delusions, phobias, feelings of unreality/depersonalization/anxiety

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21
Q

Perceptions

A

illusions, hallucinations

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22
Q

Memory

A

registration (learn new), recent/remote memory

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23
Q

Cognition

A

attention, information/vocab, abstract thinking (proverbs, similarities)

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24
Q

Judgment

A

evaluate situation and form response (make solution)

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25
Insight
understand illness/situation
26
Mini Mental State exam (folstein)
27-30 = normal 20-26 - mild dementia <10 severe dementia
27
Aphonia
larynx/throat damage - can't speak
28
Dysarthria
Facial/oral muscle abnormality - can't speak
29
Aphasia
loss of comprehension/power of expression of speech
30
Broca's aphasia
expressive aphasia
31
Wernicke's aphasia
receptive aphasia
32
Cerebellar system
rhythmic movements /posture
33
vestibular system
balance, eye , head & body movements
34
sensory system
position sense (proprioception)
35
Coordination testing
Rapid Alternative Movements, point-to-point, romberg, pronator drift
36
Dysdiadochokinesis
non-fluid rapid alternating movements
37
Dysmetria
inability of point-to-point movements
38
Romberg asses
cerebellar function , proprioception
39
pronator drift
upper motor neuron function, proprioception
40
Tandem
heel-to-toe walking
41
spastic gait
unilateral corticospinal tract injury (stroke, brain injury), Leg crosses ONE SIDE
42
scissors gait
Bilateral corticospinal injury knees/thighs touch together both legs cross midline
43
steppage gait
foot drop
44
cerebellar gait
``` cerebellum damage (alcoholism) feet wide apart, drunk style ```
45
Basal ganglia gait
parkinson's/Festination | small steps, less arm swing, body flexed forward
46
fasiculations
twitching in contiguous muscle groups
47
Increased resistance in PROM
spacicity, lead pipe rigidity, cogwheeling
48
Decreased resistance in PROM
hypotonia, flacidity
49
Resting tremor
Parkinson's | pill-rolling
50
Intention tremor
brainstem/cerebellar disease
51
postural tremor
sustained posture
52
chorea
brief rapid jerky movement | huntington's disease
53
Athetosis
slow, twisting movement | Cerebral Palsy
54
Strength scale - 1
visible flicker
55
Strength scale - 0
no movement
56
Strength scale - 2
active movement w/ no gravity
57
Strength scale - 3
active movement w/ gravity (no resistance)
58
Strength scale - 4
active movement w/ gravity w/ little resistance
59
Strength scale - 5
active movement w/ gravity w/ full resistance
60
strength testing - both sides at same time?
NEVER
61
5 components of reflex arc
stretch receptor, afferent peripheral nerve fiber, anterior horn cell, efferent nerve fiber, neuromuscular junction
62
babinski response present - doc?
"toe upgoing"
63
Cremasteric reflex
stroke inner thigh proximal to distal, testicle rises on same side
64
Spinothalamic tract tests
compulsive rxn sensations - sharp/dull, pinprick, temperature
65
Posterior column tests
vibration, joint position
66
Posterior column + Spinothalamic tract test
Light touch
67
Vibration sense
place vibration on MTP, feel with DIP
68
higher cortical sensory discrimination tests
2 point discrimination graphesthesia stereognosis
69
Phalen's test
Carpal tunnel hold wrists 90 degree flexion + if numbness, tingling
70
Tinel's Test
carpal tunnel percuss regenerating nerve + if tingling/electrical sensations
71
Kernig's test
Meningismus (itis) | can't straighten knee when hip flexed 90 degrees
72
Brudzinski's test
Meningismus (itis) | neck stiff - hip + knees flex when neck flexed
73
Penile cancer from
HPV
74
Ballantitis
inflammation of head of penis
75
Phimosis
inability to retract foreskin
76
Paraphimosis
inability to reduce unretractable foreskin
77
Guaiac stool started at age
50
78
Penile lesion painfulness
Chanchroid - pain Herpes - pain Syphilis - NO PAIN
79
Testicular cancer presentation
age 15-34 swelling back ache/gynecomastia/heavy scrotum
80
hydrocele
fluid in tunica vaginalis NO PAIN transilluminates
81
orchitis
Pain | no translumination
82
Spermatocele
cystic mass in testicle
83
Varicocele
dilation of spermatic cord veins due to incompetent valves
84
testicular torsion
w/ bell clapper deformity, confused for epididimytis
85
Epididimytis
backflow of organism up vas deferens
86
Phren's sign
epididimytis | lift balls, feel better
87
Scrotal edema
Scrotal and penile swelling , finger imprint
88
Direct hernia
``` men over 40 NO PAIN there many years No scrotal mass SIDE of finger ```
89
Indirect hernia
Most common NO PAIN Scrotal mass TIP of finger

Clin Assess (2 decks)

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