Neuro Assessment Flashcards

1
Q

The neurological system is responsible for…

A
  • controlling and affecting the function of all body systems
  • allows interactions with the external wound
  • happens through transmission of chemical and electrical signals between brain and body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Basic functions of the brain

A
  • cognition
  • emotion
  • memory
  • sensation and perception
  • homeostasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The CNS is composed of….

A
  • brain and spinal cord
  • cerebral function
  • cerebellar function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The PNS is composed of…

A
  • nerves
  • sensory function
  • motor function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cerebral is the

A

frontal lobe of the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cerebral function is

A
  • intellectual and behavior function
  • LOC
  • orientation
  • mental status
  • cognitive function
  • communication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cerebellar is the..

A
  • bottom portion of the brain
  • little brain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cerebellar function

A
  • coordinates skeletal and muscle movements
  • regulates muscle tone
  • largely responsible for proprioception or maintaining body posture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many lobes in the brain

A
  • 4 lobes plus cerebellum and brainstem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nerves function

A
  • carry out transmission of chemical and electrical signal between the brain and the rest of the body
  • we can assess motor and sensory nerves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What part of the brain is responsible for intellectual and behavioral function?

A

Cerebral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What part of the brain is responsible for coordinating muscle movements?

A

Cerebellar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is responsible for transmitting signals from the brain to the rest of the body?

A

Nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If you have a confused patient

A
  • introduce yourself
  • face patient
  • allow time
  • establish routine
  • reorient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

subjective: Health history symptoms

A
  • headaches
  • dizziness
  • speech
  • muscle control
  • memory loss
  • paresthesia
  • senses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Subjective: Health history questions

A
  • Do you have any history of nerve or brain problems?
  • Any head trauma? Loss of consciousness, dizziness, etc
  • Any memory problems or forgetfulness?
  • Any weakness, numbness, or paralysis?
  • Any history of alcohol or drug use?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Objective Data

A
  • Cerebral function> mental status
  • cranial nerve function
  • motor and cerebellum function
  • sensory system function
  • reflex system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Assessing Level of Consciousness(LOC)

A
  • assess behavior and arousal
  • orientation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Expected findings: LOC

A
  • well groomed/appropriate expression
  • awake alert, and responsive
  • patient is orientated to time, place, person, situation
  • alert and orientated x4
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Different arousal techniques

A
  • verbal stimuli
  • tactile stimuli(touch)
  • painful stimuli(sternal rub)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Glasgow coma scale is a

A
  • tool to document LOC
  • 15: no imparment
  • < 8: comatose
  • <3: totally unresponsive
  • lower number is more concerning
22
Q

How many cranial nerves are there?

A

12 CN

23
Q

CN I

A
  • OLFACTORY
  • occlude one nostril
  • sniff and aromatic substances
24
Q

CN II

A
  • OPTIC
  • ask client to identify smallest print readable(snellen chart)
  • sensory nerve
25
Q

CN III

A
  • OCULOMOTOR
  • Test EOMS by having client move eye through 6 cardinal field of gaze
  • test pupil reaction to light and accommodation
  • PERRLA
26
Q

-CN IV

A
  • TROCHLEAR
  • Test EOMS by having client move eye through 6 cardinal field of gaze
  • test pupil reaction to light and accommodation
  • PERRLA
27
Q

CN V

A
  • TRIGEMINAL
  • motor function> move jaw side to side, bite down
  • sensory function> close eyes and identify when touch forehead
  • corneal reflex> touch cornea with wisp of cotton or air
28
Q

CN VI

A
  • ABDUCENS
  • Test EOMS by having client move eye through 6 cardinal field of gaze
  • test pupil reaction to light and accommodation
  • PERRLA
29
Q

CN VII

A
  • FACIAL NERVE
  • test motor function with smile, frown, raise eyebrows, puff cheeks
30
Q

CN VIII

A
  • AUDITORY
  • watch tick test
  • romberg test
31
Q

CN IX

A
  • GLOSSOPHARYNGEAL
  • observe talking, swallowing, cough
  • motor: depress tongue and say ahh
  • sensory: touch the pharynx with tongue blade to induce gag reflex
  • Taste: test with sweet, salty, or sour
32
Q

CN X

A
  • VAGUS NERVE
  • observe talking, swallowing, cough
  • motor: depress tongue and say ahh
  • sensory: touch the pharynx with tongue blade to induce gag reflex
  • Taste: test with sweet, salty, or sour
33
Q

CN XI

A
  • SPINAL ACCESSORY
  • place hands on shoulder, have client raise them with resistance
  • place hand on head, turn side to side with resistence
34
Q

CN XII

A
  • HYPOGLOSSAL
  • have client stick out tongue and move side to side
35
Q

The cerebellum helps coordinate muscle movement of the skeleton, regulate muscle tone, and maintain posture T or F

A

TRUE

36
Q

Assessing sensory function techniques

A
  • superficial sensation> touch
  • light touch> brush cotton on skin
  • pain> toothpick on skin
  • temperatures> hot/cold on skin
  • Kinetic sensation> position sense> eyes closed finger up or down
37
Q

Deep Tendon Reflexes include what reflexes

A
  • bicep reflex
  • tricep reflex
  • brachioradalis reflex
  • patellar reflex
  • achilles reflex
38
Q

Deep tendon reflex grading scale

A

0: no response
+ 1: diminished response
+2: NORMAL response
+3: response somewhat stronger than normal
+4: response is hyperactive

39
Q

How do you test CN III, IV, VI

A

Test 6 cardinal fields of gaze and PERRLA

40
Q

Which nerve is CN VII

A

Facial nerve

41
Q

Newborn CN exam

A
  • CN II> response to light, corneal light reflex
  • CN III, IV, VI> eye movements
  • CN VII> facial movements> asymmetry when crying
  • CN VIII> response to sound
  • CN IX + X> quality and strength of the cry
  • CN X> Gag
  • CN V, VII, IX, and XII> sucking and swallowing
42
Q

Newborn reflexes

A
  • blinking, sneezing, gagging, coughing
  • babinski: toes fan out
  • moro: startle reflex
  • rooting: turn towards stimuli
  • palmar and plantar grasp> finger/ toe curl around finger placed in the area
43
Q

Pediatric Varaitions

A
  • LOC> assess the interaction of infants and toddlers with their parents to assess alertness
  • school-age> should be able to say name and place
  • Balance> observe gait, balance, coordination
  • older children> skip/ walk heel to toe for balance
44
Q

Older adult variations

A
  • memory issues can begin
  • short term mem decreases
  • decreased perception to temperature and pain
  • taste and smell becomes dimished
  • reflexes are slower, may lose achilles reflex
45
Q

Death of a brain cell that occurs when there is a block is called

A

ischemic stroke

46
Q

Death of a brain cell that occurs when there is a bleed is called

A

hemorrhagic stroke

47
Q

Modifiable risk factors

A
  • smoking
  • hypertension
  • birth control
  • obseity
  • deit
  • high cholestral
48
Q

non-modifiable risk factors

A
  • age
  • gender
  • race
  • family history
  • prior stroke/tia
49
Q

FAST acronym

A

F: Face drooping> uneven smile
A: arm weakness> one arm weak/ drift downward
S: speech difficulties
T: time to call 911

50
Q

Other signs of stroke

A
  • numbness
  • confusion
  • trouble seeing
  • trouble walking
  • severe headache
  • balance issues