Neuro Assessment

Question 1

RED FLAG symptoms

Answer 1

1. headache
2. n/v
3. dizziness
4. weakness
5. numb/tingling
6. loss of consciousness
7. seizures
8. tremors

Question 2

Pt education on stroke prevention

Answer 2

• ABC
• LOC
• asymmetric findings

Question 3

Stroke considerations

Answer 3

• confusion
• trouble speaking
• dizzy
• loss of balance
• trouble seeing
• severe headache

Question 4

WARNING SIGN of stroke

Answer 4

sudden numbness or weakness in face, arm, leg

Question 5

Stroke risk factors include

Answer 5

1. hypertension
2. smoking
3. hyperlipidemia
4. diabetes

Question 6

Delirium

Answer 6

confusion, altered mental status from physical/mental illness
(withdrawal, UTI, location change)

Question 7

Dementia

Answer 7

symptoms cause by brain disorder that causes memory loss
(Alzheimer’s)

Question 8

Mental status exam components

Answer 8

1. appearance & behavior
2. speech & language
3. mood
4. thoughts & perceptions
5. cognitive function
   * mini mental status exam (MMSE)
   
   • 11-point exam

Question 9

Alert

Answer 9

Awake, eye contact

Question 10

Lethargic

Answer 10

sleepy, wakes up to voice immediately

Question 11

Obtunded

Answer 11

nodding off continuously

Question 12

Stuporous

Answer 12

wont wake, painful touch

Question 13

Comatose

Answer 13

nonresponsive

Question 14

orientation

Answer 14

person, place, time

Question 15

Pressure speech

Answer 15

cant get words out fast enough

Question 16

Aphasia speech

Answer 16

trouble getting words out

Question 17

The neurological examination consists of

Answer 17

1. mental status exam
2. cranial nerve exam
3. moto/coordination exam
4. sensory exam
5. reflex exam

Question 18

Pasue and look at patient (general survey)

Answer 18

• posture
• behavior
• expression
• hygiene

Question 19

Motor systems

Answer 19

1. motor
2. cerebellar
3. vestibular
4. sensory systems

Question 20

you need motor, cerebellar, vestibular, and sensory systems for what?

Answer 20

coordination of muscle movements

Question 21

Cerebellar tests

Answer 21

1. rapid altering movements
2. point to point movements
3. gait
4. stance
5. pronator drift

Question 22

Motor system grading strength

Answer 22

0: no movement
1: visible contraction
2: FROM w/ gravity eliminated
3. FROM against gravity
4. FROM against some resistance
5. FROM against full resistance

Question 23

Deep tendon grading

Answer 23

0: no response
1+: somewhat diminished
2+: average, normal
3+: brisker than average
4+: very brisk, hyperactive

Question 24

Sensory system

Answer 24

1. pain, light touch (must feel on both sides)
2. position sense & vibrations
3. discriminative sensations

Question 25

In a neuro exam you will test for

Answer 25

1. rapid altering movements 2. point to point movements 3. gait 4. stance 5. strength

Question 26

Basic Assessment

Answer 26

initial assessment w/ every pt (baseline)

Question 27

Basic + assessment

Answer 27

when you suspect a neuro change OR pt has history of nero diagnosis OR taking medication that alters neuro

Question 28

Glasgow coma scale examines

Answer 28

LOC, orientation, push/pull, pupils

Question 29

Glasgow coma scale documenting

Answer 29

follows commands, 5/5 strength upper and lower extremities bilaterally, PERRLA

Question 30

Normal score on Glasgow Coma Scale

Answer 30

15

Question 31

Bad score on Glasgow Coma Scale

Answer 31

3

Question 32

Decorticate rigidity

Answer 32

pulling into core flexed internally rotated

Question 33

Hemiplegia

Answer 33

flaccid externally rotated

Question 34

Decerebrate rigidity

Answer 34

flexed pronated extended

Question 35

Rapid altering movement examples

Answer 35

- hand flips on thighs - toe tapping - finger tapping of thumb

Question 36

Point to point movement examples

Answer 36

- eyes closed, pt points finger to nose

Question 37

Gait examples

Answer 37

heel to toe, on heels or toes, knee bend

Question 38

Stance examples

Answer 38

- Romburg test - pronator drift

Question 39

Basic + examine

Answer 39

1. orientation & LOC (AOx3) 2. pupils (PERRLA) 3. push/pull (5/5 strength on upper & lower extremities bilaterally) 4. EOMS (EOMS intact bilaterally) 5. visual fields by confrontation (visual fields full by confrontation) 6. facial palsy (no facial palsy) 8. pronator drift (no pronator drift) 9. speech * follows commands, able to smile, raise eyebrows symmetrically