Neuro Exam Flashcards

1
Q

Components of Neuro assessment

A
Mental Status/LOC
Behavior
Cranial Nerves
Motor
Sensory
Coordination
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2
Q

Most reliable indicator for neuro assessment

A

Changes in LOC

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3
Q

Unconscious pt pain response how to test?

A

Peripheral nail bed pressure

Central sternal rub

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4
Q

Pain response for unconscious pt; what questions do you ask to confirm if they did or not?

A
Does pt localize?
Does pt withdraw?
Exhibit abnormal posture?
NO response?
how much stimuli does it take?
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5
Q

Arms going to the core

A

Decorticate posturing

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6
Q

Extensor posture; legs hyperextended; PF of feet

A

Decerebrate posturing

severe

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7
Q

Glascow Coma Scale; what are we assessing?

A

Eye opening
Verbal Response
Motor response

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8
Q

Sense of smell; sensory

A

Olfactory I

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9
Q

Visual activity

A

Optic II

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10
Q

How to test optic

A

how many fingers am i holding up?

Snellens chart

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11
Q

Assessing for PERRLA

A

Oculomotor III

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12
Q

Oculomotor III testing what?

A

PERRLA
downward inward mvmt
Dilated v. fixed pupils
Ptosis

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13
Q

Assessing downward & outward movement of eyes

A

Trochlear IV

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14
Q

Assess cardinal fields of gaze by asking patient to follow your fingers. (lateral rectus, unable to cross midline)

A

Abducens VI

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15
Q

Test sensation (ability for patient to feel touch, pain on either side of the face)

A

Trigeminal V

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16
Q

Ability to smile, close eyes, puff cheeks, raise eyebrows.

Facial Symmetry

A

Facial VII

17
Q

Decreased hearing in one ear v the other

A

Acoustic VII

testing for vertigo; balance problems–not testing on everyone

18
Q

Taste, swallowing ability, gag

A

IX Glossopharyngeal/X Vagus

19
Q

Stick out tongue, move side to side

A

Hypoglossal XII

20
Q

Shoulder shrug

A

Spinal Accessory XI

21
Q

Airway patiency what nerves?

A

XI, X, XII

22
Q

Cerebellar function

A

Ability to walk straight

23
Q

What increased ICP?

A

Coughing
Gagging
HOB flat
Pain