Neuro/HEENT

Question 1

Where do CNI and CNII extend from?

Answer 1

Cerebrum

Question 2

Where do CNIII to XII extend from?

Answer 2

Midbrain and brainstem

Question 3

True or false - strokes are higher in African American and Hispanic populations

Answer 3

True

Question 4

What to ask about headaches?

Answer 4

Onset, severity, frequency, location

Question 5

How long does brain take to heal?

Answer 5

~ 1 year

Question 6

Phase after a seizure is complete

Answer 6

Postictal phase

Question 7

PERRLA

Answer 7

Pupils equal, round, reactive to light, accomodation

Question 8

CN 1 and how to test

Answer 8

Olfactory, smell sharpie or something familiar

Question 9

CN II and how to test

Answer 9

Optic, test visual acuity and visual fields (Snellen)

Question 10

CN III - IV - VI

Answer 10

Oculomotor, trochlear, abducens, pupils and eye movement with pen light

Question 11

CN V

Answer 11

Trigeminal, open and close jaw, brush across face

Question 12

CN VII

Answer 12

Facial, facial symmetry, have patient smile

Question 13

CN VIII

Answer 13

Vestibulocochlear, test hearing acuity, whispered voice test

Question 14

CN IX and X

Answer 14

Glossopharyngeal and vagus, depress tongue, gag reflex, ask patient to swallow

Question 15

CN XI

Answer 15

Accessory, check equal strength of neck and shoulders with resistance

Question 16

CN XII

Answer 16

Hypoglossal, inspect tongue

Question 17

Glasgow coma scale measures what 3 things?

Answer 17

Eye response, verbal response, motor response

Question 18

Highest possible points on Glasgow coma scale

Answer 18

15

Question 19

Full consciousness

Answer 19

Awake and alert

Question 20

Sleeps frequently but awakens easily

Answer 20

Lethargic

Question 21

Extreme drowsiness, requires vigorous stimulation to waken

Answer 21

Obtunded

Question 22

Minimal movement, responds inappropriately, is awake briefly with vigorous or painful stimuli

Answer 22

Stupor

Question 23

Does not respond to verbal and tactile stimuli, may respond appropriately to painful stimuli

Answer 23

Comatose

Question 24

How to conduct Romberg test?

Answer 24

Have patient balance with feet together and arms ar their side. Have them close their eyes for 20 seconds

Question 25

How to conduct Rapid Alternating Movements (RAM) test?

Answer 25

Have pt turn hands palm-side up and palm-side down really fast

Question 26

Flexion of arm, wrist, and fingers, adduction of arm (tight to body)

Answer 26

Decorticate rigidity

Question 27

Palms pronated, hyperextended back, arms extended (much worse)

Answer 27

Decerebrate rigidity

Question 28

Prolonged arch of back, head and heels bent backwards

Answer 28

Opisthotonos

Question 29

FAST abbreviation for stroke awareness

Answer 29

Face drooping, Arm weakness, Speech difficulty, Time to call 9-1-1

Question 30

Which hearing loss can be improved?

Answer 30

Conductive (eg. fluid, earwax buildup, foreign objects, etc.)

Question 31

Which hearing loss cannot be improved?

Answer 31

Sensorineural (eg. aging, noise damage, drug side effects, tumors, explosion)