neuro/MSK Flashcards
frontal lobe
planning
organizing
emotions
motor
speech (brocas area)
temporal
smell
sound
short term memory
comprehension (wernicke’s area)
parietal
sensory
occipital
vision
cerebellum
coordination of movement
equilibrium
olfactory nerve
sensory
optic nerve
sensory
snellen chart
confrontation test
oculomotor III, Trochlear IV, Abducens VI
motor
CN III: EOM
CN IV,VI: EOM, six cardinal fields of gaze
Trigeminal V
motor: teeth clench
sensory: pain , touch, temp to forehead, cheek and chin
Facial VII
motor: facial expressions
sensory: ant. 2/3 tongue (sweet and salty)
Acoustic VIII
whiser test
tuning fork test:
-rinnes test: bone to air conduction
-weber test: top of head
Glossopharyngeal IX, vagus X
motor: move uvula, swallowing
sensory: post. 1/3 tongue (sour and bitter) (glossopharyngeal)
Glossopharyngeal: gag reflex
spinal accessory XI
motor: shoulder shrug and ROM of head
Hypoglossal XII
motorL speech and tongue
GCS
minimum is 3
max is 15
eye response
verbal response
motor response
reflex grades
0=absent
1=diminished
2-normal
3=brisker than normal
4=ver brisk
stereognosis
familiar objects
graphesthesia
draw numbers in hand and have them figure it out
signs of meningitis
nuchal rigidity: stiff neck
brudzinski: involuntary flexion of hips and knees when the neck is flexed
kernigs sign: client rests the leg straight. has pain or spasms in back of leg
signs of stroke
BEFAST
balance off
eyes
face drooping
arm weakness
speech difficulty
time to call 911
atony
lack of normal muscle tone or strength
hypotonic
diminish tone
hypertonic/spastic
muscles are stiff
termors
involuntary contractions of muscles
gradin muscle strength
0 zero=no muscle contractions
1 trace=muscle contactions detectable
2 poor= CROM with joint support
3 fair=CROM against gravity
4 good= CROM against gravity and moderate resis.
5 normal= CROM against gravity and full resistance
tineals sign
direct percussion on median nerve at wrist produces no symptoms in normal hand
ab normal: pain, numbness, tingling = carpal tunnel
phalens twst
wrist against eachother 90 degrees for 60 seconds
numbness, bruning or pain=carpal tunnel
Laseque straight leg
check for herniated disc
pain in lower back is positive
risk factors and deformities of osteoporosis
Race(white,asian)
small frame
FH
Nulliparous
Early menopause
sedentary lifestyle
chronic conditions
diabetes
medication
smoking
kyphosis, fractures
osteoarthritis vs rheumatoid arthritis
OA:
non inflammatory
pain w/ movement relieved at rest
age >40
overuse of joint
develops slowly
RA:
chronic
systemic
inflammatory
pain at rest too
all ages
gradual onset
