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Neuro Observed Exam > Neuro Observed Exam > Flashcards

Neuro Observed Exam Flashcards

1
Q

MENTAL STATUS

A

MENTAL STATUS

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2
Q

judgment

A

situation explanation - ex: what to do with a letter found on the ground by a mailbox

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3
Q

orientation

A

person, place, time

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4
Q

intellect

A

name 5 continents

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5
Q

short term / working memory

A

recall of 3 words at start and end of exam; chair, wall, clock

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6
Q

long term memory

A

recall remote life event - childhood trip / pet

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7
Q

appearance

A

hygiene and appropiate dress - state aloud

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8
Q

calculation

A

serial 3s, count back from 30 by 3s

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9
Q

CRANIAL NERVES

A

CRANIAL NERVES

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10
Q

CN II - optic nerves - visual acuity

A

pt. holds eye card 14 inches from face, test each eye alone, test each eye with and without corrections (glasses)

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11
Q

CN II - optic nerve - visual fields

A

confrontation, stand behind pt and randomly place fingers in 6 (3 on each side) different parts of the visual field - if fields affects do each eye alone as well

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12
Q

CN II / III - optic and oculomotor nerves - pupillary reflexes

A

far and near - converge eyes and then look to distance; light in each pupil twice for direct and consensual constriction reflex

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13
Q

CN III / IV / VI - oculomotor / trochlear / abducens nerves - extraocular muscles

A

H follow my finger with convergence at the end - also look for nystagmus laterally (CN VIII) named for direction of fast twitch

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14
Q

CN V - trigeminal nerve - ophthalmic branch - sensory

A

sensation on forehead, light touch to forehead

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15
Q

CN V - trigeminal nerve - maxillary branch - sensory

A

sensation on tip of nose / lower eyelid / upper lip, light touch to upper lip / tip of nose

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16
Q

CN V - trigeminal nerve - mandibular branch - sensory and motor

A

motor to muscles of mastication and sensory to lower lip, light touch to lower lip, close and open jaw (bite down)

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17
Q

CN VII - facial nerve - motor

A

muscles of facial expression, close eyes tight, wrinkle forehead, bear teeth, smile, puff out cheeks

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18
Q

CN VIII - vestibulocochlear nerve - hearing acuity

A

hearing acuity, stand in front of pt, rub fingers together randomly on either or both sides

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19
Q

CN VIII - vestibulocochlear nerve - rinne test

A

hold vibrating tuning fork to mastoid and then in front of ear, which is louder (should be air conduction) also have pt state when it goes away

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20
Q

CN VIII - vestibulocochlear nerve - weber test

A

hold vibrating tuning for in middle top of pt skull, have pt state which side is louder and when it goes away

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21
Q

CN VIII - vestibulocochlear nerve - nystagmus

A

nystagmus, have pt look at finger laterally on H test and state no seen nystagmus

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22
Q

CN IX - glossopharyngeal nerve

A

motor to one pharyngeal muscle, taste to post 1/3 tongue and pharynx, note elevation of uvula, note lack of hoarseness aloud

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23
Q

CN X - vagus nerve

A

motor to pharyngeal and laryngeal muscles, sensory to larynx, note elevation of uvula, note lack of hoarseness aloud

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24
Q

CN XI - accessory nerve

A

motor to trapezius and sternocleidomastoid, shoulder shrug against resistance, turn head against resistance

25
Q

CN XII - hypoglossal nerve

A

motor to tongue, tongue protrusion and side to side movement

26
Q

CN XII - hypoglossal nerve

A

motor to tongue, lingual speech, say - sally sells seashells by the seashore

27
Q

MOTOR FUNCTION, bicep strength

A

arm flexion against resistance

28
Q

tricep strength

A

arm extension against resistance

29
Q

deltoid strength

A

arm abduction against resistance

30
Q

grip strength

A

squeeze fingers against resistance

31
Q

wrist extension strength

A

wrist extension against resistance, don’t forget to isolate the wrist

32
Q

thumb opposition

A

thumb to forefinger against resistance

33
Q

intrinsic hand muscles

A

thread fingers and squeeze against resistance

34
Q

hip flexion strength

A

lift leg against resistance

35
Q

hip extension strength

A

leg backwards against resistance

36
Q

hip adduction strength

A

leg inward against resistance

37
Q

hip abduction strength

A

leg outward against resistance

38
Q

knee flexion strength

A

lower leg backwards against resistance

39
Q

knee extension strength

A

lower leg forward against resistance

40
Q

foot dorsiflexion strength

A

foot toward calf against resistance

41
Q

plantar flexion strength

A

foot toward ground against resistance

42
Q

deep tendon reflexes - biceps

A

reflex hammer to inside bend of elbow

43
Q

deep tendon reflexes - triceps

A

reflex hammer to back / outside bend of elbow

44
Q

deep tendon reflexes - brachioradialis

A

reflex hammer to lower arm above thumb

45
Q

deep tendon reflexes - patellar

A

reflex hammer to tendon below knee cap

46
Q

deep tendon reflexes - achilles

A

reflex hammer to tendon behind ankle - shoes off

47
Q

babinski sign (extension of big toe, flaring of toes)

A

run reflex hammer handle along lateral sole, medially across ball of foot - state result -> negative means none, positive means present - shoes off

48
Q

pain and temperature sensory - one location on each extremity

A

sharp prick of pointed tip versus dull end of Qtip - OR - coolness of tuning fork vs. normal temp of tongue depressor

49
Q

vibration and position sensory - one location on each extremity

A

vibration of tuning fork on bony prominence (tell when it stops) - OR - close eyes position pts finger and pt tells you what you have done

50
Q

general coordination

A

finger nose finger - AND - heel to shin

51
Q

fine coordination

A

rapid alternating movement, flip hands and slap top of thighs while doing it

52
Q

gait - normal

A

look for foot placement, posture, arm movement, state normal

53
Q

gait - tandem

A

walk heel to toe on a straight line

54
Q

gait - walk on heels

A

walk on heels, coordination and strength

55
Q

gait - walk on toes

A

walk on toes, coordination and strength

56
Q

Romberg

A

stand with feet together, eyes open for 20 sec, eyes closed for 20 sec without waivering, positive means it happens

57
Q

pronator drift

A

hold arms outstretched with hands upward with eye closed, if arm drifts down = cerebrospinal tract damage, if arm drifts up = proprioception damage, positive means it happens

58
Q

STOP!!! ask 3 words again

A

chair, wall, clock

Neuro Observed Exam (1 decks)

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