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1180 Holistic Health Assessment > Neurological Assessment > Flashcards

Neurological Assessment Flashcards

1
Q

Body Control & Coordination

A
  • Brain & spinal cord
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2
Q

Brainstem Components

A
  • Pons
  • Medulla
  • Connects to spinal cord
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3
Q

Cerebral Cortex Components

A
  • Frontal lobe
  • Parietal lobe
  • Temporal lobes
  • Occipital lobe
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4
Q

Wernicke’s Area

A
  • Temporal Lobe
  • Processing speech
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5
Q

Broca’s area

A
  • Frontal Lobe
  • Language production
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6
Q

Peripheral NS Components

A
  • Cranial nerves
  • Spinal nerves
  • Peripheral nerves
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7
Q

Cranial Nerves

A
  • 12 pairs enter & exit brain
  • No cerebellum association
  • Relay brain information to body
  • Cerebral cortex 1 & 2
  • Brainstem 3-12
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8
Q

Olfactory Nerve 1

A
  • Sensory
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9
Q

Optic Nerve 2

A
  • Sensory
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10
Q

Oculomotor Nerve 3

A
  • Motor
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11
Q

Trochlear Nerve 4

A
  • Motor
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12
Q

Trigeminal Nerve 5

A
  • Motor & sensory
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13
Q

Abducens Nerve 6

A
  • Motor
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14
Q

Facial Nerve 7

A
  • Motor & sensory
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15
Q

Auditory/Vestibulocochlear Nerve 8

A
  • Sensory
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16
Q

Glossopharyngeal Nerve 9

A
  • Motor & sensory
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17
Q

Vagus Nerve 10

A
  • Motor & sensory
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18
Q

Spinal Accessory Nerve 11

A
  • Motor
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19
Q

Hypoglossal Nerve 12

A
  • Motor
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20
Q

Spinal Nerve Breakdown

A
  • 8 cervical
  • 12 thoracic
  • 5 lumbar
  • 5 sacral
  • 1 coccygeal
21
Q

Autonomic NS

A
  • Maintains involuntary functions
  • Cardiac/smooth muscle
22
Q

Sympathetic Division

A
  • Fight/flight
  • Adrenaline
  • Periods of physiological & psychologic stress
23
Q

Parasympathetic Division

A
  • Rest & digest
  • Acetylcholine
  • Conserve body resources
24
Q

Reflexes

A
  • Involuntary responses
25
Q

Neurological Concerns

A
  • Facial droop
  • Head injury
  • Loss of consciousness
  • Dizziness
  • Limb weakness
  • Speech difficulty
26
Q

Glasgow Coma Scale (GCS)

A
  • Assessing extent of consciousness impairment
  • Numerical scale (3-15)
  • 8 or lower = profound impairment
27
Q

GCS Components

A
  • Eye opening
  • Verbal response
  • Motor response
28
Q

Levels of Eye Opening

A
  • Spontaneous
  • Normal voice
  • Loud voice
  • Tactile
29
Q

Noxious Stimulation

A
  • Apply nailbed pressure to elicit pain response
  • Start periphery and move centrally
  • Warn before applying pressure
30
Q

Verbal Response

A
  • Person
  • Place
  • Time
  • All 3 to be considered oriented document A&O x3
31
Q

Motor Response

A
  • Simple command & produce action
  • Understanding directions
32
Q

Pupillary Assessment

A
  • Cranial nerves 2 & 3
33
Q

Pupil Size, Shape, Equality

A
  • Measure in mm
  • Both should be same size
34
Q

Direct Light Reflex

A
  • Brisk constriction
  • Immediate response to light source
35
Q

Consensual Light Reflex

A
  • Constrict when light source aimed at opposite pupil
36
Q

Accommodation Assessment

A
  • 12 inches from face
  • Bring towards nose
  • Equal constriction
  • Converge (inward) together
37
Q

Facial Nerve Assessment

A
  • Facial expression/movement
38
Q

Glossopharyngeal & Vagus Nerves Assessment

A
  • Swallow/taste test
39
Q

Expressive Aphasia

A
  • Broca’s area
  • Frontal lobe
  • Understands language
  • Can’t form words
40
Q

Receptive Aphasia

A
  • Wernicke’s area
  • Temporal lobe
  • Speech is fine
  • Language comprehension impaired
41
Q

Pronator Drift Assessment

A
  • Sit up & close eyes
  • Hold arms pronated position at shoulder height
  • Hold for 20 seconds
  • Arm weakness (arm will drift)
42
Q

Romberg Assessment

A
  • Cerebellar testing
  • Stand with feet together & eyes closed
  • Stand next to them (avoid fall)
43
Q

Coordination & Skilled Movement

A
  • Rapid altering movements
44
Q

Babinski Reflex

A
  • Lateral aspect of foot sole
  • Run firm object up foot sole
  • Flexion of all toes
  • Toes fan with positive reflex
45
Q

Muscles of Strength Assessment

A
  • Biceps
  • Triceps
  • Deltoid
  • Hamstrings
  • Quadriceps
46
Q

Bowel Movement Importance

A
  • Organs can be affected
  • Brain inflammation
  • Constipation increases intracranial pressure
47
Q

Signs of Increased Intracranial Pressure

A
  • Difficulty with speech/movement
  • Vomiting
  • Change in alertness
  • Blurred vision/headache
  • Behavioural changes
48
Q

Widening Pulse Pressure

A
  • Difference between diastolic & systolic
  • Cause changes to blood brain barrier
  • Dementia development
49
Q

Cushing’s Triad

A
  • Elevation of intracranial pressure
  • Caused by widening pulse pressure, irregular respirations & bradycardia

1180 Holistic Health Assessment (9 decks)

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