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FINALS - HEALTH ASSESSMENT > Neurological Assessment Part 2 > Flashcards

Neurological Assessment Part 2 Flashcards

1
Q

Questions about the history of present illness for neurological assessment

A
  1. any numbness or tingling
  2. seizures
  3. headaches
  4. muscle weakness
  5. slurring of speech
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2
Q

Tingling is common as we ? and in ?

A

age, diabetes

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3
Q

seizure that is Due to high fever, can be corrected but some
prolong

A

infantile seizure

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4
Q

Questions about past health history

A
  1. head injury with or without loss of consciousness
    2 ever had meningitis, encephalitis, injury to the spinal cord, stroke?
  2. of hypertension, stroke, Alzheimer’s?
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5
Q

management for cranial bleeding where we put
hole in the skull to drain the excess blood

A

burr holing

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6
Q

procedure to remove a part of skull due to tumor or too big
blood clump

A

craniotomy

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7
Q

Questions about LIFESTYLE AND HEALTH PRACTICES

A

1.) Smoke
2.) Diet
3.) lifting heavy objects

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8
Q
  • disorder that causes decreased blood flow
    to the fingers that causes the color to change.
A

Raynaud’s disease

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9
Q

AKA thromboangiitis obliterans; affects
blood vessels in the body, most commonly in the arms and legs.

A

Buerger’s disease

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10
Q

FIVE CATEGORIES IN NEUROLOGICAL EXAMINATION

A
  1. MENTAL STATUS
    2.
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11
Q

need to take note to the appearance of the patient for neurological assessment (4)

A
  1. Posture
  2. Body movements
  3. Dress
  4. Grooming and hygiene
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12
Q

Restlessness - may be due to ? and ?

A

anxiety, hypothyroidism

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13
Q

Level of consciousness (5)

A

Alert
Lethargic
Obtunded
Stuporous
Comatose

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14
Q

Level of consciousness; Responds fully and appropriately to stimuli, Can answer to your questions properly and accurately

A

Alert

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15
Q

indicator for stroke

A

F.A.S.T

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16
Q

meaning of F.A.S.T

A

F- face
A- arms
S- Slurring of the speech
T- time

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17
Q

Level of consciousness; Drowsy, responds to questions then fall asleep
● Example: Sa hapon inaantok antok ka na

A

lethargic

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18
Q

Level of consciousness; Open eyes, responds slowly, confused ● When you ask questions, they do not answer you appropriately

A

obtunded

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19
Q

Level of consciousness; Arouses from sleep only from painful stimuli

A

Stuporous

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20
Q

Level of consciousness; Unarousable with eyes closed even with painful
stimuli

A

Comatose

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21
Q

score for comatose

A

3-8

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22
Q

score for generally comatose

A

7

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23
Q

score for conscious; fully alert and functioning

A

15

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24
Q

A sustained state of inner feeling

A

mood

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25
Q

cognitive functions; Person, place and time

A

orientation

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26
Q

cognitive functions; Ability to concentrate

A

attention span

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27
Q

cognitive functions; past events

A

Remote Memory

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28
Q

cognitive functions; 4 unrelated word test

A

New Learning

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29
Q

cognitive functions; Job plans, social family obligations and plans for the

A

Judgment

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30
Q

THOUGHT PROCESSES AND PERCEPTION; logical, coherent, and relevant

A

Thought Processes

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31
Q

THOUGHT PROCESSES AND PERCEPTION; ideas, beliefs, use of words
○ Hallucination
○ Ako si Superman or I’m the richest person in the world ○ May mga naririnig or nakikita ako

A

Thought Content

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32
Q

THOUGHT PROCESSES AND PERCEPTION; Awareness of reality
○ Aware kung mainit, may pamaypay ka

A

Perceptions

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33
Q

THOUGHT PROCESSES AND PERCEPTION; Do not disregard when someone tells you to end their life

A

Screen for suicidal thoughts

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34
Q

Provide information regarding transmission of motor and sensory messages (head and neck)

A

cranial nerves

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35
Q

For patient with cardiac problem, we do not want them to be ?

A

constipated

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36
Q

patient with cardiac problem, we do not want them to be constipinated

A

bc of vagus nerves which can lead to heart
attack

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37
Q

cranial nerve; Sense of smell

A

1 - Olfactory

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38
Q

cranial nerve; Vision Visual acuity, visual fields, ocular fundi, test for near vision

A

2 - optic

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39
Q

cranial nerve; Pupillary constriction, opening the eye and most extraocular movements

A

3 - oculomotor

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40
Q

cranial nerve; Downward, inward movement of the eye

A

4 - Trochlear

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41
Q

cranial nerve; Corneal reflexes, facial sensation, and jaw movements

A

5 - Trigeminal

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42
Q

trigeminal; Temporalandmasseter muscles (jaw clenching), lateral movement of the jaw

A

motor

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43
Q

trigeminal; Facial3divisions(1) Ophthalmic, (2) Maxillary, (3) Mandibular

A

sensory

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44
Q

cranial nerve; Lateral deviation of theeye

A

6 - Abducens

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45
Q

cranial nerve; Motor:Facial movements, facial expressions, closing the eye, closing the mouth

A

7 - Facial

46
Q

cranial nerve; Hearing (cochlear division) & Balance (vestibular division)

A

8 - Vestibulocochlear

47
Q

cranial nerve; Swallowing, rise of the palate, gag reflex

A

9 - Glossopharyngeal

48
Q

Glossopharyngeal; Pharynx (motor or sensory)

A

motor

49
Q

Glossopharyngeal; Posteriorportionsofthe
eardrum and ear canal, the pharynx, posterior tongue including taste (motor or sensory)

A

sensory

50
Q

cranial nerve; Motor: Palate, pharynx, larynx - Sensory: Pharynx and larynx

A

10 - Vagus

51
Q

cranial nerve; Shoulder and neck movements

A

11 - Accessory

52
Q

cranial nerve; Sternocleidomastoidand
upper portion of the trapezius (motor or sensory)

A

motor

53
Q

cranial nerve; Tongue symmetry and position

A

12 - Hypoglossal

54
Q

cranial nerve; Hypoglossal - Tongue (sensory or motor)

A

motor

55
Q

“absence of smell”

A

Anosmia

56
Q

If it is ? (one nostril cannot smell) : Tumor on one side of the brain

A

unilateral

57
Q

If it is ? (both nostril cannot smell): The patient may have colds

A

bilateral

58
Q

impaired near vision

A

Presbyopia

59
Q

test for Distant Vision

A

Snellen’s Chart

60
Q

Nearsightedness

A

myopia

61
Q

Farsightedness

A

hyperopia

62
Q

Distance from the chart (eye test)

A

20 meters

63
Q

Blindness starts at

A

200

64
Q

Visual Fields by Confrontation; Inferior

A

70 degrees

65
Q

Visual Fields by Confrontation; superior

A

50 degrees

66
Q

Visual Fields by Confrontation; Temporal

A

90 degrees

67
Q

Visual Fields by Confrontation; Nasal

A

60 degrees

68
Q

Inspect margins of eyelids: Eyelid covers ? mm of iris

A

2

69
Q

Weak eye muscles

A

phosis

70
Q

test for Six cardinal fields

A

G method or wheel method

71
Q

Follow objects within 5-8 cm of nose

A

Test for convergence

72
Q

Rhythmic oscillation of the eyes; involuntary jerking movement of the eyes with quick and slow components

A

Nystagmus

73
Q

Lack of muscle coordination

A

Strabismus

74
Q

Double vision

A

Diplopia

75
Q

Pupil inequality of <0.5 mm

A

Anisocoria

76
Q

Pupillary constriction in the same eye

A

Direct light reflex

77
Q

pupillary constriction in the opposite eye

A

Consensual light reflex

78
Q

PERRLA MEANING

A

P-Pupil
● E-Equal
● R-Round
● R - Reactive to
● L-Lightand
● A - Accommodation

79
Q

How fast the movement of the pupil is

A

BRISK

80
Q

How slow the movement of the pupil is

A

SLUGGISH

81
Q

Maybe due to tumor

A

DILATED

82
Q

Small in size

A

PINPOINT

83
Q

abnormal for trigeminal nerve; PNS or CNS dysfunction

A

bilateral

84
Q

abnormal for trigeminal nerve; Lesion of CN V

A

unilateral

85
Q

3 division of sensory division of trigeminal nerve 5

A

ophthalmic, maxillary and mandibular

86
Q

sensory function of trigeminal nerve lesion in the (3)

A

Trigeminal nerve, Spinothalamic tract, Posterior columns

87
Q

corneal reflex lesion in the (2)

A

Trigeminal nerve, Motor part of CN VII

88
Q

abnormal for facial nerve

A

Bell’s Palsy, Paralysis lower part of the face

89
Q

Identify different flavors

A

sensory function

90
Q

Reflex regulates the motor response

A

Corneal Reflex

91
Q

test for VESTIBULOCOCHLEAR nerve

A

Weber’sTest

92
Q

Evaluate conduction of sound waves through bones

A

Weber’sTest

93
Q

Helps distinguish between conductive hearing and sensorineural hearing

A

Weber’s Test

94
Q

sound waves transmitted by the external and middle ear

A

Conductive hearing

95
Q

Sound waves transmitted by the
inner ear

A

Sensorineural hearing

96
Q

Hangin. Kapag umiinom ng antibiotics, may something sa tenga

A

Tinnitus

97
Q

Conduction hearing loss, Sensorineural hearing loss

A

Deafness

98
Q

Compares air and bone conduction sound

A

RinnesTest

99
Q

normal for rinnes test

A

Air conduction heard longer than bone conduction

100
Q

BC> AC

A

Conductive hearing loss

101
Q

AC > BC

A

Sensorineural hearing loss

102
Q

Test the vestibular portion of the nerve

A

CaloricTest

103
Q

Performed only when client is experiencing dizziness and
vertigo

A

Caloric Test

104
Q

normal for CRANIAL NERVE IX AND X

A

soft palate rises, uvula remains in midline

105
Q

abnormal for CRANIAL NERVE IX AND X

A

Soft palate does not rise- bilateral
○ Unilateral rising of soft palate and deviation of usual to the
normal side- unilateral lesion CN X

106
Q

normal gag reflex

A

Intact gag reflex
■ Symmetrically diminished or absent in some normal
people

107
Q

abnormal gag reflex

A

Risk for aspiration

108
Q

Motor activity of pharynx

A

Swallow w/o difficulty
● Deafness

109
Q

normal trapezius muscle

A
110
Q

abnormal trapezius muscle

A
111
Q

normal sternocleidomastoid muscle

A

Ease of movement
○ Wide range of movements

112
Q

abnormal sternocleidomastoid muscle

A

Wide range of motion, Muscle weakness
○ Drooping of the shoulders

FINALS - HEALTH ASSESSMENT (3 decks)

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