Neurological System Assessment

Question 1

a complete neurological examination consist of evaluating the following five areas

Answer 1

mental status, cranial nerves, motor and celebellar systems, sensory system and reflexes

Question 2

Purpose

Answer 2

• Provides information about the cerebral cortex function
• Provides information regarding the transmission of motor and sensory messages
• Determine functioning of pyramidal and extrapyramidal tracts
• Provide information regarding the integrity of the spinothalamic tract, the posterior columns of the spinal and parietal lobes of the brain
• To give glues to the integrity of deep and superficial reflexes

Question 3

Many of the cranial nerves are evaluated during the

Answer 3

head, neck, eye and ear examinations

Question 4

The cranial nerve evaluations provide information regarding the transmission of motor and sensory messages, primarily to the

Answer 4

head and neck

Question 5

carries smell impulses from the nasal mucous membrane to the brain

Answer 5

Cranial Nerve I – Olfactory Nerve (Sensory)

Question 6

Anosmia

Answer 6

is the loss of the sense of smell

Question 7

carries visual impulses from the eye to the brain

Answer 7

Cranial Nerve II – Optic Nerve (Sensory)

Question 8

Normally, adults read newsprint easily 14 inches away (recorded as 14/14 OS, OD and OU). If the result is a smaller fraction, this indicates _________________ called _____________________or _____________ if it occurs with aging.

Answer 8

diminished near vision; hyperopia (farsightedness); presbyopia

Question 9

Normally, an adult reads letters without correction on the Snellen eye chart corresponding with 20/20 OS, OD and OU. If the result is a smaller fraction, this indicates _______________________________

Answer 9

diminished distant vision or myopia.

Question 10

Normally, an adult is able to identify color bars on the Snellen eye chart. Inability to do so indicates _____________________________

Answer 10

defect in color perception

Question 11

contracts eye muscles to control eye movements (inferior, lateral, medial and superior), constricts pupils and elevates eyelids.

Answer 11

Cranial Nerve III – Oculomotor Nerve

Question 12

contracts one eye muscle to control inferolateral eye movement.

Answer 12

Cranial Nerve IV – Trochlear Nerve

Question 13

controls lateral eye movement.

Answer 13

Cranial Nerve XI – Abducens Nerve

Question 14

Normally, pupils are equally round and reactive to light and accommodation. Size is larger in children and smaller in older adults. Normal range is ___________ in adults.

Answer 14

3-5 mm