Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Assessment Exam 2 > Neuromuscular > Flashcards

Neuromuscular Flashcards

1
Q

Neurological assessment components

A

Mental status exam

LOC

Cranial nerve assessment

Reflex testing

Sensory sys. assesment

Motor system assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Musculoskeletal assessment components

A

Inspection of skeleton and extremities for alignment and symmetry

Muscles for symmetry and size: should be bilaterally equal

Palpation of bones/joints for pain, temp, edema

ROM head to toe

Muscle strength 0-5 scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Muscle strength grading scale

A

0: 0% normal strength, complete paralysis
1: 10% strength, no movement, muscle contraction is palpable/visible
2: 25% strength, full movement against gravity w/support
3: 50% strength, normal movement against gravity
4: 75% normal strength, full movement against gravity and min. resistance
5: 100% normal, full movement against gravity and full resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Present/past Hx to look for

A

Trauma, disease, congenital anomalies, migraines, strokes, surgeries, fractures/sprains/strains

Mental health hx

Medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Family Hx to look out for

A

Migraines, seizures, stroke, brain tumors, MS, arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Elderly life span changes

A

Decreased sens. to outside stimuli

Falls

May not realize temp is too hot/cold

vision worsens

Pupils smaller

Decreased hearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mental status exam

A

A&O x 4

Language

memory

attention span and calculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Glasgow coma scale

A

Eye opening
Verbal response
Motor response

Declared coma from 3-8 points

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If all cranial nerves are normal chart

A

“II-XII grossly intact”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CN IIOptic sensory nerve assessment

A

Snellen

Leave glasses/contacts on

Left eye then right eye

Peripheral vision

Opthalmoscope for red light reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CN III Oculomotor nerve assessment

A

PERRLA

Equal
Round
React to light
Accommodate to near/far vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CN III (oculomotor), IV (trochlear), VI (Abducens) motor nerve asessment

A

Examined together, control of eyelid elevation, eye movement, and pupil constriction

Finger of penlight follow with just eyes

6 fields

Abnormal reaction: nystagmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CN III eye movements

A 
CNIII: 
Up and out
Up and in
Cross eyes
Down and out
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CN IV trochlear eye movements

A

Superior Oblique (down and in)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CN VI abducens eye movement

A

Lateral rectus (middle out)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CN V Trigeminal assessment

A

Corneal sensation (often deferred)

Palpate jaw/temples while patient clenches teeth

Cotton ball: swipe across different areas of face bilaterally

17
Q

CN VII Facial (motor and sensory) assessment

A

Symmetry and mobility of face:

  • smile
  • frown
  • close eyes
  • lift eyebrows
  • puff cheeks

Asymmetrical in trauma, bells balsy, CVA, tumor

Ability to taste (often deferred)

18
Q

CN VIII assessment (sensory) vestibulocochlear

A

Ability to hear spoken word

Eyes closed
Whisper 6 words bilaterally or rub fingers near ears

Slowly move hand away while continuing to rub fingers

Repeat bilaterally

Abnormal finding caused by: Occlusion, drug toxicity, tumor

19
Q

CN IX glossopharyngeal

and

CN X vagus

motor and sensory

A

Ability to swallow

Assess voice for hoarseness

Taste (often deferred)

20
Q

Abnormal IX and X ( motor)

A

Motor deficits can indicate brain stem tumor or neck injury

21
Q

CN XI spinal accessory assessment

A

Hands on patients cheek and see if they resist head turn

Hands on shoulders, gently push down shoulders while they shrug

22
Q

CN XII hypoglossal assessment

A

Motor Assess tongue control

Have them stick it out straight, back and forth, up and down

23
Q

Reflex grades

A

4+ hyperactive

3+ brisker than normal

2+ normal

1+ diminished

0 absent

24
Q

Sensory neurological tests

A

Sharp and dull
-show patient difference between sharp and dull

  • close their eyes
  • touch arms/legs randomly
  • Have them identify area and sensation
25
Q

Cortical sensory function

A

Discriminatory sensory function

Both with eyes closed

Sterognosis (guess object in hand)

Graphesthesis (number written on hand)

26
Q

Fine motor coordination test of upper extremities

A

Finger to finger test (eyes open and to examiners finger)

Finger to nose test (eyes closed)

27
Q

Fine motor coordination test of lower extremities

A

Patient moves heel of one foot up and down shin of other foot

28
Q

Fine motor tests for general coordination

A

Rapid alternating movements

Patient pats knees with both hands alternating supination and pronation

or

patient touches thumb to each finger on same hand

29
Q

Romberg test

A

Tests for balance

Stand with feet together, arms at side and close eyes

Look for swaying or lack of balance for 30 seconds

Normal to have slight sway

Assessment Exam 2 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions