NMPT Introduction Flashcards
What are the stages of the patient/client management model?
examination
evaluation
diagnosis
prognosis
plan of care
What are the stages of the nagi model?
active pathology
impairment
functional limitation
disaility
_____ provides framework of assumptions.
motor control theory
___ identifies clinical intervention steps.
practice model
_____ provides a common way of thinking and communicating.
health-related function and disaility model.
____ allows development of an intervention program.
hypothesis-oriented practice
What are the s/s of meningismus?
- photophobia (intolerance of bright light)
- nausea
- HA
- vomiting
Projectile vomiting can be an indication of what?
increased ICP
What s/s with a headache are indicative of a medical emergency?
- meningismus
- projectile vomiting
- transient LOC
definition: HA assoc. with weakness, numbness, and paresthesia
migraine
definition: HA that is recurrent in the frontal and occipital lobes
tension HA
definition: HA that occurs 2-3 hours after falling asleep and is pain over one eye for about one hour.
- lacrimation
- runny nose
cluster HA
Pupil size should be about ___-__ mm in dim light.
3-5 mm
definition: dilated pupil
corectasia
definition: lateral deviation of the eye
exotropia
definition: downward deviation of the eye
hypotropia
What are the s/s of horner’s syndrome?
- ptosis that is fixed with upward gaze
- miosis (constricted pupil)
- absence of sweating (anhidrosis)
- redness on the ipsilateral side of the face
definition: constricted pupil
miosis
definition: absence of sweating
anhidrosis
Where does the optic nerve terminate?
brodhann’s area (area 17/primary visual cortex)
Visual acuity is assoc. with (central/peripheral) vision
central
visual fields are assoc with (central/peripheral) vision
peripheral
What does the trigeminal nerve innervate for its motor function?
- muscles of mastication
- anterior diagastric muscle
- mylohyoid
- tensor tympani
What is the sensory function of the trigeminal nerve? What branches are assoc. with each location?
sharp/dull discrimination with eyes closed
Opthalamic (V1): forehead
maxillary (V2): cheeks
mandibular (V3): chin
What is the most sensitive test for sensory innervation of the trigeminal nerve?
corneal reflex
What does the motor portion of the facial nerve innervate?
facial muscles
lacrimal gland
submandibbular and submaxillary glands
nasal mucosa salivary glands
What is the sensory innervations of the facial nerve?
- anterior 2/3 of the tongue (taste)
- oropharyngeal mucosa
- external ear canal
What does the glossopharyngeal nerve innervate for motor function?
- stylopharyngeus muscle
- parotid gland
What does the glossopharyngeal nerve innervate for its sensory functions?
- pharyngeal mucosa
- posterior 1/3 of the tongue
- carotid sinus baroreceptors
How does one test the glossopharyngeal nerve?
gag reflex
look for numbness at the back of the throat
What is the motor innervation of the vagus nerve?
soft palate
pharyngeal constrictors
intrinsic and extrinsic muscles of the larynx
The vagus nerve has parasympathetic connections via ____.
dorsal motor n of X
What are the sensory innervations of the vagus nerve?
- thoracic and abdominal viscera
- carotid body chemoreceptors
- epiglottis taste receptors
What should you look for when examining the vagus nerve?
- dysphagia
- nasal escape
- uvula deviation
- gag reflex
What are the types of seizures?
- grand mal
- petit mal
- complex partial
definition: seizure where patients commonly have feelings of fear/déja vu (aura) associated with complex partial seizures-lip smacking, picking at clothes, fumbling), becoming unaware of surroundings, and wandering-last 1-2 minutes
complex partial seizures
definition: decrease in the ability to project your voice due to vocal cord paralysis
dysphonia
definition: issues with speaking
dysarthria
definition: loss of ability to understand or express speech
aphasia
Pulse ox should be > ___%.
94%
definition: type of memory loss that occurs when you can’t form new memories after the event causing the amnesia
anterograde amnesia
definition: amnesia where you can’t recall memories that were formed before the event that caused the amnesia
retrograde amnesia
definition: acute phase of confusion
delirium
definition: chronic confusion
dementia
definition: a language disorder that makes it hard for you to understand words and communicate (what they say does not make sense)
wernicke’s aphasia (fluent aphasia)
definition: a form of aphasia in which the person knows what they want to say but is unable to produce the words or sentence.
broca’s aphasia (non-fluent aphasia/expressive aphasia)
What are tests for attention?
- vigilance test
- digit repetition
- spelling world backward
definition: distant vision is intact but the lens of the eye is unable to accommodate for near vision
presbyopia/hyperopia
definition: When near vision is intact but distance is not.
myopia
definition: the pupil does not react to light stimulation
iridoplegia
definition: one pupil does not constrict to light (seen in patients who have a damaged optic nerve and/or retina)
amaurotic pupil
definition: Normal response that comes into play when there is a need to view an object at near distances
accommodation
What muscles does the oculomotor nerve innervate?
superior/inferior/medial rectus
inferior oblique
What muscles does the trochlear nerve innervate?
superior oblique
What muscles for the abducens nerve innervate?
lateral rectus
definition: eye is turned inward
esotropia
What muscles do you test when testing the motor component of the trigeminal nerve?
- masseter/muscles of mastication
- lateral pterygoid
How does one test the sensory component of the facial nerve?
taste
definition: Produced when the eyes are in the position of primary gaze or are shifted in a particular direction
gaze nystagmus
