Notes Ch: 31 - Assessment Pt. 2 Flashcards

Head-Neck-Cranial Nerves

1
Q

How many cranial nervers are there?

A

12

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2
Q

What does PERRLA stand for?

A

P = Pupil

E = Equal

R = Round

R = Reactive

L = Light

A = Accomodation (constriction of pupil when close, relaxation when light taken away

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3
Q

How is proper function of pupils documented?

A

PERRLA

not “perrla ok”, etc

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4
Q

Pupil dilation indicates

A

neurological issues

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5
Q

Eye coordination is the responsibility of which cranial nerve?

A

III; Occulomotor

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6
Q

When observing eye movment by moving your finger, how should the finger be moved?

A

from nose, out and back.

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7
Q

Visual accutity is tested with the….

A

snellen eye chart

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8
Q

20/20 eye sight indicates

A

You see at 20 feet what people see other people do.

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9
Q

When writing down the eyesight of an individual using the snellen eye chart, which number changes; what do higher numbers indicate?

A
  • Second number changes
  • The higher the number the worse your vision
  • Smaller denominator = better vision
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10
Q

The tympanic membrane is usually ____ in color

A

pearly gray

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11
Q

A bulging red tympanic membrane indicates…

A

infection

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12
Q

The weber test evaluates _____ hearing.

A

conductive (bone)

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13
Q

The Rinne test evaluates ______ hearing.

A

sensory

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14
Q

Describe Weber test.

A
  • Tuning fork is used
  • Placed at top of head equally distanced from each ear
  • When fork struck, patient should hear in both equally
  • If patient indicates they hear in one ear better, THAT ear is the effected ear
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15
Q

Describe Rinne test.

A
  • Uses tuning fork
  • Strike fork and place on mastoid process behind ear
  • When patient indicates they don’t hear it anymore, move it in front of the ear and have them indicate when they no longer hear it
  • Result should be twice as long as on the mastoid process
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16
Q

True or False

Lymph nodes are normally palpable

A

False

17
Q

Palpable lymph nodes are indicative of _____.

A

infection

18
Q

If infection is suspected, what test is ordered?

A

CBC

Complete Blood Count

19
Q

What seven things are assessed at the neck?

A
  1. Lymph nodes
  2. Skin malignancy
  3. Carotid artery
  4. Jugular vein
  5. Thyroid gland
  6. Trachea
  7. Part of the upper respiratory system
20
Q

Which cranial nerves control eye movement?

A
  • CN III: Oculomotor
  • CN IV: Trochlear
  • CN VI: Abducens
21
Q

What does CN VI control?

A

Lateral plane eye movement

22
Q

What does CN IV control?

A

downward-medial movement

23
Q

What does CN III control?

A
  • Upward lateral/medial movement
  • Inward-medial movement
  • Downward-lateral movement
  • PERRLA