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NR 304 Fundamentals > NR 304 HA Week 3 Neuro assment > Flashcards

NR 304 HA Week 3 Neuro assment Flashcards

1
Q

How many on coccyx spine?

A

1

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2
Q

Sensory and motor. Func: Chewing, Face and mouth, touch and paing.

Touch patients face with cotton swab in different parts of face and say where they feel.

Open and close mouth and move jaw side to side, forward/backward.

A

CN- 5 Trigeminal

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3
Q

Rombergs Test, Shallow knee bend or hop in place and finger to nose are the 3 that tests the function of the _____

A

cerebellar

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4
Q

Responsible for Taste, senses carotid BP, muscle sense- proprioception, sensory awareness of the body.

Test: Have patient open mouth and say “aaahhh” check if uvula moves up. and also check gag by stimulating pharynx, swallowing and phonation.

Cranial nerves —- and —- are intact

A

CN - IX Glossopharyngeal and X Vagus nerves

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5
Q

Major functions are sensory and smell.

Assessment: have patient close eyes and smell peppermint, orange etc.

A

CN I Olfactory

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6
Q

when a patients pupil OR (not and) corneal reflexes are absent what score is this on GCS?

A

2

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7
Q

A repetitive stereotyped movements in jaw, lips, or
tongue may accompany senile tremors; no associated rigidity present.

Occurs in older adults

A

Dyskenisias

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8
Q

It is okay to use a reflex hammer with all babies and children. T/F

A

False - older children only and when their not looking

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9
Q

Are sensory fibers that transmit sensations of pain, temperature and crude or light touch

A

anterolateral tract

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10
Q

Main relay station where sensory pathways of spinal cord, cerebellum, brainstem form synapses.

A

Thalams

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11
Q

how many lumbar and sacrum bones are on the spine?

A

5

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12
Q

these are patterns of ——

Cerebral palsy

 Muscular dystrophy

 Hemiplegia

 Parkinsonism

 Cerebellar

 Paraplegia

 Multiple sclerosis

A

motor system dysfunction

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13
Q

When the baby raises her head and arches the back as in a swan dive this is called ?

A

Landau reflex

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14
Q
  • Absent or asymmetric facial movement
  • Loss of taste

are abnormalities of which CN?

A

CN- VII Facial

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15
Q

After 65 years of age, loss of sensation of vibration at _____.

  • common signs: loss of ankle jerk; tactile sensation may be impaired; may

need stronger stimuli for light touch; and especially for pain.

A

Ankle Malleolus

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16
Q

Tests to assess _____ Tract

1) Vibration-Test the person’s ability to feel vibrations of a tuning fork over bony prominences.
2) Position (kinesthesia)-Test the person’s ability to perceive passive movements of extremities.
* *Always check for bilateral comparison**

3) as well as measuring sterognosis, graphesthesia, two point discrimination ( should be able to distinguish location of two similar points) and extinction (touch two points and both should be felt) and Point location

A

Posterior column tract

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16
Q

Tests to assess _____ Tract

1) Vibration-Test the person’s ability to feel vibrations of a tuning fork over bony prominences.
2) Position (kinesthesia)-Test the person’s ability to perceive passive movements of extremities.
* *Always check for bilateral comparison**

3) as well as measuring sterognosis, graphesthesia, two point discrimination ( should be able to distinguish location of two similar points) and extinction (touch two points and both should be felt) and Point location

A

Posterior column tract

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17
Q

Complaints of headaches, injury, tremors, weakness, seizures, numbness, difficulty swallowing, dizziness are major symptom areas to assess when collecting history for which system?

A

Neurologic system

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18
Q

Sensory and Motor FUNC: It Controls trapezius and sternocleidomastoid, controls swallowing movements, muscle sense- proprioception.

To test this cranial nerve: Have patients shrug, look up and down and side to side and push down on shoulders.

A

CN XI Spinal Accessory

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19
Q

During a neurologic exam integrate the following steps to do a full exam: in order from highest priority

“MEN that operate CRAnes and other MOTOR system have a SENS of REFLEX”

Mental status

Cranial nerves

Motor System

Sensory System

Reflexes

A

FYI

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20
Q

The medical record indicates a person has a an injury to Broca’s area. When meeting this person you expect?

a. difficulty speaking
b. receptive aphasia
c. Visual disturbances
d. emotional lability

A

a

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21
Q

during the examination of an infant, use a cotton tipped applicator to stimulate the anal sphincter. The absence of a response suggests a lesion of?

a. L2
b. T12
c. S2
d. C5

A

C

22
Q

is the ability to perceive and recognize the form of an object in the absence of visual and auditory information, by using tactile information to provide cues from texture, size, spatial properties, and temperature.
It is to test intactness of peripheral never fibers, sensory tracts, and higher cortical discrimination.

Routine screening procedures include superficial pain, light touch and vibration.

A

Stereognosis

23
Q

The Glasgow Coma Scale is divided into three areas;

a. pupillary response a reflex test, and assessing pain
b. Eye opening, motor response to stimuli and verbal response.
c. response to fine touche, stereognosis and sense of position
d. orientation, rapid alternating movements, and romberg test.

A

b

24
Q

Methods for testing sensory system or the _______ Tract:

Pain: use broken tongue blade and use sharp and dull edge to tap persons body lightly.

Temperature: use cool tunning fork

TOuch: Use cotton swab and touch arms, forearms, hands, chest, thighs and ask if they feel it.

A

anterolateral tract

25
Q

The Extrapyramidal system- motor and learning control: Executive function and behaviors

A

Basal ganglia

26
Q

During assessment A patients motor response only has an extension what score would this be on the glasgow scale?

A

1

27
Q

these are abnormalities for which Cranial nerve?

Defect or absent central vision

 Defect in peripheral vision, hemianopsia

 Absent light reflex

 Papilledema

 Optic atrophy

 Retinal lesions

A

CN II optical

28
Q

Loss of all sensation that affects nerves of the same length but spares the face.
Polyneuropathy affects longest nerves first (feet, then fingertips) and is termed a stocking-and-glove sensory loss. May also see atrophy of the small muscles of feet and hands and absent ankle reflexes.

As sensory testing moves more proximally, anesthesia zone at toes and fingertips merges into a hypoesthesia zone and gradually becomes healthy.

A

Peripheral neuropathyy

29
Q

located in anterior gray column of spinal cord, but nerve fibers extend to muscle. Movement is translated into an action by these neurons

An example of this are cranial nerves and spinal nerves of the PNS. Types of diseases if injured are:

Spinal cord lesions, poliomyelitis and amyotrophic lateral sclerosis.

A

Lower motor neurons

30
Q

he control of body temperature is located in?

a wernicks area

b thalamus

c cerebellum

d. hypthalamus

A

d

31
Q

is the primary visual receptor center

A

Occipital lobe

32
Q

Cranial nerve that is responsible for Sensory and primarily motor. Its main function is that it Controls tongue movements, Muscle sense proprioception

Assessment : have patient Say light tight dynamite

A

CN- XII Hypoglossal

33
Q

Located behind the ear, has primary auditory reception center, taste, and smell.

*Wernicke’s area is here and is associated with language comprehension

A

Temporal lobe

34
Q

During a bicep reflex assessment what is the normal outcome?

During the exam You will feel the biceps tendon contract if the biceps reflex is stimulated by the tap on the brachioradialis tendon.

A

Flexion of the forearm

35
Q

Abnormal posture
For Upper extremities: stiffly extended, adducted, internal rotation, palms pronated
For Lower extremities: stiffly extended, plantar flexion; teeth clenched; hyperextended back

More ominous than decorticate rigidity; indicates lesion in brainstem at midbrain or upper pons

A

Decerebrate rigidity

36
Q

when tongue deviates to side and Slowed rate of tongue movement is an abnormalities of which CN?

A

CN XII Hypoglossal

37
Q

Anosmia (Loss of smell) is an abnormality in which cranial nerve?

A

I Olfactory

38
Q

weakness of muscles rather than paralysis.

A

Paresis

39
Q

is a weakness of muscles on one side of the body

A

Hemiparesis

40
Q

This lets you recognize letters or numbers when they’re traced on your skin. If you are not able to sense this it could indicate a neurological disorder or injury, as it is regulated by the primary somatosensory cortex in your brain.

A

Graphesthesia

41
Q

The Achilles reflex checks if the ___ and ____ nerve roots are intact and could be indicative of sciatic nerve pathology. It is classically delayed in hypothyroidism.

A

S1 and S2

42
Q

These ______ abnormalities in.

Paralysis Fasciculations Tic
Myoclonus Chorea Athetosis
Seizure disorder Tremor
Rest and intention tremor

A

Muscle movement

43
Q

A score of 15 on a Glasgow scale usually means abnormal?

A

False, its normal - 15 is the highest you can get

44
Q

A pattern or syndrome when there is a sensory loss

Such as Loss of pain and temperature, contralateral side, loss of

vibration and position discrimination on ipsilateral side

A

Spinal Cord hemisection - Brown-Séquard syndrome

45
Q

Responsible for Sensory and motor its Functions: Controls most facial expressions, secretion of ears and saliva.

Assessment: Have patient raise eyebrows, smile really big, frown and puff out cheeks. (no taste in lab).

A

CN VII Facial

46
Q

spastic or flaccid paralysis of one side (right or left) of body and extremities

A

Hemiplegia

47
Q

symmetric paralysis of both lower extremities

A

paraplegic

48
Q

The ______ is important because it helps them to find a breast or bottle nipple, and be able to feed. .

Assessment: Brush infants cheeks near mouth; note when she turns head to that side and opens mouth.

A

rooting reflex

49
Q

Responsible for sensory and motor its Functions: it senses aortic BP, slows HR and stimulates digestive organs taste.

you would assess phonation, swallowing and tasting on the posterior third of the tongue.

A

CN IX Glossoharyngeal

50
Q

Cerebellar function is assessed by which of the following:

1 Muscle size and strength assessment
2 cranial nerve examination
3 coordination- hopping on one foot
4 spinothalamic test

A

3

51
Q

During a neurologic examination, the tendon reflex fails to appear, before striking again you use the technique of:

1 two point discrimination
2 reinforcement
3 vibration
4 Graphesthesia

A

b ( It is accomplished by asking the patient to clench their teeth, or if testing lower extremity reflexes, have the patient hook together their flexed fingers and pull apart.

52
Q

To elicit the babinski reflex

a gently tap on achilles tendon
b stroke the lateral aspect of the sole of the foot and heel to across the ball
c present noxious odor to the person

A

b

53
Q

Senile tremors may resemble parkinsonism except that senile tremors do not include:

a. nodding of the head as if responding
b. rigidity and weakness of voluntary movement
c. tremor of the hands

A

b

NR 304 Fundamentals (1 decks)

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