NS

Question 1

The cerebrum divided into four lobes

Answer 1

Frontal, parietal

Question 2

Cerebrum

Answer 2

many folds

Question 3

Broca vs Wernikes

Answer 3

Broca damage = no words - unintelligible
Wernickes damage= word salad

Question 4

Thalamus

Answer 4

Info relay center
All centers EXCEPT smell travel here before cerebrem

Question 5

Hypothalamus

Answer 5

Regulate survival instincts, Hormones and ANS
Pit Gland

Question 6

Pit gland

Answer 6

Regulate growth, metabolic and repro functions

Question 7

Neurological symptoms

Answer 7

MS
one-sided weakness
Dizziness
Nausea
Vision problems

Question 8

Main reason older people are admitted to hospital

Answer 8

Falls

Question 9

Older adult NS deficit signs

Answer 9

Slow gait
tongue protrusion
senile tremors
slow reaction
impaired fine motor coordination

Question 10

Objective data Neurological assessment

Answer 10

LOC
Cranial nerves
Motor nerves
reflexes
GCS
vital signs
Dysphagia
Aphasia

Question 11

When would you do a screening vs complete neuro exam?

Answer 11

Depends on the patient and the scenario

Question 12

When does a neuro recheck occur

Answer 12

If a patient is improving or not improving

Question 13

TIA vs CVA

Answer 13

Transient Ischemic Attack
- A block in a blood vessel in the brain
- Very brief and temporary

Cerebral Vascular Accident

Question 14

Hemorrhagic stroke

Answer 14

Worse
Blood vessel in brain bursts

Question 15

First part of neuro assessment?

Answer 15

LOC
person, place, time

Question 16

Romberg test

Answer 16

Standing on one foot with eyes closed (Cerebellum test)

Question 17

3 aspects for evaluated LOC

Answer 17

Eye-opening, verbal response, motor response

Question 18

GCS

Answer 18

Glasgow Coma scale

Question 19

decorticate

Answer 19

Destrut=toin or lesion of cotrical spinal tract

adduction towards the torso

Question 20

Decerebrate

Answer 20

Abnormal flexion

Question 21

ICP

Answer 21

Increased Intracranial Pressure

Changes in LOC
Headache, seizures, vomiting
Changes in speech
Decreased motor function
Posturing

Question 22

cranial Herniation

Answer 22

The brain is pushed downwards by increased ICP and affects the brainstem

Question 23

Absent seizure

Answer 23

Sudden onset of stopping, back to normal quickly

Question 24

what is Ox3

Answer 24

Oriented x3

Ask abt
Person, place, and time

Score out of 5

5 - Oriented x3
4 - Confused
3 - Inappropriate speech
2 - Incomprehensible sounds
1 - No response

Question 25

Motor response grading

Answer 25

out of 6 6 - Patient does as requested 5 - Patient has a localized response to painful stimuli: Purposeful movement is localizing - the patient knows where the painful stimuli is and pulls away 4 - Patient has a withdrawal, or flexion response to painful stimuli: If the patient continues to pull away even after the painful stimulus is removed, that is withdrawal, a weaker, more generalized withdrawal from pain 3 - Patient has an abnormal flexion response to painful stimuli: (decorticate), indicates a destructive lesion of cortical spinal tract within cerebral hemispheres, above midbrain 2 - Patient has an abnormal extension response to painful stimuli: (decerebrate), indicates a lesion of the midbrain, pons, diencephalon (above midbrain: hypothalamus, thalamus) or severe metabolic disorders (hypoxia, hypoglycemia) 1 – No response

Question 26

Decorticate

Answer 26

Lesion above the midbrain

Question 27

Lesion in the midbrai

Answer 27

decerebrate, very serious, impairs respiratory drive

Question 28

Is decorticate or decerebrate more serious?

Answer 28

Decerebrate more ominous than decorticate; indicates lesion/trauma to the brain stem.

Question 29

What can brain herniation be in response to

Answer 29

increased ICP

Question 30

When does a seizure become a medical emergency

Answer 30

lasting for 5 min or longer, has sustained an injury during the seizure, or does not have a known seizure disorder

Question 31

Classification of seizures

Answer 31

Focal onset, generalized onset, and unknown onset

Question 32

Types of aphasia

Answer 32

Expressive: Broca's - Formulation and expression of thoughts impaired Receptive: Wernicke's - ability to comprehend written or verbal language is impaired, speech is clear but words do not express clear sentence Global aphasia all language functions are impaired