Sensory And Mental Status Assessment

Question 1

4 types of reflexes and examples

Answer 1

1) Deep tendon
- patellar knee jerk

2) Superficial
- corneal reflex

3) Visceral
- pupillary response to light

4) Pathologic
- babinski

Question 2

Deep Tendon Reflex

Answer 2

Patellar Knee jerk
- patient must be relaxed
- rate on scale of 0-4
- compare bilaterally

Question 3

Pathologic Reflex

Answer 3

Babinski
- stroke J on bottom of foot leading to big toe
- negative test: scrunch
- positive test(bad): toes expand

Question 4

Reception

Answer 4

Stimulation of a receptor such as light, touch, sound

Question 5

Perception

Answer 5

Integration and interpretation of stimuli

Question 6

Reaction

Answer 6

When important stimuli illicit a reaction

Question 7

Types of receptors

Answer 7

Sight
Smell
Touch
Hearing
Taste

Question 8

Stereognosis

Answer 8

Have patient close eyes, put a familiar item in their hand and have them identify

If altered: parietal lobe lesion or sensory nerve tract dysfunction

Question 9

Graphesthesia

Answer 9

Have patient close eyes, then draw out outlines, numbers, letters, words, etc and have patient identify

If altered: parietal lobe lesion

Question 10

Dermatones

Answer 10

Area of skin innervated by specific dorsal root nerves

Loc of injury on spine determines area of altered function

Question 11

Glasgow Coma Scale

Answer 11

Measures LOC

Eye opening, verbal response, motor response

8 is LOW 15 is GOOD

Question 12

Aphasia

Answer 12

Impaired/absent ability to speak, interpret, understand language

Question 13

Expressive aphasia

Answer 13

Brocas
Difficulty expressing thoughts through words, spoken or written

Question 14

Receptive Aphasia

Answer 14

Wernickes
Difficulty receiving/understanding language written/spoken

Question 15

Three most common cognitive problems in against adults

Answer 15

Delirium
Depression
Dementia