week 5: neurological assessment review

Question 1

AVPU consciousness assessment

A - ___
V - ___ ___ ___
P - ___ ___ ___
U - ___

Answer 1

alert, responds to voice, response to pain, unresponsive

Question 2

label the GCS

Answer 2

Question 3

label the GCS

Answer 3

Question 4

label the GCS

Answer 4

Question 5

recognise stroke - think F.A.S.T
label:
F -
A -
S -
T- 

& what you are looking for

Answer 5

Question 6

what is the acronym for recognising a stroke

Answer 6

Question 7

what does the GCS assess: level of ___

Answer 7

consciousness

Question 8

the normal difference between pupils is up to ___

Answer 8

1mm

Question 9

dilated pupils could result from:

A - ___
A - ___
D - ___ ___
S - ___ ___

Answer 9

alcohol
atropine
recreational drugs
extreme stress

Question 10

constricted pupils could result from:

O - ___ ___
C - ___ ___ ___ ___
D - ___ ___ ___ ___

Answer 10

opiod overdose
lower brain stem compression
damage to the PONS

Question 11

hypotension ___ occurs except as a ___ ___

Answer 11

rarely, terminal, event

Question 12

hypertension ___ occurs with and ___ ___

Answer 12

commonly, intracranial injury

Question 13

dysrhythmias occurs as a result of ___ in ___ ___

Answer 13

intracranial pressure

Question 14

tachypnoea is ___ ___ that are ___ in pattern

Answer 14

rapid respiration, irregular

Question 15

temperature - ___ to ___

Answer 15

alterations, thermoregulation

Question 16

nociceptive pain is usually ___

Answer 16

acute

Question 17

cutaneous pain is ___ pain

Answer 17

superficial

Question 18

somatic pain is ___ pain

Answer 18

deep

Question 19

visceral pain is ___ ___ pain

Answer 19

poorly localised

Question 20

nociceptive pain is transmitted after ___ processing of ___ stimuli

Answer 20

normal, noxious

Question 21

cutaneous pain originates from ___ in the ___ or ___ tissue

Answer 21

nerves, skin, subcutaneous

Question 22

somatic pain originates from:
T - \_\_\_
L - \_\_\_
N - \_\_\_
B - \_\_\_ 
B - \_\_\_ \_\_\_

Answer 22

tendons, ligaments, nerves, bones, blood vessels

Question 23

visceral pain arises from ___ ___ in the:
T - ___
C - ___
A - ___

Answer 23

thorax, cranium, abdomen

Question 24

acute pain has:

___ onset

___ duration (___ to ___)

intensity is ___ to ___

a ___ response to ___ stimuli and ___ injury

Answer 24

sudden

short (days to weeks)

mild to severe

normal, noxious, tissue

Question 25

acute pain could be from:

I - ___ ___
B - ___
F - ___

Answer 25

surgical incisions
burns
fractures

Question 26

chronic pain is:

___ ___ pain

it can be ___ to ___

it lasts for a period of ___ to ___ ___

lasts long after the pathology is ___ and there is ___ stimuli

can cause ___-___ ___ consequences

Answer 26

constant daily

mild to severe

3 to 6 months

resolved, no

long-lasting psychological

Question 27

examples of chronic pain are:

P - ___ ___ pain
R - ___ ___
S - ___

Answer 27

phantom limb
rheumatoid arthritis
stroke

Question 28

the 4 fundamental processes involved in nociception are (in this order)

T - ___
T - ___
P - ___
M - ___

Answer 28

transduction
transmission
perception
modulation

Question 29

transduction is the ___ of noxious stimuli in ___ nerves to ___

Answer 29

changing, sensory, energy

Question 30

transmission is the ___ of the impulse from the site of ___ to the ___

Answer 30

movement, origin, brain

Question 31

perception is d___ c___ a___ of the pain

Answer 31

developing conscious awareness

Question 32

modulation is the ___ of pain impulse ___ & ___

Answer 32

inhibition, transmission & awareness

Question 33

processes involved in nociception

Answer 33

Question 34

cutaneous nerve transmission travels through a ___ ___

the impulse travels to the ___ at a rate of ___

Answer 34

reflex arc

brain, 90m/s

Question 35

pain is a ___ experience

Answer 35

subjective

Question 36

the ___ of tissue damage s not necessarily ___ to the ___ of pain experience

Answer 36

extent, proportional, extent

Question 37

addiction is ___ ___ when analgesics are carefully administered and closely monitored

Answer 37

very unlikely

Question 38

opioid analgesia is ___ ___ ___ for children than adults

Answer 38

no more dangerous

Question 39

a child’s pain expression is ___ ___ ___ as an adult

Answer 39

not the same

Question 40

___ pain experiences as a child alters a persons ___ to ___ in ___

Answer 40

negative, response to pain in adulthood

Question 41

Pain assessment (bottom up)
P - elicit \_\_\_ \_\_\_-\_\_\_ of pain \_\_\_
C - assess for potential \_\_\_ of pain
O - \_\_\_ patient for pain related \_\_\_
R -  elicit \_\_\_ \_\_\_ of pain
A - \_\_\_

Answer 41

patient, self-report, experience 
causes
observe, behaviours
surrogate reporting
analgesia

Question 42

pain assessment mnemonics

Answer 42

Question 43

pain assessment mnemonics

Answer 43

Question 44

Pain Assessment mneumonics

Q (2)
R (2)
T (2)

Answer 44

Question 45

ABCDE pain assessment mneumonic

A - ___ about pain regularly; ___ pain systematically

B - ___ the patient & family in their reports of pain

C - ___ pain control options appropriate for the patient, family & setting

D - ___ interventions in a timely, logical, and coordinated fashion

E - ___ patients & their families

Answer 45

Question 46

physiological indicators

Answer 46

Question 47

physiological indicators

Answer 47

Question 48

behaviour responses to pain

Answer 48

Question 49

Answer 49