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NURS 1145 > Week 6: Neurological Assessment > Flashcards

Week 6: Neurological Assessment Flashcards

1
Q

Observing muscle movement response to sensory stimulus

A

Reflex arch

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2
Q

Where on the spine do the following reflexs intervate

Upper / Lower abdomen

A

Up T 7,8,9
Lower T10, 11

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3
Q

Where on the spine do the following reflexs intervate

Cremasteric

A

T 12

L1,2

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4
Q

Where on the spine do the following reflexs intervate

Plantar

A

L4,5
S1,2

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5
Q

Where on the spine do the following reflexs intervate

Biceps

A

C5,6

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6
Q

Where on the spine do the following reflexs intervate

Triceps

A

C6,7,8

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7
Q

Where on the spine do the following reflexs intervate

Patellar

A

L2, 3,4

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8
Q

Where on the spine do the following reflexs intervate

Achiles

A

S1,2

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9
Q

Increase BP & Heart rate
Vasocontriction
Inhibit gastro peristalsis
Dilate bronchi

This nervous system

A

Sympathetic Nervous System
Fight / Flight

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10
Q

Decreased heart rate / BP
Stimulates gastro peristalsis

Describes this nervous system

A

Parasympathetic

Rest / Digest

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11
Q

CVA stands for

A

Cerebrovascular accident

Stroke

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12
Q

_____ can create an embolism in the Atrium which can get sent to the brain causing a CVA (stroke)

A

Atrial fib

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13
Q

Room spinning, dizzy, desequilibrio, syncope (fainting)

A

Vertigo

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14
Q

Person is spinning

A

Subjective vertigo

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15
Q

HOB up 30°
Oral care @ 8 hrs
Thickened liquids
Speech therapy
Suction setup

Describe what?

A

Intervention for risk of aspiration

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16
Q

Speak in short/ meaningful sentences
Usually understand speech in others

Describes

(Wernicke / Broca) aphasia

A

Broca aphasia

Expressive aphasia

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17
Q

May speak in long confusing sentences, add unnecessary words

Have difficulty understanding speech of others

(Wernicke / Broca) aphasia

A

Wernicke aphasia

Receptive aphasia

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18
Q

Difficulty with understanding and forming speech

A

Global aphasia

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19
Q

Loss of ability to understand or express speech, caused by brain damage (General Term)

A

Aphasia

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20
Q

Impairment in the production of speech resulting brain disease or damage

A

Dysphagia

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21
Q

Olfactory

Test: nose for smell

A

CN 1

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22
Q

CN 1

A

Olfactory

Test nose for smell

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23
Q

Optic

Test eyes, Snellen’s chart, peripheral vision

A

CN 2

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24
Q

Oculomotor *

Extraocular muscle movement

A

CN 3

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25
Trochlear * Eye movement equally up/down, side / side, obliquely
CN4
26
CN 2
Optic Test: Snellens chart
27
CN 3 *
Oculomotor Extraocular muscle movement
28
CN 4
Trochlear nerve Eye movement equally up / down, side to side, obliquely
29
CN 5 *
Trigeminal nerve: Facial Movement and sensation Test: Clench teeth Palpate temporal & masster muscle Light/ deep touch
30
Trigeminal nerve: Facial Movement and sensation Test: Clench teeth Palpate temporal & masster muscle Light/ deep touch
CN5 *
31
Abducens Extraocular Movement
CN 6
32
Facial criminal nerve Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks Light / Deep touch Anterior 2/3 of tongue
CN 7
33
CN 7
Facial criminal nerve Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks Light / Deep touch Anterior 2/3 of tongue
34
Auditory acuity, Weber and Rinne test
CN 8
35
CN 8
Auditory acuity, Weber and Rinne test
36
Glossopharyngeal nerve Posterior 1/3 of tongue Sensory motor test Open mouth and say Ah Dysphagia
CN 9 *
37
CN 9*
Glossopharyngeal nerve Posterior 1/3 of tongue Sensory motor test Open mouth and say Ah Dysphagia
38
Vagus nerve Main nerve parasympathetic Test: Open mouth and say Ah Gag reflex Dysphagia
CN 10
39
CN 10
Vagus nerve Main nerve parasympathetic Test: Open mouth and say Ah Gag reflex Dysphagia
40
Spinal accessory nerve Test shrug shoulders
CN 11
41
CN 11
Spinal accessory nerve Test shrug shoulders
42
Hypoglossal Nerve: Test movement of tongue in 4 directions. This indicates trouble swallowing/ eating
CN 12
43
CN 12
Hypoglossal Nerve: Test movement of tongue in 4 directions. This indicates trouble swallowing/ eating
44
Facial nerve paralysis =
Bells Palsey
45
Conductive hearing loss can come from...
Wax build up
46
Kinesthetic Sensation Describe
Examiner moves patients finger or toe up. Patients eyes closed Examiner ask which posistion their digit is in
47
Stereognosis
ID familiar object in hand
48
Where is 2 point touch discrimination felt best
Face & Hands
49
Lower motorbl neuron damage Ca/ Mg excess Hypothyroidism Spina bífida Guillain-Barré ALS Spine Cord Injury Herniated disk Hypo or Hyper Reflexes
Hyporeflexia
50
Upper motor neurons damage, spinal cord injury, Ca/ Mg deficits, Hyperthyroidism MS Sever brain trauma Hypo / Hyper reflexia
Hyperreflexia
51
Hyperactive deep tendon Prefrom: ______ test Dangle foot, dorsiflex, if foot trembles, Positive Result
Ankle Clonus
52
Evaluation of superficial reflexes Cremasteric: stroke inner thigh and ...
Testicle will lift
53
Higher level function, controlled by Reticular Activating system Describes
Awareness
54
Wakefulness is controlled by ...
Brain stem
55
A & O X 4 Is short hand for...
Alert & Oriented by 4 Person, Place, Time, Situation
56
Painful stimuli Start peripherally at Finger nails ___________ ___________ Move centrally _________
Trapezous muscle Supraorbital Central Sternal Rub
57
Identificación of number / letter drawn on back of patient
Graphesthesia
58
Anterior 2/3 of tongue controlled by
CN 7
59
Posterior 1/3 of tongue is controlled by
CN 9
60
Ascending order of consciousness Can be aroused but return to sleep when stimuli is removed Louder, more vigorous needed to awake patient, will return to sleep Will withdraw from painful stimuli Responds to painful stimuli with abnormal flexion and extension
Lethargic Obtunded Stuporous Semicomatose
61
Nuchal Rigidity (define): most reliable sign for ______.
Inability to flex neck forward due to rigidity neck muscles Meningitis
62
Photophobia, phonophobia, headache, neck stiffness, fever, pitichea Are all signs / symptoms of...
Meningitis
63
____ inteligencia is maintained throughout life Riding a bike & Writing
Crystallized
64
____ intelegence is ability to acquire new concepts & adapt to unfamiliar situations
Fluid
65
Involuntary rapid muscle movements that are too weak to move a Limb
Fasciculations
66
Chorea
Jerky involuntary movements
67
Athetosis
Slow, continous, involuntary writhing movements, hands
68
Opisthotonos
Backward arching back and head Tetanus & meningitis
69
CN 7 facial (On Test) Function
Controls facial movement and expressions Involved in taste to anterior 2/3 tongue Tear production
70
(On Test) Controls facial movement and expressions Involved in taste to anterior 2/3 tongue Tear production
CN VII
71
(ON TEST) allows movement of eye muscles Constriction of pupils Focusing of eye / Posistion of upper eyelid
CN III Oculomotor nerve
72
ON TEST) Oculomotor never CN III
allows movement of eye muscles Constriction of pupils Focusing of eye / Posistion of upper eyelid
73
ON TEST Sends signals from brain to muscles Together with CN III controls eye movements
CN IV Trochlear nerve
74
CN IV Trochlear nerve
Sends signals from brain to muscles Together with CN III controls eye movements
75
ON TEST Provides sensory innervation to the face
CN V Trigeminal nerve
76
CN V Trigeminal nerve
Provides sensory information to the face
77
ON TEST CN IX Glossopharyngeal nerve Function Which part of the body is it associated with
Swallowing Posterior 1/3 of tongue
78
Thyroid Eye Disease (TED) Autoimmune and associated with Graves disease Only occurs with an overactive thyroid True or False
False It can occur in an underactive or normal thyroid
79
Which CNs function to move the eyeball
CN III Oculomotor CN IV Trochlear CN VI Abducens
80
Damge to thr auditory nerve or hair cells of inner ear can lead to
Sensorineural hearing loss

NURS 1145 (11 decks)

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