Week 6: Neurological Assessment Flashcards
Observing muscle movement response to sensory stimulus
Reflex arch
Where on the spine do the following reflexs intervate
Upper / Lower abdomen
Up T 7,8,9
Lower T10, 11
Where on the spine do the following reflexs intervate
Cremasteric
T 12
L1,2
Where on the spine do the following reflexs intervate
Plantar
L4,5
S1,2
Where on the spine do the following reflexs intervate
Biceps
C5,6
Where on the spine do the following reflexs intervate
Triceps
C6,7,8
Where on the spine do the following reflexs intervate
Patellar
L2, 3,4
Where on the spine do the following reflexs intervate
Achiles
S1,2
Increase BP & Heart rate
Vasocontriction
Inhibit gastro peristalsis
Dilate bronchi
This nervous system
Sympathetic Nervous System
Fight / Flight
Decreased heart rate / BP
Stimulates gastro peristalsis
Describes this nervous system
Parasympathetic
Rest / Digest
CVA stands for
Cerebrovascular accident
Stroke
_____ can create an embolism in the Atrium which can get sent to the brain causing a CVA (stroke)
Atrial fib
Room spinning, dizzy, desequilibrio, syncope (fainting)
Vertigo
Person is spinning
Subjective vertigo
HOB up 30°
Oral care @ 8 hrs
Thickened liquids
Speech therapy
Suction setup
Describe what?
Intervention for risk of aspiration
Speak in short/ meaningful sentences
Usually understand speech in others
Describes
(Wernicke / Broca) aphasia
Broca aphasia
Expressive aphasia
May speak in long confusing sentences, add unnecessary words
Have difficulty understanding speech of others
(Wernicke / Broca) aphasia
Wernicke aphasia
Receptive aphasia
Difficulty with understanding and forming speech
Global aphasia
Loss of ability to understand or express speech, caused by brain damage (General Term)
Aphasia
Impairment in the production of speech resulting brain disease or damage
Dysphagia
Olfactory
Test: nose for smell
CN 1
CN 1
Olfactory
Test nose for smell
Optic
Test eyes, Snellen’s chart, peripheral vision
CN 2
Oculomotor *
Extraocular muscle movement
CN 3
Trochlear *
Eye movement equally up/down, side / side, obliquely
CN4
CN 2
Optic
Test: Snellens chart
CN 3 *
Oculomotor
Extraocular muscle movement
CN 4
Trochlear nerve
Eye movement equally up / down, side to side, obliquely
CN 5 *
Trigeminal nerve: Facial Movement and sensation
Test: Clench teeth
Palpate temporal & masster muscle
Light/ deep touch
Trigeminal nerve: Facial Movement and sensation
Test: Clench teeth
Palpate temporal & masster muscle
Light/ deep touch
CN5 *
Abducens Extraocular Movement
CN 6
Facial criminal nerve
Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks
Light / Deep touch
Anterior 2/3 of tongue
CN 7
CN 7
Facial criminal nerve
Test: Wrinkle forehead, clinch eyes / teeth, smile, tongue out, puff cheeks
Light / Deep touch
Anterior 2/3 of tongue
Auditory acuity, Weber and Rinne test
CN 8
CN 8
Auditory acuity, Weber and Rinne test
Glossopharyngeal nerve
Posterior 1/3 of tongue
Sensory motor test
Open mouth and say Ah
Dysphagia
CN 9 *
CN 9*
Glossopharyngeal nerve
Posterior 1/3 of tongue
Sensory motor test
Open mouth and say Ah
Dysphagia
Vagus nerve
Main nerve parasympathetic
Test: Open mouth and say Ah
Gag reflex
Dysphagia
CN 10
CN 10
Vagus nerve
Main nerve parasympathetic
Test: Open mouth and say Ah
Gag reflex
Dysphagia
Spinal accessory nerve
Test shrug shoulders
CN 11
CN 11
Spinal accessory nerve
Test shrug shoulders
Hypoglossal Nerve: Test movement of tongue in 4 directions.
This indicates trouble swallowing/ eating
CN 12
CN 12
Hypoglossal Nerve: Test movement of tongue in 4 directions.
This indicates trouble swallowing/ eating
Facial nerve paralysis =
Bells Palsey
Conductive hearing loss can come from…
Wax build up
Kinesthetic Sensation
Describe
Examiner moves patients finger or toe up.
Patients eyes closed
Examiner ask which posistion their digit is in
Stereognosis
ID familiar object in hand
Where is 2 point touch discrimination felt best
Face & Hands
Lower motorbl neuron damage
Ca/ Mg excess
Hypothyroidism
Spina bífida
Guillain-Barré
ALS
Spine Cord Injury
Herniated disk
Hypo or Hyper Reflexes
Hyporeflexia
Upper motor neurons damage,
spinal cord injury,
Ca/ Mg deficits,
Hyperthyroidism
MS
Sever brain trauma
Hypo / Hyper reflexia
Hyperreflexia
Hyperactive deep tendon
Prefrom: ______ test
Dangle foot, dorsiflex, if foot trembles, Positive Result
Ankle Clonus
Evaluation of superficial reflexes
Cremasteric: stroke inner thigh and …
Testicle will lift
Higher level function, controlled by Reticular Activating system
Describes
Awareness
Wakefulness is controlled by …
Brain stem
A & O X 4
Is short hand for…
Alert & Oriented by 4
Person, Place, Time, Situation
Painful stimuli
Start peripherally at
Finger nails
___________
___________
Move centrally
_________
Trapezous muscle
Supraorbital
Central
Sternal Rub
Identificación of number / letter drawn on back of patient
Graphesthesia
Anterior 2/3 of tongue controlled by
CN 7
Posterior 1/3 of tongue is controlled by
CN 9
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
Nuchal Rigidity (define): most reliable sign for ______.
Inability to flex neck forward due to rigidity neck muscles
Meningitis
Photophobia, phonophobia, headache, neck stiffness, fever, pitichea
Are all signs / symptoms of…
Meningitis
____ inteligencia is maintained throughout life
Riding a bike & Writing
Crystallized
____ intelegence is ability to acquire new concepts & adapt to unfamiliar situations
Fluid
Involuntary rapid muscle movements that are too weak to move a Limb
Fasciculations
Chorea
Jerky involuntary movements
Athetosis
Slow, continous, involuntary writhing movements, hands
Opisthotonos
Backward arching back and head
Tetanus & meningitis
CN 7 facial (On Test)
Function
Controls facial movement and expressions
Involved in taste to anterior 2/3 tongue
Tear production
(On Test)
Controls facial movement and expressions
Involved in taste to anterior 2/3 tongue
Tear production
CN VII
(ON TEST)
allows movement of eye muscles
Constriction of pupils
Focusing of eye / Posistion of upper eyelid
CN III
Oculomotor nerve
ON TEST)
Oculomotor never
CN III
allows movement of eye muscles
Constriction of pupils
Focusing of eye / Posistion of upper eyelid
ON TEST
Sends signals from brain to muscles
Together with CN III controls eye movements
CN IV
Trochlear nerve
CN IV
Trochlear nerve
Sends signals from brain to muscles
Together with CN III controls eye movements
ON TEST
Provides sensory innervation to the face
CN V
Trigeminal nerve
CN V
Trigeminal nerve
Provides sensory information to the face
ON TEST
CN IX
Glossopharyngeal nerve
Function
Which part of the body is it associated with
Swallowing
Posterior 1/3 of tongue
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
Which CNs function to move the eyeball
CN III Oculomotor
CN IV Trochlear
CN VI Abducens
Damge to thr auditory nerve or hair cells of inner ear can lead to
Sensorineural hearing loss
