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Neuro Assessment
| Question | Answer |
|---|---|
| what role does the frontal area play | personality, reason, judgement, and emotion control |
| what role does the temporal area play | speech, sound, language, and short term memory |
| what role does the parietal area play | touch, taste and spatial awareness |
| what role does the occipital area play | vision, form and motion |
| cranial nerve I | olfactory- smell |
| cranial nerve 2 | optic - vision |
| cranial nerve 3 | oculomotor - eye movement |
| cranial nerve 4 | trochlear - eye movement |
| cranial nerve 5 | trigeminal - face sensation, jaw movement |
| cranial nerve 6 | abducens - abduction of eyes |
| cranial nerve 7 | facial - facial expressions, from 2/3 tongue taste |
| cranial nerve 8 | vestibulocochlear - hearing, balance |
| cranial nerve 9 | glossopharyngeal - swallowing |
| cranial nerve 10 | vagus - digestion, heart rate |
| cranial nerve 11 | accessory - movement of head and shoulders |
| cranial nerve 12 | hypoglossal - tongue movement, rear 1/3 taste |
| What does PERRLA stand for | pupils equal round reactive to light and accommodation |
| how would you check for PERRLA | use 6 fields of gaze, check constriction with light shine and accommodation with close stare and far stare. |
| what is the GCS | Glascow coma scale - measures how comatose a patient is |
| what are the components of the GCS | eye response, verbal response and motor response |
| how high and low does the GCS go | 3 is the lowest meaning comatose and 15 is A&O x4 |
| what are the components of eye response | 1. no response 2. responds to pain 3. respond to speech 4. spontaneous eye opening |
| what are the components of verbal response | 1. no response. 2. inaudible word mumbling 3. inappropriate words that are nonsense. 4. confused wording. 5. full normal appropriate sentences. |
| what are the components of motor response. | 1. no response 2. abnormal extension towards sensation. 3. abnormal flexion (touch right withdraw left) 4. withdraws from pain. 5. moves to localized pain. 6. obeys motor command. |
| what value is considered a critical GCS score | 8 or less |
| define expressive language | read written word, verbally identify objects |
| define receptive language | follow verbal commands |
| define dysphasia | thoughts cant be turned into spoken word |
| define dysarthria | can speak but trouble verbalize the words correctly |
| describe light touch assessment | have patient close eyes and touch body parts lightly and have them identify |
| describe pain sensation assessment | have patient identify what is a dull or sharp pain when touching body parts. |
| describe kinesthetic sensation assessment | patient with eyes closed move body part and have them identify where it is in space. |
| describe upper fine motor skills assessment | finger to nose, finger to patient nose with eyes clsoed |
| describe lower finer motor skills assessment | heel to shin test, heel to toe test |
| how could you assess balance | have them stand one one leg |
| how do you assess patient gait | have them walking upright looking for posture, sway, arm movement, foot placement. |
| describe gag reflex results | positive- gagging (normal) not gagging (abnormal) for both kids and children |
| describe snout reflex results | positive - lips pucker (abnormal in adults) negative - nothing (normal in adults abnormal in babies) |
| describe corneal reflex results | positive - eye blinks and waters (normal) negative - no eye response (abnormal) |
| describe babinski reflex results | positive - toes fan outward (abnormal) negative - toes clench inward and down (normal). |
| describe patellar reflex results | positive - leg extends (normal) negative - no leg extension (abnormal) |
| describe the scale on which reflexes are graded | 0- no response 1- mild response 2 - medium response 3- large response 4 - repeating response |
| what are considered abnormal scoring for reflexes | 0 - no response and 4 - repeated response |
| what is recent memory | the ability to remember over the last few minutes |
| what is immediate memory | the ability to remember over the last few days |
| what is remote memory | the ability to remember an event over the last few years. |
Created by:
brandt.a277
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