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neuroreview
neuroreview assessment
| Question | Answer |
|---|---|
| how do you test cranial nerve VII | sugar or salt anterior 2/3 tongue |
| how do you test cranial nerve V | sensory-tactile and pain sensation in face motor-feel 2 masseter muscles as patient bites down |
| how do you test cranial nerve VI | extraocular movements |
| how do you test cranial nerve IX | motor-touch pharynx with cotton tipped applicator sensory-tastes on posterior third of tongue |
| how do you test cranial nerve XI | patient shrug shoulder while resist movement; strength of trapezius muscle |
| how to test cranial nerve X | say AH, elicit gag reflex, observing uvula movement |
| how to test cranial nerve XII | stick out tongue and move it from side to side |
| how to test cerebellar function | alternately touching nose with index finger of each hand and repeating motion faster and faster with eyes closed |
| how to assess remote memory | asking info that is factual (mother's name) |
| how to assess recent memory | ask questions about things that happened today |
| how to assess abstract ability | meaning of a proverb |
| Glasgow Coma Scale rates LOC by assigning numerical value to 3 behavioral components | eye opening, verbal response, motor response |
| Mini Mental State Examination tests which components | orientation, registration, attention and calcualtion, recall and language |
| Brudzinski test | nuchal rigidity, indicate meningeal irritation |
| CAGE questionnaire | screening tool for alcoholism |
| patient presenting with depressive mood should be assessed for | suicidal ideation followed by asking if person has a plan |
| bruit on auscultation indicate what | narrowing of vessel as result of atherosclerosis; a complete occlusion would produce no sound |
| cranial nerve VII lesion produce what s/s | decreased facial strength |
| cranial nerve III lesion produce what s/s | diplopia |
| cranial nerve V lesion produce what s/s | decrease facial sensation |
| cranial nerve VIII lesion produce what s/s | dizziness and deafness |
| cerebellar dysfunction/lesion produce s/s | difficulty in most finely coordinated movement |
| MMSE scoring | total=30 ages 18-59=29 ages 80 and older=25 20-25=early Alzheimer 10-19=middle stage Alzheimer <10=late Alzheimer |
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