N A Neurologic Examination Pg 953
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| What is the purpose of a neurologic examination? | To determine: 1 - whether a nervous system malfunction is present; 2 - if yes, its location; 3 - Identify its type & extent.
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| During the exam the physician may determine the effect of the symptoms on what? | Patient's emotional status, intellectual performance, cognitive abilty, general behavior
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| What items are carfully observed? | Grooming, mannerisms, his or her ability to communicate, appropriate use of speech, language,& writing skills.
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| What should the MA carefully listen for difficulty in what areas? | Putting words together, slurred speech, whether conversation makes sense.
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| What should the MA do if they notice inappropriate changes in the patient? | Note them on the patient's record for the physician's attention & evaluation.
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| Physical Examination of the neurologic system includes evaluation of what? | The cranial nerves
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| What is the name of cranial nerve I? | The olfactory nerve
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| How do you test the cranial nerve 1? | By testing the patients ability to identify familiar odors. (Coffee, tobacco or cloves)
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| What is the name of the cranial nerve V? | The trigeminal nerve
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| How do you test the cranial nevre V? | By testing the patients ability to differentiate between warm & cold objects held against his or her cheeks.
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| How do you evaluate peripheral nerve function? | By examining the motor system;
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| What does evaluation of the motor system include? | Muscular strength; Gait; Movements
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| Why would the diameters of the upper arms calfs be measured & compared? | To diagnose muscle atrophy
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| Motor functioning can be assessed through the use of what test? | The Romberg test
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| What do you ask the pt to do when testing motor function? | Stand with feet together - arms horizontal to the body - eyes closed
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| How is the sensory system examined? | By noting the patients ability to perceive superfical sensations.
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| What are some examples of tests done to check the sensory system? | Wisp of cotton brushed on the skin - a light pinprick - hot or cold touching certain areas.
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| What are the deeep tendon reflexs?(DTRs) | Patellar - Achilles - Biceps - Brachloradials - Triceps
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| What is the Biceps reflex? | Flexion of elbow
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| What is the Brachioradials reflex? | Flexion & supination of the forearm
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| What is the Triceps reflex? | Extension of the arm
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| What is the Patellar reflex? | Extension of the leg
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| What is the Achilles reflex? | Platar flexion of the foot
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| How is the Bebinski reflex checked? | By stoking the lateral aspect of the sole of the foot with a dull object
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| What happens when the patient has a positive reaction during the Babinski reflex test? | The great toe dorsiflexes while the other toes fan out.
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| What diagnosis does a postive Babinski reflex indicate? | A possible stoke or brain lesion.
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| What are some samples of diagnostic tests? | Skull radiograph, carotid ateriogram, myelogram, EEG, MRI, & CT studies
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