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Neurological
Stack #171449
| Question | Answer |
|---|---|
| syncope | sudden loss of strength, temporary loss of consciousness due to lack of cerebral blood flow |
| vertigo | rotational spinning sensation |
| paresis | partial or incomplete paralysis |
| dysmentria | inability to control ROM of muscles |
| paresthesia | abnormal sensation (numbness,burning,tingling) |
| dysphasia | difficulty with language comprehension or expression,problem speaking |
| dysarthria | difficulty forming words, articulating sounds |
| dysphagia | difficulty swallowing |
| aphasia | absence of ability to speak |
| expressive dysphasia | difficulty anwsering but can understand |
| position (kinesthesia) | ability to perceive passive movement |
| stereognosis | ability to recognize objects by feeling their form |
| graphesthesia | ability to read a number by having it traced on the skin |
| vibration | use tuning fork over boney prominances |
| wernickes area | in temporal lobe, associated with language comprehension |
| brocas area | in frontal lobe, associated with ability to speak |
| brain stem | midbrain, pons, medulla |
| EOM | extraoccular movements |
| Romberg Test | used to assess CNS |
| cerebral function (cerebrum) | can be evaluated by observing the patient's behavior and assessing LOC, short and long-term memory, emotional status, speech, dress and grooming and abstract reasoning |
| cerebellar function | can be evaluated by observing patient's fine motor skills,coordination and balance. |
| cerebellum | coordinates movement, equilibrium, and muscle tone |
| hypothalamus | major control station for homeostasis |
| left brain | controls language |
| right brain | nonverbal or perceptual hemisphere |
| cerebrum | largest part of brain |
| spinal cord | highway for ascending and descending fiber tracts |
| glasgow coma scale | best eye opening response,best motor response, best verbal response |
| Keys to assessment | alert, lethargic, obtunded, stupor or semi-coma, coma, confusional state |
| abnormal flexion | decorticate rigidity |
| abnormal extension | decerebrate rigidity |
| constricted pupils may mean: | narcotics and pinpoint lasting analgesics |
| dilated pupils may indicate: | hypoxia or drugs |
| pupil reactions | brisk, sluggish, fixed |
| consider________when assessing the neurological patient to determine to determine alterations in the nervous system | magic |
| magic | metabolism, all drugs, gas exchange, infection, circulation |
| frontal lobe | personality, behavior, emotions, intellectual function, ability to write words, broca's area |
| parietal lobe | primary center for sensation, ability to recognize body parts, left versus right |
| temportal lobe | primary auditory reception center, wernicke's area |
| occipital | primary visual reception center, understanding written word |
| thalmus | main relay station for the nervous system |
| hypothalamus | center for temperature control, sleep, pituitary regulation, HR, BP, and emotional regulation |
| clonus | repeated reflex muscular movements |