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 |