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Neuro Exam

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Question
Answer
Connects brain to spinal cord and pathway for all fiber tracts passing up and down peripheral nerves and spinal cord- CN 3-12   Brain stem  
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Nerve pathway of cerebral hemispheres, auditory and visual reflex centers   Midbrain  
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Motor and sensory pathways; helps regulate respiration   Pons  
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Motor tracts from spinal cord to brain; respiratory, vasomotor and cardiac centers; reflex activity for coughing, gagging, swallowing, and vomiting   Medulla  
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Coordination of movement, balance, and position sense- proreception   Cerebellum  
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Impairment of cerebellum includes what ?   Ataxic gait  
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Term for sway or stagger when walking. Occurs with impairment of what?   Ataxic Gait; Cerebellum  
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Often missed due to presentation as s/s of other things   Cerebral Stroke  
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Arachnoid villi absorb CSF into venous systemic blood or bacteria enter subarachnoid space and will become obstructed creating a _______ ________.   Communicating Hydrocephalus  
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CSF produced from arterial blood by the choroid plexuses of lateral & 4th ventricle C. plexus is a network of capillaries producing ______ ml of CSF per day. Blockage of CSF flow anywhere in the vent sys produces ____________   500 mL; Obstructive Hydrocephalus  
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CN: Smell; Anosmia (inability to smell)   CN I (Olfactory)  
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CN: Visual acuity   CN II (Optic)  
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CN: Exraocular muscles, pupils, and eyelids; Ptosis (dropping of eyelid), Nystagmus (involve eye movements)   CN III, IV, VI (Oculomotor, Trochlear, Abducens)  
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CN: Doll's eyes reflex assessment: positive when eyes deviate in the direction opposite the head turning; eyes stay focused on whatever they were looking at prior to head turning. Denotes brain stem is _____   CN III, IV, VI (Oculomotor, Trochlear, Abducens); Intact  
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Doll's eyes reflex assessment: _______ response when eyes move in the same direction as the head. Indicates severe ________ ________   Brain damage  
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CN: Sensory and motor on each side of face (cheeks). How to check it?   CN V (Trigeminal); cotton swab on each side of face to see if pt feels it  
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CN: Sensory and motor on each side of face, forehead, tongue   CN VII (Facial)  
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CN: Cochlear branch deals with hearing. Vestibular branch deals with balance   CN VIII (Vestibularcochlear)  
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CN: Motor and sensory of pharynx; "aaah" and "gag"   CN IX (Glossopharyngeal)  
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CN: Swallowing and speaking; BP, Cardiac Resp, GI muscle movements   CN X (Vagus)  
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CN: Motor: sternocleidomastoid and trapezius muscles- Shoulder shrugs, turn head to side; Swallowing, speaking   CN XI (Accessory)  
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CN: Tongue movement, speech, swallowing   CN XII (Hypoglossal)  
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