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