Neuro Assessment

78問 • 2年前

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通報

問題一覧

Select the vertebra associated with the biceps DTR.

C5,C6

Select the vertebrae associated with the brachioradial DTR

C5,C6

Select the vertebrae associated with the triceps DTR

C6,C7,C8

Select the vertebrae associated with the patellar DTR

L2, L3, L4

Select the vertebrae associated with the Achilles DTR.

S1, S2

_____ nervous system increases BP and HR, vasoconstriction of the peripheral blood vessels, inhibits gi peristalsis, and dialates the bronchi.

sympathetic

_____ nervous system decreases HR and force of myocardial contraction, decreases BP and respirations, and stimulates gi perstalsis.

parasympathetic

Stroke (CVA)

cerebrovascular accident

Increased risk for CVA

elderly, men, family history, previous history, high BP, Smoking, obesity, excessive alcohol intake

Who is at a greater risk for dying from CVA?

African Americans, women

Why does AFib increase risk for a stroke?

clots form in atria and travel to the brain

fainting

syncope

room is spinning or pt feels like they’re spinning

vertigo

can’t maintain balance

disequilibrium

difficulty swallowing

dysphagia

a neurologic condition in which language function is absent or severely impaired problems understand as well.

aphasia

what can cause dysphagia

stroke

questions for pt with dysphagia

How long?, liquids or solids or both?, excess saliva or drooling?, did you cough or choke when trying to swallow?

What is the complication associated with dysphagia

aspiration

Interventions for pt at risk for aspiration:

HOB up at least 30 degrees, regular oral care (CHG rinse, swabs), evaluated by SLP, Proper diet, thin vs. thickened liquids, have suction set up

Pt may say words that don’t make sense, calling a fork a “gleeble”.

Wernicke’s Aphasia (receptive)

Pt may mix words up, understands speech but is unable to communicate ideas to meaningful speech. Involves the frontal region of the left hemisphere.

Broca’s Aphasia (expressive)

Difficulty with understanding and forming language, extensive brain damage.

Global Aphasia

A&O x4

Person, Place, Time, Situation/ Event

CN 7 (VII)

Facial, tongue

CN 3 (III)

Eye oculomotor

CN 4 (IV)

Eye (trochlear)

C9 (IX)

Tongue (swallowing)

What are the Weber’s and Rinne’s looking for? (Tunning fork)

Hearing loss

What can cause hearing loss?

ear wax, nerve damage, loud music, antibiotics, diuretics

CN for tongue

7,9

What Is the Romberg test testing? (have patient stand with eyes closed)

Cerebellar function for balance

unsteadiness

ataxia

Vibrating a tuning fork on bony prominence; feel vibration/ when stops.

Vibration sensation testing

Select the sensation test that matches the description. Peripheral sensation for peripheral neuropathy.

Monofilament

Select the sensation test that matches the description. Cotton tipped swab.

light touch

sensation with pointy part of a paper clip

sharp

sensation with the round part of the paper clip

dull

moving finger/ toe up/down

Kinesthetic sensation

Identification of familiar object in hand.

Stereogenosis

touch parts of the body simulataneously with 2 points- how many felt?

2 point discrimination

Identification of number/letter drawn on hand, back, other area.

Graphesthesia

Reflex scoring: no response

Reflex scoring: sluggish or diminished

Reflex scoring: active or expected response

Reflex scoring: slightly hyperactive, more brisk than normal

Reflex scoring: brisk hyperactive with intermittent clonus

Reflex scoring: sustained clonus(trembling), (less common)

Muscle contraction response to direct/indirect percussion of tendon

Deep tendon reflex (DTR)

What are some reasons for testing DTR?

Spinal cord injury, stroke, brain injury, magnesium IV

What response is expected for the DTR of the triceps?

Slight extension of the elbow

What is the expected response to the bicep DTR?

Slight flexion of the elbow

What is the expected response to the Bracioradialis DTR?

slight curl of fingers (slight flexion of elbow)

What is the expected reaction of the patellar DTR?

extension of the lower leg?

Foot points down?

Plantar flexion

Foot flexes up?

dorsiflexion

What is the expected response to the Achilles DTR?

Slight plantar flexion (foot points down)

What is the expected response to the plantar DTR (babinskis) in patients 2 years old or older.

Plantar flexion of the toes (slight curl)

Causes of Hyporeflexia?

Damage to lower motor neuron, Ca/ Mg excess, Hypothyroid, Spina bifida, Gillian-Barra, ALS, Spinal cord injury, Herniated disk

Causes of hyperreflexia

Upper motor neuron disease, Spinal cord injury (depends on stage of healing), Ca/Mg deficits, Hyperthyroid, MS, Preeclampsia, severe brain trauma

LOC

Level of consciousness

Alternating periods of apnea with hyperventilation

Cheyne- Stokes (brain stem compression)

Sustained hyperventilation

Central neurogenic hyperventilation (lesions of midbrain/pons)

_____ function represents function of the oculomotor cranial nerve and the midbrain.

Pupillary

15 point scale to assess LOC. 3 sections best eye-opening response, Best verbal response, best motor response.

Glasgow coma scale (GCS)

What sign (test) involves flexing one leg at the hip and knee, then extending the knee? Negative test= no pain, positive test= pain.

Kernig’s Sign, indicates meningeal irritation (not very sensitive)

Symptoms of meningitis

Headache, altered mental status, photophobia, phonophobia, neck stiffness, high fever, petechiae

BE FAST acronym (Stroke)

Balance issues, Eyesight changes, Face drooping, Arm weakness, Speech difficulty, Time to call 911

PERRLA

pupils are equal round reactive to light and accommodate

trembling, around lip or eye.

fasiculations

What infection can lead to opisthotonos

tetanus

What is pictured?

Decerebrate Posturing (is response painful to stimuli)

What is pictured?

Decorticate posturing(in response to a stimuli)

Alternating touching the nose with the index finger with eyes closed. Touching each finger to thumb in a rapid sequence. Moving index finger between nose and axaminer finger. Rapid pronation/supination on the thighs. What are those test testing?

Cerebellar function for coordination

Any GCS score between 3-14 is?

Abnormal

What are nerves 3,4,6 being tested for and how?

extraocular muscle movement (6 cardinal fields of gaze test)

What is the name of the test having the patient stand stil with eyes closed?

Romberg

Cranial nerve 6(VI)

eye (abducens)

Health assessment questions

ユーザ名非公開 · 15問 · 2年前

Health assessment questions

thorax questions

thorax questions

breast questions

breast questions

infection control

infection control

cardiovascular

cardiovascular

lab values

lab values

gi, rectum, prostate, urinary

ユーザ名非公開 · 23問 · 2年前

gi, rectum, prostate, urinary

labs and diagnostics

labs and diagnostics

evidence based practice and clinical judgment

ユーザ名非公開 · 50問 · 2年前

evidence based practice and clinical judgment

musculoskeletal

musculoskeletal

Skin, hair, nails

Skin, hair, nails

Assessment

Assessment

Male and female

Male and female

HEENT

HEENT

Assessment and Health History

ユーザ名非公開 · 27問 · 2年前

Assessment and Health History

Communication

Communication

Phramocology

Phramocology

Principles of med administration

ユーザ名非公開 · 17問 · 2年前

Principles of med administration

Diabetes

Diabetes

Insulin

Insulin

Fluid and Electrolytes

ユーザ名非公開 · 100問 · 2年前

Fluid and Electrolytes

100問 • 2年前

ユーザ名非公開

Fluid and Electrolytes part two

ユーザ名非公開 · 44問 · 2年前

Fluid and Electrolytes part two

Older adult

Older adult

Ears and Eyes

Ears and Eyes

Immobility

Immobility

Sleep

Sleep

Oncology

Oncology

End of life

End of life

Care of patients with oral cavity disorders

ユーザ名非公開 · 43問 · 2年前

Care of patients with oral cavity disorders

43問 • 2年前

ユーザ名非公開

Nutriton/ undernutrition

ユーザ名非公開 · 46問 · 2年前

Nutriton/ undernutrition

Peri-op meds

Peri-op meds

Intestinal

Intestinal

liver

liver

Neurotransmitters

Neurotransmitters

Depression

Depression

Last part of meds

Last part of meds

Schizophrenia

Schizophrenia

Treatment modalities for schizophrenia

ユーザ名非公開 · 20問 · 2年前

Treatment modalities for schizophrenia

Neurocognitive

Neurocognitive

Substance use starting with opioid use disorder

ユーザ名非公開 · 49問 · 2年前

Substance use starting with opioid use disorder

49問 • 2年前

ユーザ名非公開

Substance second part

ユーザ名非公開 · 14問 · 2年前

Substance second part

Sexual assault

Sexual assault

Apgar and CCHD questions

ユーザ名非公開 · 9問 · 1年前

Apgar and CCHD questions

9問 • 1年前

ユーザ名非公開

Labor and Deliver Nursing Care

ユーザ名非公開 · 60問 · 1年前

Labor and Deliver Nursing Care

Extra shit

Extra shit

OB math

OB math

EFM

EFM

Cultural disparities

Cultural disparities

Complications of Pregnancy Part 1 Hemorrhagic Conditons

ユーザ名非公開 · 27問 · 1年前

Complications of Pregnancy Part 1 Hemorrhagic Conditons

27問 • 1年前

ユーザ名非公開

Complcations of Pregnancy Part 2 Hypertensive Disorders of Pregnancy

ユーザ名非公開 · 35問 · 1年前

Complcations of Pregnancy Part 2 Hypertensive Disorders of Pregnancy

35問 • 1年前

ユーザ名非公開

Complications of pregnancy Part 3 Diabetes

ユーザ名非公開 · 23問 · 1年前

Complications of pregnancy Part 3 Diabetes

23問 • 1年前

ユーザ名非公開

Hereditary & Environmental

ユーザ名非公開 · 70問 · 1年前

Hereditary & Environmental

Infertility

Infertility

Medication rights

Medication rights

Cardiovascular assessment and diagnostics Part 1

ユーザ名非公開 · 44問 · 1年前

Cardiovascular assessment and diagnostics Part 1

44問 • 1年前

ユーザ名非公開

Cardiovascular assessment and diagnostics Part 2

ユーザ名非公開 · 46問 · 1年前

Cardiovascular assessment and diagnostics Part 2

coronary arteries

coronary arteries

ACS part 2

ACS part 2

Shock

Shock

Vascular problems part 1

ユーザ名非公開 · 33問 · 1年前

Vascular problems part 1

33問 • 1年前

ユーザ名非公開

Urinary disorders Part 1

ユーザ名非公開 · 66問 · 1年前

Urinary disorders Part 1

Renal failure part 1

Renal failure part 1

Endocrine Disorders Part 2: Endocrine assessment Part 1

ユーザ名非公開 · 51問 · 1年前

Endocrine Disorders Part 2: Endocrine assessment Part 1

51問 • 1年前

ユーザ名非公開

Endocrine Disorders Part 2: Endocrine assessment Part 2

ユーザ名非公開 · 52問 · 1年前

Endocrine Disorders Part 2: Endocrine assessment Part 2

52問 • 1年前

ユーザ名非公開

Endocrine disorders chart

ユーザ名非公開 · 17問 · 1年前

Endocrine disorders chart

Conversions

Conversions

Care of the school aged child

ユーザ名非公開 · 34問 · 1年前

Care of the school aged child

34問 • 1年前

ユーザ名非公開

Caring for patients with alterations in the genitourinary system

ユーザ名非公開 · 45問 · 1年前

Caring for patients with alterations in the genitourinary system

45問 • 1年前

ユーザ名非公開

問題一覧

Select the vertebra associated with the biceps DTR.

C5,C6

Select the vertebrae associated with the brachioradial DTR

C5,C6

Select the vertebrae associated with the triceps DTR

C6,C7,C8

Select the vertebrae associated with the patellar DTR

L2, L3, L4

Select the vertebrae associated with the Achilles DTR.

S1, S2

_____ nervous system increases BP and HR, vasoconstriction of the peripheral blood vessels, inhibits gi peristalsis, and dialates the bronchi.

sympathetic

_____ nervous system decreases HR and force of myocardial contraction, decreases BP and respirations, and stimulates gi perstalsis.

parasympathetic

Stroke (CVA)

cerebrovascular accident

Increased risk for CVA

elderly, men, family history, previous history, high BP, Smoking, obesity, excessive alcohol intake

Who is at a greater risk for dying from CVA?

African Americans, women

Why does AFib increase risk for a stroke?

clots form in atria and travel to the brain

fainting

syncope

room is spinning or pt feels like they’re spinning

vertigo

can’t maintain balance

disequilibrium

difficulty swallowing

dysphagia

a neurologic condition in which language function is absent or severely impaired problems understand as well.

aphasia

what can cause dysphagia

stroke

questions for pt with dysphagia

How long?, liquids or solids or both?, excess saliva or drooling?, did you cough or choke when trying to swallow?

What is the complication associated with dysphagia

aspiration

Interventions for pt at risk for aspiration:

HOB up at least 30 degrees, regular oral care (CHG rinse, swabs), evaluated by SLP, Proper diet, thin vs. thickened liquids, have suction set up

Pt may say words that don’t make sense, calling a fork a “gleeble”.

Wernicke’s Aphasia (receptive)

Pt may mix words up, understands speech but is unable to communicate ideas to meaningful speech. Involves the frontal region of the left hemisphere.

Broca’s Aphasia (expressive)

Difficulty with understanding and forming language, extensive brain damage.

Global Aphasia

A&O x4

Person, Place, Time, Situation/ Event

CN 7 (VII)

Facial, tongue

CN 3 (III)

Eye oculomotor

CN 4 (IV)

Eye (trochlear)

C9 (IX)

Tongue (swallowing)

What are the Weber’s and Rinne’s looking for? (Tunning fork)

Hearing loss

What can cause hearing loss?

ear wax, nerve damage, loud music, antibiotics, diuretics

CN for tongue

7,9

What Is the Romberg test testing? (have patient stand with eyes closed)

Cerebellar function for balance

unsteadiness

ataxia

Vibrating a tuning fork on bony prominence; feel vibration/ when stops.

Vibration sensation testing

Select the sensation test that matches the description. Peripheral sensation for peripheral neuropathy.

Monofilament

Select the sensation test that matches the description. Cotton tipped swab.

light touch

sensation with pointy part of a paper clip

sharp

sensation with the round part of the paper clip

dull

moving finger/ toe up/down

Kinesthetic sensation

Identification of familiar object in hand.

Stereogenosis

touch parts of the body simulataneously with 2 points- how many felt?

2 point discrimination

Identification of number/letter drawn on hand, back, other area.

Graphesthesia

Reflex scoring: no response

Reflex scoring: sluggish or diminished

Reflex scoring: active or expected response

Reflex scoring: slightly hyperactive, more brisk than normal

Reflex scoring: brisk hyperactive with intermittent clonus

Reflex scoring: sustained clonus(trembling), (less common)

Muscle contraction response to direct/indirect percussion of tendon

Deep tendon reflex (DTR)

What are some reasons for testing DTR?

Spinal cord injury, stroke, brain injury, magnesium IV

What response is expected for the DTR of the triceps?

Slight extension of the elbow

What is the expected response to the bicep DTR?

Slight flexion of the elbow

What is the expected response to the Bracioradialis DTR?

slight curl of fingers (slight flexion of elbow)

What is the expected reaction of the patellar DTR?

extension of the lower leg?

Foot points down?

Plantar flexion

Foot flexes up?

dorsiflexion

What is the expected response to the Achilles DTR?

Slight plantar flexion (foot points down)

What is the expected response to the plantar DTR (babinskis) in patients 2 years old or older.

Plantar flexion of the toes (slight curl)

Causes of Hyporeflexia?

Damage to lower motor neuron, Ca/ Mg excess, Hypothyroid, Spina bifida, Gillian-Barra, ALS, Spinal cord injury, Herniated disk

Causes of hyperreflexia

Upper motor neuron disease, Spinal cord injury (depends on stage of healing), Ca/Mg deficits, Hyperthyroid, MS, Preeclampsia, severe brain trauma

LOC

Level of consciousness

Alternating periods of apnea with hyperventilation

Cheyne- Stokes (brain stem compression)

Sustained hyperventilation

Central neurogenic hyperventilation (lesions of midbrain/pons)

_____ function represents function of the oculomotor cranial nerve and the midbrain.

Pupillary

15 point scale to assess LOC. 3 sections best eye-opening response, Best verbal response, best motor response.

Glasgow coma scale (GCS)

What sign (test) involves flexing one leg at the hip and knee, then extending the knee? Negative test= no pain, positive test= pain.

Kernig’s Sign, indicates meningeal irritation (not very sensitive)

Symptoms of meningitis

Headache, altered mental status, photophobia, phonophobia, neck stiffness, high fever, petechiae

BE FAST acronym (Stroke)

Balance issues, Eyesight changes, Face drooping, Arm weakness, Speech difficulty, Time to call 911

PERRLA

pupils are equal round reactive to light and accommodate

trembling, around lip or eye.

fasiculations

What infection can lead to opisthotonos

tetanus

What is pictured?

Decerebrate Posturing (is response painful to stimuli)

What is pictured?

Decorticate posturing(in response to a stimuli)

Cerebellar function for coordination

Any GCS score between 3-14 is?

Abnormal

What are nerves 3,4,6 being tested for and how?

extraocular muscle movement (6 cardinal fields of gaze test)

What is the name of the test having the patient stand stil with eyes closed?

Romberg

Cranial nerve 6(VI)

eye (abducens)