Term
| Causes of loss of sense of smell: |
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Definition
| cocaine, smoking, aging, head trauma, sinus problems |
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Term
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Definition
| Snellen chart, confrontation, fundoscopy |
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Term
| When might you see visual field defects? |
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Definition
| glaucoma, retinal emboli, optic neuritis, pituitary tumor |
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Term
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Definition
| Versions/ductions, corneal light reflex, check for ptosis |
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Term
| What disorder may you find with checking the oculomotor/troch/abducens? |
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Definition
| Binocular diplopia signalling MG, trauma, others |
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Term
| What do pupils do in Horner's syndrome? |
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Definition
| They constrict but one will not dilate subsequently |
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Term
| When might you see ptosis? |
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Definition
| Myasthenia gravis and horner's |
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Term
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Definition
| Jaw muscle symmetry, light vs. sharp touch |
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Term
| Absent blinking on corneal reflex + hearing loss (sensorineural) = |
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Definition
|
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Term
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Definition
| various different facial expressions |
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Term
| Difference between facial paralysis in Bells palsy and stroke: |
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Definition
| Bells palsy will more likely cause paralysis of entire side of face, upper and lower. CVA tends to only paralyze the lower part of one side of the face. |
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Term
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Definition
| whispter test, weber, rinne, and otoscope |
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Term
| Causes of conductive hearing loss: |
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Definition
| cerumen, otosclerosis, otitis media |
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Term
| Vertigo + hearing loss + nystagmus |
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Definition
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Term
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Definition
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Term
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Definition
| Uvula and palate symmetry |
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Term
| With a unilateral lesion of CN X, uvula will deviate wehre? |
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Definition
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Term
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Definition
| Shrug shoulders (trap), head to side (sternocleidos) |
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Term
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Definition
| tounge against cheek, say ah lah pah |
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Term
| Tongue atrophy + fasiculations = |
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Definition
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Term
| Where does a tongue deviate when theres a cranial nerve XII lesion? |
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Definition
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Term
| Brachioradialis reflex tests: |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| How do you document "clonus?" |
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Definition
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Term
| What does shoulder extension strength test? |
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Definition
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Term
| C6 can be assess with strength testing of what? |
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Definition
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Term
| C7 can be assessed via strength training with what? |
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Definition
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Term
| Wrist extension tests what nerve and what does weakness mean? |
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Definition
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Term
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Definition
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Term
| Test L2 by doing what? Strength |
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Definition
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Term
| Test L3 by doing what (strength) |
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Definition
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Term
| Flexing knee tests what nerve |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| What does gross coordination? |
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Definition
| vestibulocerebellum and spinocerebellum |
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Term
| What does fine coordination? |
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Definition
|
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Term
| What is dysdiadochokinesis? |
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Definition
| inability to follow an action quicklyby the opposite aciton; or it will be slow/clumsy. Seen in basal ganglia/umn/cerebellar dz |
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Term
| How do u test rapid altering movements? |
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Definition
| patting thighs, thumb to fingers, finer to nose, heel to shin, pronator drift, romberg test |
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Term
| clumsy/unsteady/varying speed on finger to nose test: |
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Definition
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Term
| What does a + pronator drift mean? |
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Definition
| cortical spinal tract lesion of contralateral hemisphere |
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Term
| Romberg test will be + in those with: |
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Definition
| loss of position sense/dorsal column disease |
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Term
| Difficulty hopping in one place = |
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Definition
| cerebellar disease, weakness or lack of position sense |
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Term
| Unable to walk on toes/heels: |
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Definition
| distal muscle weakness from corticospinal tract damage |
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Term
| Why do you test someone with tandem walking? |
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Definition
| To reveal a possible ataxia not previously noticed |
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Term
| Spinothalamic tract does what? |
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Definition
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Term
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Definition
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Term
| What are some discriminative sensations? |
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Definition
| stereognosis, graphesthesia, two point discrimination, extinction, |
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Term
| loss of vibratory sense = |
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Definition
| first sign peripheral neuropathy (DM, alcoholism, B12 def.) |
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Term
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Definition
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Term
| Babinski sign positive in: |
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Definition
| CNS lesion, drug/alcohol intox, post-ictal phase of seizure |
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Term
| straight leg raise detects herniated disc at: |
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Definition
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Term
| What strengthens the diagnosis of herniated disc from straight leg? |
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Definition
| ipsi. calf wasting, weak dorsiflexion |
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Term
| Eyes of someone with a brain lesion: patient will: |
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Definition
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Term
| What is the corticospinal tract? |
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Definition
| tract for voluntary movements and complicated/delicate movements. Allows for constant slight tension. Originates in motor cortex |
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Term
| What is the basal ganglia's tract? |
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Definition
| pathway between cortex, basal ganglia, brain stem, spinal cord maintianing tone, controls movements, gross automatic movements (walking) |
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Term
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Definition
| destructive lesion of corticospinal tract. Flexed elbows, internally rotated legs, plantar flex |
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Term
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Definition
| lesion in diencephalon, pons, midbrain, or metabolic disroder. extension at elbows, clenched jaws, plantar flex, pronated arms |
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Term
| Coma person with midposition fixed pupils = |
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Definition
| structural damage to midbrain |
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Term
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Definition
| herniation of temporal lobe on oculomotor nerve |
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Term
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Definition
| dmage to symp. nervous system, metabolic encephalopathy, pons hemorrhage, morphine/heroin/narcotics |
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Term
| What aphasia has okay word and reading comprehension? |
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Definition
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Term
| What causes upper and lower facial paralysis? |
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Definition
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Term
| SOmeone with spastic hemiparesis has what kind of gait abnormality? |
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Definition
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Term
| Wide based gait, + romberg, watching ground for guidance when walking, etc. |
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Definition
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Term
| Changes in consciousness change after pupils change in = |
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Definition
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Term
| Changes in consciousness occur before pupils change in |
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Definition
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Term
| Anticholinergics cause pupils to: |
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Definition
| be fixed/dilated and may be unreactive if in coma |
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Term
| Respiratory pattern in toxic/met. coma: |
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Definition
| normal or hyperventilation. if irregular, probably cheyne-stokes |
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Term
| Respiratory pattern in structural coma: |
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Definition
|
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Term
| What cranial nerves effected when the PONS is disrupted? |
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Definition
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Term
| What cranial nerves disrupted in those with medulla dysfunction? |
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Definition
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Term
| Cranial nerves effected in midbrain damage: |
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Definition
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Term
| If you ignore one sid eof your body, you can assume there is a lesion in the: |
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Definition
| nondominant parietal lobe |
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Term
| hypersexuality, aggression, memory impairement seen in what kind of lobe damage? |
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Definition
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Term
| Apathy, inattention, uninhibited, labile affect seen in what lobe damage: |
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Definition
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Term
| inability to read/write/do math may have a lesion in what lobe? |
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Definition
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Term
| Hemiballismus may be from a lesion in what part of brain? |
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Definition
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Term
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Definition
4 for eyes
5 verbal
6 motor |
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Term
| What lobe does behavior/motivation/attention: |
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Definition
|
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Term
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Definition
| stupor is arousable only for a small period of time; obtunded requires painful stimuli |
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Term
| bilateral proximal weakness = |
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Definition
|
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Term
| bilateral distal weakness = |
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Definition
|
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Term
| when u examine comatose patient, you're really only assessing the: |
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Definition
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Term
| What part of brain stem does oculocephalic reflex |
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Definition
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Term
| Whats a reassuring sign in response to the caloric water test |
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Definition
| eyes go toward irrigated ear if brainstem intact |
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Term
| How many points if a person withdraws from pain? |
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Definition
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Term
| Decerebrate posture points: |
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Definition
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Term
| Eyes open to response to voice: |
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Definition
|
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Term
| Inappropriate words in verbal response: |
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Definition
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Term
| Confused verbal response points: |
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Definition
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Term
| Grade of 1 for reflexes means |
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Definition
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Term
| Full range of motion with gravity is what strength level |
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Definition
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Term
| Slight contraction with no movement in strength testing |
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Definition
|
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Term
| Amount of two point discrimination difference u should recognize on lips/fingertips |
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Definition
|
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Term
| Distance you should be able to recognize between 2 points on their plams: |
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Definition
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