-
Smell is what CN?
I Olfactory
-
Vision - Sight is what CN?
II Optic Nerve
-
The trochlear nerve or CN III performs what function?
Eye movement
-
What function dose the trigeminal nerve (CN V) serve?
Facial sensory and motor function.
-
Movement of the eyes toward the nose is a function of what nerve?
CN IV - Trochlear Nerve
-
Lateral eye movement is a function of which CN?
VI - Abducense
-
CN VIII Vestibulocochlear is responsible for what?
Hearing and Balance tested by the WEBBER TEST and other hearing test :-)
-
The Nerve responsible for facial expression and sensory is
what?
VII Facial (Duh!) :-)
-
The CN that controls the tongue & throat motor sensory
tested by sticking out the tongue and saying Ahhh is what?
IX - Glossopharyngeal
-
Say AHHH is testing for which CN nerve?
- X - Vagus - Parasympathetic
- Ahh all 10 of us wanna go to vagus (LoL) ;-)
-
CN XI Accessory control the function of what?
Swallowing & head, neck, and shoulder movement.
-
Speech, chewing & swallowing are controlled by which CN?
CN XI Hypoglossal
-
Find a neumonic that works for you.
OOO to taste and finsih velvety glass vodka AaaHhh (or Veno if you like wine)
OOO to touch and feel very good vein AaaHhh.
- O olfactory
- O optic
- O oculomotor
- T trochlear
- T trigeminal
- A abducens
- F facial
- V vestibulocochlear
- G gloccopharyngeal
- V vagus
- A accessory
- H hypoglossal
-
Pathways of the CNS consist of which of the following?
Crossed representation
Sensory pathways
Spinothalamic tract
Posterior (dorsal) column
- ALL OF THEM
- Crossed representation
- Sensory pathways
- Spinothalamic tract
- Posterior (dorsal) column
-
Motor pathways consist of what three components?
- Corticospinal or pyramidal tract
- Extrapyramidal tracts
- Cerebellar system
-
Which of the following is part of the Peripheral Nervous
System?
Cranial nerves
Spinal nerves
Autonomic nervous system
Reflex arc
Crossed representation
Sensory pathways
- Cranial nerves
- Spinal nerves
- Autonomic nervous system
- Reflex arc
-
Equipment needed to perform a neurologic screening
examination, complete neurologic examination check all that apply.
_____Penlight
_____Tongue blade
_____Cotton swab
_____Cotton ball
_____Tuning fork (128 Hz or 256 Hz)
_____Percussion hammer
_____Occasionally need: familiar aromatic substance
- _____Penlight
- _____Tongue blade
- _____Cotton swab
- _____Cotton ball
- _____Tuning fork (128 Hz or 256 Hz)
- _____Percussion hammer
- _____Occasionally need: familiar aromatic substance
-
Pain, Temperature, Light touch come from ___________ tract.
Spinothalamic tract
-
Posterior column tract
Vibration
Position (kinesthesia)
Tactile discrimination (fine touch)
•Stereognosis
•Graphesthesia
•Two-point discrimination
•Extinction
•Point location
-
Put the defense mechanisms of the nervous system Reflex Arc
in order.
-
How many nerves are there Cervical vertebrae?
- Nerves are C1-C8 (C6, C7 & C8 control the Thumb (1st), Middle Finger (3rd), & Pinky finger (5th finger)
- Vertebrae there are C1-C7
-
How do you assess for Delirium?
- Confusion Assessment Method Originally designed for ICU use
- Adapted for non-ICU patients
- Use Flow Sheet - some examples include
- Assess for level of Conciousness
- able to follow commands
- able to recognize items and recall items
- assess for range of motion
- assess for PERRLA ECT...
-
Abnormal Findings and Abnormalities in Muscle Movement
include all of the following except
Paralysis
Fasciculations
Tic
Myoclonus
Tremor
Rest tremor
Intention tremor
Chorea
Athetosis
- Paralysis
- Fasciculations
- Tic
- Myoclonus
- Tremor
- Rest tremor
- Intention tremor
- Chorea
- Athetosis
-
The terms describing the level of conscious are ambiguous;
________ _______ scale was developed as an accurate and reliable quantitative tool to assess objective data to define the level of consciousness.
- Glasgow Coma ScaleExamples
- BEST Eye Opening
- 4 = spontaneously
- 3 = to speech
- 2 = to pain
- 1 = no response
- BEST Verbal Response
- 5 = Oriented x 3
- 4 = Confused conversation
- 3 = Inappropriate words
- 2 = Incomprehensible sounds
- 1 = No speech/sounds
- Best Motor Response
- 6 = Obeys verbal commands
- 5 = Localizes to pain
- 4 = Withdraws to pain
- 3 = Abnormal flexion
- 2 = Abnormal extension
- 1 = none
- http://www.youtube.com/watch?v=pN2V21KBNsw
-
Slow, twisting, writhing, continuous movement, resembling a
snake or worm, involves distal part of limb more than proximal part.
Athetosis
-
Decreased muscle tone or hypertonia; Muscle feels limp, soft
and flabby; muscle is walk and easily fatigued; limb feels like a rag doll is known as what condition??
Flaccidity - Lower motor neuron injury anywhere from the anterior horn cell in the spinal cord to the peripheral nerve
-
Increased tone or hypertonia; Increased resistance to passive
lengthening; then may suddenly give way (clasp-knife phenomenon like a pocket knife sprung open is what condition?
Spasticity Upper motor neuron injury to corticospinal motor tract spasticity days or weeks after incident
-
Constant state of resistance (lead-pipe rigidity); resists passive movement in any directions; dystonia is what condition.
Rigidity - Injury to extrapyramidal motor tracts basal ganglia with parkinsonim)
-
Type of rigidity in which the increased tone is released by
degrees during passive range of motion so it feels like small regular jerks is what condition?
Cogwheel rigidity - Parkinsonism
-
Neuro Nursing assessment diagnosis examples
- Impaired verbal communication R/T effects of CVA.
- Impaired physical mobility R/T neuromuscular impairment.
- Disturbed body image R/T effects of loss of body function.
- Self-Care deficits: Feeding bathing toileting,
- dressing/grooming R/T muscular weakness.
- Disturbed sensory perception (absent right visual fields) R/T neurologic impairment.
- Risk for injury R/T visual field deficit.
-
Normal objective Cranial nerves assessment responses for CN
II would be?
Acuity normal, fields by confrontation
EMO's intact no ptosis or nystagmus PERLA
Shoulder shrug, head movement weaker or right
Tongue protrudes midline no tremors
Acuity normal, fields by confrontation
-
CN III, IV, VI, Normal objective data would be which of the
following.
Acuity normal, fields by confrontation
EMO's intact no ptosis or nystagmus PERLA
Shoulder shrug, head movement weaker or right
Tongue protrudes midline not tremors
Hearing intact
Shoulder shrug, head movement weaker even
bi-lateral
EMO's in tact no ptosis or nystagmus PERLA
-
Sensations intact to pinprick and light touch jaw strength
symmetrical bi-laterally is objective data for which CN?
CN V Trigmeinal Face motor and sensory
-
Able to wrinkle forehead bilaterally, smile/frown symmetrical,
perform silent scream and tiny face symmetrical bilaterally assesses for which CN?
CN VII Facial expression and sensory
-
Hearing in tact is which CN?
VII Vestibulocochlear (Hearing & Balance)
-
Which of the following would state CN IX & X objective
date best?
Sensation intact, to pinprick and light touch jaw
strength equal bilaterally
Shoulder shrug, head movement equal bilaterally
Swallowing intact, gag reflex present, uvula rises
midline on phonation
Tongue protrudes midline, no tremors.
Swallowing intact, gag reflex present, uvula risesmidline on phonation.
-
Shoulder shrug, head movement equal bilaterally is normal objective assessment finding for which CN?
- XI - Accessory Shoulders
- JUST FOR FUN TRY
- raise your arms in the air what do you see "11" put your hands together over your head using accessory muscles to mak an A - for Accessory
-
Sticking your tongue out moving it all about bilaterally equal and midline with no tremors is objective data for which CN?
XII - Hypoglossal - Talking, chewing, swallowing
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