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537 Exam
Neuro
32
Nursing
Graduate
10/13/2011

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Cards

Term
___?___% of brain growth occurs in the 1st 2 years of life.
Definition
80%
Term
Brain weight doubles in the 1st year of life, to about ___?___ of adult size.
Definition
2/3
Term
When is a child oriented to self? Place? Time?
Definition
-self: 12 mos
-place: 24-30 mos
-time: 4-5 yrs
Term
How many digits can a 4 yr old recall? 5 yr old? 6 yr old?
Definition
-3
-4
-5
Term
In what grade(s) can a child perform addition and subtraction? multiplication and division?
Definition
-2nd & 3rd
-4th
Term
At what age can CN I/Olfactory be tested?
Definition
preschool
Term
At what age can an infant follow to 90 degrees? 180 degrees?
Definition
-8 wks
-12 wks
Term
At what age does color recognition occur?
Definition
4 yrs
Term
At what age does an infant localize sound?
Definition
4mos
Term
At what age can a child do rapid supination-pronation of hand and finger-to-nose?
Definition
5-6 yrs
Term
What distinguishes botulism from Guillain Barre paralysis?
Definition
-botulism: descending
-GB: ascending
Term
What sensory function is often lost 1st in peripheral neuropathy (DM, B12 deficiency, alcoholism, tertiary syphilis)?
Definition
vibration
Term
What does loss of finely localized touch (discriminatory sensation) indicate?
Definition
lesion of posterior column or sensory cortex
Term
What are the superficial reflexes?
Definition
-abdominal
-cremasteric
-plantar
-gluteal
Term
What is an abnormal Babinski reflex that is normal up to 2 yrs old?
Definition
large toe dorsiflexion, fanning of toes
Term
Majority of primitive reflexes are fully integrated by ___?___
Definition
24h after birth
Term
When does palmar grasp appear? disappear?
Definition
primitive
3-4 mos
Term
When does plantar grasp appear? disappear?
Definition
primitive
6-8 mos
Term
When does sucking reflex appear?
Definition
primitive
Term
When does rooting reflex appear? disappear?
Definition
primitive
3-4 mos
Term
When does Moro reflex appear? disappear?
Definition
primitive
3-4 mos
Term
When does asymmetric tonic neck appear? disappear?
Definition
primitive
2 mos
Term
When does trunk incurvature/Galant's reflex appear? disappear?
Definition
primitive
birth-2 mos
Term
When does placing/stepping reflex appear? disappear?
Definition
birth-2-4days
4-6 mos
Term
When does parachute reflex appear? disappear?
Definition
3-4 mos
persistent
Term
What is Brudzinksi's sign?
Definition
-flex neck and hips/knees flex
-meningeal
Term
What is Kernig's sign?
Definition
-flex hip and knee, then pain with straightening knee
Term
What are signs of spina bifida oculta?
Definition
-tuft of hair
-hemangioma
-DTRs
Term
What are skin findings of tuberous sclerosis?
Definition
-ash leaf macules: hypopigmented
-sebaceous adenomas: tiny red nodules over nose and cheek
-shagreen patch in lumbosacral area: areas of thick leathery, orange peel skin
Term
What are skin findings with meningitis?
Definition
-petechiae
-purpuric rashes
Term
What is normal head transillumination in a newborn?
Definition
-1cm occipital
-2cm frontoparietal
Term
What do dilated scalp veins indicate?
Definition
long-standing increased ICP
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