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Neuro intro
Neuro intro
25
Anatomy
Graduate
11/20/2011

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Term
acute onset of symptoms:
Definition
seizure
vascular cause
Term
waxing and waning symptoms:
Definition
demyelinating cause
Term
subacute onset of symptoms:
Definition
- mass
- tumor
- abscess
Term
chronic symptoms:
Definition
degenerative disorder
Term
stroke is __.
Definition
hyperacute
Term
Guillaine Barre starts in __ and worsk way up, may have had URI or immunizations.
Definition
periphery
Term
Levels of consciousness from least concscious to most conscious:
Definition
coma> stupor> delirium> lethargy> confusion> A&O x3
Term
Hemiplagia is caused by damage to the __ __ __ the brainstem. It is __ brain damage with __ early on and then __. There is NO spontaneous movement.
Definition
- corticospinal tract above the brainstem
- paralysis early on then spasticity
- no spont mvment
Term
Decorticate is damage to the __ tract. It is an abnormal __ response. Arms are tight to side, eblows, wrist and fingers flexed. Legs are __.
Definition
- corticospinal tract
- flexor
- legs are extended
Term
Decerebrate occurs with damage to the __, it is an abnormal __ response of the arms and legs. The jaws are __ and the back may be __ __.
Definition
- brainstem
- extensor
- clenched
- rigidly arched
Term
Sudden onset of acute confused state with disordered perceptions. sundowning occurs with this.
Definition
delerium
Term
clinical syndrome of failing memory, decreased intelligence, and behavioral abnormalities.
Definition
dementia
Term
Cognitive abilities:
Definition
- response to questions
- calculation
- writing ability
- exectution of motor
- memory- immediate, recent, remote
- attention span
- judgment
Term
Emotional stability assessment:
Definition
- Mood and feelings
- Thought process and content
- Perceptual distortions and hallucinations
- Suicidal/homicidal ideations
Term
Speech and language skills:
Definition
- voice quality
- articulation
- comprehension
- coherence
Term
Pts with Broca's aphasia __ words, but cannot __ __. Reading is __, but writing is __.
Definition
- understand words
- cannot express self
- reading is intact
- writing is impaired
Term
Pts with Wernickes aphasia __ but can't __. They have __ ___ speech. Reading and writing are __.
Definition
- hear but can't understand
- fluent non-sensical
- reading and writing impaired
Term
Global aphasia:
Definition
May understand only own name

Cannot speak to only a few words or sounds

Reading and writing ability severely impaired
Term
Testing for aphasia:
Definition
- word comprehension
- repitition
- naming
- reading comprehension
- writing
Term
Folstein's Mini Mental Status Exam:
Definition
Orientation (10 points)
What is the; year, season, date, day, month?
Where are we; state, county, town, clinic, floor?
Registration (3 points)
Name 3 objects
Attention & Calculation (5 points)
Serial 7’s or WORLD backwards
Recall (3 points)
Repeat 3 previously named objects after 10 minutes
Language (9 points)
Identify 2 objects
Repeat “no ifs, ands or buts”
Follow 3 stage command
Read and obey written command
Write a sentence
Copy intersecting pentagons
Term
Max score on MMSE;
Definition
30
Term
If suspect higher order thinking deficit could do:
Definition
clock drawing test
Term
MMSE
- max score of 30
- greater than or equal to 25 = normal
- 24 or lower= impairment
Definition
Term
The cognitive impairment test is a 6 item screening test that may detect __ __ earlier. The __ the score the better.
Definition
- mild demetia
- lower the score the better
Term
CNs:
Definition
I: Olfactor
II: Optic
III: Oculomotor
IV: Trochlear
V: Trigeminal
VI: Abducens
VII: Facial
VIII: Vestibulocochlear
IX: Glossopharyngeal
X: Vagus
XI: Accessory
XII: Hypoglossal
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