Shared Flashcard Set

Details

Neurological
Chapter 24
99
Health Care
Undergraduate 1
03/24/2014

Additional Health Care Flashcards

 


 

Cards

Term
Unexpected extension occurs when there is damage to the
Definition
Midbrain or upper pons
Term
Unexpected flexion occurs when there is damage to the
Definition
Cerebral cortex
Term
Hemiplegia
Definition
Sensation/motor strength are lost unilaterally

Occurs with stroke
Term
Flexion withdrawal occurs with
Definition
CNS depression/injury

Pain is unlocalized

pt may withdraw both arms when nail bed pressure is applied
Term
Flaccid quadriplegia occurs with
Definition
A non-functional brain stem
Term
Paralysis can occur from
Definition
Stroke

Spinal cord injury

Bell's palsy
Term
Bell's palsy
Definition
Dysfunction of CN VII
Term
Mononeuropathy
Definition
Disease involving only one nerve
Term
Resting tremor
Definition
Prominent at rest

May decrease/disappear with voluntary movement (example: Parkinson's Disease)
Term
Intention tremor
Definition
Absent at rest, increases with movement (may worsen as movement progresses)

MS with damage to cerebellar pathways
Term
Tic
Definition
Irregular blinking/shrugging of shoulders
Term
Tics can occur with
Definition
Tourette’s syndrome

Psychiatric medications

Amphetamine use
Term
Diplopia
Definition
Double vision

Caused from stroke

Tumour

Mass

Trauma

Meningitis
Term
Retinal/Subconjunctiva Hemorrhage
Definition
Bleeding of the eye

Caused by hypertension

Retinal vein occlusion

Diabetes mellitus
Term
Dysphagia
Definition
Difficulty Swallowing

Common symptom of stroke & neuromuscular disease
Term
Aphasia
Definition
Speech/language difficulties

Common sign of stroke, Alzheimer's disease and neuromuscular disease
Term
Paresthesia
Definition
Unexpected prickly/tingly sensations

Causes include neurological disease & traumatic nerve damage
Term
Cervical stenosis
Definition
Narrowing of the spinal canal
Term
Causes for hearing loss
Definition
Noise

Autoimmune disorders

Meniere's disease

Head trauma and otoxic medications
Term
Risk of cerebral palsy occurs with
Definition
A maternal infection

Preterm birth

Multiple pregnancies
Term
The age group at highest risk for traumatic brain injury is
Definition
0 to 19 year olds
Term
Risk of autism increases with
Definition
Low birth weight

Intrapartal hypoxia
Term
At what age should infants receive the meningococcal vaccine
Definition
2 months
Term
Risk factors for neurovascular disease
Definition
HTN

Atrial fibrillation

Diabetes

Heart failure

Ischemic stroke
Term
What are the most common causes of traumatic brain injury among older adults
Definition
Falls and vehicle collisions (MVA)
Term
Stroke occurs more often in ___________ than in ___________
Definition
African Canadians

Caucasians
Term
Lead can cause
Definition
Reproductive difficulties

Encephalopathy (brain disease)
Term
The Glascow Coma Scale ranges from
Definition
3 to 15
Term
Possible presence of dementia can be assessed using what?
Definition
The Blessed Dementia Rating Scale

Mini-Mental State Examination
Term
Stupor
Definition
Pt's LOC is unresponsive

Aroused by only vigorous, repeated stimulation
Term
Tactile
Definition
Pt is stimulated by the touch of their shoulder or arm
Term
Dysarthria
Definition
Deficits in articulation
Term
Delirium
Definition
Acute confused state
Term
Dementia
Definition
Chronic confused state

Onset is minor and condition progressively gets worse
Term
Signs of delirium
Definition
Hallucinations

Disturbed sleep habits

Inability to stay focused or maintain attention
Term
Nystagmus
Definition
Involuntary eye movement

Associated with disease of the cerebellum/brain stem/vestibular system
Term
An idiopathic condition is one that
Definition
Is unknown or arises spontaneously
Term
Conjugate eye deviation
Definition
Eyes move together
Term
Dysconjugate eye deviation
Definition
Eyes move separately
Term
Myoclonus
Definition
Quick, involuntary jerk of the muscles

(Hiccups)
Term
Dystonia
Definition
Involuntary muscle contractions that cause twisting

Repetitive movements or abnormal postures
Term
Primary dystonia
Definition
No definite cause
Term
Secondary dystonia
Definition
Identifiable cause such as trauma

Chemical imbalance

NS disease (Wilson's disease)
Term
Chorea (Huntington's disease)
Definition
Affects muscle coordination

Leads to cognitive decline and psychiatric problems
Term
Athetosis
Definition
Slow/involuntary/convoluted movements of the fingers, hands, toes, or feet
Term
A lesion in the cerebral cortex will result in
Definition
A contralateral CNS deficit
Term
A lesion in the CN/its nucleus will result in
Definition
An nspilateral CNS defecit
Term
Consensual reaction
Definition
When one pupil constricts to light, the other one does too
Term
Anosmia
Definition
Inability to discriminate odours
Term
Which cranial nerves are both sensory and motor?
Definition
V - Trigeminal
VII - Facial
IX - Glossopharyngeal
X - Vagus
Term
Aspiration
Definition
Sucking of the airway

(One can aspirate during seizures or vomiting)
Term
A patient with a cerebral lesion may have their
Definition
Tongue deviate towards the side
Term
Nerve fibers for pain and temperature sensation run in the
Definition
Same track
Term
Brocca's area
Definition
Speech centre
Term
Gnostic area
Definition
Language processing
Term
The diencephalon lies directly above
Definition
The brain stem
Term
The spinal cord extends from
Definition
The brain stem to L1/L2
Term
Descending tracts carry information for
Definition
Motor function and muscle movement
Term
How many spinal nerves are in the body?
Definition
31
Term
Dermatomes
Definition
Skin innervation

Provide general information for each nerve
Term
The parasympathetic NS secretes
Definition
ACh to reduce heart rate and force of contraction
Term
The sympathetic NS secretes
Definition
Epinephrine to increase BP, HR and contractility
Term
True or false: All of the brain cells are present at birth
Definition
True

Little to none long-term potentiation has been established
Term
Age considerations for older adults
Definition
Reflexes become weaker

Less acute sensory perception

Slower thought processing
Term
Ptosis
Definition
Drooping/falling of the upper/lower eyelid
Term
During the Rhinne test, AC must be ______ than BC
Definition
longer
Term
Fasciculations
Definition
Tiny, irregular muscle movements
Term
Flaccid/atonic muscle
Definition
No resistance to movement
Term
Hypotonia
Definition
Decreased muscle resistance

"Flabby"
Term
Hypertonia
Definition
Excessive muscle resistance
Term
Clasp-knife spasticity
Definition
Strong initiation, but then "gives away"
Term
Rigidity
Definition
Steady, persistent resistance to passive stretch

Seen in Parkinson's disease
Term
Cogwheel rigidity
Definition
Ratchet-like jerking during passive movement

Seen in Parkinson's disease
Term
Downward drifting during a Pronator Drift test may indicate
Definition
A lesion in the contralateral corticospinal tract
Term
Moderate swaying with eyes open during a Romberg test may indicate
Definition
Vestibulocerebellar dysfunction
Term
Ataxia
Definition
Unsteady, wavering movement

Inability to tough the target

May indicate an ispilateral cerebellar lesion
Term
Scanning speech
Definition
Alterating patterns of slowness and explosiveness with each syllable
Term
Hyperesthesia
Definition
Increased touch sensation

Can occur with increased caffeine consumption
Term
Hypoesthesia
Definition
Reduced touch sensation
Term
Anesthesia
Definition
Absent touch sensation
Term
Hyperalgesia
Definition
Increased pain sensation
Term
Analgesia
Definition
Absent pain sensation

(Test for temperature sensation)
Term
Hypolgesia
Definition
Reduced pain sensation
Term
Astereognosis
Definition
Inability to identify objects correctly

Associated with lesions of the parietal lobe or dorsal column
Term
Corticosensory function may be _________ following a stroke and may be _______ with a stroke
Definition
Compromised

Lost
Term
A reflex score of 0 is associated with
Definition
Deep coma
Term
A reflex score of 0 is associated with
Definition
Hyperactivity with clonus
Term
Superficial reflex
Definition
Elicited by stimulation of the skin
Term
Nuchal rigidity
Definition
Stiff neck

Associated with meningitis and intercranial hemorrhage
Term
Patients with sudden unconsciousness require
Definition
Urgent evaluation
Term
Occulocephalix reflex (Doll's eyes)
Definition
Assesses brain stem function

Open pt's eyes and rotate head, if eyes rotate to opposite side then the brain stem is intact
Term
If ICP increases
Definition
Patters of neurological change will occur
Term
Bilateral herniation
Definition
Pupil change and posturing are on both sides
Term
Cerebellar herniation
Definition
Fixed pupils

Flaccid muscle

No noxious response
Term
CT scans detect
Definition
Possible causes of increased ICP
Term
True or false: MRIs are non-invasive
Definition
True
Term
Angiographies are ideal for detecting
Definition
Aneurysms

(Intrarterial injection of contrast to visualize the lumen of brain cells)
Term
ECG
Definition
Scalp electrodes

Detects seizures from trauma
Term
Lumbar punctures measure
Definition
CSF pressure
Supporting users have an ad free experience!