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OCU DNP
EXAM 5 Neuro
46
Nursing
Graduate
04/06/2017

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Cards

Term
Sympathetic division
Definition
Prods body into action during times of physiologic stress
Term
Parasympathetic division
Definition
functions in a complementary and counterbalancing manner to conserve body resources and maintain daily body functions such as digestion and elimination
Term
Frontal Lobe
Definition
Contains the motor cortex associated with voluntary skeletal movements and fine repetitive motor movements as well as control of eye movements.
Term
Parietal Lobe
Definition
primarily responsible for processing sensory data as it is received
Term
Occipital lobe
Definition
Primary vision center and provides interpretation of visual data
Term
Temporal Lobe
Definition
Responsible for the perception and interpretation of sounds and determination of their source
Term
Wernicke area
Definition
Reception of speech and interpretation of speech
Term
Basal ganglia
Definition
refine motor movements
Term
CN 1
Definition
Olfactory
Term
CN 2
Definition
Optic
Term
CN 3
Definition
Oculomotor
Term
CN 4
Definition
Trochlear
downward and inward mvmt of eye
Term
CN 5
Definition
Trigeminal
jaw, chewing, clenching
Sensation to face
Term
CN 6
Definition
Abducens
Lateral Eye movement
Term
CN 7
Definition
Facial
facial expression muscles
taste
salive and tears
Term
CN 8
Definition
Acoustic
Term
CN 9
Definition
Glossopharyngeal
swallowing and phonation
Term
CN 10
Definition
Vagus
digestive enzymes, carotid reflex, involuntary action of heart, lungs, digestive tract
sensation behind ear and external ear canal
Term
CN 11
Definition
Spinal Accessory
turn head
shrug shoulders
Term
CN 12
Definition
Hypoglossal
sound articulation and swallowing
Term
In infants and children motor control of the head and neck
Definition
develops first, followed by trunk and extremities
Term
During 1st trimester in pregnancy
Definition
women increase nap time but may not feel rested with increased sleep
Term
Risk Factors for Stroke (Brain attack or CVA)
Definition
HTN
Obesity
sedentary lifestyle
smoking
stress
increased cholesterol/lipo/triglyc
oral contraceptives in high risk women
sickle cell anemia
family hx of DM, CVD, HTN, increased cholesterol
Congenital cerebral abnormalities
Term
RF for falls in older adults
Definition
1+ falls in last year
hx stroke
neuro condition such as Parkinson dementia, peripheral neuropathy
disorder of gait or balance
lower extremity weakness or sensory loss
impaired vision
use of assistive device
Term
Procedure for the neuro screening exam
Definition
the shorter screening is commonly used for health visits when no known neuro problem is apparent
Term
Cranial Nerve Examination
Definition
CN 2-12 are routinely tested, however, taste and smell are not tested unless some aberration is found
Term
Proprioception and cerebellar function
Definition
one test is administered for each of the following:
rapid rhythmic alternating movements
accuracy of movements
balance
gait
heel-toe
Term
Sensory function
Definition
superficial pain and touch at a distal point in each extremity are tested; vibration and position senses are assessed by testing the great toe.
Term
Deep tendon reflexes
Definition
all DTRs are tested, excluding the plantar reflex and the test for clonus
Term
Olfactory CN 1 test
Definition
One nare at at time, eyes closed familiar smell
Term
Anosmia
Definition
loss of sense of smell
Term
Optic CN 2 test
Definition
visual acuity and fields testing
Snellen, rosenbaum
ophthalmic exam of fundi
Term
Oculomotor, Trochlear, and Abducens
CN 3, 4, 6 tests
Definition
6 cardinal fields of gaze, pupil size, shape, response to light
accommodation, opening of upper eyelids
Term
Pt with severe unremitting headache
Definition
examine eye for presence or absence of lateral (temporal) gaze
this 6th cranial nerve is commonly one of the 1st to lose function in the presence of increased ICP
Term
Trigeminal CN 5 test
Definition
observe face for muscle atrophy, deviation of jaw to one side or fasciculation
3 divisions of nerve are evaluated for sharp, dull, and light touch
scalp, cheek and chin, non predictable pattern
Term
If CN 5 test shows impairment use these tests
Definition
temperature sensation
Term
Corneal reflex
Definition
contact lens wearers may have diminished or absent reflex
Term
Facial CN 7
Definition
Have pt make series of expressions
raise eyebrows, squeeze eyes shut, wrinkle forehead, frown, smile, show teeth, purse lips, puff out cheeks
Term
Facial CN 7 look for
Definition
muscle weakness , flattened nasiolabial folds, problems with letters (B, M, P)
asymmetry of expression
Term
Bells palsy vs CVA
Definition
to distinguish between upper and lower neuron disease affecting the face, inspect face with emotional expression (laughing or crying)
When upper neurons affected (CVA) voluntary movements are paralyzed, but emotional mvmts spared
Lower motor neuron disorder Bells palsy, all facial mvmts on affected side are paralyzed
Term
Acoustic CN 8
Definition
Vestibular fxn tested with Romberg test
hearing evaluated with audiometer or weber/rinne test
Term
Glossopharyngeal CN9 test
Definition
Gag reflex, simultaneously tested with Vagus
Term
Vagus CN 10 test
Definition
gag reflex
evaluate uvula for symmetry
swallow and sip water
Term
Sternocleidomastoid CN 11 test
Definition
examine sixe, shape, strength or trapezius and SCM
Term
Hypoglossal CN 12
Definition
tongue in out, side side, up down,
letters (L T D N)
Term
Proprioception and Cerebellar Function testing
Definition
Coordination and Fine Motor Skills assessment
Balance assessment
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