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303 Neuro

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cdunbar4's version from 2016-07-18 03:56

Section

Neuro Vocab
Question Answer
Neuro assessment includes oriented to what 4 things?person, place, time of day, birth date
Analgesia/hypoanalgesia/hyperanalgesia:absence of pain/↓perception of pain/↑ pain perception
Anesthesia:temporary, induced paralysis to avoid pain
Anasomnia:absence of smell
Ataxia:irregular muscle coordination/disruption of gait
Contralateral/Bilateral:one side of cerebral hemisphere effected (ex: stroke)
Fascticulation:fine muscle tremor; fine rapid twitching
Tic:larger involuntary muscle twitch
Graphestesia:trace a # in pt's hand while eyes are closed and they say what # it is
Stereonosis:identify item in hand with and not sight
Puresis:partial paralysis
Plasia:paralyzed
Summation effect:repeated stimulation of reflex→dramatic reflex/effect
Vertigo:illusion of movement in space (spinning environment)
Extinction:no intrepretation of nociceptor activation
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Section 2

Question Answer
When is the Glasgow Coma Scale used in the clinical setting?Only used in the neuro unit! You want to give someone the best score possible.
CN pneuominc (Sensory/Motor)?Some Say Marry Money But My Brother Says Big Boobs Matter More (S=sensory, M=Motor, B=Both)
CN I OlfactorySensory: smell; Client closes eyes and ID's different aromas.
CN II OpticSensory: vision and vision fields; Client reads Snellen-type chart
CN III Oculomtor (mixed nerve)Motor: extraocular eye movement (EOM) & parasympathetic pupil constriction
CN IV TrochlearMotor: EOM: moves eyeballs down and laterally; penlight and snellen chart utilized
CN V TrigeminalBoth: motor→muscles of mastication & sensory→face, scalp, mouth, nose
CN VI AbducensMotor: moves eyes laterally
CN VII FacialBoth: facial expression; taste (anterior 2/3 of tongue); Ask client to smile, raise eyebrows, frown, puff out cheeks, close eyes tightly; ID various tatstes
VIII AuditorySensory: hearing (tuning fork) and equilibrium (Romberg test)
IX GlossopharyngealBoth: (gag reflex) swallowing ability, tongue movement (move tongue side-side, up& down), taste (posterior, apply tastes to that area of tongue to ID)
X VagusBoth: swallowing/gag reflex; sensation from carotid body, carotid sinus and pharynx (assess speech for hoarseness)
XI AccessoryMotor: head movement; shrugging of shoulders (turn head side to side) utilize trapezius and sternomastoid muscles
XII HypoglossalMotor: movement of tongue; protrusion of tongue and move it side to side
pneumonic for CN: On Occasion Our Trusty Truck Acts Funny Very Good Vehicle Any HowOlfactory Optic Oculomotor Trochlear Trigeminal Abducens Facial Vestibularcochlear Glossopharyngeal Vagus Accessory Hypoglossal
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Section 3