Week 1 Neuro Exam- Erickson Flashcards Preview

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Flashcards in Week 1 Neuro Exam- Erickson Deck (18)
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1
Q

CN 1

A
Olfactory
Sense of smell
located in roof of nasal cavity
terminates in olfactory bulb
Test: Pass oder under nose with eyes closed
2
Q

CN 2

A

Optic
Visual acuity, fields, pupils
Leads from eye to diencephalon through OPTIC FORAMEN (runs with opthalmic artery)
Test: Pocket card/ wall chart

3
Q

CN 3

A

Oculomotor
Pupils, eye movements (does all muscles except 2)
-superior orbital fissure
Test: Direct, consensual, acommodation, swinging flash light

4
Q

CN 4

A

Trochlear
Eye movements - superior oblique muscles
-superior orbital fissure

5
Q

CN 5

A

Trigeminal
Facial sensation, corneal response, muscles of mastication
Test: Cotton, pin, something cold, compare side to side

6
Q

CN 6

A

Abducens
Eye movements- lateral rectus muscle
Superior orbital fissure/cavernous sinus

7
Q

CN 7

A

Facial
Facial muscle movements
-internal auditory meatus
Test:

At rest observes palpebral fissures and nasloabial folds

Squeeze eyes shut, eyelashes should be buring

Smile/puff out cheeks

Peripheral vs. central facial weakness lesions

8
Q

CN 8

A

Vestibulocohlear
Hearing/ Dizziness/vertigo
-internal auditory meatus
Tests:
Weber- hearing impaired 1 side, conductive loss louder in affected ear
Rinne- tunning fork on mastoid, then front of ear

Vertigo Test:
Diz Hallpike maneuver
Calorics

9
Q

CN 9

A

Glossopharyngeal

-jugular foramen

10
Q

CN 10

A
Vagus
Palate elevations
Gag reflex
swallow
-jugular foramen
Test: listen for horseness or breathiness
11
Q

CN 11

A

Accesory
Innervates sternoclidomastoid, traps
-foramen magnum
Tests: turn head against resistance at chin, shoulder shrug is not as good

12
Q

CN 12

A

Hypoglossal
Tongue
-hypoglossal foramen
Tests: Slurring w/ lingual sounds, observe at rest for fasciculation, observe w/ protrusion and movement for deviation to one side and slowness

13
Q

What are the components of a mental status exam? What part of the brain is associated with mental status?

A

Cortex

  • Level of consciousness (awakeness, awareness)
  • Orientation (person, place, time)
  • Attention/Concentration (months of the year backwards)
  • Calculation (serial 7’s)
  • Language (naming, repetition, comprehension, fluency)
  • Speech
  • Memory (3 words)
  • Fundamental Knowledge (president, nickels in a dollar, recent events)
14
Q

What should you look for in a fundoscopic exam?

A
  • Blurring of disk margins
  • Loss of venous pulsations
  • Color of optic nerve head
15
Q

Three components of a motor exam?

A

Bulk- observe for atrophy
Tone- passive movement around a joint (spastic, rigid, paratonia, flaccid)
Strength- compare side to side and proximal/ distal. Grade 0-5

16
Q

What does the finger to nose to finger test?

A

Cerebellum

17
Q

What does rapid alternating hand movements test?

A

Frontal Lobes

18
Q

What does fine finger and toe tapping test?

A

Basal Ganglia, Cortex