H & P-Neurology-Mental Status

Front 1

Where is Broca's area found and what does it control?

Back 1

frontal lobe-controls language

Front 2

Where is Wernicke's area found and what does it control?

Back 2

brain stem-ans functions

Front 3

What is found in the occipital area, what does it do?

Back 3

vision, facial recognition

Front 4

What happens in the temporal areas?

Back 4

hearing/memory

Front 5

What happens in the parietal region of the brain?

Back 5

visual/touch perception

Front 6

What does the brain stem control?

Back 6

ans-hr, rr

Front 7

In what part of the brain is attenion, exectutive fcn, motivation, and behavior controlled?

Back 7

frontal lobes

Front 8

In what part of the brain is perception of visual information, regcognition of color and shape and faces, perceiving motion of objects, controlled?

Back 8

occipital lobe

Front 9

perception and interpretation of sensory information, visual-spatial fcn, praxis is found where?

Back 9

parietal lobes

Front 10

By asking a pt to grasp a pen and identify it, which lobe are you testing?

Back 10

parietal

Front 11

Where is wernicke's area found? what happens if this area is affected?

Back 11

temporal lobes,

pt ends up "word salad", they can speak sentences but they don't make sense, the words are jumbled

Front 12

What happen's if broca's area is affected? and where is it located?

Back 12

pt has all the words correct in their head but cant speak them (expressive aphasia)

Front 13

what is the purpose of the homologous regions?

Back 13

to speak clearly and quickly.

Front 14

emotional response and memory are controlled in what lobe? and in what regions within that lobe?

Back 14

temporal lobe

emotional response-amygdala
memory-hippocampus & limbic connections

Front 15

__=inappropriate response to questions, decreased attention span and memory.

Back 15

confusion

Front 16

__-drowsy, falls asleep quickly, once aroused, responds appropriately.

Back 16

lethargy

Front 17

_-is confusion with disordered perceptions and decreased attention span, marked anxiety with motor and sensory excitement.

Back 17

delerium

Front 18

_-arousable for short periods to visual, verbal, or painful stimuli, simple motor or moaning responses to stimuli, slow responses.

Back 18

stupor

Front 19

_-pt's open their eyes and look at you but respond slowly and are somewhat confused.

Back 19

obtunded

Front 20

_-neither awake nor aware, decerebrate posturing to painful stimuli.

Back 20

coma

Front 21

_-a loss of the ability to produce and /or comprehend language due to injury to brain areas.

Back 21

aphasia

Front 22

_-refers to people who become increasingly confused at the end of the day and into the night.

Back 22

sundowning

Front 23

_-the ability to perform instrumental activities of daily living.

Back 23

adl's

Front 24

neuro complaints are often due to one of 3 following conditions?

Back 24

infection
overdose
metabolic disease

Front 25

__ often provides the key since the neuro exam may be normal.

Back 25

history

Front 26

Are most causes of neuro complaints due to primary or secondary conditions?

Back 26

secondary

Front 27

What test is lengthy and assesses cognitive fcn. The pt. must be awake and alert to participate.

Back 27

mmse

Front 28

What are the 4 parts of the mmse?

Back 28

appearance and behavior
emotional stability
cognitive behaviors
speech and language

Front 29

by testing if a pt. can count, write, memory, and abstract reasoning are examples of what portion of the mmse?

Back 29

cognitive abilities

Front 30

if a pt. scores a 26 on a mmse, what does this mean?

Back 30

no impairment

Front 31

if a pt. scores a 20 on the mmse what does this mean?

Back 31

moderate impairment

Front 32

if a pt. scores a 22 on a mmse what does this mean?

Back 32

mild impairment

Front 33

if a pt. scores a 9 on a mmse what does this mean?

Back 33

severe impairment

Front 34

what test is better than the mmse for detecting cognitive problems?

Back 34

cognitive impairment test

Front 35

how many items are tested in the CIT?

Back 35

6

Front 36

what year is it?
what month is it?
what time is it?
remember...john smith, 42 high street, bedford
countbackwards from 20-1
state the months backwards

these are parts of what test?

Back 36

CIT-cognitive impairment test

Front 37

what condition is this?
acute, sudden onset of confusion, usually there is an underlying cause, and typically reversible?

delerium or dementia

Back 37

delerium

Front 38

a tremorous condition that is due to drug, etoh, withdrawal that you can treat with ativan is ?

Back 38

delerium tremors

Front 39

a nonreversible disease, that effects the cognitive abilities over a long insidious time frame...is?

delerium
dementia

Back 39

dementia

Front 40

_-is an elevated mood, often seen in bipolar disorder

Back 40

mania

Front 41

_-is a mild traumatic brain injury>

Back 41

concussion

Front 42

how is the attention span in a delerious pt?

normal
poor

Back 42

poor

Front 43

how is the attention span of a dementia pt?

normal
usually unaffected
poor

Back 43

usually unaffected

Front 44

hiv/aids can cause...

delerium
dementia

Back 44

dementia

Front 45

the clock drawing test is good for detecting what condition?

Back 45

dementia

Front 46

how do you score a clock drawing test?

Back 46

1 pt each...
for circle
for #'s in correct order
for #'s in correct place
for 2 hands on the clock
for the correct time

Front 47

what are common complaints after a head trauma?

Back 47

h/a
speech difficulties
confusion
tremors

Front 48

periorbital ecchymosis is also called?

Back 48

raccoon eyes

Front 49

postauricular ecchymosis is also called?

Back 49

battle's sign

Front 50

a pt. who is decorticate posturing looks like what?

Back 50

pulls limbs into the CORE

Front 51

what does decerebrate posturing look like?

Back 51

very tense, arms straight out to the side, toes pointed

Front 52

what are the layers of the brain stem?

Back 52

thalamus
midbrain
pons
medula

Front 53

_-assesses painful stimuli

Back 53

thalamus

Front 54

_-is responsible for pupillary response to light.

Back 54

midbrain

Front 55

_- assesses oculocephalic reflex (doll's eyes)

Back 55

pons

Front 56

_- is responsible for cardiorespiratory function.

Back 56

medulla

Front 57

what is the triad of nuchal rigidity?

Back 57

photophobia
h/a
nuchal rigidity

Front 58

what do you measure when you check someone's level of consciousness?

Back 58

glascow coma scale

Front 59

what do pinpoint pupils mean?

Back 59

opiate overdose

Front 60

__is an objective assessment of the level of consciousness after trauma.

Back 60

glascow coma scale

Front 61

what are the 3 areas that are assessed in the GCS?

Back 61

eye opening-4 points
motor response-6 points
verbal response-5 points

Front 62

What is considered a coma score?

Back 62

equal to or <8

Front 63

what are the eye opening scores of the gcs?

Back 63

4-opens spontaneously
3-opens to voice
2-opens to pain
1-does not open eyes

Front 64

what are the motor responses in the gcs?

Back 64

6-obeys commands
5-localizes painful stimuli
4-withdraws from pain
3-decorticate posture
2-decerebrate posture
1-no movement

Front 65

what are the verbal responses in the gcs?

Back 65

5-appropriate and orientated
4-confused
3-inappropriate speech
2-incomprehensible speech
1-no sounds.

Front 66

if a child is lying supine and you flex the neck, and their legs bend at the knees in flexion also....what is this test called and what are you testing?

Back 66

brudzinski's sign-checking for meningeal signs

Front 67

what is kernig's sign?

Back 67

supine pt., flex and elevate the childs leg, if the c/o pain it is positive for meningeal signs.

Front 68

if there is a conductive hearing loss, during a webber test the vibration will lateralize to the side ___/___out the conductive hearing loss

Back 68

with out

Front 69

what is a normal rinne test?

Back 69

AC>BC