Neuro Screening

Front 1

when testing CNI you have a unilateral loss of smell. What is a possible cause?

Back 1

frontal lobe lesion

Front 2

what is the most common cause of a bilateral loss of smell?

Back 2

allergies

Front 3

CNV: palpating the temporal and masseter muscles you note a unilateral contraction what does this indicate?

Back 3

CNV lesion

Front 4

what is a cause of bilateral loss of contraction when testing motor CN V?

Back 4

upper or lower motor neuron involvement. ex. MG or myotonic dystrophy

Front 5

What is a cause of decrease CN V with the corneal sensitivity test?

Back 5

HSV keratitis

Front 6

What can cause a decreased motor reflex with the corneal sensitivity test?

Back 6

Bell's palsy

Front 7

you are evaluating a patient who has symmetrical folding across their forehead. They can closet their eyes very weakly. what is your dx?

Back 7

cortical CN V lesion possbiel ddx. stroke

Front 8

what should be down if you have a light touch abnormality when testing the 6 dermatones of the face?

Back 8

Confirm with temperature sensation

Front 9

a unilateral loss of sensation on the dermatones of the face indicates what?

Back 9

CN V lesion

Front 10

what could a bilateral loss of sensation when testing CN V facial sensitivity indicate?

Back 10

upper or lower neuron involvmeent

Front 11

define lower motor neurons

Back 11

peripheral nerves; past the ganglion and where the postsynaptic sympathetic fibers mix

Front 12

define upper motor neurons

Back 12

CNS neurons and tracks; brain and spinal cord

Front 13

when performing the weber test sound lateralized to the bad ear, how is this documented? what are the possible causes?

Back 13

BC>AC in the bad ear
causes are obstruction, perforated ear drum, acute otitis media and wax

Front 14

when performing weber sound lateralized to the good ear and AC>/= in the bad ear what is your dx?

Back 14

nerve damage

Front 15

a patient's voice has changed and now sounds hoarse what is your dx?

Back 15

vocal cord paralysis

Front 16

a patient has noticed their voice seems to sounds more nasal now what is your dx?

Back 16

palate paralysis CN X

Front 17

what should be suspected if a patient has trouble swallowing?

Back 17

pharyngeal or palate weakness

Front 18

palate rises asymmetrically. dx?

Back 18

CN X lesion

Front 19

A unilateral loss of gag reflex suggest what?

Back 19

CN IX or X lesion

Front 20

what does a bilateral loss of gag reflex suggest?

Back 20

bilateral lesion of CN or other neurological disorder

Front 21

what are possible dx for weakness of the traqezius?

Back 21

peripheral nerve disorders, lower motor neuron disease or hypothryoid

Front 22

articulation of words tests what CNs?

Back 22

CN V, VII, X, XII

Front 23

what does dysarthria indicate?

Back 23

dz of upper or lower motor neuron, cerebellum, extrapyramidal tract or muscles

Front 24

the tongue deviates_______a lower motor defect and _____ the side of the cortical lesion

Back 24

toward the motor defect and away from the side of the cortical lesion

Front 25

increased sensitivity

Back 25

hyperesthesi

Front 26

decreaed sensitivity

Back 26

hypoesthesi

Front 27

absence of feeling

Back 27

anesthesi

Front 28

other than micro-vascular dz. what may also present with polyneuropathy?

Back 28

hysterics or conversion disorder

Front 29

patient is not able to discriminate sensation in their hands, what is a dx?

Back 29

disease of sensory cortex or posterior column

Front 30

inability to recognize objects placed hand

Back 30

astereognosis

Front 31

what test do you perform if a patient fails stereognosis?

Back 31

graphesthesia

Front 32

what does a failure to identify the number traced on their palm indicate?

Back 32

lesion in the sensory cortex

Front 33

gait abnormality; pt. dragging on one side

Back 33

spastic hemiplegia, seen often in stroke

Front 34

patient with a scissor gait

Back 34

spastic diplegia

Front 35

a "foot drop" if suggestive of what?

Back 35

muscle weakness

Front 36

a wide stance and waddle walk is seen in?

Back 36

cerebellar ataxia

Front 37

a loss of sensation where the patient "smacks" the foot down

Back 37

sensory ataxia

Front 38

jerky dancing movement which appear nondirectional

Back 38

dystonic

Front 39

describe parkinson's gait

Back 39

pt. will be hunched have unusual balance and irregular arm swing

Front 40

what does plantar/dorsiflexion test?

Back 40

strength and cerebellear function

Front 41

hopping in place shows the patient has?

Back 41

inteact motor system, good position sense and intact cerebella function (cover shallow knee bend, plantar flexion and dorsiflexion)

Front 42

what two test are used as alternates to the shallow knee bend when testing an older patient?

Back 42

chair step and chair rise

Front 43

during the pronator drift test what does it imply if the arm drifts up or sideway? down? overshoot and bounces?

Back 43

up or sideways-position sense
down-upper motor neuron/stroke
overshoot and bounches-cerebellear in-coordination

Front 44

finger abduction tests what nerve?

Back 44

ulnar nerve

Front 45

what nerve is tested with finger adduction? what can cause weak opposition?

Back 45

median nerve, carpal tunnel

Front 46

flexion and extension of the wrist tests what nerve? possible causes of weakness?

Back 46

radial nerve. peripheral nerve dz (radial nerve damage), CNS dz producign hemiplegia (MS, stroke)

Front 47

patient complains that they get HAs on their computer what is a ddx that does not involve the eye?

Back 47

referred pain due to carpal tunnel

Front 48

during rapid rhythmic movements t eh patient is unable to switch from patting to over & back without stopping what is your dx?

Back 48

frontal lobe lesion

Front 49

what if during rapid rhythmic movements of the upper extremities the patient is slow and clumsy?

Back 49

cerebellar dz.

Front 50

if rapid alternating movement are impaired this may indicate?

Back 50

upper motor neuron weakness and extrapyramidal disease