Health Assessment Week 8

Front 1

12 Cranial Nerves

Back 1

1. Olfactory

2. Optic

3. Oculomotor

4. Trochlear

5. Trigeminal

6. Abducens

7. Facial

8. Vestibulochoclear

9. Glossopharyngeal

10. Vagus

11. Accessory

12. Hypoglossal

OH OH OH TO TOUCH AND FEEL A VIRGIN GIRLS VALLEY AND HILLS

Front 2

Olfactory Nerve

Back 2

test sense of SMELL

Front 3

Optic Nerve

Back 3

test VISUAL acuity

Front 4

Oculomotor, Trochlear, and Abducens

Back 4

check PUPILS and extraocular movements

Front 5

Nystagmus

Back 5

back and forth oscillation of the eyes

Front 6

Trigeminal Nerve

Back 6

assess muscles of mastication and light touch sensation on face with a cotton ball

Front 7

Facial Nerve

Back 7

facial symmetry when smiling and frowning

Front 8

Acoustic Vestibulocochlear Nerve

Back 8

test HEARING

Front 9

Glossopharyngeal and Vagus Nerve

Back 9

depress tongue with blade and patient says "ahh", note uvula and soft palate rise in midline

Front 10

Spinal Accessory Nerve

Back 10

test MUSCLE strength, equal size, and resistance

Front 11

Hypoglossal Nerve

Back 11

inspect TONGUE

Front 12

CNS

Back 12

includes brain and spinal column

Front 13

PNS

Back 13

-located outside the CNS in congregations called ganglia

- includes 12 pairs of cranial nerves and 32 pairs of mixed spinal nerves

Front 14

Frontal Lobe

Back 14

concerned with personality, behaviour, emotions, and intellectual function

--> precentral gyrus = voluntary movement

Front 15

Parietal lobe

Back 15

Postcentral gyrus= primary centre for sensation

Front 16

Occipital lobe

Back 16

primary visual receptor centre

Front 17

Temporal lobe

Back 17

behind ear, primary auditory reception centre

Front 18

Wernicke's area

Back 18

-in temporal lobe

-associated with language comprehension

-receptive aphasia

Front 19

Broca's area

Back 19

-in frontal lobe

-mediates motor speech

- expressive aphasia

Front 20

Dermatome

Back 20

area of skin supplied with afferent nerve fibres by a single posterior spinal root

Front 21

Reflex Arc

Back 21

response below the level of consciousness in which sensory afferent fires carry the message from a receptor, travel through dorsal root in spinal cord, synapse in cord, and send message through motor efferent fibres to cause response.

Front 22

4 types of reflecs

Back 22

1) deep tendon (myotatic)

2) superficial

3) visceral (organic)

4) pathological (abnormal)

Front 23

Autonomic Nervous System

Back 23

unconscious activity and is composed of cranial and spinal nerves

--> divided into sympathetic and parasympathetic

Front 24

Cerebrovascular accidents (CVA)

Back 24

stokes or "brain attacks"

Transient ischemic attacks are "ministrokes"

Front 25

Proper sequence of assessment

Back 25

-mental health

-cranial nerves

-motor assessment

-co-ordination and balance

-sensory testing

-reflex testing

Front 26

Screening neurological examination

Back 26

preform on seemingly well persons with no significant subjective findings from history

Front 27

Complete neurologic examination

Back 27

preform on persons who have neurological concerns

Front 28

neurologic recheck examination

Back 28

preform on persons with demonstrated neurological deficit who require periodic assessments

Front 29

Glasgow Coma scale

Back 29

screening tool that evaluates persons level of consciousness and degree of brain injury

Front 30

If patient is not fully alert, increase stimulus in this order:

Back 30

1) call name

2) light touch on patients arm

3) vigorous shake of shoulder

4) pain applied such as a pinch

Front 31

Vertigo

Back 31

sensation on rotational spinning

Front 32

Aura

Back 32

subjective sensation that precedes a seizure

Front 33

Tremor

Back 33

involuntary shaking, vibrating, or trembling

Front 34

Paresis

Back 34

weakness of voluntary movements

Front 35

Paralysis

Back 35

loss of motor function as result of lesion in neurological system

absence of strength

Front 36

Dysmetria

Back 36

inability to control range of motion of muscles

Front 37

Paraesthesia

Back 37

abnormal sensation such as burning or tingling

Front 38

Dysphagia

Back 38

difficulty swallowing

Front 39

Dysarthria

Back 39

difficulty forming words

Front 40

Ptosis

Back 40

Drooping

Front 41

Strabismus

Back 41

deviated gaze or limited movement

Front 42

Atrophy

Back 42

abnormally small muscles with a wasted appearance

Front 43

Hyperatrophy

Back 43

increased size and strength; occurs with isometric exercise

Front 44

Dysdiadochokinesia

Back 44

slow, clumsy, and sloppy response

Front 45

Dysmetria

Back 45

clumsy movement with overshooting of the mark

Front 46

Hypoalgesia

Back 46

decreased pain sensation

Front 47

Analgesia

Back 47

absence of pain sensation

Front 48

Hyperalgesia

Back 48

increased pain sensation

Front 49

Hypoaesthesia

Back 49

decreased touch sensation

Front 50

Anaesthesia

Back 50

absent touch sensation

Front 51

Hyperaesthesia

Back 51

increased touch sensation

Front 52

Astereognosis

Back 52

inability to identify objects correctly

Front 53

Clonus

Back 53

set of rapid, rhythmic contractions of same muscle

Front 54

Myoclonus

Back 54

rapid, sudden jerk at fairly regular intervals (hiccup)

Front 55

Hyperreflexia

Back 55

exaggerated reflex occurs when monosynaptic reflex arc is released from usually inhibiting influence of higher cortical levels

Front 56

Hyporeflexia

Back 56

reduced functioning of a reflex

Front 57

Frog position

Back 57

hips abducted and almost flat against table

Front 58

Opisthotonos

Back 58

head arched back, stiffness of neck, and extension of arms and legs

Front 59

Fasciculation

Back 59

rapid, continuous twitching of resting muscles

Front 60

Tremor

Back 60

involuntary contraction of opposing muscle groups

Front 61

Chorea

Back 61

sudden, rapid, jerky, purposeless movement involving limbs, trunk, or face

Front 62

Athetosis

Back 62

slow, twisting, writhing, continuous movement, resembling snake or worm

Front 63

basal ganglia

Back 63

large bands of grey matter buried deep within the two cerebral hemispheres that form the subcortical associated motor system (the extrapyramidal system).

Front 64

hypothalamus

Back 64

major respiratory center with basic vital functions: temperature, appetite, sex drive, heart rate and blood pressure control; sleep and anterior and posterior pituitary gland regulation; and coordination of autonomic nervous system activity and stress response.

Automatic associated movements of the body are under the control and regulation of this.