Podcast
Questions and Answers
When integrating the neurologic examination into a broader physical assessment, which strategy optimizes efficiency?
When integrating the neurologic examination into a broader physical assessment, which strategy optimizes efficiency?
- Defer all cranial nerve assessments until the end to avoid disrupting the flow of the examination.
- Perform neurologic tests, such as cranial nerve assessments, while examining related body areas. (correct)
- Rely solely on patient history to guide the neurologic examination, foregoing physical tests unless specifically indicated.
- Isolate each component of the neurologic exam to ensure thoroughness and minimize potential oversights.
A patient reports a recent head trauma. What olfactory nerve assessment technique would be most appropriate?
A patient reports a recent head trauma. What olfactory nerve assessment technique would be most appropriate?
- Presenting various odors sequentially to each nostril while the patient's eyes are open.
- Testing the patency of the nasal passages using a light source
- Recommending they seek evaluation with ENT (Ear Nose and Throat) specialist.
- Occluding one nostril and presenting a familiar, non-irritating aromatic substance to the open nostril with eyes closed. (correct)
When assessing visual fields by confrontation, which instruction to the patient is most important for ensuring accurate results?
When assessing visual fields by confrontation, which instruction to the patient is most important for ensuring accurate results?
- Ask them to report when they first detect a moving target in their peripheral vision.
- Ensure they cover both eyes alternately to compare each side.
- Instruct them to focus on your nose during the test. (correct)
- Request they to follow the target with their eyes as it moves through each visual field.
During an eye exam, the assessment of palpebral fissures helps evaluate which cranial nerves?
During an eye exam, the assessment of palpebral fissures helps evaluate which cranial nerves?
During an assessment of cranial nerve V (trigeminal nerve), a patient cannot feel light touch on their forehead. What is the most appropriate next step?
During an assessment of cranial nerve V (trigeminal nerve), a patient cannot feel light touch on their forehead. What is the most appropriate next step?
What is the purpose of the corneal reflex test, and which cranial nerves are involved?
What is the purpose of the corneal reflex test, and which cranial nerves are involved?
During an examination of cranial nerve VII (facial nerve), which of the following observations would indicate dysfunction?
During an examination of cranial nerve VII (facial nerve), which of the following observations would indicate dysfunction?
Which assessment technique is most appropriate for evaluating cranial nerve VIII (acoustic nerve)?
Which assessment technique is most appropriate for evaluating cranial nerve VIII (acoustic nerve)?
You are assessing cranial nerves IX and X. How should you interpret it if the patient's uvula deviates to the right when they say 'ahhh'?
You are assessing cranial nerves IX and X. How should you interpret it if the patient's uvula deviates to the right when they say 'ahhh'?
What finding during cranial nerve XI assessment warrants further investigation?
What finding during cranial nerve XI assessment warrants further investigation?
A patient is asked to stick out their tongue, and it deviates to the left. This observation suggests an issue with which cranial nerve?
A patient is asked to stick out their tongue, and it deviates to the left. This observation suggests an issue with which cranial nerve?
When documenting muscle strength, the evaluation should include what two elements?
When documenting muscle strength, the evaluation should include what two elements?
What observation during gait assessment suggests cerebellar dysfunction?
What observation during gait assessment suggests cerebellar dysfunction?
The Romberg test assesses?
The Romberg test assesses?
A patient struggles with rapid alternating movements. What does this suggest?
A patient struggles with rapid alternating movements. What does this suggest?
During sensory system assessment, what tests evaluate discrimination, specifically the ability to recognize objects by touch?
During sensory system assessment, what tests evaluate discrimination, specifically the ability to recognize objects by touch?
In the context of reflexes, what best describes a 'reflex arc'?
In the context of reflexes, what best describes a 'reflex arc'?
When grading reflexes, a score of 2 indicates?
When grading reflexes, a score of 2 indicates?
When assessing superficial reflexes, stimulating the abdomen should result in?
When assessing superficial reflexes, stimulating the abdomen should result in?
The Babinski reflex is elicited by?
The Babinski reflex is elicited by?
For patients with head trauma or neurologic deficits, what is the significance of frequent neurologic rechecks?
For patients with head trauma or neurologic deficits, what is the significance of frequent neurologic rechecks?
What is the Glasgow Coma Scale (GCS) used for?
What is the Glasgow Coma Scale (GCS) used for?
What is the AVPU scale designed to evaluate?
What is the AVPU scale designed to evaluate?
If the AVPU scale indicates that the patient is alert, what additional assessment is required?
If the AVPU scale indicates that the patient is alert, what additional assessment is required?
Which of the following best describes 'apraxia'?
Which of the following best describes 'apraxia'?
Which of the following is the MOST critical component of the Cincinnati Prehospital Stroke Scale?
Which of the following is the MOST critical component of the Cincinnati Prehospital Stroke Scale?
The BEFAST acronym helps health professionals to?
The BEFAST acronym helps health professionals to?
What signs are indicative of Cushing's Triad?
What signs are indicative of Cushing's Triad?
Decerebrate posturing is more ominous than decorticate posturing because it indicates?
Decerebrate posturing is more ominous than decorticate posturing because it indicates?
An adult patient presents with irritability, restlessness, pale/cool/clammy skin, tachycardia, tachypnea, and hypotension. What condition should be suspected?
An adult patient presents with irritability, restlessness, pale/cool/clammy skin, tachycardia, tachypnea, and hypotension. What condition should be suspected?
What is the clinical significance of observing 'doll's eyes' or absence of oculocephalic reflex?
What is the clinical significance of observing 'doll's eyes' or absence of oculocephalic reflex?
Compared to shock, what are the opposite symptoms of increased intracranial pressure?
Compared to shock, what are the opposite symptoms of increased intracranial pressure?
Which of the following findings would be MOST consistent with an upper motor neuron lesion?
Which of the following findings would be MOST consistent with an upper motor neuron lesion?
A person cannot distinguish faces but can recognize voices. What is the MOST likely diagnosis?
A person cannot distinguish faces but can recognize voices. What is the MOST likely diagnosis?
What is the term for total paralysis?
What is the term for total paralysis?
Which mental status exam is performed if the appearance or behavior is abnormal?
Which mental status exam is performed if the appearance or behavior is abnormal?
Flashcards
AVPU scale
AVPU scale
A brief assessment to evaluate a patient's level of consciousness based on Alert, Verbal, Painful, and Unresponsive stimuli.
Glasgow Coma Scale (GCS)
Glasgow Coma Scale (GCS)
A scale used to assess the level of consciousness in patients, based on eye-opening, verbal response, and motor response.
Apraxia
Apraxia
Inability to perform purposeful movements or make proper use of objects.
Agnosia
Agnosia
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Ataxia
Ataxia
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Expressive (Broca's) aphasia
Expressive (Broca's) aphasia
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Receptive (Wernicke's) aphasia
Receptive (Wernicke's) aphasia
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Global aphasia
Global aphasia
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Facial Droop
Facial Droop
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Arm Drift
Arm Drift
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Abnormal Speech
Abnormal Speech
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BEFAST
BEFAST
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Olfactory Nerve (CN I)
Olfactory Nerve (CN I)
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Optic Nerve (CN II)
Optic Nerve (CN II)
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Oculomotor, Trochlear, Abducens Nerves (CN III, IV, VI)
Oculomotor, Trochlear, Abducens Nerves (CN III, IV, VI)
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Trigeminal Nerve (CN V)
Trigeminal Nerve (CN V)
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Facial Nerve (CN VII)
Facial Nerve (CN VII)
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Acoustic Nerve (CN VIII)
Acoustic Nerve (CN VIII)
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Glossopharyngeal and Vagus Nerves (CN IX and X)
Glossopharyngeal and Vagus Nerves (CN IX and X)
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Spinal Accessory Nerve (CN XI)
Spinal Accessory Nerve (CN XI)
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Hypoglossal Nerve (CN XII)
Hypoglossal Nerve (CN XII)
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Gait Assessment
Gait Assessment
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Romberg Test
Romberg Test
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Rapid Alternating Movements (RAM)
Rapid Alternating Movements (RAM)
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Finger-to-Nose Test
Finger-to-Nose Test
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Heel-to-Shin Test
Heel-to-Shin Test
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Stereognosis
Stereognosis
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Graphesthesia
Graphesthesia
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Superficial Reflexes
Superficial Reflexes
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Abdominal Reflexes
Abdominal Reflexes
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Babinski Reflex
Babinski Reflex
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Cushing's Triad
Cushing's Triad
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Late Signs ICP
Late Signs ICP
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Decorticate rigidity
Decorticate rigidity
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Decerebrate rigidity
Decerebrate rigidity
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