Shared Flashcard Set

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C550 Final review
Neuro
30
Nursing
Graduate
06/29/2013

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Cards

Term
Most rapid brain growth postnatally occurs between ____ months.
Definition
4-5

* Half the postnatal brain growth is reached by 1 year of age
Term
What is the best indicator of brain growth?
Definition
Head circumference
Term
Which lobe controls voluntary skeletal movement, contains Broca's area for motor speech?
Definition
Frontal
Term
Which lobe controls processing/interpretation of sensory input (visual, auditory, smell, taste, touch sensations as well as pain, temperature, and pressure)?
Definition
Parietal
Term
Which lobe is the primary center for receiving and interpreting visual data?
Definition
Occipital
Term
Which lobe is the primary center for perception of sound and hold Wernicke's area (related to language comprehension)?
Definition
Temporal
Term
The _______ maintains the body's equilibrium, coordinates movement, and relays signals to the muscles from cerebrum.
Definition
Cerebellum
Term
This controls respiration, circulation, and involuntary reflexes like coughing, sneezing, yawning.
Definition
Medulla oblongata
Term
The ______ regulates body temperature, metabolic processes, and involuntary response activity.
Definition
Hypothalamus
Term
Which gland is responsible for hormone control of growth, lactation, and metabolism?
Definition
Pituitary
Term
The limbic system controls what?
Definition
Regulates emotion and motivation, organizes memory.
Also houses aggression and fear.
Term
True or false:
Any loss of previously acquired skill indicates a need for referral and further neuro testing.
Definition
True.
Term
What is opisthotonos?
Definition
Persistent arching of the back and extension of the neck.

*indicates serious neuro compromise
Term
______ reflexes are controlled at birth by the brainstem and are involuntary.
Definition
Primitive

*should disappear by 6 months
*should always be symetrical
Term
______ reflexes appear after the primitive reflexes disappear.
Definition
Postural

*appear around 5-6 months, from head to toe
Term
When is clonus normal?
Definition
May be normal in newborn

*beyond that, suspect upper neuron dysfunction
Term
Stereognosis is?
Graphethesia is?
Definition
Stereognosis is the ability to recognize object by feel.

Graphethesia is the ability to identify shapes traced on palm.
Term
What cranial nerve tests visual acuity?
Definition
CN II (optic)
Term
What cranial nerve tests PERRLA?
Definition
CN III (oculomotor)
Term
What cranial nerves test the six cardinal fields of vision?
Definition
III (oculomotor), IV (trochlear), VI (abducens)
Term
How do you grade reflex response?
Definition
0 to +4
(0- none, +2- normal, +4- hyperactive)
Term
GCS tests consciousness and looks at what areas:
Definition
Eye opening
Motor response
Verbal response

<8= severe head injury
* can never have 0.
Term
How do you distinguish hypotonia from decreased strength?
Definition
Hypotonic infants can still actively move all extremities through normal ROM
Term
CN I is named ______ and tests______.
Definition
Olfactory
Smell
Term
CN V is named _______ and tests ______.
Definition
Trigeminal; sensation of face, masseter muscles of jaw
Term
CN VII is named _____ and tests ____.
Definition
Facial; symmetry of facial movements
(scowl, smile, puff cheeks, frown, etc. )
Term
CN IX is named _____ and tests _____.
Definition
Glossopharyngeal; gag,
Term
CN X is named _____ and tests ____.
Definition
Vagus; uvula/palate with "ahhh"; voice hoarseness
Term
CN XI is named ____ and tests ____.
Definition
Spinal accessory; sternocleidomastoid and deltoid strength
Term
CN XII is named _____ and test ____.
Definition
Hypoglossal; tongue movement
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