Term
| Where is the cerebral cortex located? |
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Definition
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Term
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Definition
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Term
| What is the cerebral cortext |
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Definition
| Outermost layer, contains grey matter |
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Term
| What does grey matter/cerebral cortex do? |
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Definition
Higher Cognitive Functioning
Memory Storage
Conscious Understanding of Sensation
Vision
Hearing
Motor Function |
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Term
| What is the corpus callosum? |
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Definition
Bridge connecting hemispheres
Communication link b/w hemispheres |
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Term
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Definition
| speech, higher intellectual function, ability to speak |
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Term
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Definition
| hearing, taste and smell, language comprehension |
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Term
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Definition
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Term
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Definition
| Visual and visual preception |
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Term
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Definition
| Coordination and equilibrium |
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Term
| what does the medulla oblongata control? |
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Definition
| basic reflexes such as sneezing, swallowing, vomiting |
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Term
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Definition
| primarily with sleep, respiration, swallowing, bladder control, hearing, equilibrium, taste, eye movement, facial expressions, facial sensation, and posture |
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Term
| Brainstem (pons, midbrain, medulla oblongata) |
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Definition
Involuntary reflexes
Relay station
Integrates sensory input functions in homeostasis (breathing, blood pressure, blood oxygen, vomiting etc)
Involved in sleep/wake cycles
Cranial nerves
Sensory inputs to and motor outputs from the brain, cardiac, respiratory |
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Term
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Definition
| 8 cervical 12 thoracic 5 lumbar |
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Term
| Spinal nerves, CNS or PNS? |
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Definition
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Term
| Parts of a comprehensive neuro exam |
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Definition
General Observation
Level of Consciousness (LOC)
Cognitive Function
a. Mini Mental
Speech
Pupillary Response
Cranial Nerves
Motor Function
Cerebellar Function
Sensory Function
Reflexes |
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Term
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Definition
| High score 15, low 3. Measures best eye opening, best verbal response, best motor response |
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Term
| What is considered comatose on the GC scale? |
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Definition
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Term
| How do we test cognitive function? |
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Definition
Basic Orientation
Attention Span
Memory
Calculation ability
Abstract Reasoning
Judgment |
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Term
| What types of memory are there for us to test? |
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Definition
| short: 24 hours or less, long term, and ability to make new memories |
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Term
| What does the mini mental test? |
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Definition
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Term
| What are the parts of a mini mental |
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Definition
Memory
Orientation to time and place
Naming common object
Reading
Copying
Writing
Three stage command |
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Term
| What do the mini mental scores mean? when is it primarily used? |
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Definition
| To detect dementia and delirium, assists in differentiating these from other mental illnesses. max score 30, 24 considered normal. 23 and lower indicates cognitive impairement that requires evaluation |
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Term
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Definition
| Pupils are Equal Round Reactive to Light and Accomdating |
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Term
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Definition
| Look at something far away, then closer, pupils should converge in and towards the nose in a bilateral movement |
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Term
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Definition
| Close your eyes, hold arms out with palms facing up. Watch for arm movement outward and one arm dropping down. |
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Term
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Definition
| Balance test. Eyes closed, arms by side, watch for wavering one way or another. |
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Term
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Definition
| Coordination should be smooth and harmonious. Fingertip to nose, heel slide, rapid alternating hand movements |
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Term
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Definition
| Refers to a person's posture |
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Term
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Definition
| Test by tip toes, heel to heel, straight line, hop on one foot (children under five cannot hop on one foot) |
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Term
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Definition
Superficial Sensations
Originate in Skin and Mucous Membranes
light touch, superficial pain, temperature |
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Term
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Definition
| Deep sensations, muscles joints tendons and ligaments. Vibration and motion and position |
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Term
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Definition
Require Cerebral Integration
Discriminative Abilities. stereognosis, graphesthesia |
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Term
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Definition
| Recognizing objects by touch. |
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Term
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Definition
| Identify number being traced on skin |
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Term
| Reflexes how are they rated? |
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Definition
| 0-4. 0 no reaction, 2+ normal, 4+ hyper-reactive |
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Term
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Definition
| Brachioradialis. Pateller, achilles |
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Term
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Definition
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Term
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Definition
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Term
| Screening/Re-Check assessment components |
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Definition
Done every four/8 hours Level of Consciousness (LOC)
Motor function
Pupillary response
Vital Signs |
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Term
| Acute Neuro Assessment components |
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Definition
Vital signs
Level of consciousness (LOC)
Pupillary response
Extremity strength
Sensory function
Selected cranial nerve testing |
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Term
| When someone is rushed in, is it practical to do a comprehensive? Why or why not? |
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Definition
| No it isn't because a baseline has to be established quickly and going through the whole thing is not practical |
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Term
| What develops first, cns or pns? |
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Definition
| CNS in a cephalocaudal direction. |
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Term
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Definition
| Neurons in CNS all decrease with aging, slower thought process, reduced responses and delayed reflexes. Muscles start to atrophy in the 4th decade. |
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