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Neuro
Neuro Examination Flashcards
34
Nursing
Undergraduate 2
01/31/2012

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Cards

Term
Muscle Strength 0/5
Definition
unable to create any visible or noticeable contraction in a specific muscle. This occurs when a muscle is paralyzed, shuch as after a stroke, spinal cord injury, or cervical or lumbar radiculopathy. Sometimes pain can prevent a muscle from contracting at all.
Term
Muscle Strength 1/5
Definition
A grade of 1/5 occurs when muscle contraction is noted but no movement occurs. The muscle is not strong enough to lift the particular body part against gravity or move it when in a gravity-reduced position.
Term
Muscle Strength 2/5
Definition
This muscle-strength grade is assigned when your muscle can contract but cannot move the body part fully against gravity. When gravity is reduced or eliminated during a change in body position, the muscle is able to move the body part through its full range of motion.
Term
Muscle Strength 3/5
Definition
A 3/5 grade means that you are able to fully contract your muscle and move your body part through its full range of motion against the force of gravity. But when resistance is applied, the muscle is unable to maintain the contraction.
Term
Muscle Strength 4/5
Definition
A 4/5 grade indicates that the muscle yields to maximum resistance. The muscle is able to contract and provide some resistance, but when your physical therapist presses on the body part, the muscle is unable to maintain the contraction.
Term
Muscle Strength 5/5
Definition
This means the muscle is functioning normally and is able to maintain its position even when maximum resistance is applied.
Term
Glasgow E4
Definition
Spontaneous
Term
Glasgow E3
Definition
To Voice
Term
Glasgow E2
Definition
To Pain
Term
Glasgow E1
Definition
None
Term
Glasgow V5
Definition
Normal conversation
Term
Glasgow V4
Definition
Disoriented Conversation
Term
Glasgow V3
Definition
Words, but not coherent
Term
Glasgow V2
Definition
No words only sounds
Term
Glasgow V1
Definition
None
Term
Glasgow M6
Definition
Normal
Term
Glasgow M5
Definition
Localizes to Pain
Term
Glasgow M4
Definition
Withdraws from pain
Term
Glasgow M3
Definition
Decorticate
Term
Glasgow M2
Definition
Decerebrate
Term
Glasgow M1
Definition
None
Term
Facial Symmetry
Definition
smile, puff cheeks, stick out tongue, raise eyebrows
Term
Rapid rhythmic alternating movements
Definition
Alternately turning up and down the palms of the hands
Touching thumb-to-fingers
Term
Test Accuracy of movements
Definition
finger-to-finger test
finger-to-nose
heel-to-shin
Term
Equilibrium
Definition
Romberg test
Standing on one foot
Term
Gait
Definition
observe the gait sequence
heel-toe walking
Term
Sterognosis
Definition
familiar object (key, coin)
tactile agnosia, an inability to recognize objects by touch
Term
Two point discrimination
Definition
distance at which the patient can no longer distinguish two points
Term
extinction phenomenon
Definition
simultaneously touch two areas on each side of the body
similar sensations should be felt bilaterally
Term
graphesthesia
Definition
draw a letter, number, or shape on the palm of the patient's hand
Term
point location
Definition
touch an area on the patient's skin and withdraw the stimulus
Term
Meningeal signs
Definition
stiff neck or nuchal rigidity
Term
Brudzinski
Definition
involuntary flexion of the hips and knees when flexing the neck is a positive
Term
Kernig
Definition
evaluated by flexing the leg at the knee and hip when the patient is supine, then attempting to straighten the leg

pain in the lower back and resistance to straightening the leg at the knee constitute a positive Kernig sign
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