Test 2

Question 1

Cranial nerves and classification
Oh oh oh to touch and feel very good velvet such heaven
Some say mary money but my brother says big brains matter more

Answer 1

Olfactory- sensory
Optic- sensory
Occulomotor- motor
Trochlear- motor
Trigeminal- both
Abduscens- motor
Facial- both
Vestibulocochlear- sensory
Glossopharyngeal- both
Vagus- both
Spinal accessory- motor
Hypoglossal- motor

Question 2

Functions of pcculomotor and trochlear nerves

Answer 2

O- eye movement. Follow penlight
T- eye downward and inward. Follow finger to nose.

Question 3

Function of trigeminal and abduscens nerves

Answer 3

T- chewing, facial sensations. Pressure on forehead, cheek, and jaw with cotton swab. Ask to open mouth.
A- parallel eye movement. Follow finger up down and inward.

Question 4

Functions of facial and vestibulochoclear nerves

Answer 4

F- facial expression/ taste. Have them do diff facial expressions- give something sour.
V- hearing/ balance. Stand w eyes closed. Otoscopic exam. Rinne and webber tests.

Question 5

Functions of glossopharyngeal and vagus nerves

Answer 5

G- tongue movement, swallowing, taste. Give sour, bitter, and salty substances.
V- speech, facial sensation. Check for sensation around ear.

Question 6

Functions of spinal accessory and hupoglossal nerves

Answer 6

Sa- shoulder movement and neck muscles. Rotate head and shrug shoulders.
H- tongue movement. Ask them to stick out tongue and inspect tongue.

Question 7

Normal size pupil

Answer 7

3-5mm

Question 8

PERRLA

Answer 8

Pupils are equal, round, reactive to light and accommodation

Question 9

Lobes of brain and their functions

Answer 9

Frontal- decision making/emotion regulation
Parietal- top of head- sensory info (touch, temp, pain)
Temporal- sides of head- auditory processes and memory
Occipital- visual processing

Question 10

Gcs

Answer 10

4,5,6

Question 11

Stroke assessment

Answer 11

BE FAST

Question 12

Joint defined
Types of joints

Answer 12

Where 2 or more bones meet.
Provide ROM
Fibrous- immovable
Cartilaginous- partially moveable
Synovial- freely moveable

Question 13

Impaired rom and neck pain with fever chills headache can indicate____

Answer 13

Meningitis

Question 14

Should you test rom in a pt with a hip replacement

Answer 14

No

Question 15

Neurovascular assessment

Answer 15

Loc/mental assessment
PERRLA
Movement/strength of extremities
Gait
Sensation in extremities
Tongue wiggle/facial symmetry/ cheek puff

Question 16

Osteoarthritis vs rheumatoid arthritis

Answer 16

O- one side of body, pain improves with rest and worsens in rain
RA- both sides, burning/throbbing pain,

Question 17

Osteoarthritis who is at risk

Answer 17

Lowest in black males highest in white females
1 in 3 women
1 in 5 men
Smoking- higher risk

Question 18

Melanoma assessment ABCDE

Answer 18

Question 19

Stages of pressure injuries

Answer 19

1- non blanching- intact skin
2-partial thickness, blister, exposed dermis, sore, red
3- full thickness, tissue loss, escar possibly visible,
4- full thickness, tissue loss, bone/tendon/ligament showing
Unstageable- eschew covering- unable to determine

Question 20

Shapes on skin
Annular
Polycyclic
Confluent
Discrete

Answer 20

A- circular (ringworm)
p- annular leaions that grow together
C- lesions that run together (hives)
D- individual lesions

Question 21

Primary skin lesions
MPPPNTWVBP

White people pay many busy people to view naked people

Answer 21

Macules- small flat less than 1 cm
Patch- small flat more than 1 cm
Papule- less than 0.5cm (wart)
Plaque- more than 0.5cm
Nodule- 0.5-2cm and circular
Tumor- greater than 1-2 cm
Wheal- hives
Vesicle- contains fluid- less than 0.5cm
Bulla- contains fluid- more than 0.5cm
Pustule- pus in cavity

Question 22

Secondary skin lesions

Answer 22

Fissure
Ulcer (deep depression)
Excoriation- from scratching
Ecchymosis- bruise
Hematoma- collection of blood under skin
Petechia- spots on skin

Question 23

A lesion is a

Answer 23

Traumatic or pathalogical change in skin

Question 24

Pregnancy skin changes

Answer 24

Linea nigra- line down abdomen
Chloasma- face of pregnancy (dark skin)
Striae gravidarum- stretch marks

Question 25

Aging skin changes

Answer 25

Loss of collagen, elastin, fat, decrease of glands Prone to dehydration Dry skin Lentigens- hyperpigmentation Cherry angiomas- small red spots

Question 26

Abnormal conditions of hair

Answer 26

Folliculitis- infection of hair follicles Furuncle- red swollen pus filled lesions from bacteria

Question 27

Function of brainstem and cerebellum

Answer 27

B-involuntary responses C- balance and coordination

Question 28

Gouty arthritis

Answer 28

Big toe red, hot, swollen

Question 29

What is a stroke and symptoms

Answer 29

Bloodflow to brain is interrupted Numbness/weakness of face/arms/legs Confusion/ trouble speaking or understanding speech Vision trouble/ dizziness Headache

Question 30

Who is most at risk for a stroke

Answer 30

Hypertension, diabetic, heart disease, african american, older and women, birth control

Question 31

Receptive aphasia Expressive aphasia Which one is wenicks

Answer 31

Receptive- wernicks-comprehension of speech Expressive- brocas area- production of speech

Question 32

Test for carpal tunnel

Answer 32

Phalan test- back or hands together finger pointing down. If tingling, burning, or numb test is positive

Question 33

Reflexes of a newborn

Answer 33

Question 34

Common neuro complaints in pregnancy

Answer 34

Pain in thighs Carpal tunnel Leg cramps Dizziness

Question 35

Neuro changes in older adults

Answer 35

Decrease of taste, smell, sight, hearing. Slow gait Tremors w/intentional movement Decreased reaction time

Question 36

An injury to frontol lobe will cause

Answer 36

Difficulty speaking

Question 37

What to ask if someone says anything about mental health

Answer 37

Do you feel suicidal or have a plan

Question 38

Decorticate posture

Answer 38

Hands toward inside- toward core

Question 39

Barlows sign Ortolani sign

Answer 39

B- hip dysplasia- flex knees/abduct legs- positive if you feel head of femur slip O- clicking signifies hip displasia- same test

Question 40

Lasegue test

Answer 40

Test to assess for sciatic pain indicating a herniated lumbar disc. Raise leg up with knee straight

Question 41

How to test for ROM on hip When not to test ROM

Answer 41

Inspect butt symmetry, palpate- non tender/ no crepitus, Do rom: leg up, hip flex w/knee bent, ab/adduction, internal/external rotation Do not test on hip replacement

Question 42

Romber test

Answer 42

Test for motor coordination Feet together, arms at sides, eyes closed

Question 43

How to test for meningitis

Answer 43

Brudzinski test- when hope and knees flex in response to neck flexion. Kernigs test- resistance to extension of leg when hip is flexed.

Question 44

Who is at risk for osteoporosis

Answer 44

White women, old age, vit deficiency, smokers

Question 45

What is this and what causes it

Answer 45

A wheal- allergic reaction Aka hives

Question 46

What is this

Answer 46

Vesical- elevated cavity w fluid- less than 0.5cm- herpes, vericella zoster

Question 47

Braden scale

Answer 47

Question 48

Who is at risk for skin cancer

Answer 48

Light skinned ppl. History can play a part

Question 49

What is babinski. When is it normal. What does it mean when its not normal.

Answer 49

Reflex when sole of foot is stroked causing big toe to lift up and other toes to fan out. Normal under age 1. If present after 1- upper motor neuron disorder.