Nervous System Examination
Order by
69 terms
Terms | Definitions |
|---|---|
 Arousal-Alert | Wakefulness |
| Arousal-Lethargy | Loud voice needed |
| Arousal-Obtunded | Loud voice+shake |
| Arousal-Stupor | Loud voice+vigorous shake |
| Arousal-Coma | Responds to noxious stimulus |
| Attention-Digit repetition | Accurately repeat up to 7 numbers |
| Attention-Vigilance | Recognize letter when given a series of different letters |
| Mental Status-Arousal | Alert, lethargy, obtunded, stupor, coma |
| Metal Status-Attention | Digit repetition, vigilance |
| Mental Status-Orientation | Person, place, time |
| Mental Status-Language | Oral fluency, comprehension, articulation |
| Mental Status-Proverb interpretation | Abstract reasoning/higher-association cortex function |
| Mental Status-Calculations | Simple math skills |
| Mental Status-Writing | Spatial and language skills |
| Mental Status-Constructional ability | drawing complex figures, manipulation blocks |
| Mental Status | Arousal and attention, orientation ,language, memory, proverb interpretation, calculations, writing, constructional ability |
| Mental Status-Memory | Short-term and remote |
| Vision & Visual Fields | Pupillary light reflex, acuity, visual fields, eye movement, vestibulo-ocular reflex |
| Vision & Visual Fields-Pupillary light reflex | CN II (sensory) and CN III (motor) |
| Vision & Visual Fields-Acuity | Ability to read close/far (CN II) |
| Vision & Visual Fields-Visual fields | Test 1 eye at a time, document peripheral, superior, inferior fields (CN II) |
| Vision & Visual Fields-Eye movement | Up, down, medial (CN III), look to nose (CN IV), lateral (CN VI) |
| Vision & Visual Fields-Vestibulo-ocular reflex | Keep eyes on object while head moves (CH VIII) |
| Reflexes | Deep tendon, posturing, decorticate, decerebrate, plantar, frontal release, gag, cremasteric, analwink |
| Reflexes-Posturing | Abnormal reflexes |
| Reflexes-Decorticate | Flexion UE, extension LE |
| Reflexes-Decerebrate | Extension of both UE and LE |
| Reflexes-Plantar | positive or negative Babinski |
| Reflexes-Frontal reflexes | grasp, root, suck reflexes |
| Reflexes-Gag | Palate elevation (CN IX, X) |
| Reflexes-Cremasteric | L1-2 |
| Reflexes-Anal wink | S2-4 |
| Tone | Resistance to Passive Stretch (flaccidity, hypotonicity, hypertonicity, spasticity, rigidity, |
| Tone-Flaccidity | Absence of muscle tone |
| Tone-Hypotonicity | Decreased |
| Tone-Hypertonicity | Increased |
| Tone-Spasticity | Velocity-dependent |
| Tone-Rigidity | bidirectional, not velocity-dependent |
| Motor Face & Neck | CN: III, V, VII, IX, X, XI, XII |
| Eye open | CN III |
| Facial expression | VII |
| Muscles mastication | V |
| Tongue | XII |
| Sternocleidomastoid and upper trapezius muscles | XI |
| Coordination | Extremity, dysmetria, dysrhythmia, dysdiadochokinesia, tremor, trunk, muscle activation |
| Coordination-Extremity | finger to nose, heel to shin, finger or toe tapping, rapid alternating movement (RAM) |
| Coordination-Dysmetria | Overshoot/undershoot |
| Coordination-Dysrhythmia | Abnormal timing |
| Coordination-Dysdiadochokinesia | Difficulty with RAM |
| Coordination-Tremor-Postural | Arms held out |
| Coordination-Tremor-Intention | During movement |
| Coordination-Tremor-Resting | At rest |
| Coordination-Muscle activation | Coactivation, difficulty scaling movement, slowed reaction/movement time |
| Balance | Romberg, postural strategies, reaching, sensory |
| Balance-Romberg | Feet together, arms crossed, eyes closed-general test for vestibular dysfunction (VIII) |
| Balance-Postural strategies | Test for ankle, hip, stepping strategies with displacement center of mass |
| Balance-Reaching | Test limit of stability |
| Balance-Sensory | Romberg eyes open/closed, hard/foam surface; tests reliance on vision/proprioception |
| Sensation | Somatic, face, Taste, cortical |
| Sensation-Somatic | light tough, proprioception, pain, temperature, 2-point |
| Sensation-Face | CN V |
| Sensation-Taste | CN VII, IX |
| Anterior 2/3 of tongue taste | CN VII |
| Posterior 1/3 of tongue taste | CN IX |
| Sensation-Cortical | Kinesthesia, stereognosis, graphesthesia |
| Strength-Paralysis | Loss of Voluntary movement |
| Strength-Weakness | Inability to generate enough force to move |
| Strength-Tests | Via muscle group (hip flexors), spinal segment (L2), or peripheral nerve (femoral nerve) |
| Strength-Tests-Methods | Manual muscle test, dynamometer, electromyography isokinetic testing |
First Time Here?
Welcome to Quizlet, a fun, free place to study. Try these flashcards, find others to study, or make your own.