Health Assessment Neurological System
Review Quiz Solved 100% Correct
A 52-year-old obese male who smokes and has diabetes has risk factors for:
a seizures.
b Guillain-Barré syndrome.
c multiple sclerosis.
d cerebrovascular accident. - ANS-d cerebrovascular accident.
Alzheimer's Disease - ANS-incurable, degenerative disease neurologic disorder, begins
with decline in memory. Patients with a history of small strokes have a tendency to
develop this. Stroke prevention measures may reduce risk of developing this disease
Bell palsy Abnormal Finding - ANS-Ptosis
Bell's Palsey - ANS-acute unilateral paralysis of facial nerve
Brudzinski's sign - ANS-test when patient is supine. Patient's neck is flexed: reports no
pain or resistance to neck flexion. Positive Brudzinski's sign is the patient is passively
flexing hip and knee in response to head flexion and reports pain along vertebral
column
Children - ANS-motor development is compared with standardized tables of normal age
and sequences of motor development
CN I - ANS-olfactory, sensory; smell reception and interpretation
Have patient smell same substance out of one nostril at a time
CN II - ANS-optic, sensory; visual acuity and visual fields
Use Snellen chart and ophthalmoscope
CN III - ANS-oculomotor, motor; raise eyelids, most extraocular movements
assessed together for eye movement controlled by muscles
CN IV - ANS-trochlear, motor; downward, inward eye movement
CN IX - ANS-glossopharyngeal, Both
Motor: voluntary muscle for swallowing and phonation
Sensory: sensation of nasopharnyx, gag reflex, taste on the posterior one third of
tongue
Parasympathetic: secretion of salivary glands, carotid reflex
, CN V - ANS-Trigeminal,Both; jaw opening and clenching, chewing and mastication
CN VI - ANS-Abducens, Motor; lateral eye movement
CN VII - ANS-Facial, Both
Motor: movement of facial expression muscle except jaw, close eyes, labial speech
sounds
Sensory: taste on the anterior two thirds of tongue, sensation to pharynx
Parasympathetic: secretion of saliva and tears
CN VIII - ANS-Acoustic (vestibulocochlear), Sensory; hearing and equilibrium
CN X - ANS-vagus, both
Motor: voluntary muscles of phonation and swallowing
Sensory: sensation behind ear and part of external ear canal
Parasympathetic: secretion of digestive enzymes; peristalsis; carotid reflex; involuntary
action of heart, lungs, and digestive tract
CN XI - ANS-spinal accessory, motor; turn head, shrug shoulders, some actions for
phonation
CN XII - ANS-hypoglossal, motor;tongue movement for speech sound articulation and
swallowing
Craniocerebral Injury - ANS-injury to scalp, skull, brain sufficient to alter normal function
CVA - ANS-cerebrovascular vessels become occluded by thrombus or embolus or
when intracranial hemorrhage occurs and brain tissue becomes ischemic
During a neurologic examination of a 3-month-old infant, which findings are related to
the presence of primitive reflexes?
Select all that apply.
Withdraws all limbs from pain stimulus
Alternates flexion and extension of legs
Grasps object strongly when placed in palm
Moves head and opens mouth to external mouth stimulation when hungry
Turns eyes in direction of rotation and in opposite direction when rotation stops - ANS-
Alternates flexion and extension of legs
Grasps object strongly when placed in palm
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