PD: Chapter 22: Neurologic System(to slide 26)

Flashcard maker : Carmen Dawson
Internal environment of the body
The autonomic nervous system coordinates which of the following?
orchestrate the stress response.
The major function of the sympathetic nervous system is to:
digestion
The parasympathetic nervous system maintains the day-to-day function of:
shock absorber.
Cerebrospinal fluid serves as a:
frontal lobe.
The motor cortex of the brain is in the:
pain
The thalamus is the major integration center for perception of:
proprioception
The awareness of body position is known as:
Temporal lobe
Which area of the brain is responsible for perceiving sounds and for determining their source?
cranial
Nerves that arise from the brain rather than the spinal cord are called:
CN XI, spinal accessory
If a patient cannot shrug the shoulders against resistance, which cranial nerve (CN) requires further evaluation?
birth and 1
The major portion of brain growth and myelinization occurs between ____ year(s) of age.
head to toe.
Motor maturation proceeds in an orderly progression from:
diminished perception of touch.
Normal changes of the aging brain include:
dermatome
The area of body surface innervated by a particular spinal nerve is called a:
every patient.
Environmental hazards and cognitive function are data needed for the personal and social history section of a neurologic assessment for:
circulatory problems.
A neurologic past medical history should include data about:
sensory function.
When assessing superficial pain, touch, vibration, and position perceptions, you are testing:
test the six cardinal points of gaze.
You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient’s neurologic status, you would:
Romberg sign.
You are initially evaluating the equilibrium of Ms. Q. You ask her to stand with her feet together and arms at her sides. She loses her balance. Ms. Q. has a positive:
coordination and fine motor function.
The finger-to-nose test allows assessment of:
fingertips
You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:
cerebellar ataxia.
As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
absent superficial pain sensation.
Deep pressure tests are used mostly for patients who are experiencing:
inner thigh and observes whether the testicle and scrotum rise on the stroked side.
To assess a cremasteric reflex, the examiner strokes the:
stereognosis
You have asked a patient to close his eyes and identify an object placed in his hand. You are evaluating:
graphesthesia
The ability to recognize a number traced on the skin is called:
Motor paralysis on lesion side of the body
Which one of the following conditions is consistent with Brown-Séquard syndrome?
Patellar
To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested?
applies pressure to the monofilament until the filament bends.
When using a monofilament to assess sensory function, the examiner:
Triceps
Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?
deep tendon reflexes are hyperactive.
It is especially important to test for ankle clonus if:
Nuchal rigidity
Which sign is associated with meningitis and intracranial hemorrhage?
Kernig
When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test, you would also perform a test for the _____ sign.
3+
On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient?
observing the infant suck and swallow.
Cranial nerve XII may be assessed in an infant by:
strong tonic neck at 6 months.
You are most concerned for the infant that has a:
7 months
At what age should the infant begin to transfer objects from hand to hand?
16 to 24 months
A positive Babinski sign is normal until what age?
Bilateral pillrolling of the fingers
Which of the following is a concern, rather than an expected finding, in older adults?
posterior inferior cerebellar artery.
Ipsilateral Horner syndrome indicates a cerebrovascular accident (CVA) occurring in the:
Guillain-Barré syndrome.
An acute polyneuropathy that commonly follows a nonspecific infection occurring 10 to 14 days earlier and that primarily affects the motor and autonomic peripheral nerves in an ascending pattern is:
myasthenia gravis.
The immune system attacks the synaptic junction between the nerve and muscle fibers blocking acetylcholine receptor sites in:
diminished pain sensation.
Diabetic peripheral neuropathy will likely produce:
short shuffling steps.
Persons with Parkinson disease have an altered gait that is characterized by:
Brain
Blood supply
20% of cardiac output
Gray outer layer (cerebral cortex)
houses the higher mental functions and is responsible for
Commissural fibers (corpus callosum)
interconnect the counterpart areas in each hemisphere, permitting the coordination of activities between the hemispheres.
Frontal lobe
Voluntary skeletal movement
Fine repetitive movement
Control of eye movement
the primary motor area into the spinal cord.
Corticospinal tracts extend from
Parietal lobe
Processes sensory data
Interpretation of tactile sensations (i.e., temperature, pressure, pain,
Parietal lobe
Assists with:
Visual sensations
Gustatory sensations
Olfactory sensations
Auditory sensations
Temporal lobe
Perception and interpretation of sounds and determination of their source
Integration of taste, smell, and balance
Reception of speech and interpretation of speech are located in Wernicke area.
Basal ganglia system
Extrapyramidal pathway and processing station between the cerebral motor cortex and the upper brainstem
Cerebrum
Uses sensory data for reflexive control of:
Muscle tone
Equilibrium
Posture
Brainstem
Pathway between the cerebral cortex and the spinal cord
Brainstem
The nuclei of the 12 cranial nerves arise from these structures.

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