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Week 9 Assessing Neurologic System – Neurological Assessment Questions & Answers

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Week 9 Assessing Neurologic System – Neurological Assessment Questions & Answers

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Week 9: Assessing Neurologic System
Week 9 Assessing Neurologic System.pdf
Study online at https://quizlet.com/_5h3t5f

1. anatomy and physi- Central nervous system (CNS), which includes brain (every portion of the
ology brain has two parts) - right side of the brain effects the left side of the body
central nervous sys- and vice versa and spinal cord
tem:
peripheral nervous Peripheral nervous system (PNS), which includes all nerve fibers outside
system: brain and spinal cord
> Includes 12 pairs of cranial nerves, 31 pairs of spinal nerves (test material)
- innervate a specific part of the body and can distinguish what part of the
body is affected, and all their branches (info in the book)




2. Spinal Cord 5 Extends from medulla to first lumbar vertebra (does not extent to the coaxes)

Conducts sensory (afferent: toward the brain) impulses up ascending tracts
to the brain

Conducts motor (efferent: away from the brain)impulses down to neurons
that stimulate glands and muscles - Parkinsons disease

helps you know why the body is affected: stimulates glands or muscles

Not as long as the vertebral column

3. Spinal Cord Tracts 7 Posterior dorsal root

Spinothalamic tract: sensations of pain, temperature, and crude and light
touch

Posterior columns: sensations of position, vibration, and fine touch

Actualstudy 1


, Week 9: Assessing Neurologic System
Week 9 Assessing Neurologic System.pdf
Study online at https://quizlet.com/_5h3t5f

Motor by pyramidal and extrapyramidal

Originate in motor cortex, travel to medulla, where cross over to opposite
side, travel down spinal cord.

Pyramidal: responsible for muscle that produce voluntary movement of skill
and purpose (voluntary movement)

Extrapyramidal: responsible for muscle that are related to muscle tone and
body control (involuntary movement)

4. Peripheral Nervous Peripheral nervous system
System 2 > 12 pairs of cranial nerves
> 31 pairs of spinal nerves

Autonomic nervous system:
Autonomic Nervous System
Impulses carried by both cranial and spinal nerves
Carried from CNS to involuntary muscles such as heart and glands
Maintains internal homeostasis of the body
Sympathetic is the "fight or flight" activated during time of stress
Parasympathetic is the "rest and digest" activated during relaxation

Autonomic nervous system
> Peripheral nervous system composed of cranial nerves and spinal nerves
> Carry fibers divided functionally into two parts:
- Somatic fibers innervate skeletal (voluntary) muscles
- Autonomic fibers innervate smooth (involuntary) muscles, cardiac muscle,
and glands
> Autonomic system mediates unconscious activity

5. Older Adults 2 Demyelinization (responses are slower) from
> Cerebral cortex and cerebellum to brainstem and spinal cord
Actualstudy 2


, Week 9: Assessing Neurologic System
Week 9 Assessing Neurologic System.pdf
Study online at https://quizlet.com/_5h3t5f

> Toes to head, distal to proximal

Decreased cognitive abilities, coordination, balance, some CN functions,
muscle tone, impaired fine coordination and agility, loss of vibratory sense
at ankle, decreased or absent Achilles reflex, pupillary miosis, irregular pupil
shape, and decreased pupillary reflexes


* educate to reduce-risk, lifestyle and health practices

6. When you put your pressing on the carotid artery
head up feel dizzy?

7. When to perform a Perform screening neurologic assessment on well persons with no significant
neurological assess- findings from history (initial)
ment? 3
Perform repeat neurologic assessments on persons with demonstrated neu-
rologic deficits who require periodic assessments, e.g., hospitalized persons
or those in extended care (forms are provided)

Perform complete neurologic assessment on persons with neurologic con-
cerns, e.g., headache, weakness, loss of coordination, or who have shown
signs of neurologic dysfunction (thorough symptom analysis)

8. Collecting Subjective History of present
Data 10 > health concern
> Headache
> Seizures
> Dizziness
> Numbness & tingling (generalized or local)
> Sensory
> Speech
> Swallowing
Actualstudy 3

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