NU 664 FNP Midterm Exam/164
Answered Questions
Cranial nerve i - -Olfactory (smell)
-Cranial nerve II - -Optic (visual acuity, gross visual fields, fundoscopic
exam)
-Cranial nerve III - -Oculomotor (pupillary response, eye movement, upward
and medial gaze)
-Cranial nerve IV - -Trochlear (eye movement downward and medial gaze)
-Cranial nerve V - -Trigeminal (teeth clenching, corneal reflex, respnsible for
trigeminal neuralgia)
-Cranial nerve VI - -Abducens (lateral eye movement)
-Cranial nerve VII - -Facial (frown, smile, puff out cheeks, assess symmetry)
-Cranial nerve VIII - -Acoustic (Hearing and balance) (vestibular)
-Cranial nerve IX - -Glossopharyngeal (gag reflex)
-Cranial nerve X - -Vagus - swallowing and speaking, gag reflex
-Cranial nerve XI - -Spinal Accessory - controls trapezius &
sternocleidomastoid & controls swallowing movements, shrug shoulder and
turn head
-Cranial nerve XII - -Hypoglossal Articulation. And tongue movement
-Gross motor strength - -Upper and lower extremities, look for symmetry
and strength
-Cerebella Function - -Romberg test, coordination, reflexes
-Subdural acute - -Less than 72 hours
-Subdural subacute - -3-20 days
-Subdural chronic - -> 20 days
-Epidural hematoma - -Bleeding from the middle meninges arteries
, -Basilar skull fracture - -Can cause leaking of CSF
-Pneumocephalus - -Air entry into the CSF filled space
-Battles sign - -Ecchymosis behind the ear/mastoid process (concern for
basilar skull fracture and CSF leak)
-Raccoon eyes - -Periorbital ecchymosis associated with basilar skull
fractures and orbital fractures (concern for CSF leak)
-Glasgow Coma Scale (GCS) - -Rapid Neuro Exam ~ measures Motor
response 1-6, verbal response 1-5 and eye opening 1-4
-What is a normal GCS - -15
-What does a GCS of 7 mean - -Coma
-What does GCS of 3 mean - -Deep coma
-FOGS Mental status - -family story, orientation, general information,
spelling
-Rapid neuro evaluation calculations - -Count backwards by 7 from 100, or
repeat a 3 digit number
-Rapid Neuro evaluation recall - -Recall 2 objects
-Subarachnoid hemorrhage - -Extreme headaches and necks stiffness,
comes from ruptured intracranial saccular (berry) aneurysms 80% of time
-Trigeminal neuralgia (tic douloureux) - -Excruciating facial pain for 3 secs,
can be disabling. More often in females and over 50. Caused by compression
by a nearby artery and secondary demyelination of axons in the 5th Cranial
nerve. The Trigeminal nerve has 3 branches~ opthalamic, maxillary, and
madibular branch. Treat with carbamazepine or oxcarbazepine. Can also use
baclofen, Gabapentin or lamotrigine. Can use surgery but it will often return.
-Bell's palsy - -Caused by HSV most often. Loss of motor function to face,
loss of taste in 2/3 of tongue, and sensation to EAC. Will have a sense of
forehead wrinkles, wider pal-Reagan fissure, decrease corneal reflex, Bells
phenomenon (eye turns upward when patient try's to close the eyelid),
flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
Answered Questions
Cranial nerve i - -Olfactory (smell)
-Cranial nerve II - -Optic (visual acuity, gross visual fields, fundoscopic
exam)
-Cranial nerve III - -Oculomotor (pupillary response, eye movement, upward
and medial gaze)
-Cranial nerve IV - -Trochlear (eye movement downward and medial gaze)
-Cranial nerve V - -Trigeminal (teeth clenching, corneal reflex, respnsible for
trigeminal neuralgia)
-Cranial nerve VI - -Abducens (lateral eye movement)
-Cranial nerve VII - -Facial (frown, smile, puff out cheeks, assess symmetry)
-Cranial nerve VIII - -Acoustic (Hearing and balance) (vestibular)
-Cranial nerve IX - -Glossopharyngeal (gag reflex)
-Cranial nerve X - -Vagus - swallowing and speaking, gag reflex
-Cranial nerve XI - -Spinal Accessory - controls trapezius &
sternocleidomastoid & controls swallowing movements, shrug shoulder and
turn head
-Cranial nerve XII - -Hypoglossal Articulation. And tongue movement
-Gross motor strength - -Upper and lower extremities, look for symmetry
and strength
-Cerebella Function - -Romberg test, coordination, reflexes
-Subdural acute - -Less than 72 hours
-Subdural subacute - -3-20 days
-Subdural chronic - -> 20 days
-Epidural hematoma - -Bleeding from the middle meninges arteries
, -Basilar skull fracture - -Can cause leaking of CSF
-Pneumocephalus - -Air entry into the CSF filled space
-Battles sign - -Ecchymosis behind the ear/mastoid process (concern for
basilar skull fracture and CSF leak)
-Raccoon eyes - -Periorbital ecchymosis associated with basilar skull
fractures and orbital fractures (concern for CSF leak)
-Glasgow Coma Scale (GCS) - -Rapid Neuro Exam ~ measures Motor
response 1-6, verbal response 1-5 and eye opening 1-4
-What is a normal GCS - -15
-What does a GCS of 7 mean - -Coma
-What does GCS of 3 mean - -Deep coma
-FOGS Mental status - -family story, orientation, general information,
spelling
-Rapid neuro evaluation calculations - -Count backwards by 7 from 100, or
repeat a 3 digit number
-Rapid Neuro evaluation recall - -Recall 2 objects
-Subarachnoid hemorrhage - -Extreme headaches and necks stiffness,
comes from ruptured intracranial saccular (berry) aneurysms 80% of time
-Trigeminal neuralgia (tic douloureux) - -Excruciating facial pain for 3 secs,
can be disabling. More often in females and over 50. Caused by compression
by a nearby artery and secondary demyelination of axons in the 5th Cranial
nerve. The Trigeminal nerve has 3 branches~ opthalamic, maxillary, and
madibular branch. Treat with carbamazepine or oxcarbazepine. Can also use
baclofen, Gabapentin or lamotrigine. Can use surgery but it will often return.
-Bell's palsy - -Caused by HSV most often. Loss of motor function to face,
loss of taste in 2/3 of tongue, and sensation to EAC. Will have a sense of
forehead wrinkles, wider pal-Reagan fissure, decrease corneal reflex, Bells
phenomenon (eye turns upward when patient try's to close the eyelid),
flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
