Advanced Health Assessment - Neuro
1. When examining the nervous system, what elements are assessed Ans:
*Motor
*Sensory
*Autonomic
*Cognitive
*Behavioral
2. What function are we testing by looking at superficial touch/pain, testing
vibratory responses to tuning fork over joints or bony prominences on upper
and lower extremities, and evaluating position sense with movement of the
great toes or a finger on each hand Ans: Sensory Function
3. What are the 11 elements that must be included when evaluating someone
with SEIZURES during the History of the Present Illness (HPI) Ans:
*Medications
*Automatism
*Driving
*Muscle Tone
*Relationship of Seizure to other events
,*Frequency of Seizures
*Sequence of events of the seizure
*Character of symptoms
*Aura
*Level of consciousness
*Postictal phase behavior
"MAD. MR. F. SCALP" Acronym
4. When evaluating the MEDICATIONS portion of the HPI, what are you asking
about Ans: *Are you taking anticonvulsants?
*Did you start a new medication that may be interacting with your prescribed
anticonvulsant?
5. When evaluating the AUTOMATISM portion of the HPI, what are you asking
about Ans: *Eye Fluttering
*Chewing
*Smacking
*Swallowing
6. When evaluating the DRIVING portion of the HPI, what are you asking
about Ans: Ask patient if they are driving
,*If so, in the State of MO, you MUST take away their license until they are
seizure-free for six months
7. When evaluating the MUSCLE TONE portion of the HPI, what are you asking
about Ans: *Were they fluid? Stiff? Rigid?
*Was there progression?
*Was there twitching?
8. When evaluating the RELATIONSHIP OF SEIZURES TO OTHER EVENTS
portion of the HPI, what are you asking about Ans: *Do your seizures occur at
the same time of day?
*Are your seizures caused by:
-Menses
-Emotional Stress
-Excitement
-Loud noise
-Lights
-Change in medication
9. When evaluating the FREQUENCY OF SEIZURES portion of the HPI, what
are you asking about Ans: *Last seizure?
*How often?
, *How Frequent?
*How long do your seizures last?
*When was your very first seizure?
10. When evaluating the SEQUENCE OF THE EVENTS OF THE SEIZURE por-
tion of the HPI, what are you asking about Ans: *Who observed the seizure?
*Was there direct seizure observation or did they receive the report from someone
else?
11. When evaluating the CHARACTER OF SYMPTOMS portion of the HPI, what
are you asking about Ans: *Were there any changes?
*Was there progression?
12. When evaluating the AURA portion of the HPI, what are you asking about?-
: *Does something happen to you before your seizures?
*Was there a flickering of light, smell or feeling that may have caused it?
*Did you fall?
*Did an injury occur?
*Was there a shill cry?
*Was there a motor or tremor activity?
*Was there tonic-clonic motion?
1. When examining the nervous system, what elements are assessed Ans:
*Motor
*Sensory
*Autonomic
*Cognitive
*Behavioral
2. What function are we testing by looking at superficial touch/pain, testing
vibratory responses to tuning fork over joints or bony prominences on upper
and lower extremities, and evaluating position sense with movement of the
great toes or a finger on each hand Ans: Sensory Function
3. What are the 11 elements that must be included when evaluating someone
with SEIZURES during the History of the Present Illness (HPI) Ans:
*Medications
*Automatism
*Driving
*Muscle Tone
*Relationship of Seizure to other events
,*Frequency of Seizures
*Sequence of events of the seizure
*Character of symptoms
*Aura
*Level of consciousness
*Postictal phase behavior
"MAD. MR. F. SCALP" Acronym
4. When evaluating the MEDICATIONS portion of the HPI, what are you asking
about Ans: *Are you taking anticonvulsants?
*Did you start a new medication that may be interacting with your prescribed
anticonvulsant?
5. When evaluating the AUTOMATISM portion of the HPI, what are you asking
about Ans: *Eye Fluttering
*Chewing
*Smacking
*Swallowing
6. When evaluating the DRIVING portion of the HPI, what are you asking
about Ans: Ask patient if they are driving
,*If so, in the State of MO, you MUST take away their license until they are
seizure-free for six months
7. When evaluating the MUSCLE TONE portion of the HPI, what are you asking
about Ans: *Were they fluid? Stiff? Rigid?
*Was there progression?
*Was there twitching?
8. When evaluating the RELATIONSHIP OF SEIZURES TO OTHER EVENTS
portion of the HPI, what are you asking about Ans: *Do your seizures occur at
the same time of day?
*Are your seizures caused by:
-Menses
-Emotional Stress
-Excitement
-Loud noise
-Lights
-Change in medication
9. When evaluating the FREQUENCY OF SEIZURES portion of the HPI, what
are you asking about Ans: *Last seizure?
*How often?
, *How Frequent?
*How long do your seizures last?
*When was your very first seizure?
10. When evaluating the SEQUENCE OF THE EVENTS OF THE SEIZURE por-
tion of the HPI, what are you asking about Ans: *Who observed the seizure?
*Was there direct seizure observation or did they receive the report from someone
else?
11. When evaluating the CHARACTER OF SYMPTOMS portion of the HPI, what
are you asking about Ans: *Were there any changes?
*Was there progression?
12. When evaluating the AURA portion of the HPI, what are you asking about?-
: *Does something happen to you before your seizures?
*Was there a flickering of light, smell or feeling that may have caused it?
*Did you fall?
*Did an injury occur?
*Was there a shill cry?
*Was there a motor or tremor activity?
*Was there tonic-clonic motion?
