What are the cardinal positions of gaze and what does it assess? Correct
Answer-Upper right
Right
Lower Right
Upper Left
Left
Lower Left
Assesses extraocular eye movements, cranial nerve
Tests for nystagmus
What does PERRLA stand for? Correct Answer-pupils equal, round,
reactive to light and accommodation
Deep Tendon Reflex Correct Answer-Patellar tendon, flexed knee
stretched tendon
What is nystagmus? Correct Answer-back and forth oscillation of the
eyes involuntary, in one or both eyes
What should you note when assessing nystagmus? Correct Answer-
Presence
Pendular Movement
,Amplitude
Frequency
Plane of Movement
What is pendular movement and jerk in nystagmus? Correct Answer-
Pendular Movement: oscillations move equally left to right
Jerk: a quick phase in one direction, then a slow phase in other
What is the amplitude of nystagmus? Correct Answer-degree of
movement: fine, medium, or coarse
What is frequency in nystagmus? Correct Answer-constant, or fades
after a few beats
What is plane of movement in nystagmus? Correct Answer-horizontal,
vertical, rotary, or combination
What is the Glasgow Coma Scale? Correct Answer-Eye Opening
Response:
-Spontaneous 4
-To Speech 3
-To pain 2
-No Response 1
Verbal response:
, -Oriented to time, place, person 5
-Confused 4
-Inappropriate words 3
-Incomprehensible sounds 2
-No response 1
Best Motor Response:
-Obeys commands 6
-Moves to localized pain 5
-Flexion withdrawal from pain 4
-Abnormal flexion (inward; decorticate) 3
-Abnormal extension (outward; decerebrate) 2
-No response 1
Best Response: 15
Comatose Client: 8 or less
Totally Unresponsive: 3
What is a deep tendon reflex? Correct Answer-
What are the five Ps of Sexual Health History? Correct Answer-Partners
Practices
Protection from infection