NHA REVIEWER CONTD.

II. NEUROLOGIC SYSTEM

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Any defects in or loss of the power to express oneself by speech, writing, or

signs, or to comprehend spoken or written language due to disease or injury
of the cerebral cortex is called?
What are the 3 major considerations that determines the extent of a
neurologic exam
What are the two types of sensory aphasia?
Clients with this kind of aphasia have lost of ability to understand the
symbolic content associated with sounds
Client with this kind of aphasia have lost the ability to understand printed or
written figures
Is an automatic response of the body to a stimulus, It is not voluntarily
learned or conscious
Are sensory nerve terminals, occurring chiefly in the muscles, tendons, joints,
and the internal ear, that give information about movements and the position
of the body
Sensory function includes what?
Abnormal response to touch stimuli includes loss of sensation or known as?
More than normal sensation or known as?
Less than normal sensation or known as?
An abnormal sensation such as burning, pain, or an electric shock
This type of tactile discrimination is the ability to sense whether one or two
areas of the skin are being stimulated by pressure
It is the act of recognizing objects by touching and manipulating them
It is the failure to perceive touch on one side of the body when two symmetric
areas of the body are touched simultaneously.
What are the equipment used in this assessment?
How do we evaluate the reflex of the patient?
What part of the spinal cords does biceps reflex test?
What part of the spinal cords does triceps reflex test?
What part of the spinal cords does brachioradialis reflex test?
What part of the spinal cords does patellar reflex test?
What part of the spinal cords does Achilles reflex test?
*REMEMBER* in language we just check if the patient displays difficulty in
speaking. In orientation we just ask certain questions such as, where are
you, who are you? What are you doing here etc. in memory we just ask the
patient if they have difficulty in remembering things, like memorizing certain
sequence. In attention span and calculation we just ask the client to
recite the alphabet, numbers etc. normal adults can do this in just 90 secs.
In level of consciousness, apply the Glasgow coma scale. Involves eye
response, motor response, and verbal response.
What is the negative result for Babinski?
If the Rombergs test is positive, the client may have lack of coordination of
the voluntary muscles. This is also known as?
REMEMBER mnemonics OhOhOhToTouchAndFeelAGirlsVAH

27. Nick Dombrowski, age 22, was involved in an auto accident and is seen in the
ER for head trauma. You are performing a neurologic assessment. Which
testis best for assessing level of consciousness
28. You are assessing your patient for signs of increased ICP. What would be an
early sign of increased ICP
29. You are assessing Nicks level of orientation. Which level of disorientation
would be of greatest concern?
30. You are testing the cranial nerves. You have your patient bite down on a
tongue blade and note his or her jaw strength. Which cranial nerve does this
test?
31. You are testing the cranial nerves. Which test is best for assessing CN XII?
32. You are testing your patients sensations. You ask your patient to identify a
number written in the palm of her or his hand. The test described is:
33. How would you test for extinction?
34. You are testing your patients DTRs. Which grade is considered normal?
35. Which of the following reflexes would be considered abnormal in an adult?
36. Mary McMurray, age 20, is admitted to the intensive care unit, with the
diagnosis of possible meningitis. Which test would be best for assessing for
meningitis
37. What is the CN number and function of olfactory?
38. What is the CN number and function of optic?
39. What is the CN number and function of oculomotor
40. What is the CN number and function of trochlear
41. What is the CN number and function of trigeminal
42. What is the CN number and function of abducens
43. What is the CN number and function of facial
44. What is the CN number and function of acoustics
45. What is the CN number and function of glossopharyngeal
46. What is the CN number and function of vagus
47. What is the CN number and function of accessory
48. What is the CN number and function of hypoglossal
49. Spina bifida and fetal alcohol syndrome is performed when?
50. Spinal segment involved in upper abdominal reflex
51. Spinal segment involved in lower abdominal reflex
52. Spinal segment involved in plantar reflex
53. Spinal segment involved in bulbocavernous reflex
54. Spinal segment involved in anal reflex
55. Is a genetic disorder that causes mild to severe mental retardation
56. Spinal segment involved in oremasteric reflex
57. Is known as fainting sensation
58. Is a sensation in which the surroundings is spinning around
59. Numbness or tingling is referred to as?
60. What are the techniques involved in this assessment?
61. If your patient does not respond to tactile stimuli, most probably he/she has?
62. How many seconds are we going to apply for the stimulus
63. What kind of stimuli is this? Pinch 1 to 2 inches of the trapezius muscle and
twist

64. What kind of stimuli is this? With the knuckles or the palm of your dominant
hand, apply pressure in a grinding motion to the sternum. Do not use this site
repeatedly because it will cause bruising
65. What kind of stimuli is this? Apply firm pressure with your thumbs at the
notch at the center of the orbital rim below the eyebrows. Because a nerve
runs in the notch, pressure to this area will cause sinus pain. Use this
stimulus carefully to avoid damage to the eyes
66. What kind of stimuli is this? With your index and middle finger, apply inward
and upward pressure at the angle of the jaw.
67. What kind of stimuli is this? Apply pressure over the moon of the nail with a
pen or pencil.
68. What kind of stimuli is this? Squeeze the Achilles tendon between your thumb
and your index finger.
69. It is known as loss of sense of smell
70. Eyes deviate to side opposite from way head is turned
71. Damage to oculomotor nerves
72. CN 2 deficits can occur with what?
73. What are we testing when we ask the patient to move jaw from side to side
against resistance and then clench jaw as you palpate con-traction of
temporal and masseter muscles, or to bite down on a tongue blade.
74. What are we testing when we ask the patient to close eyes and tell you when
he or she feels sensation on the face. Touch jaw, cheeks, and forehead with
cotton wisp. Touch same areas with toothpick. Compare both bilaterally.
75. How do we test the corneal reflex?
76. What are we testing when we ask patient to perform these movements:
smile, frown, raise eyebrows, show upper teeth, show lower teeth, puff out
cheeks, purse lips, close eyes tightly while nurse tries to open them
77. Test taste on anterior two-thirds of tongue for sweet, sour, salty
78. ability to recognize the form of solid objects by touch
79. ability to recognize outlines, numbers, words, or symbols written on skin
80. Peripheral nerve damage or damage to lateral spinothalamic tract.
81. Increased pain sensation.
82. Decreased pain sensation.
83. No pain sensation.
84. Peripheral nerve damage or damage to lateral spinothalamic tract
85. Is the presence of rhythmic involuntary contractions
86. Primitive reflex in which Place your fingers in palm of patients hand. Patient
will close her or his fingers and grasp yours
87. Primitive reflex in which gently stimulate patients lips with a mouth swab.
Patient will start sucking
88. Primitive reflex in which gently tap oral area with finger. Patients lips will
pucker.
89. Primitive reflex in which gently stroke side of patients face. Patient will turn
toward stimulated side
90. Primitive reflex in which gently tap on patients forehead. Patient will blink.
91. Primitive reflex in which Stroke lateral aspect of sole of foot. Dorsi-flexion of
great toe and fanning of toes will occur
92. To assess for Kernigs sign, have the patient lie supine with one leg flexed. Tell
him or her to try to extend the leg while you apply pressure to the knee.

Contraction and pain of the hamstring muscles and resistance to extension

are positive signs of meningitis.
93. To assess for Brudzinskis sign, have the patient lie supine with her or his
head flexed to her or his chest. Flexion of the hips is a positive sign of
meningitis.
Page (794) NEUROLOGIC SYSTEM
1. Nick Dombrowski, age 22, was involved in an autoaccident and is seen in the ER
for head trauma. You are performing a neurologic assessment. Which test is best for
assessing level of consciousness?
a. Romberg test
b. GCS
c. NIH scale
d. Trendelenburg test
2. You are assessing your patient for signs of increased ICP. What would be an early
sign of increased ICP?
a. Change in mental status
b. Dilated pupils
c. Tachycardia
d. Hypotension
3. You are assessing Nicks level of orientation. Which level of disorientation would
be of greatest concern?
a. Time
b. Place
c. Purpose
d. Person
4. You are testing the cranial nerves. You have your patient bite down on a tongue
blade and note his or her jaw strength. Which cranial nerve does this test?
a. CN V
b. CN VI
c. CN VII
d. CN VIII
5. You are testing the cranial nerves. Which test is best for assessing CN XII?

a. Testing taste on the anterior portion of the tongue.

b. Having patient say, You cant teach an old dog
new tricks.
c. Having patient shrug shoulders against resistance.
d. Testing gag reflex.
6. You are testing your patients sensations. You ask your patient to identify a
number written in the palm of her or his hand. The test described is:
a. Stereognosis.
b. Graphesthesia.
c. Extinction.
d. Point localization.
7. How would you test for extinction?
a. Tell patient to point to where you touched him or her.
b. Simultaneously touch patient on opposite sides of body and have him or
her identify sites.
c. Draw number in palm of patients hand and have him or her identify the
number drawn.
d. Place coin in palm of patients hand and him or her identify object in hand.
8. You are testing your patients DTRs.Which grade is considered normal?
a. 0
b. 2
c. 4
9. Which of the following reflexes would be considered abnormal in an adult?
a. Biceps reflex
b. Plantar reflex
c. Anal reflex
d. Babinskis reflex
10. Mary McMurray, age 20, is admitted to the intensive care unit, with the
diagnosis of possible meningitis. Which test would be best for assessing for
meningitis?
a. Babinski

b. Brudzinski
c. Glabellar
d. Trendelenburg sign