Screening test for balance. Can be done sitting or standing.
What is Romberg test?
100
Test for upward eye movement, inspect for conjugate movements and nystagmus.
What is assessment of CN IV (trochlear)?
100
Controls fine movement, balance, and position sense or proprioception.
What is the cerebellum?
100
Happens to cerebral perfusion flow when intracranial pressure is increased.
What is decrease?
100
area of ecchymosis over the mastoid.
What is Battle's sign?
200
Patient does not have an ability to recognize objects through a particular sensory system.
What is agnosia?
200
Assess patients ability to swallow and discriminate between sugar and salt on posterior third of the tongue.
What is assessment of CN IX (glossopharyngeal)?
200
Consists of the midbrain, pons, and medulla oblongata.
What is the brain stem?
200
The earliest sign of increased intracranial pressure is change in LOC. The other early indicators of increasing ICP.
What is agitation, slowing of speech, and delay in response to verbal suggestions.
200
After a brain trauma the patient experiences a brief loss of consciousness followed by a lucid interval in which patient is awake and conversive.
What is an epidural hematoma?
300
Corneal, palpebral, gag, upper/lower abdominal, cremasteric, and perianal.
What are superficial reflexes?
300
Depress a tongue blade on posterior tongue, or stimulate posterior pharynx to elicit gag reflex. Note hoarseness. Look for symmetric rise of the uvula.
What is assessment of CN X (vagus)?
300
Blood-brain barrier can be altered by this.
What is trauma, cerebral edema, and cerebral hypoxemia?
300
Caused by diminished cerebral blood flow this sympathetic response causes increase in systolic pressure with widening of the pulse pressure and cardiac slowing.
What is Cushing's response or Cushing's reflex?
300
A patient with a brain trauma should be presumed to have this until proven otherwise.
What is a cervical spine injury?
400
Repeat seven digits without faltering and recite five digits backward.
What is a person with average intelligence?
400
With eyes closed , ask the patient to identify various odors.
What is assessment of CN I (olfactory)?
400
Syndrome that is associated with changes in LOC, altered vital signs, diaphoresis, and agitation.
What is a sympathetic storm?
400
1) Decreasing cerebral edema
2) Lowering volume of CSF
3) Decreasing cerebral blood volume while maintaining cerebral perfusion.
What are the management goals to relieve ICP?
400
The absences of brain stem reflexes, coma, apnea.
What is the three cardinal signs of brain death?
500
Most sensitive indicator of a lapse in neurologic functioning in patients with TBI and is often the earliest sign of acute change in ICP.
What is GCS?
500
Perform Weber and Rinne test.
What is assessment of CN VIII (acoustic)?
500
Integrates all sensory impulses except olfaction. It plays a role in the conscious awareness of pain and the recognition of variation in temperature and touch. Responsible for sense of movement and position as well as the ability to recognize shape, size, and quality of objects.
What is the thalamus?
500
Patient with a brain injury develops a rapid increase in body temperature.