Assessment
Cranial Nerves
Physiology
Increased ICP
TBI
100

Screening test for meningitis that the head is lifted.

What is a Brudzinski Sign? 

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 a decrease?

100

A form of dementia that boxers, football players, and armed force members are at risk for.

What is Chronic Traumatic Encephalopathy (CTE) sign?

200

A flat electroencephalogram is an indicator. 

What is a test confirming brain death? 

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. These are the other early indicators of increasing ICP.

What is agitation, slowing of speech, and delay in response to verbal suggestions.

200

Measured by the length of time a patient was unconscious, coupled with the GCS.

How the severity of a traumatic brain injury is determined?

300

Positive for glucose, a medical emergency.

Leaking CSF, a Halo Sign. 

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

Stress, Anxiety, Fatigue, Infection, Hypoxia, & Brain Trauma.

What are common seizure triggers?

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

Setting sun sign is a clinical manifestation of this. 

What is hydrocephalus? 

400
With eyes closed , ask the patient to identify various odors.
What is assessment of CN I (olfactory)?
400

Caused by abnormal electrical discharges that originate from both hemispheres of the brain.

What are generalized seizures?

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 the Glascow Coma Scale?

500
Perform Weber and Rinne test.
What is assessment of CN VIII (acoustic)?
500

The most common cause pathogen of bacterial meningitis.

What is streptococcus pneumoniae?

500

An expected or most common implanted device for someone with hydrocephalus.

What is Ventriculoperitoneal Shunt (VP shunt)

500

Patient with a brain injury develops a rapid increase in body temperature.

What is possible brain stem damage?