NR 509 Neuro Quiz

NR 509 Neuro Quiz

NR 509 Neuro Quiz : Neuro Test Prep

Assess tremors and admits to drinking alcohol daily

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How to test cranial nerve 11 (spinal accessory)

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No vibration noted to ankles and great toe.

Ans: Peripheral Neuropathy.

During neuro assessment ask to relax all muscles.  Expect on ROM

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Asymmetrical smile and frown.  Uneven lift eyebrows.  Sagging lower eyelids.  Air escapes when push on puffed right cheek.

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Short term memory loss.  Unable to perform simple task ex. Button shirt.

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3 month old.  Assess grip and suck.

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Complain of weakness to left arm and leg for one week.

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Reports dropping things and falling down.  During test of rapid alternating movements unable to pat both her knees.  Slow.  Misses frequently.

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Room is spinning.

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History of seizures.  ‘Aura’

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Pressed for time.  Test, sharp point pin several times.  Individual only states pain once as if a single prick.

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Sample Feedback to student having used our services.

Dear Student, Congratulations! You  did a nice job with this case study. Of course, there is always   room for improvement. Please take time to review your results and the feedback provided by Shadow Health. Compare your performance with the model note. It is important to understand where you may have missed opportunities to be more effective or enhance your skills. Be sure to utilize the OLDCART

Your HPI is missing pertinent information. Also your ROS/objective data are inadequate..Please document using systems not technique

Your differential diagnoses were supported by the presenting facts. However, since Tina presented with palpitations, it is perfectly acceptable to use the symptom “Palpitations” as a primary diagnosis, at least until other etiologies are ruled out. It is important for primary care providers to utilize various resources to support patient care.

What advice do you have for her regarding the amount of caffeinated beverages she consumes per day?

Finally, be sure to include plans to follow-up and provide specific instructions for when to seek immediate attention. In preparing for debriefing of Week 4, I am going to ask you about potential safety concerns with Tina. Can you identify any in this assignment? Let me know if you have any questions or concerns.