Term
Level of consciousness based on Glasgow Coma Scale
Does not open eyes |
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Definition
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Term
Level of consciousness based on Glasgow Coma Scale
Opens eyes in response to painful stimuli |
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Definition
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Term
Level of consciousness based on Glasgow Coma Scale
Opens eyes in response to voice |
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Definition
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Term
Level of consciousness based on Glasgow Coma Scale
Opens eyes spontaneously |
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Definition
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Term
| Pupil reaction upon passive eyelid opening in normal vs. comatose patient |
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Definition
Normal-pupil constriction
Sleeping/comatose=dilation |
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Term
| 2 possible interpretations of bilateral pinpoint pupils that still react to light |
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Definition
heroin overdose
damage to pons |
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Term
| 3 possible interpretations of bilateral, dilated and unreactive pupils |
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Definition
med overdose
hypothermia
severe anoxia |
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Term
| Describe a positive response to testing doll's eye movements |
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Definition
| Positive=eyes rotate to the opposite side of the direction head rotation, thus midbrain and brainstem are intact |
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Term
| In coma, if the eye turns upwards but the eyelid does not close there is CN ____ lesion |
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Definition
| CN7 lesion (Bell's phenomenon) |
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Term
| In coma, if they eye does not turn upward and the eyelid does not close there is a CN _____ lesion |
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Definition
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Term
| Best way to test corneal sensitivty in coma pt, that avoids corneal trauma |
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Definition
| Drop sterile saline onto cornea from a height of 10 cm |
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Term
| Sometimes patients can't lift their lids even with the help of frontalis, this is called __________ __________ |
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Definition
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Term
| If there is horizontal deviation of the eyes along with cerebral ptosis and hemiplegia due to hemispheric lesion, in which direction is the deviation |
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Definition
| Horizontal deviation is usually AWAY from hemiparetic side |
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Term
| If there is horizontal deviation of the eyes along with cerebral ptosis and hemiplegia due to pons or thalamus lesion, in which direction is the deviation |
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Definition
| Expect a 'wrong way' deviation towards hemiparesis |
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Term
| How does Caloric testing (cold water) affect endolymph |
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Definition
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Term
| Describe the nystagmus caused by ice cold water in the left ear |
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Definition
fast phase jerk to the right side and slow phase towards ear
COWS-reference to fast phase of nystagmus |
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Term
| With COWS testing, which direction will the eyes deviate (after the nystagmus) |
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Definition
| Eyes will deviate towards the cold water, even when trying to look straight up |
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Term
| ____________ lesions can result in classic ocular bobbing |
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Definition
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Term
| Eye movements in classic ocular bobbing |
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Definition
| Spontaneous Rapid eye Movements downwards, with slow drifts upwards |
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Term
| What type of ocular bobbing can be caused by benzodiazepines |
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Definition
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Term
| What type of ocular bobbing can be caused by CO poisoning |
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Definition
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Term
| What type of ocular bobbing can be caused by AIDS or bipolar meds |
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Definition
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Term
| Reverse ocular bobbing is ____________ jerks |
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Definition
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Term
| Inverse ocular bobbing is very slow ____________movements |
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Definition
| very slow downward movements |
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Term
| Converse ocular bobbing is very slow ____________ eye movements |
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Definition
| very slow upward eye movements |
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Term
| Ocular bobbing =_________________________ lesion |
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Definition
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Term
| Effect of Depressants on Convergence |
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Definition
| Convergence insufficiency |
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Term
| Effect of Depressants on Eyelids |
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Definition
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Term
| Effect of Depressants on Fixation |
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Definition
Horizontal gaze nystagmus
Vertical gaze nystagmus with high dose |
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Term
| Effect of Depressants on Pupils |
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Definition
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Term
| Effect of Stimulants on Fixation |
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Definition
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Term
| Effect of Cannabis on Convergence |
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Definition
| Convergence Insufficiency |
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Term
| Effect of Stimulants on Pupils |
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Definition
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Term
| Effect of Hallucinogens on Fixations |
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Definition
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Term
| Effect of Hallucinogens on Convergence |
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Definition
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Term
| Effect of Hallucinogens on Pupils |
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Definition
| Dilated but still reactive |
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Term
| Effect of PCP on Fixations |
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Definition
| Vertical and Horizontal Gaze Nystagmus |
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Term
| Effect of PCP on Convergence |
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Definition
| Convergence Insufficiency |
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Term
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Definition
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Term
| Effect of Narcotic Analgesics on Fixations |
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Definition
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Term
| Effect of Narcotic Analgesics Convergence |
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Definition
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Term
| Effect of Narcotic Analgesics on Pupils |
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Definition
| Constricted, miotic reaction or none |
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Term
| Effect of Narcotic Analgesics on Eyelids |
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Definition
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Term
| An ocular side effect of both tramadol and oxycodone |
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Definition
| Both cause swelling of the eyes |
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Term
| Effect of Inhalants on Fixations |
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Definition
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Term
| Effect of Inhalants on Convergence |
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Definition
| Convergence Insufficiency |
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Term
| Effect of Inhalants on Pupils |
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Definition
| Normal or dilated, sluggish |
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Term
| Effect of Cannabis on Fixation |
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Definition
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Term
| Effect of Stimulants on Convergence |
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Definition
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Term
| Effect of Cannabis on Pupils |
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Definition
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Term
| Effect of Cannabis on eyelids |
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Definition
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Term
| 2 effects of cannabis on the eyes |
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Definition
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Term
| 3 Illicit drugs that cause horizontal gaze nystagmus |
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Definition
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Term
| Illicit drugs that affect convergence |
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Definition
Depressants
Cannabis
PCP
Inhalants |
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Term
| 3 Illicit drugs that DO NOT affect convergence |
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Definition
Stimulants
Hallucinogens
Narcotic Analgesics |
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Term
| Which illicit drugs dilate pupils |
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Definition
Depressants
Stimulants
Hallucinogens
Maybe inhalants |
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Term
| Which illicit drugs constrict pupils |
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Definition
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Term
| Which illicit drugs affect the pupil light response |
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Definition
Depressants
Stimulants
Narcotic Analgesics
Inhalants |
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