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, NURSING EXAM TEST
Mental Health Nursing
Neurologic
Coup-Contrecoup Injury
Test Id: 52191858
Question Id: 32261 (729561)
1 of 13
A A A
A speeding driver sustained a closed-head injury in an acceleration/deceleration
accident from striking a tree front end first. Based on the coup-contrecoup
phenomenon, which assessments are most likely to be affected related to the involved
areas of the brain?
Unordered Options Ordered Response
1. Expressive speech, vision
2. Light touch, hearing
3. Sense of position, graphesthesia
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Last Updated: 1/29/2016
4. Weber tuning fork test, cranial nerve I
EXPLANATION
, NURSING EXAM TEST
Coup-contrecoup injury occurs when a body in motion stops suddenly (eg, head hits
car windshield), causing contusions (bruising) of brain tissue as the brain moves back
and forth within the skull. First, the soft tissue strikes the hard skull in the same
direction as the momentum (coup). As the body bounces back, the brain strikes the
opposing side of the skull (contrecoup).
When the forward collision occurred, the frontal lobe most likely suffered the primary
impact (coup). Executive function, memory, speech (Broca area), and voluntary
movement are controlled by the frontal lobe. The contrecoup most likely injured the
occipital lobe, where vision is processed.
(Option 2) The temporal lobe (lateral aspect of the brain) controls hearing and
integrates sensory data (eg, auditory, visual, somatic). The Wernicke speech area in
the temporal lobe is responsible for language comprehension. Light touch is processed
by the sensory cortex in the parietal lobe.
(Option 3) An interruption of sensory function indicates injury to either the spinal
column or the parietal lobe. These injuries affect proprioception (awareness of body
positioning) and graphesthesia (ability to identify writing on the skin, by touch).