2. Basic neuro exam two Flashcards
test for tone
passively flex and extend the neck elbows and knees
Strength is assesed on a scale of 0 to 5, normal strength is what
5
no muscular contraction is what?
0
a barely detectable flicker or tracce of contraction
1
active movement of the body part with gravity removed
2
active movement against gravity
3
active movement against gravity and some resistance
4
shoulder abduction
mustly deltoids-axillary nerve- c5, c6
elbow flexion
mostly biceps- musculocutaneous nerve, c5, c6
finger spreading
mostly dorsal interossei- ulnar nerve- C8, T1
thumb opposition to pinky
opponens pollicis, median nerve- c8,T1
hip flexion
iliopsoas, femoral nerve, L1, L2
knee flexion
hamstrings, sciatic nerve, L5, S1, S2
foot dorsiflexion
tibialis anterior, deep peroneal nerve, L4, L5
foot planter flexion
gastrocnemius & soleius-tibial nerve-S1, S2
Reflexes are graded 0 to 4….. what is norm
2+
very brisk, hyperactive, with clonus
4+
brisker than average, possibly but not necessarily indicitive of disease
3+
somewhat diminished; low nrmal
1+
no response reflex
0
biceps
c5, c6
triceps
c7
brachioradialis
c6
patellar
L4
achiles
S1