Baseline Neuro Exam

Question 1

An increase in sensation is called ___

Answer 1

Hyperesthesia

Question 2

A decrease in sensation is called ____

Answer 2

Hypesthesia

Question 3

___ is an increased response to a normally painful stimulus

Answer 3

Hyperalgesia

Question 4

Loss of pain sense is termed ___

Answer 4

Analgesia

Question 5

A painful response to a normally UNpainful stimulus (low threshold)

Answer 5

Allodynia

Question 6

A perversion (not-normal) response in sensation is termed ____. This is properly an unpleasant response (burning, cold)

Answer 6

Dysesthesia

Question 7

A properly NOT unpleasant sensation, such as tickling, buzzing, or itching, is known as ____

Answer 7

Paresthesia

Question 8

Chvostek’s and Trousseau’s Signs are indicative of hypo_____

Answer 8

Calcemia

Question 9

List MSR’s for C5:

Answer 9

M: Deltoid
S: Lateral deltoid
R: Biceps

Question 10

List MSRs for C6:

Answer 10

M: Biceps, wrist extensors
S: Lateral forearm to thumb/index web
R: Brachioradialis

Question 11

List MSRs for C7:

Answer 11

M: Triceps, wrist flexors
S: Middle finger
R: Triceps

Question 12

List MSRs for C8:

Answer 12

M: Finger flexors
S: Medial forearm and hand
R: Finger flexors

Question 13

List MSRs for T1:

Answer 13

M: Finger abd/adductors
S: Medial arm to elbow
R: N/A

Question 14

List MSRs for L4:

Answer 14

M: Tibialis anterior (dorsiflexion/inversion)
S: Medial foot
R: Patellar

Question 15

List MSRs for L5:

Answer 15

M: Ext hallicus longus
S: dorsal foot; includes web between 1st and 2nd toes
R: Medial Hamstring (difficult to elicit)

Question 16

List MSRs for S1:

Answer 16

M: Fibularis longus/brevis (plantar flexion/eversion)
S: Lateral Foot
R: Achilles

Question 17

The C6 sensory test is testing what peripheral nerve?

Answer 17

Musculocutaneous

Question 18

The plantar response (long tract sign) is commonly referred to as ____

Answer 18

Babinksi

Question 19

A positive test when performing Hoffman’s/Tromner’s is what?

Answer 19

Flexion/addiction of thumb, flexion of other fingers (middle finger is the one that is being tested)

Question 20

In this long tract sign test you will briskly “snap” the wrist into extension, or the foot into dorsiflexion, and observe for “beats” of the wrist/foot

Answer 20

Clonus (Upper/Lower extremity)

Question 21

The sensory test for C8 and T1 is testing which peripheral nerve?

Answer 21

Medial antebrachial cutaneous

Question 23

Using the middle finger or great toe, hold it by the sides and demonstrate for the patient what is UP and what is DOWN - have patient close eyes and perform them asking patient to tell you what’s what.

Answer 23

Joint position sense

Question 24

The “heel walk” test (no shoes or socks!) is mostly testing what spinal nerve level?

Answer 24

L5

Question 25

The “toe walk” (no shoes or socks!) is mostly testing what spinal nerve level?

Answer 25

S1

Question 26

A “squat” is testing what 2 spinal nerve levels?

Answer 26

L3, L4

Question 27

Stroke the blunted end of a reflex hammer down the anterolateral leg from below patella to lateral malleolus

Answer 27

Oppenheim’s

Question 28

Stroke the blunted end of a reflex hammer along the lateral side of the foot (from heel to little toe)

Answer 28

Chaddock’s

Question 29

Name the test: Squeeze the calf muscles.

Answer 29

Gordon’s

Question 30

Name the test: Apply deep pressure to the Achilles tendon

Answer 30

Schaefer’s

Question 31

Oppenheim’s, Chaddock’s, Gordon’s, Schaefer’s tests are considered _____ reflexes

Answer 31

Pathological

Question 32

The abdominal, cremaster, and superficial anal reflexes are considered ____ reflexes

Answer 32

Superficial

Question 33

Ask the patient to identify an object by placing it in their hand while their eyes are closed (pencil, coin, etc.)

Answer 33

Stereognosis

Question 34

Touch the patient in various spots (with wooden applicators, for example) while their eyes are closed and ask them to state where they are being touched

Answer 34

Topesthesia

Question 35

Trace an “8” or a “4” on the patient’s palm while their eyes are closed and ask them to identify which it is

Answer 35

Graphesthesia

Question 36

Touch one, or both arms while the patient’s eyes are closed and ask them to state whether they feel one or both arms being touched

Answer 36

Double simultaneous stimulation

Question 37

Using the middle finger or great toe, activate a tuning fork and place it on the DIP joint with the patient’s eyes closed - ask them to report when vibration stops (examiner stops it)

Answer 37

Vibration sense