Chap. 4 - neuro exam

Question 1

Adult reflexes (6)

Answer 1

Biceps
Triceps
Brachioradialis
Patellar
Achilles
Plantar

Question 2

Primitive reflexes (7)

Answer 2

Head lag
Flexion
Rooting
Grasping
Moro
Glabellar
Babinski

Question 3

A positive Babinski is normal or abnormal up to age 2?

Answer 3

Normal

Question 4

Cranial nerves

Answer 4

I - Olfactory
II - Optic
III - Oculomotor
IV - Trochlear
V - Trigeminal
VI - Abducens
VII - Facial
VIII - Vestibulocochlear (acoustic)
IX - Glossopharyngeal
X - Vagus
XI - Accessory
XII - Hypoglossal

Question 5

CN I test

Answer 5

Sniff

Question 6

CN II tests (2 of them)

Answer 6

Snellen chart

Confrontation

Question 7

CN III tests (4 of them)

Answer 7

EOMs
PERRL
Accommodation
Corneal light reflex

Question 8

CN IV is tested with 2 others. Name them.

Answer 8

CN III and VI

Question 9

CN V tests (2)

Answer 9

Clench teeth, check masseter muscle

Sharp and soft stimuli to cheeks

Question 10

CN VI is tested with 2 others. Name them.

Answer 10

CN III and IV

Question 11

CN VII tests (generally)

Answer 11

Make faces

Puff cheeks

Question 12

CN VIII (2 tests)

Answer 12

Weber

Rinne

Question 13

CN IX is tested with another nerve. Name it.

Answer 13

CN X

Question 14

CN X (2 tests)

Answer 14

Say “ahh” - look for elevation

Gag reflex

Question 15

CN XI test

Answer 15

Shrug against resistance

Question 16

CN XII

Answer 16

Stick out your tongue - look for midline deviation and tremors

Question 17

In a Weber test the tuning fork is placed ___________.

In a Rinne test, the tuning fork is placed ___________.

Answer 17

Weber - midline of the forehead or above the teeth.

Rinne - on the mastoid process and then just outside the ear.

Question 18

A positive Rinne test means…

Answer 18

Air conduction is louder than bone conduction (normal hearing).

Question 19

You administer a Romberg test. The client loses balance. How do you document? Positive or negative?

Answer 19

Positive.

Question 20

Dysdiadochokinesia

Answer 20

Inability to perform rapid alternating movements; damage to the cerebellum

Question 21

Dyssynergia

Answer 21

A disturbance of smooth muscular coordination, resulting in uncoordinated and abrupt movements. Tested with finger-to-nose, heel-to-knee tests.

Question 22

Astereognosis

Answer 22

Inability to distinguish between objects based on touch alone; damage to the parietal lobe

Question 23

Agraphesthesia

Answer 23

Inability to recognize figures or letters traced on the skin of the palm of the hand.

Question 24

BMI 26-29 is…

Answer 24

Overweight

Question 25

BMI greater than 30 is…

Answer 25

Obese

Question 26

BMI 20-25 is…

Answer 26

Normal

Question 27

Skin lesion mnemonic ABCDE

Answer 27

Asymmetry
Border irregularity
Color variation
Diameter greater than 6 mm
Elevation

Question 28

How many lymph nodes? Can you name them?

Answer 28

6
Preauricular
Postauricular
Tonsillar
Submandibular
Submental 
Anticervical

Question 29

AP diameter: greater or less than transverse diameter?

Answer 29

Less

Question 30

Normal breath sound at peripheral lung is called…

Answer 30

Vesicular

Question 31

Normal breath sound at 1st and 2nd intercostals at the sternum is called…

Answer 31

Bronchovesicular

Question 32

Normal breath sound at the trachea is called…

Answer 32

Bronchial

Question 33

7 peripheral pulse points

Answer 33

Carotid
Brachial
Radial
Femoral
Popliteal
Pedal
Posterior tibial