Chap. 4 - neuro exam Flashcards
Adult reflexes (6)
Biceps Triceps Brachioradialis Patellar Achilles Plantar
Primitive reflexes (7)
Head lag Flexion Rooting Grasping Moro Glabellar Babinski
A positive Babinski is normal or abnormal up to age 2?
Normal
Cranial nerves
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
CN I test
Sniff
CN II tests (2 of them)
Snellen chart
Confrontation
CN III tests (4 of them)
EOMs
PERRL
Accommodation
Corneal light reflex
CN IV is tested with 2 others. Name them.
CN III and VI
CN V tests (2)
Clench teeth, check masseter muscle
Sharp and soft stimuli to cheeks
CN VI is tested with 2 others. Name them.
CN III and IV
CN VII tests (generally)
Make faces
Puff cheeks
CN VIII (2 tests)
Weber
Rinne
CN IX is tested with another nerve. Name it.
CN X
CN X (2 tests)
Say “ahh” - look for elevation
Gag reflex
CN XI test
Shrug against resistance
CN XII
Stick out your tongue - look for midline deviation and tremors
In a Weber test the tuning fork is placed ___________.
In a Rinne test, the tuning fork is placed ___________.
Weber - midline of the forehead or above the teeth.
Rinne - on the mastoid process and then just outside the ear.
A positive Rinne test means…
Air conduction is louder than bone conduction (normal hearing).
You administer a Romberg test. The client loses balance. How do you document? Positive or negative?
Positive.
Dysdiadochokinesia
Inability to perform rapid alternating movements; damage to the cerebellum
Dyssynergia
A disturbance of smooth muscular coordination, resulting in uncoordinated and abrupt movements. Tested with finger-to-nose, heel-to-knee tests.
Astereognosis
Inability to distinguish between objects based on touch alone; damage to the parietal lobe
Agraphesthesia
Inability to recognize figures or letters traced on the skin of the palm of the hand.
BMI 26-29 is…
Overweight
