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
BMI greater than 30 is…
Obese
BMI 20-25 is…
Normal
Skin lesion mnemonic ABCDE
Asymmetry Border irregularity Color variation Diameter greater than 6 mm Elevation
How many lymph nodes? Can you name them?
6 Preauricular Postauricular Tonsillar Submandibular Submental Anticervical
AP diameter: greater or less than transverse diameter?
Less
Normal breath sound at peripheral lung is called…
Vesicular
Normal breath sound at 1st and 2nd intercostals at the sternum is called…
Bronchovesicular
Normal breath sound at the trachea is called…
Bronchial
7 peripheral pulse points
Carotid Brachial Radial Femoral Popliteal Pedal Posterior tibial
