Check Sheet Flashcards
Appearance & Behavior
LOC Posture & motor behavior Facial Expression Grooming Affect & relationship to people
Speech & language
Quantity
Rate
Loudness
Articulation of words
Fluency
Check for aphasia:
“how are you doing today” (spontaneous speech)
“can you put your finger on your nose” (word comprehension”
“repeat after me, no ifs ands or buts” (repetition)
“write: I like cars” (writing)
thoughts and perceptions
thought process thought content mood perceptions insight and judgement
cognitive functions
“tell me your name”
“do you know where you are”
“what day it is?”
“repeat these numbers: 5, 8, 10 and 7, 3, 9, 2, 4”
(Or spell a word backwards)
“Who is the president?” (remote)
“What was the weather like this morning?” (recent)
“I’m going to tell you 4 words, id like you to try to remember them and repeat them to me after the exam” (learning)
ORRAL
higher cognitive function
- assessing information and vocabulary "count back from 100 by 7s" "what do and orange and basketball have in common" "can you draw a clock for me" Name two things
IV7 CAN
olfactory nerve
test smell
optic nerve
test acuity
inspect fields
inspect fundi
oculomotor, trochlear, abducen
H movement
oculomotor
pupil size & shape
pupil rxn to light
pupil rxn to near vision
convergence to near vision
trigeminal
sharp/light in 3 divisions
corneal reflex
test masseter mm
SLCM
facial
facial movements (eyebrows, frown, close eyes, upper teeth, bottom teeth, smile, puff cheeks) taste on anterior tongue
acoustic
whisper test
rinne test
weber test
hallpike test
glossopharyngeal
gag reflex
vagus
elevation of palate
spinal accessory
SCM & trapezius
hypoglossal
protrude tounge
motor system
atrophy fasciculations abnormal movements tone in supination/pronation pronator sign walk on heels and toes UE strength (forearm, wrist, fingers, opposition, grip) LE strength (hips, knees, ankles, toes)
A FASPP HT UL
cerebellar system
inspect posture evaluate gait tandem walk finger to nose rhythmic movements heel to shin rapid toe tapping
PGT FRHT
post grad training feels really hard today
sensory system
pain/light touch UE and LE (proximal to distal & side to side: shoulder, medial and lateral forearm, thumb, little finger, front of thigh, medial and lateral calf, toes, medial buttock)
position sense of digits vibration on toe/finger romberg test sensory interpretation graphesthesia sterognosis PVR SGS
DTR
biceps brachioradialis triceps patellar ankle
superficial reflexes
babinski
abdominal reflexes
cremasteric
anal reflexes
parts of the mental status exam
appearance and behavior speech and language thoughts and processes cognitive functions higher cognitive functions
AS THC
Order of Exam (Ignore this)
AS THC
CN
MC SDR
