DSA: Neuro Exam Flashcards
Define the following levels of consciousness:
alert
vigilant
lethargic
obtunded
stupor
coma
What are the three components of the Glasgow Coma Scale?
Eye opening
Motor response
Verbal response
To dx delirium via the Confusion Assessment Method (CAM), what must be present?
1 and 2, and either 3 or 4
What tests can be used to test for Meningeal irritation?
Nuchal rigidity
Brudzinki’s test
Kernig Test
Decorticate vs. Decerebrate Posture
The Babinski response is indicative of what lesion?
What is a positive sign?
Corticospinal tract lesion
Pos sign = dorsiflexion
What does pronator drift test?
What is a pos sign?
Corticospinal tract lesions in contra hemisphere
Pos sign = when one arm drifts down
What 2 areas does the finger to nose test?
cerebellum
labyrinth of inner ear
What test is used to test coordination of multiple systems (basal ganglia, cortical associations, cerebellum…)?
heel to shin
Dysdiadochokinesis is seen in what test of the cerebellum?
rapid alternating movements
What is the Romberg test?
What is a positive sign?
Romberg = pt stand w feet together, arms out & palms up. eyes closed
Pos sign = pt sways or moves feet for balance
Suspected Mental Status Change: flow chart
What is the Kernig vs the Brudzinski test?
Kernig = doc can’t extend pt knee bc pain
Brudzinki = pt flexes hip/knee when neck is flexed
