Lab Basic Neuro Exam Flashcards
1
Q
CN II Test
A
- visual acuity
- wiggle finger test
- light reaction: direct and consenual
2
Q
CN III, IV, VI Test
A
- Near rxn
- H-test
3
Q
CN V Test
A
- Sensory: touch in pattern of V1, V2, V3
- Motor: clench jaw and move from side to side
- corneal reflex (sensation pt)
4
Q
CN VII Test
A
-ask pt to frown, smile, raise eyebrows, open and close eyes and test strength by having them try to open eyes, puff cheeks and test strength
5
Q
CN VIII Test
A
-Whisper test: stand 2 feet behind and whisper combo of 3 #s or letters and have them repeat
6
Q
CN IX Test
A
- gag reflex
- have pt swallow
7
Q
CN X Test
A
- say ahhh and watch uvula deviation
- swallow
8
Q
CN XI Test
A
-check trap and SCM strength
9
Q
CN XII Test
A
- press tongue against inside of cheek and have resist pushing against
- stick tongue out and move it
10
Q
Testing Muscle groups
- Shoulder shrug
- flexion @ elbow
- extension @ elbow
- flexion @ wrist
- extension @ wrist
- hand grip
- finger abduction
- opposition of thumb
- hip flex, extend, Abduct, Adduct
- knee flex
- knee extend
- ankle plantar
- ankle dorsiflex
A
- Shoulder shrug: CN XI
- flexion @ elbow: C5-C6
- extension @ elbow: C6-8
- flexion @ wrist: C6-C7
- extension @ wrist: C6-C7
- hand grip: C7-T1
- finger abduction: C8, T1
- opposition of thumb: C8, T1
- hip flex (L2-4), extend (S1) , Abduct (L2-4) , Adduct (L4-S1)
- knee flex: L4-S2
- knee extend: L2-4
- ankle plantar: S1
- ankle dorsiflex: L4-5
11
Q
Cerebellar Function
A
- rapid alt. movements
- finger to nose, finger to finger
- heel to shin
12
Q
Gait
A
- causal
- tandem
- heel walk then toe walk
- hop in place on one leg
- shallow knee bend on each leg
13
Q
Stance
A
Romberg: eyes open: cerebellar ataxia, + eyes closed
pronator drift
14
Q
Cutaneous Simulation Reflexes
A
- Abdominal reflex: T10-T12
- Anal Reflex: S2-S4
- Plantar reflex: L5, S1
