Loose papaers - Physical neurological examination Flashcards

1
Q

Mental state:

A
  • level of consciousness (glasgow coma scale)

- speech, comprehension, orientation

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2
Q

Head and neck:

A
  • appearance (symmetry, skull defects, scars etc)
  • head palpitation and percussion
  • neck mobility + sings of meningeal irritation
  • palpitation and auscultation of the carotid and temporal arteries.
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3
Q

Olfactory:

A
  • I

- identification of odor on both sides

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4
Q

Optic:
Trochlear:
Oculomotor:

A
  • II
  • visual acuity
  • visual field
  • pupils: shape and size; reaction to light (direct and consentual), accomodation and converge
  • optic fundus
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5
Q

Oculomotor:
Trochlear:
Abducent:

A
  • III
  • coordination and range of the external ocular movements
  • strabismus, nystagmus, double vision
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6
Q

Trochlear:
Abducent:
Oculomotor:

A
  • IV
  • coordination and range of the external ocular movements
  • strabismus, nystagmus, double vision
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7
Q

Abducent:
Trochlear:
Oculomotor:

A
  • VI
  • coordination and range of the external ocular movements
  • strabismus, nystagmus, double vision
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8
Q

Trigeminal:

A
  • sensation on the face
  • strength of masseters muscle
  • corneal (blink) reflex
  • mandibular nerve (jaw reflex)
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9
Q

Facial:

A
  • VII

- face expression and voluntary movements

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10
Q

Auditory part of the vestibulo-cochlear

A
  • VIII
  • hearing
  • Weber’s test
  • Rinne’s test
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11
Q

Glossopharyngeal and Vagus:

A
  • IX, X
  • symmetry of the soft palate
  • position of the uvula
  • gag and palatal reflexes
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12
Q

Accessory:

A
  • XI

- strength of the sternocleidomastoid muscles

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13
Q

Hypoglossal:

A
  • XII

- appearance and movements of tongue

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14
Q

Upper extremities:

only important stuff

A
  • involuntary movements (tremor, chorea, tics etc)
  • pronator drift test; strength in different groups of muscles
  • reflexes: triceps, biceps, radial
  • cerebellar test; finger-to-nose test, alternating movements
  • deep sensation: finger position (proprioseption) and vibration senses on both sides
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15
Q

Trunk:

A
  • abdominal reflexes: superficial (skin) - upper, middle and lower deep (muscular)
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16
Q

Lower extremities:

only important stuff

A
  • involuntary movements
  • Muscle strength: Barre test, strength in different muscle groups)
  • Reflexes: knee and ankle jerks, plantar response (normal plantar reflexes or Babinski sign)
  • Cerebellar test: knee-to-heel test, alternating movements
  • Deep sensation: toe position and vibration on both sides
17
Q

Balance and gait:

A
  • Romberg’s test with open and closed eyes
  • gait assessment
  • walking on heels and toes