Loose papaers - Physical neurological examination Flashcards
1
Q
Mental state:
A
- level of consciousness (glasgow coma scale)
- speech, comprehension, orientation
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.
3
Q
Olfactory:
A
- I
- identification of odor on both sides
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
5
Q
Oculomotor:
Trochlear:
Abducent:
A
- III
- coordination and range of the external ocular movements
- strabismus, nystagmus, double vision
6
Q
Trochlear:
Abducent:
Oculomotor:
A
- IV
- coordination and range of the external ocular movements
- strabismus, nystagmus, double vision
7
Q
Abducent:
Trochlear:
Oculomotor:
A
- VI
- coordination and range of the external ocular movements
- strabismus, nystagmus, double vision
8
Q
Trigeminal:
A
- sensation on the face
- strength of masseters muscle
- corneal (blink) reflex
- mandibular nerve (jaw reflex)
9
Q
Facial:
A
- VII
- face expression and voluntary movements
10
Q
Auditory part of the vestibulo-cochlear
A
- VIII
- hearing
- Weber’s test
- Rinne’s test
11
Q
Glossopharyngeal and Vagus:
A
- IX, X
- symmetry of the soft palate
- position of the uvula
- gag and palatal reflexes
12
Q
Accessory:
A
- XI
- strength of the sternocleidomastoid muscles
13
Q
Hypoglossal:
A
- XII
- appearance and movements of tongue
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
15
Q
Trunk:
A
- abdominal reflexes: superficial (skin) - upper, middle and lower deep (muscular)