Neuro Exam Flashcards
What are the 7 major components of the neuro exam?
Mental Status Cranial Nerves Motor Sensory Reflexes Coordination Gait
What is the standard motor power grading system?
0- no contraction 1- barely detectable flicker of contraction 2- mov w/ grav eliminated 3- active ag gravity 4- active ag gravity AND resistance 5- normal
What is the standard reflex grading system?
.
What are the components of the Mental Status exam?
Alertness and orientation
Lang and speech funct
Mem, knowledge, conc
What are the levels of arousal in mental status?
Alert
Drowsy
Stupor
Coma
What are the tests used for Mental status?
Mini Mental Status Exam _/30
Montreal Cognitive Assessment
What is Aphasia?
A disorder of Language
What is Dysarthria?
Disorder of speech/motor
What are the features of Aphasia?
Cortical Disturbance
Fluent/non-fluent (not receptive/expressive)
Hemispheric dominance
Associated symptoms
What are the components of the Optic Nerve exam?
Funduscopic
Visual fields-confrontation
Pupils- round and equal
-response to light (direct/consensual)
What are the components of the Facial Nerve exam?
Muscles of Facial expression, taste, and supression of hearing.
Dual innervation of frontalis:
Cant knock it out unless the CN is damaged
What are the possible outcomes of a pupillary exam?
Constricts to light
Constricts strongly
Dilates to light
What are the nerves affected in nystagmus? Outcomes?
CN 3, 4, 6
Horizontal or rotatory
Vertical usualy pathologic
What are the components of the Motor Exam?
Bulk and tone (prox vs distal)
Power
Pronator drift and fix
What are the components of sensory exam?
Dist/prox, side/side
Light touch, pinprick/temp, prop/vibr
Romberg
