Neuro Exam

Question 1

What is the weber test?

Answer 1

Tuning fork on forhead

Question 2

What is the rinne test?

Answer 2

Tuning for on mastoid

Question 3

Grades of muscle strength?

Answer 3

0: no contraction
1: barely detectable flicker
5: active movement against full resistance

Question 4

Grades of reflexes?

Answer 4

0: no reflex
1: diminished
2: normal
3: brisker than average
4: clonus

Question 5

CN tested in pupillary response to light?

Answer 5

II

III

Question 6

CN in cardinals gazes?

Answer 6

LR6SO4,3

Question 7

CN in facial sensory?

Answer 7

V

Question 8

How to test VII?

Answer 8

• raise both eyebrows, frown or wrinkle forehead

- “smile and show your teeth”

Question 9

How to test VIII?

Answer 9

LIght sound by ears eyes closed

Question 10

How to test X?

Answer 10

1. Ask pt to “say ahh” use light source to look in mouth

2. Ask patient to cough

Question 11

How to test XI?

Answer 11

• Place hands on trapezii muscles and ask to shrug

- Turn head to each side against resistance

Question 12

How to test XII?

Answer 12

Stick out tongue

Question 13

Another name for plantar reflex?

Answer 13

Babinski

Question 14

What is the romberg test?

Answer 14

Standing, feet together for balance

Question 15

Difference in deep tendon reflexes between CNS and PNS lesions?

Answer 15

CNS: increased
PNS: decreased, sometimes normal

Question 16

Sensory and motor loss in cortical lesion?

Answer 16

Sensory loss and motor weakness both on contralateral side

Question 17

Sensory and motor loss in spinal lesion?

Answer 17

Both bilaterally

Question 18

Sensory and motor loss in subcortical gray / basal ganglia?

Answer 18

Parkinsonian slowness of movement with normal sensation

Question 19

Which lesion causes spasticity?

Answer 19

UMN

Question 20

Which lesion causes flaccidity?

Answer 20

LMN

Question 21

Which lesion causes rigidity?

Answer 21

Basal ganglia