Neuro Exam

Question 1

Normal birthweight and head circumference

Answer 1

3 kilo

33 cm head circumference

Question 2

What to check first in neuro exam in babies?

Answer 2

Sucking, rooting reflex, grasping reflex, and turn head to see extension of ipsilaferal arm (both sides). Also do the Babinski.

Question 3

Gallant reflex

Answer 3

Check the curvature spine when you rub lower back

Question 4

Holding reflex and placing reflex

Answer 4

Hold baby under arms and will extend legs to do an elementary walk. Bring him to edge of bed to see if they step if there is placing reflex

Question 5

Put baby in prone position on belly

Answer 5

Check beller reflex to see if they push up and check the spine curvature. Also the climbing reflex to see if they moving if you slowly run them over a flat soft surface.

Question 6

Sitting position in the air

Answer 6

See if baby straightens back and head

Question 7

Morro reflex

Answer 7

Tonic, and extension phase in the arms due to dropping sensation. Followed by crying.

Question 8

If neuro exam is normal what do you do next?

Answer 8

EEG and do an echo/ECG to check the heart for malformation

Question 9

What if the neuro exam is abnormal

Answer 9

Follow patient for developmental changes

Question 10

In older kids how do you start the neuro exam

Answer 10

Lay the patient down and check the meningeal sign and nuchal rigidity

Question 11

How to look for peripheral neuro exam

Answer 11

Muscle tone (move joints passively), muscle mass, and muscle reflex

Question 12

What is muscle tone for?

Answer 12

To maintain a posture during gravity

Question 13

What happens to the Achilles’ tendon in hypotonia?

Answer 13

It is shortened

Question 14

Have patient do pronator drift test and then

Answer 14

Have patient to sit up to see central muscles and do a coordination exam (closed eyes nose touch)

Question 15

What comes after the coordinations exam

Answer 15

Then do reflex exam and tremmner finger exam

Question 16

Have patient sit up and check

Answer 16

Shape of head, damage to head, épiçantes fold, low set ears, cleft palate

Question 17

After head check

Answer 17

Any abnormalities of limbs

Question 18

Check the cranial nerves

Answer 18

• olfactory
• optic nerve (eye field and and light and acuity)
• oculomotor, trochlear, and abducens (follow object and ask about double vision and check pupillary reflex)
• trigeminal (sensation of 3 areas of face and open jaw and move it symmetrically)
• facial (function of facial muscle, frown and smile)
• vestibulochoclear (whisper test and vestibular with nystagmus and balance exam)
• vagus (is swallowing test and uvula deviation)
• hypoglossal (tongue look for fasciculations and position)
• accessory (lift shoulder and try to push it down and see head turning during)

Question 19

Standing body position check

Answer 19

Romberg and gait. Check squaring of patient. Have patient sit and try to stand