Neuro PE Flashcards
Attention testing
Digit repitition (6 digits forward, 4 digits backward)
Short-term memory testing
3-object recall at 5 minutes (failure to repeat immediately: attention problem)
Long-term memory testing
Recall events months/ years ago
Comprehension
Identify common objects (watch, pen) -failure: apraxia
Nonfluent motor aphasia
Broca’s aphasia
Fluent aphasia
Wernicke’s aphasia
Wernicke’s aphasia testing
“No ifs, ands, and buts”
Way to test aphasia in written communication
Draw a circle and number the clock
CN tested in direct & consensual pupillary responses
CN II
Abnormal finding in swinging flashlight test
Paradoxical dilation of one pupil as the light is moved to the other pupil
CN III deficit
Ptosis, unopposed dilation & pupil larger than unaffected eye
CNs tested in corneal reflex
Afferent in V1, Efferent in VII
Dx in unilaterally dilated pupil
Uncal herniation syndrome
Abnormal proprioception (position testing)
Posterior column spinal cord disease
Only area to test sacral dermatomes
Perineum
Only way to differentiate complete vs incomplete spinal cord injury
Test sacral dermatomes
Transient increase in resistance ff by release of movt
Cogwheeling
Test to determine UE weakness
Pronator drift (palms upward turning inward on outstretched arms)
Test for checking UE weakness involving making tight circles with each arm
Forearm-rolling technique
Rest tremors indicate what disease
Parkinson’s disease
Differentials for action tremors
Caffeine intake
Hyperthyroidism
Alcohol/ sedative withdrawal
Postcathetherization residual urine volume
<100 mL (200 mL indicative neurogenic bladder)
PE findings of UMN lesion
(+) Babinski reflex, clonus, hyperactive reflexes
PE findings of LMN lesion
Hypoactive reflexes
