Neuro PE

Question 1

Attention testing

Answer 1

Digit repitition (6 digits forward, 4 digits backward)

Question 2

Short-term memory testing

Answer 2

3-object recall at 5 minutes (failure to repeat immediately: attention problem)

Question 3

Long-term memory testing

Answer 3

Recall events months/ years ago

Question 4

Comprehension

Answer 4

Identify common objects (watch, pen) -failure: apraxia

Question 5

Nonfluent motor aphasia

Answer 5

Broca’s aphasia

Question 6

Fluent aphasia

Answer 6

Wernicke’s aphasia

Question 7

Wernicke’s aphasia testing

Answer 7

“No ifs, ands, and buts”

Question 8

Way to test aphasia in written communication

Answer 8

Draw a circle and number the clock

Question 9

CN tested in direct & consensual pupillary responses

Answer 9

CN II

Question 10

Abnormal finding in swinging flashlight test

Answer 10

Paradoxical dilation of one pupil as the light is moved to the other pupil

Question 11

CN III deficit

Answer 11

Ptosis, unopposed dilation & pupil larger than unaffected eye

Question 12

CNs tested in corneal reflex

Answer 12

Afferent in V1, Efferent in VII

Question 13

Dx in unilaterally dilated pupil

Answer 13

Uncal herniation syndrome

Question 14

Abnormal proprioception (position testing)

Answer 14

Posterior column spinal cord disease

Question 15

Only area to test sacral dermatomes

Answer 15

Perineum

Question 16

Only way to differentiate complete vs incomplete spinal cord injury

Answer 16

Test sacral dermatomes

Question 17

Transient increase in resistance ff by release of movt

Answer 17

Cogwheeling

Question 18

Test to determine UE weakness

Answer 18

Pronator drift (palms upward turning inward on outstretched arms)

Question 19

Test for checking UE weakness involving making tight circles with each arm

Answer 19

Forearm-rolling technique

Question 20

Rest tremors indicate what disease

Answer 20

Parkinson’s disease

Question 21

Differentials for action tremors

Answer 21

Caffeine intake
Hyperthyroidism
Alcohol/ sedative withdrawal

Question 22

Postcathetherization residual urine volume

Answer 22

<100 mL (200 mL indicative neurogenic bladder)

Question 23

PE findings of UMN lesion

Answer 23

(+) Babinski reflex, clonus, hyperactive reflexes

Question 24

PE findings of LMN lesion

Answer 24

Hypoactive reflexes

Question 25

Test for dystaxia and dysmetria

Answer 25

APST (hand & thigh slapping)

Question 26

Test for tracking and nystagmus

Answer 26

FTNT

Question 27

Signs of cerebellar hemorrhage

Answer 27

N/V, diaphoresis and sudden inability to walk