Neuro Screen

Question 1

Neurological screen versus exam

Answer 1

Neurologic screen- rule in or out need for more comprehensive examination

Exam- in the case of a known neurological diagnosis

Question 2

Neurologic screen

Answer 2

Differentiate between lower motor neuron pathology (radiculopathy) and upper motor neuron pathology, (spinal cord compression stroke)

Determine source and location of Neurologic dysfunction (sensory motor reflex testing)

Assist in differential diagnosis

Question 3

Motor element of the Neurologic screen

Answer 3

Observe muscle bulk
Check myotomes
Resistance to passive stretch

Question 4

Myotome versus dermatome

Answer 4

Myotome is the muscles or muscle groups, innervated by single spine root usually performing similar actions

Dermatome region of skin who sensory information is received by a single spinal nerve root

Question 5

C5 myotome

Answer 5

Shoulder abduction

Question 6

C6 myotome

Answer 6

Elbow flexion

Question 7

C7 myotome

Answer 7

Elbow extension

Question 8

C8 myotome

Answer 8

Finger flexion or thumb abduction (grip)

Question 9

T1 myotome

Answer 9

Finger abduction

Question 10

L2, L3 myotome

Answer 10

Hip flexors

Question 11

L3, L4 myotome

Answer 11

Knee extensors

Question 12

L4 myotome

Answer 12

Ankle dorsiflexor’s

Question 13

L5 myotome

Answer 13

Hallux extension

Question 14

S1 myotome

Answer 14

Ankle plantar flexors

Question 15

C5 dermatomes

Answer 15

Lateral anti-cubital fossa proximal to the elbow

Question 16

C6 dermatome

Answer 16

Dorsal surface of the proximal phalanx of thumb

Question 17

C7 dermatome

Answer 17

Dorsal surface of the proximal phalanx middle finger

Question 18

C8 dermatome

Answer 18

Dorsal surface of the proximal phalanx little finger

Question 19

T1 dermatome

Answer 19

Medial antecubital, fossa, proximal to elbow

Question 20

L2 dermatome

Answer 20

Anterior medial thigh at midpoint, drawn on imaginary line, connecting midpoint of the inguinal ligament and medial femoral condyle

Question 21

L3 dermatome

Answer 21

medial femoral condyle of knee

Question 22

L4 dermatome

Answer 22

Over medial malleolus

Question 23

L5 dermatomes

Answer 23

Dorsum of the foot at third metatarsal phalangeal joint

Question 24

S1 dermatome

Answer 24

Lateral aspect of the calcaneus

Question 25

S2 dermatome

Answer 25

Midpoint of popliteal fossa

Question 26

Biceps brachii reflex

Answer 26

C5

Question 27

Brachioradialis reflex

Answer 27

C6

Question 28

Triceps reflex

Answer 28

C7

Question 29

Patellar reflex

Answer 29

L2-L4

Question 30

Achilles reflex

Answer 30

S1-2