Neuro SPBL Flashcards
1
Q
order of exam
A
- metal status
- CNs
- motor
- sensory
- reflexes
- coordination
- gait and balance
2
Q
mental status
A
-yr, season date, day month
-where are we? (5)
-name 3 objects
-spell world backwards
-repeat the 3 objects
-point to 2 objects and have them name
. . . SP should tell us to move on
3
Q
CN 1
A
- pt closes eys
- hold 2 different odors under nose have them ID
4
Q
CN 2, 3, 4 and 6
A
done in eye exam
5
Q
CN 5
A
- motor: palpate temporal muscles while pt clenches teeth - both sides at once
- sensory: light touch face w/ pt eyes closed - both sides at same time; pt id where touched and if both at same time
6
Q
CN 7
A
- show teeth
- raise eyebrows
- puff out cheeks
7
Q
CN 8 and 9
A
8: done in ear exam
9: gag reflex (don’t do)
8
Q
CN 10
A
palatal elevation - have pt say ahh
9
Q
CN 11
A
- shoulder shrug against resistance
- turn head both ways against resistance
10
Q
CN 12
A
- stick out tongue
- deviation points toward side of defect
11
Q
motor tests
A
- tone: resist down pull on arm and release quickly
- tone: (leg) lift leg up and drop
- fine motor movement: finger tap rapidly then foot tap
- strength: in musculoskeletal exam
12
Q
sensory
A
- light touch hands and feet
- pinprick hands and feet
- vibration hands and feet
- proprioception finger and toes
- 2 point discrimination
- graphesthesia
- stereognosis
- tactile extinction
13
Q
reflexes
A
-biceps
-brachioradialis
-triceps
-patellar
-achilles
-babinski
(both sides)
14
Q
coordination
A
- finger to nose
- heel to shin
- rapid alternating movements
- precision finger tap
15
Q
gait and balance
A
- regular gait
- toe-walking
- heel walking
- tandem gait
- romberg
