neurologic exam slide Flashcards
1
Q
what is the glasgow coma score
A
- eye opening response
- verbal response
- motor response
2
Q
aphasia testing
A
- recognition or understanding
- repeating the items with fluency
- naming the objects
- following the commands
- make up and writing sentences
3
Q
cranial nerves
A
- olfactory
- optic
- oculomotor
- trochlear
- trigeminal
- abducence
- fascial
- vestibulocochlear
- glossopharyngeal
- vagus
- accesory
- hypoglossal
4
Q
2.optic for
A
visual fields
fundus
5
Q
3.oculomotor
A
pupil reaction to light and accommodation
inferior oblique
superior, , inferior, medial recti
6
Q
4.trochlear
A
superior oblique
7
Q
5.trigeminal
A
mastication
fascial sensation
8
Q
6.abducens
A
lateral rectus
9
Q
7.fascial
A
anterior 2/3 taste
10
Q
8.vestibulocochlear
A
hearing and vestibular(balance) function
11
Q
9.glossopharyngeal
A
taste of porsterior 1/3
uvula
12
Q
10.vagus
A
phonation
palate elevation
13
Q
11.accesory
A
head turn
shoulder shrung
14
Q
12.hypoglossal
A
tongue protrusion
15
Q
deltoid muscle
A
for shoulder abduction
by axillary nerve
16
Q
biceps muscle
A
elbow flexion
via musculocutaneous nerve
17
Q
triceps muscle
A
elbow extension
via radial nerve
18
Q
wrist extensors
A
by radial nerve
19
Q
wrist flexion
A
by median nerve
20
Q
hand grip
A
by grasping fingers
via median nerve
21
Q
finger adduction
A
via median nerve
22
Q
finger abduction
A
via ulnar nerve
for dorsal interosseus
23
Q
thumb opposition
A
via median nerve
24
Q
hip flexion
A
via iliopsoas nerve
25
hip extension
via gluteus maximus from S1
26
knee extension
by quadriceps femoris muscle
27
knee flexion
by hamstrings
28
foot dorsiflexion
by tibias anterior
| via deep peritoneal nerve
29
ankle plantar flexion
by gastrocnemius
30
extension of great toe
by extensor hallicus longus
31
finger extension
by extensor digitorum
32
finger flexion
flexor digitorum superficialis and profundur
33
thumb opposition
by abductor polices brevis
34
gait
```
walk across room
tandem walking
heel and toe walking
hop in place
shallow knee bend
rising from sitting position
```
35
cerebellar function required which integrations
motor system
cerebellar system
vestibular system
sensory system
36
cerebellar function assesment
via rapid alternaring movements (RAM) like,
finger to nose test
heel to shin test
rombergs test (gözü önce açık sonra kapalı dengesine bakılır)
gait
37
Diadochokinesia
inability to perform RAM
38
Dysdiadochokinesis
more specific way of inability to perform RAM like irregularity or slowness
39
spinothalamic tract
fibers cross and pass upward to thalamus
| check for pain, temperature and crude touch (light touch without localization)
40
posterior coloumns
synapse in medulla, cross and continue on to thalamus
| check for position, vibration and fine touch
41
cortical sensation
check stereognosis, graphesthesia, two-point discrimination
| testing for the ability of sensory cortex to correlate, analyze, & interpret sensations with touch
42
stereognosis
identify the object just by touching
43
graphestesia
ability to identify the numbers that written on hand by closed eye
44
two point discrimination
touch two places simultaneously
45
check reflex
deep tendon reflex
superficial reflexes
pathological reflexes
46
deep tendon reflex
```
brachioradialis
biceps reflex
triceps reflex
patellar reflex
achilles reflex
```
47
superficial reflexes
```
corneal reflex
pharyngeal reflex
abdominal reflex
cremaster reflex
anal reflex
plantar reflex
```
48
pathological reflex
babinski
49
babinski equivalant
Oppenheim reflex
Chaddock reflex
Gordon reflex
Schaeffer reflex
50
Oppenheim reflex
by firmly stroking downward on the anterior and medial surfaces of the tibia, characterized by extension of the great toe and fanning of other toes. It is a sign of pyramidal tract disease
51
chaddock reflex
present when stroking of the lateral malleolus causes extension of the great toe, indicating damage to the corticospinal tract
52
Gordon reflex
squeezing the calf muscle elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions
53
schaeffer reflex
squeezing the Achilles tendon elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions
54
hoffman reflex
flick the distal phalange of the middle finger and check if there is a flexion of thumb and hand. it is found positive in the upper motor neuron lesion above T1.
55
meningeal irritation
occur with meningitis and subarachnoid hemorrhage. check for brudzinski and kerning sign
56
brudzinski sign
at the flexion of the neck there is a neck stiffness and flexion of hip and knee
57
kernig sign
resistance to extension of the leg while the hip at flex position
