Neurological Assessment

Question 1

Glasgow Coma Scale

Answer 1

• Eye opening, verbal response, motor response
• enter room, state patient name (use loud voice if no response), touch shoulder, noxious stimulation (pain- apply pressure to nailbed)

Question 2

5 Levels of Consciousness

Answer 2

1. Alert
2. Confusion
3. Drowsy
4. Stupor
5. Comatose

Question 3

Alert

Answer 3

Awake and alert

Question 4

Confusion

Answer 4

Not oriented or unable to answer questions

Question 5

Drowsy

Answer 5

Not easily aroused

Question 6

Stupor

Answer 6

Not aroused or engaged but responds to stimuli

Question 7

Comatose

Answer 7

Does not respond to any stimuli

Question 8

6 Indicators of Consciousness

Answer 8

• orientation
• mood and behaviour
• general knowledge
• short term and long term memory
• attention span
• ability to concentrate

Question 9

I - Olfactory

Answer 9

-smell

Test: bilaterally

Question 10

II. Optic

Answer 10

Sight

Test: visual acuity and visual field

Question 11

III. Oculomotor

Answer 11

Test: Pupillary assessment (PERRLA)

-up, down, medial, up and in

Question 12

IV. Trochlear

Answer 12

Eyes - down and inward

Question 13

V. Trigeminal

Answer 13

Cornea, cheek, nose, lips
Mastication
Test: sharp and dull sensation, mastication

Question 14

VI. Abducens

Answer 14

Lateral eye movement

Question 15

VII. Facial

Answer 15

Tastes and facial expressions

Test: evaluate taste and facial movement

Question 16

VIII. Acoustic

Answer 16

Hearing and equilibrium

Test: whisper test, Rinnie and Webber tests

Question 17

IX. Glossopharyngeal

Answer 17

Pain/touch/temperature
Swallowing/speech

Test: taste and swallowing test

Question 18

X. Vagus

Answer 18

Major parasympathetic nerve

Test: uvula deviation

Question 19

XI. Spinal Accessory

Answer 19

Head turn/ shoulders

Test: shoulder shrugs

Question 20

XII. Hypoglossal

Answer 20

Voluntary tongue movements

Test: stick tongue out