Neurological Assessment

Question 1

Pupil Reaction

Answer 1

Brisk-fast reaction
Accomodation-adjustment of eye to variations in distance
Sluggish-slow reaction
Fixed-no reaction
Blown-remain excessively large even in a bright environment

Question 2

Pupil Size

Answer 2

Both Eyes, Left Eye, Right Eye:

in the adult, resting size is from 3-5mm

Question 3

Orientation

Answer 3

A&Ox4

Alert & Orientated to Person, Place, Time, Situation

Question 4

Strength

Answer 4

In LUE, RUE, LLE, RLE:
Moves well upon request
Weak movement upon request
Moves well when stimulated
Weak movement when stimulated
No movement

Question 5

Behavior/Emotional

Answer 5

Calm
Cooperative
Restless
Combative
Confused
Agitated
Untestable

Question 6

Glascow Coma Scale

Answer 6

defines level of consciousness

1. Eye Opening
   - Spontaneously(4)
   - To Speech (3)
   - To Pain (2)
   - No Response (1)
2. Motor Response
   - Obeys Verbal Command (6)
   - Localizes Pain (5)
   - Flexion Withdrawal (4)
   - Flexion Abnormal (3)
   - Extension Abnormal (2)
   - No Response (1)
3. Verbal Response
   - Oriented X 3 (5)
   - Conversation Confused (4)
   - Speech inappropriate (3)
   - Sounds incomprehensible (2)
   - No Response (1)

Fully Alert score of 15.
<7 reflects coma

Question 7

CN Exam

Answer 7

I-Olfactory-sniff substance
III, IV, VI-Oculomoter, Trochlear, Abducens-PERRLA & 6 cardinal positions of gaze
V-Trigeminal-Palpate TMJ, clench teeth, light tough with cotton wisp
VII-Facial-smile, frown, lift eyebrows, puff cheeks. observe for facial droop & ptosis
VIII-Acoustic-whisper test
IX, X-Glossopharyngeal, Vagus-Uvula rises midline, gag reflex
XI-Spinal accessory-shrug shoulders. Test ROM of neck & muscle strength against resistance
XII-Hypoglossal-stick out tongue. Light, tight, dynamite.

Question 8

Neuro Health History Questions

Answer 8

Headaches?
History of head or back injury?
dizziness?
seizures, loss of consciousness?
weakness, numbness, tingling?
difficulty speaking or swallowing?