Neurological Exam

Question 1

Elements of the Neurological Exam

Answer 1

Mental status, Cranial Nerves, Motor, Gait, Reflexes, Sensation

Question 2

Elements of Mental Status Exam

Answer 2

Attention, Language, Memory, Visuospatial function, Neglect, Frontal Lobe Function

Question 3

Cranial Nerve II Exam

Answer 3

Visual acuity, fields, pupils, fundoscopic exam

Question 4

Cranial Nerve III, IV and VI Exam

Answer 4

Extraocular movements

Question 5

Cranial Nerve V, VII Exam

Answer 5

Facial sensation and movement

Question 6

Cranial Nerve IX, X and XII Exam

Answer 6

Palate and Tongue Movement

Question 7

Motor Exam

Answer 7

Bulk: palpation for atrophy; Tone: evaluation for rigidity, spasticity; power: observational tests (pronator drift, rising from chair, walking on heels and toes), direct confrontation strength testing

Question 8

Reflexes Exam

Answer 8

Muscle stretch reflexes: biceps, brachioradialis, triceps, knee, ankle; Babinski sign: stroking lateral sole of foot

Question 9

Sensory Exam

Answer 9

Pinprick and temperature: pin, cold tuning fork; vibration and joint position sense: tuning fork and moving digits

Question 10

Coordination Exam

Answer 10

Accuracy of targeting: finger to nose, heel to shin; Rhythm of movements: Rapid alternating movements, rhythmic finger, or heel tapping

Question 11

Gait Exam

Answer 11

Stance: narrow or wide base; Romberg sign: steadiness with feet together and eyes closed, Stride and arm swing: assessment for shuffling, decreased arm swing, Ataxia: ability to tandem walk