Neurological Examination

Question 1

What are the components of a neurological evaluation?

Answer 1

History
Physical Examination
Diagnostic Modalities

Question 2

What is the most important part of the neurological evaluation?

Answer 2

HIstory

Question 3

History is an active process that requires what rather than simple passive note taking?

Answer 3

Listening
Thinking
Reflective Questioning

Question 4

What things are included in a history?

Answer 4

Age
Sex
Handedness
Occupation
History of Present Complaint

Question 5

History also included what other components?

Answer 5

Neurological Screening Questions
Past Medical History
Drug History
Family History
Social History

Question 6

History of the present complaint includes what components?

Answer 6

1. Nature of Complaint
2. Time Course
3. Precipitating/Relieving and Aggravating Factors
4. Previous Treatments and Investigations
5. Current Neurological State

Question 7

A general neurological examination may yield what?

Answer 7

Important Clues

Question 8

A mental status examination (MSE) includes what components?

Answer 8

Level of Conciousness
Orientation to time, place, and person
Folstein Mini-mental Status Test
Partial Lobe Function (clock face)

Question 9

Dysarthria includes which cranial nerves?

Answer 9

9, 10, 11, 12

Question 10

Dysarthria causes what symptoms?

Answer 10

Pharyngeal Weakness or Incoordination

Question 11

Language abnormalities are a function of which areas?

Answer 11

Cortex
Thalamus
Basal Nuclei

Question 12

Language abnormalities will be observed how?

Answer 12

Repeating words/phrases
Name simple objects
Commands
Writing a sentence

Question 13

CN I is tested to identify which conditions?

Answer 13

Anosmia
Dysgeusia
Ageusia
Parosmia

Question 14

CN II tests the function of?

Answer 14

Visual Acuity (resolution) using the opthalmoscope

Question 15

CN III, IV, and VI are tested for what?

Answer 15

Diplopia

Question 16

If CN III is affected what type of problems will be seen?

Answer 16

Pupillary Dilation
Ptosis
Inability to look up, down or in

Question 17

If CN IV is affected what type of problems will be seen?

Answer 17

Ipsilateral eye is higher than normal opposite eye. (can’t be turned down when eye is rotated in {adducted})

Question 18

If CN VI is affected what type of problem will be seen?

Answer 18

Cross-Eyed (eye is rotated in medially)

Question 19

What are the branches of CN V?

Answer 19

V1
V2
V3

Question 20

CN VII tests for what things?

Answer 20

Motor, Sensory and Parasympathetic

Facial Motor Weakness

Question 21

If the UMN is involved what is the specific pathway?

Answer 21

Corticonuclear Pathway

Question 22

If the LMN is involved what is the condition called?

Answer 22

Peripheral 7th N palsy

Question 23

CN VIII is associated with what?

Answer 23

Bone VS. Air Conduction

Question 24

If bone conduction is less than air conduction CN VIII is?

Answer 24

Normal

Question 25

If bone conduction is greater than air conduction than CN VIII is?

Answer 25

Abnormal

Question 26

CN VIII is associated with?

Answer 26

Rotational and Caloric Stimuli
Objective/Subjective Vertigo
COWS

Question 27

CN IX and X are associated with what?

Answer 27

Gag Reflex
Dysarthria
Dysphagia

Question 28

CN XI innervates which muscles?

Answer 28

SCM

Trapezius

Question 29

If CN XII is affected what will it cause?

Answer 29

Tongue Deviation

Question 30

What are the tests for neurological motor examination?

Answer 30

Muscle Strength Testing

Muscle Stretch Reflexes

Question 31

What are the maneuvers to test the cerebellum?

Answer 31

Finger to Nose

Heel-Knee-Shin

Question 32

What are the tests for the neurological sensory examination?

Answer 32

Anterolateral System Testing

Posterior Column Testing

Question 33

What are the diagnostic modalities/studies?

Answer 33

X-Ray
CT
MRI
PET
Blood Tests
EEG
NCS
EMG