The Neurologic Exam

Question 1

Order of Exam

Answer 1

Seated (ideally)/lying –> MSE –> CN -> Motor/Coordination -> Sensory –> DTR –> –> Gait

Question 2

HPI:

Answer 2

Onset (location(s)/character/duration/aggravating/relieving/Symptoms assoc/duration of episode)
Course (worse/better/same/frequency

Question 3

PMH:

Answer 3

Problem addressed before how? other PMH/Meds/Allergies

Question 4

SH and FH:

Answer 4

Edu/Vocation/Handedness/Drugs/Toxic/Cardiovascular/cancer/endocrine

Question 5

MSE: 7 areas

Answer 5

LOC - Behavior - Attention - Language - Memory - Drawing - Abstract Reasoning

Question 6

Define 5 stages in decreasing LOC

Answer 6

Alert - Lethargic (somnolent/verbal/coherent) - Obtunded (somnolent/verbal/incoherent) - Stuporous (vigorous stim) - Comatose -

Question 7

Describe GCS

Answer 7

6 Motor - Obey - Local. - w/drawl - decort - decere - none
5 Verbal - Oriented - Disoriented - Inapp - Incomp - None
4 Eyes - Spontaneous - Command - Pain - None