DSA: Neuro Exam

Question 1

Define the following levels of consciousness:

alert

vigilant

lethargic

obtunded

stupor

coma

Answer 1

Question 2

What are the three components of the Glasgow Coma Scale?

Answer 2

Eye opening

Motor response

Verbal response

Question 3

To dx delirium via the Confusion Assessment Method (CAM), what must be present?

Answer 3

1 and 2, and either 3 or 4

Question 4

What tests can be used to test for Meningeal irritation?

Answer 4

Nuchal rigidity

Brudzinki’s test

Kernig Test

Question 5

Decorticate vs. Decerebrate Posture

Answer 5

Question 6

The Babinski response is indicative of what lesion?

What is a positive sign?

Answer 6

Corticospinal tract lesion

Pos sign = dorsiflexion

Question 7

What does pronator drift test?

What is a pos sign?

Answer 7

Corticospinal tract lesions in contra hemisphere

Pos sign = when one arm drifts down

Question 8

What 2 areas does the finger to nose test?

Answer 8

cerebellum

labyrinth of inner ear

Question 9

What test is used to test coordination of multiple systems (basal ganglia, cortical associations, cerebellum…)?

Answer 9

heel to shin

Question 10

Dysdiadochokinesis is seen in what test of the cerebellum?

Answer 10

rapid alternating movements

Question 11

What is the Romberg test?

What is a positive sign?

Answer 11

Romberg = pt stand w feet together, arms out & palms up. eyes closed

Pos sign = pt sways or moves feet for balance

Question 12

Suspected Mental Status Change: flow chart

Answer 12

Question 13

What is the Kernig vs the Brudzinski test?

Answer 13

Kernig = doc can’t extend pt knee bc pain

Brudzinki = pt flexes hip/knee when neck is flexed