Exam Findings

Question 1

Olfactory Nerve test?

Answer 1

Smell in each nostril

Question 2

Optic Nerve test?

Answer 2

Visual acuity, visual fields, Pupils,

Question 3

Oculomotor Nerve test?

Answer 3

?ptosis, ?large pupil, pupil down and out

Question 4

Trochlear Nerve test?

Answer 4

diplopia on looking down and in

Question 5

Trigeminal Nerve test?

Answer 5

Motor - open mouth

Sensory - test three branches MMO + corneal reflex

Question 6

Abducens Nerve test?

Answer 6

Eye can’t look laterally

Question 7

Facial Nerve test?

Answer 7

facial paralysis without facial sparing

Question 8

Vestibulocochlear Nerve test?

Answer 8

Hearing test + Rinne/Webers

Question 9

Glossopharyngeal Nerve test?

Answer 9

gag reflex - efferent part of the reflex

Question 10

Vagus Nerve test?

Answer 10

gag reflex - afferent part of the reflex

Question 11

Accessory Nerve test?

Answer 11

Shrug shoulders, push head to one side

Question 12

Hypoglossal Nerve test?

Answer 12

tongue our - deviates to side of lesion

Question 13

12 Cranial Nerves?

Answer 13

O - Olfactory
O - Optic
O - Occulomotor
T - Trochlear
T - Trigeminal
A - Abducens
F - Facial
V - Vestibulocochlear
G - Glossopharyngeal
V - Vagus
A - Accesory
H - Hypoglossal

Question 14

C5 Dermatome?

Answer 14

Antecubital fossa

Question 15

C6 Dermatome?

Answer 15

Thumb

Question 16

C7 Dermatome?

Answer 16

Middle Finger

Question 17

C8 Dermatome?

Answer 17

Little Finger

Question 18

S1 Dermatome?

Answer 18

Lateral heel

Question 19

S2 Dermatome?

Answer 19

Popliteal fossa

Question 20

S4-5 Dermatome?

Answer 20

Perianal area

Question 21

C6 Myotome?

Answer 21

Wrist extension

Question 22

L2 Myotome?

Answer 22

Hip Flexion

Question 23

L3 Myotome

Answer 23

Knee extension

Question 24

L4 Myotome

Answer 24

Ankle Dorsiflexion

Question 25

S1

Answer 25

Anfle Plantarflexion

Question 26

Grade 0 Muscle Power?

Answer 26

No Contraction

Question 27

Grade 1 Muscle Power?

Answer 27

Contraction but no joint movement

Question 28

Grade 2 Muscle Power?

Answer 28

Joint movement once gravtiy eliminated

Question 29

Grade 3 Muscle Power?

Answer 29

Movement can overcome gravity but not resistance

Question 30

Grade 4 Muscle Power?

Answer 30

Movement can overcome some resistance

Question 31

Grade 5 Muscle Power?

Answer 31

Normal movement and power

Question 32

Upper vs Lower motor signs?

Answer 32

``` Upper - Lower Hypertonia - Hypotonia Hyperreflexia - hyporeflexia/absent Spastic paralysis - Flaccid paralysis No muscle atropy - Muscle atrophy ```

Question 33

Features of Temporal arteritis? (5)

Answer 33

``` >50 New Headache Temporal artery abnormality ESR >50 Positive Biopsy ``` (need 3/5 for dx)