Neuro Exam

Question 1

The neuro exam is not a set checklist so ______ is critical

Answer 1

observation

Question 2

Elements of the neuro exam 8

Answer 2

history
mental state
cranial nerves
motor exam
sensory exam
reflexes
coordination
gait

Question 2

(Neuroanatomic structures evaluated in exam - mental state)

Attention

Answer 2

frontal and parietal lobe

Question 2

Elements of the mental state

Answer 2

level of consciousness, attention, orientation, mood and affect, learning and memory

Question 3

(Neuroanatomic structures evaluated in exam - mental state)

Arousal

Answer 3

reticular activating system, bilateral thalami, cerebral hemispheres

Question 4

(Neuroanatomic structures evaluated in exam - mental state)

memory

Answer 4

temporal lobes

Question 5

(Neuroanatomic structures evaluated in exam - mental state)

language

Answer 5

front lobes (typically left)

Question 6

(Neuroanatomic structures evaluated in exam - mental state)

praxis

Answer 6

frontal and parietal

Question 7

(Neuroanatomic structures evaluated in exam - mental state)

abstract reasoning

Answer 7

frontal

Question 8

(Neuroanatomic structures evaluated in exam - mental state)

visuospatial processing

Answer 8

occipital and parietal

Question 9

CN functions and strcuture

1, 2&3

Answer 9

1: smell - olfactory cortex

2 and 3: pupillary light reflex, midbrain nuclei

2: visual acuity and fields LGN, occipital cortex

Question 10

CN functions and structure
3,4,6

Answer 10

eye movements,

brain stem, cerebellum

Question 11

CN functions and structure
5

Answer 11

facial sensation, somatosensory cortex

Question 12

CN functions and structure
7

Answer 12

facial movement, motor pathway from primary motor cortex

Question 12

CN functions and structure
11

Answer 12

SCM, trap, primary motor cortex

Question 13

CN functions and structure
8

Answer 13

hearing, inner ear, auditory cortex
vestibular

Question 14

CN functions and structure
12

Answer 14

tongue movement, primary motor cortex

Question 15

Function of peripheral nerves, nerve roots, and spinal cord

Answer 15

reflexes

Question 15

Purpose of anterolateral system

Answer 15

pain and temperature

Question 15

Purpose of dorsal column medial lemniscal

Answer 15

discriminative touch and vibration

Question 16

Function of cerebellum and its sensory inputs

Answer 16

coordination

Question 17

Alert meaning

interactions are normal unless

Answer 17

patient is awake and attentive to
normal levels of stimulation

Interactions are normal and
appropriate unless the patient has
some type of psychiatric disorder

Question 17

Patient appears drowsy
and may fall asleep if not stimulated in
some way

pt may have difficulty

Answer 17

Lethargy

focusing attention on question at or task

Question 18

Obtunded

what is required

Answer 18

the patient is difficult to
arouse from a sleeping state and is
frequently confused when awake

Repeated stimulation is required to maintain consciousness

Question 19

The patient responds only to strong, generally noxious stimuli and returns to the unconscious state when stimulation is stopped. when aroused ...

Answer 19

Stupor the patient is unable to interact with the examiner

Question 20

Coma

Answer 20

the patient cannot be aroused by any type of stimulation. Reflex motor responses may or may not be elicited

Question 21

What question's are asked to determine a patient's orientation?

Answer 21

Person: full name, age, born Place: where are you Time: today's date, morning or night, time is it

Question 22

Hypoglossal

Answer 22

Tongue movements

Question 23

Accessory Vagus

Answer 23

SCM and trapezius muscles Movement of palate, sensation in throat, efferent limb of gag reflex, parasympathetic functions of viscera

Question 24

Glossopharyngeal

Answer 24

Movements of palate, sensation over palate, taste posterior 1/3 of tongue, afferent limb of gag reflex

Question 25

Vestibulocochlear

Answer 25

Hearing, vestibular function

Question 25

Facial Abducens

Answer 25

Muscles of facial expression, taste anterior 2/3 of tongue, efferent limb of corneal reflex Lateral rectus

Question 26

Trigeminal

Answer 26

Muscles of mastication, tensor tympani, facial sensation, afferent limb of corneal reflex

Question 27

Trochlear Oculomotor

Answer 27

Superior oblique Superior rectus, inferior rectus, medial rectus, inferior oblique, levator palpebrae, efferent limb of the pupillary reflex

Question 28

Optic

Answer 28

Vision (acuity, fields, color), afferent limb of pupillary reflex

Question 29

Olfactory

Answer 29

Olfaction (tested with non-noxious substances)