Neuro exam Flashcards

1
Q

what are the 7 components of the neuro exam?

A
  • mental status
  • cranial nerves
  • motor
  • sensory
  • reflexes
  • coordination
  • gait
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2
Q

what are the two categories of aphasia?

A
  • fluent

- nonfluent

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3
Q

in what part of the brain does aphasia typically occur?

A

cortical, usually left-sided (sometimes subcortical)

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4
Q

what is the assessment for aphasia?

A
  • listen
  • 3 step command
  • ability to name and repeat
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5
Q

where is particular attention paid for assessment of the optic disc?

A

lateral margin

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6
Q

defects in visual fields frequently points to ___________

A

a CNS hemispheric lesion

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7
Q

what are the 3 things that are suggestive of an abnormality in pupils?

A
  • lack of constriction when light is shown
  • uneven constriction when light is shown
  • dilation when light is shown
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8
Q

where is tone most easily assessed?

A

elbow and wrist

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9
Q

grades 0-5 muscle power testing

A

0: no contraction detected
1: barely detectable flicker or trace of contraction
2: active movement with gravity eliminated
3: active movement against gravity
4: active movement against gravity and some resistance
5: active movement against resistance without evident fatigue (NORMAL)

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10
Q

no contraction detected

A

grade 0

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11
Q

barely detectable flicker or trace of contraction

A

grade 1

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12
Q

active movement with gravity eliminated

A

grade 2

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13
Q

active movement against gravity

A

grade 3

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14
Q

active movement against gravity and some resistance

A

grade 4

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15
Q

active movement against resistance without evident fatigue (NORMAL)

A

grade 5

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16
Q

reflex grading 0-4

A

0: absent
1: diminished reflexes
2: normal
3: hyperactive without clonus
4: hyperactive with clonus

17
Q

absent

A

0

18
Q

diminished reflexes

A

1

19
Q

normal reflex grade

A

2

20
Q

hyperactive without clonus

A

3

21
Q

hyperactive with clonus

A

4