Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

CNSI > Neurologic Exam > Flashcards

Neurologic Exam Flashcards

(49 cards)

Start Studying
1
Q

What are the 11 items contained in the NE for Mental Status?

A
  1. Level of alertness, attention, and cooperation
  2. Orientation
  3. Memory (recent and remote)
  4. Language (spontaneous, comprehension, naming, repetition, reading, and writing)
  5. Calculations
  6. Apraxia
  7. Neglect and constructions
  8. Sequencing tasks and frontal release signs
  9. Logic and abstraction
  10. Delusions and Hallucinations
  11. Mood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What Cranial Nerve(s) are tested for Olfaction

A

CN1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What Cranial Nerve(s) are tested for Opthalmoscopic exam

A

CNII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What Cranial Nerve(s) are tested for Vision

A

CNII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What Cranial Nerve(s) are tested for Pupillary response

A

CNII, III

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What Cranial Nerve(s) are tested for Extraocular movements

A

CNIII, IV, VI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What Cranial Nerve(s) are tested for Facial Sensation and muscles of mastication

A

CNV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What Cranial Nerve(s) are tested for Muscles of facial expression and taste

A

CNVII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What Cranial Nerve(s) are tested for Hearing and Vestibular sense

A

CNVIII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What Cranial Nerve(s) are tested for Palate elevation and gag reflex

A

CNIX, X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What Cranial Nerve(s) are tested for Muscles of articulation

A

CNV, VII, IX, X, XII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What Cranial Nerve(s) are tested for SCM and Trapezius muscles

A

CNXI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What Cranial Nerve(s) are tested for Tongue muscles

A

CNXII

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 6 items tested in the NE for Motor Exam?

A
  1. Observation (involuntary movements, tremor, and hypokinesia)
  2. Inspection (muscle wasting, faasciculations)
  3. Palpation (tenderness, fasciculations)
  4. Muslce tone
  5. Functional testing (drift, fine finger movements, rapid toe tapping)
  6. Strength of individual muscle groups
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 3 items tested in the NE for Reflexes

A
  1. DTR’s
  2. Plantar response
  3. Reflexes tested in special situations (suspected spinal cord damage, frontal release signs, posturing)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 3 items tested in the NE for Coordination and Gait

A
  1. Appendicular Coordination (Rapid alternating movements, finger-nose-finger test, heel-shin test, overshoot)
  2. Romberg Test
  3. Gait (ordinary, tandem, forced)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 3 items tested in the NE for Sensory

A
  1. Primary Sensation (asymmetry, sensory level)
    a. Pain (sharp vs dull)
    b. Temperature (cold vs warm)
    c. Vibration and joint position sense
    d. Light touch and 2 point discrimination
  2. Cortical Sensation (Graphesthesia, stereognosis)
  3. Extinction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is being tested for level of alertness, attention, and cooperation?

A

Brainstem, Thalamus, and cerebral hemispheres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is being tested for Memory

A

Limbic system (medial temporal lobe and diencephalon). Damage to these areas can cause Anterograde and Retrograde Amnesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the difference between Anterograde and Retrograde Amnesia

Study These Flashcards
A

Anterograde: difficulty remembering new facts AFTER lesion onset
Retrograde: difficulty remembering new facts BEFORE lesion onset

21
Q

What is being tested for Language

Study These Flashcards
A

Dominant hemisphere frontal lobe- Broca’s area; temporal and parietal lobe- Wernicke’s area, subcortical white and gray matter-thalamus and caudate nucleus

22
Q

What is being tested for Calculations

Study These Flashcards
A

Dominant parietal lobe

23
Q

What is being tested for Apraxia

Study These Flashcards
A

It is difficult to localize, there are a variety of region in the brain associated

24
Q

What is being tested for Neglect and Construction

Study These Flashcards
A

Right (non dominant) parietal lobe, frontal lobe, thalamus, basal ganglia

25
What is being tested for Sequencing Tasks
Frontal lobe
26
What is being tested for Logic and Abstraction
Higher-order association cortex. Not well localized
27
What is being tested for Delusions and Hallucinations
Association cortex and Limbic system
28
What is being tested for Mood
Psychiatric in origin - therefore due to imbalances in neurotransmitter systems
29
What is being tested for CNI
Obstruction, damage to Olfactory nerves in mucosa, as they cross the cribiform plate, or intracranial lesions affecting the bulb
30
What is being tested for CNII
Damage anywhere along visual pathway from eye to visual cortex (occipital lobe)
31
What is being tested for CNII, III
Direct Response: Ipsilateral optic nerve, pretectal area, ipsilateral parasympathetics traveling in CNIII, or pupillary constrictor muscle Consensual Response: Contralateral optic nerve, pretectal area, ipsilateral parasympathetics traveling in CNIII. or pupillary constrictor muscle
32
What is being tested for CN III, IV, VI
Indicates abnormalities with central eye control; this can be with individual muscle, cranial nerve itself, cortex, brainstem
33
What is being tested for CNV
Facial sensation impaired by lesions of trigeminal nerve, trigeminal nuclei to brainstem, or ascending sensory pathway to thalamus and somatosensory cortex in post central gyrus weakness in muscles of mastication due to lesions in upper motor neuron pathway synapsing on CNV, in lower motor neuron trigeminal nucleus in pns, peripheral nerve as it exits brainstem to muscle itself, or neuromuscular junction
34
What is being tested for CNVII
Weakness caused by upper motor neuron in contralateral motor cortex or descending pathways, lower motor neuron in ipsilateral CNVII nucleus, neuromuscular junction, or fascial muscles Unilateral deficits in taste can occur in lateral medulla or in lesion of facial nerve
35
What is being tested for CNVIII
Hearing loss: acoustic and mechanical components of ear, neural elements of cochlea, or nerve itself Vestibular loss: peripheral apparatus (semicircular canal) in inner ear, nerve itself, vestibular neclei in brainstem, cerebellum, or connections to oculomotor nuclei
36
What is being tested for CNIX, X
Lesion of nerve itself, neuromuscular junction or pharyngeal muscles
37
What is being tested for CNV, VII, IX, X, XII
Peripheral or central portions of these cranial nerves; also, can result from lesions in motor cortex, cerebellum, basal ganglia, or descending pathways to brainstem
38
What is being tested for CNXI
SCM or Trapezius weakness can be caused by lesions in muscle, neuromuscular junction, lower motor neuron of CNXI; Unilateral upper motor neuron lesions in cortex or descending pathways cause contralateral weakness
39
What is being tested for CNXII
Unilateral weakness causes deviations toward side of weakness and can result from lesions of tongue muscles, neuromuscular junction, lower motor neuron of CNXII, or upper motor neuron originating in cortex; Lesions of motor cortex cause contralateral tongue weakness
40
What is being tested for in Motor Exam: Observation
Basal Ganglia and cerebellum
41
What is being tested for in Motor Exam: Inspection and Palpation
Possible lower motor neuron disorders
42
What is being tested for in Motor Exam: Muscle tone testing
Presence of upper motor neuron lesion will yield hyperreflexia and increased tone due to damage to pathways that travel in close approximation with corticospinal tract; also, basal ganglia and cerebellum
43
What is being tested for in Motor Exam: Strength of individual muscle groups
Patterns of weakness can help localize to a particular cortical or white matter region, spinal cord level, nerve root, peripheral nerve, or muscle
44
What is being tested for in Reflexes: DTR's
Diminished by abnormalities in muscles, sensory neurons, lower motor neuron, and neuromuscular junction; acute upper motor neuron lesions, and mechanical factors, such as joint disease Increased reflexes are due to upper motor neuron lesions
45
What is being tested for in Reflexes: Plantar Response
Upper motor neuron lesions anywhere along corticospinal tract
46
What is being tested for in Coordination and Gait: Appendicular Coordination
Multiple integrative sensory and motor subsystems, these include position sense pathways, visual pathways, lower motor neurons, upper motor neurons, basal ganglia, and cerebellum
47
What is being tested for in Coordination and Gait: Romberg Test
Integration of visual, vestibular, and somatosensory systems
48
What is being tested for in Coordination and Gait: Gait
Multiple sensory or motor systems which include vision, proprioception, vestibular, lower motor neuron, upper motor neuron, basal ganglia, cerebellum, higher-order planning systems in association cortex
49
What is being tested for in the Sensory Exam
Peripheral nerves, nerve roots, posterior columns, anterolateral systems in spinal cord, brainstem, thalamus, and/or sensory cortex

CNSI (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions