Neurological Examination

Question 1

A deficit in one visual field indicates a lesion in the _____________

Answer 1

Contralateral occipital lobe

Question 2

According to Guideline 12: Guidelines for Long-Term monitoring for Epilepsy, what are the clinical indications for ambulatory continous EEG recordings?

Answer 2

appropriate documentation and quantification on ictal and interictal eeg feature and assessment of their relationship to reported behavior. Mobility is beneficial. It is not appropriate for a detailed characterization of EEG features as is required in presurgical evaluation.

Question 3

Loss of pupillary reflexes indicates

Answer 3

loss of brainstem function

Question 4

Dolls Eye reflex

Answer 4

Oculocephalic reflex, performed by holding a patient’s eyelids open while turning the head side to side. Positive reflexes: eyes move in opposite direction of head movement. indicates intact brainstem function.

Question 5

Negative Dolls Eye reflex

Answer 5

oculocephalic reflex, performed by holding a patients eyelids open while turning the head from side to side. Negative reflex: eyes move in the same direction of head movement. Indicates severe brainstem dysfunction

Question 6

WHat type of test uses cold water squirted into the ear canal? What two types of results can the test have?

Answer 6

Cold Caloric Testing
1) produces a beating nystagmus towards the stimulated ear: Positive reflex; brainstem function is present. 2) Produces no eye movement: reflex is absent; brainstem function is impaired

Question 7

Dysarthria

Answer 7

Abnormal speech articulation

Question 8

The babinski reflex/plantar response consists of:

Answer 8

upgoing big toe and/or fanning of all toes when the sole of the foot is stroked with a blunt object from the heel toward the toesc

Question 9

What 3 questions does a patient need to answer to be considered oriented x3?

Answer 9

who, where, current date

Question 10

Four aspects of the neurological exam that help to determine brain death:

Answer 10

pupillary reflexes (fixed and dilated), cold caloric testing (absent), oculocephalic relflexes (absent), Response to painful stimuli (absent, not counting spinal relfexes)

Question 11

In decerebrate posturing, the arms will:

Answer 11

Stiffen and extend at the patients side, wrists will flex

Question 12

In decorticate posturing, the arms will:

Answer 12

Flex over the chest and rotate inward

Question 13

Stereognosis

Answer 13

Ability to recognize objects by touch

Question 14

Graphesthesia

Answer 14

Ability to recognize numbers and letters ‘written’ on skin or by sensation of touch