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Neuro Exam Checklist 2008

This document outlines the components of a comprehensive neurological examination, including assessments of mental status, motor function, coordination, gait, reflexes, and sensation. It describes tests to evaluate various areas like attention, memory, language skills, and frontal lobe functions. The examination also involves assessing cranial nerves, visual fields, eye movements, and sensory perceptions. Motor skills are tested through measurements of strength, tone, and precision movements. Coordination and balance are evaluated during gait, station, and cerebellar maneuver exams.

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3K views2 pages

Neuro Exam Checklist 2008

This document outlines the components of a comprehensive neurological examination, including assessments of mental status, motor function, coordination, gait, reflexes, and sensation. It describes tests to evaluate various areas like attention, memory, language skills, and frontal lobe functions. The examination also involves assessing cranial nerves, visual fields, eye movements, and sensory perceptions. Motor skills are tested through measurements of strength, tone, and precision movements. Coordination and balance are evaluated during gait, station, and cerebellar maneuver exams.

Uploaded by

sara ashari
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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 Mental status  Motor examination

 Observation  Observation (for bulk, and abnormal


 Attention: movements).
 General  Test for drift (also, check & rebound --
 digit span cerebellar)
 Asymmetries (neglect):  Testing tone
 line bisection and cancellation test  Strength:
 extinction to double simultaneous  Shoulder abduction (deltoids)
stimulation (during the cranial nerve or  Biceps (elbow flexion)
sensory exam).  Triceps (elbow extension)
 Frontal lobe function:  Finger spreaders
 The controlled word fluency test  Thumb opposition (to pinkie)
(Thurstone)  Hip flexion
 Contrasting programs, go/no-go, &/or  Knee flexion
crossed response inhibition  Knee extension (optional)
 Abstraction: similarities and proverbs  Ankle dorsiflextion (up)
 Memory:  Other ankle movements (optional)
 (Recall of the medical history)  Finger-tapping
 Current events (presidents)
 Three object test  Coordination and gait
 Left hemisphere function  Cerebellar testing:
 Language function:  Finger-to-nose testing.
 observation of spontaneous speech  Heel-to-shin testing
 comprehension  Mirroring movements (an optional test for
 repetition cerebellar function)
 naming  Rapid alternating movements
 writing  Gait, station and Romberg testing:
 Praxis  Station
 Gerstmann=s syndrome:  Station with eyes closed (Romberg test)
 Right-left orientation  Gait
 Finger naming  Tandem gait
 Calculations (already tested)  Walking on heels, toes.
 writing (already tested)
 Right hemisphere functions (visuospatial)  Reflex examination
 intersecting pentagons.  Tendon reflexes:
 Mapping  biceps
 triceps
 Cranial nerve examination  brachioradialis
 Cranial nerve I (olfaction): (optional)  knee jerk
 Cranial nerve II: the optic nerve (vision).  ankle jerk
 Visual fields:  Superficial reflexes.
 Visual acuity  abdominal reflex (optional)
 Funduscopic examination: (optional) -- cremasteric reflex (not to be done)
 Cranial nerves III, IV and VI: the nerves  Pathological reflexes:
subserving eye movements.  The plantar reflex:
 Pupillary responses:  The grasp reflex (optional)
 Cranial nerve V (trigeminal):  Root and suck (optional)
 Sensory
 Motor  Sensory examination
-- Corneal reflex (to be omitted)  Testing vibration
 Cranial nerve VII (facial):  Testing position sensation
 Cranial nerve VIII (auditory):  Light touch threshold
 Cranial nerves IX and X: Palate movement.  Pinprick
 Cranial nerve XI: neck strength, shoulder shrug  Temperature
 Cranial nerve XII: stick out the tongue.  “Cortical” sensation:
 Two-point discrimination
 Graphesthesia

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