Term
| What should be the first part of each Neuro Exam? |
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Definition
| - mental status examination |
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Term
| After testing mental status, what should be tested next? |
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Definition
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Term
| After testing the cranial nerves, what is tested in the neurological exam? |
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Definition
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Term
| What are the components of the motor system that should be checked during the neurological exam? |
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Definition
- inspection (atrophy)
- Palpation (tone)
- Strength (0-5)
- Gait |
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Term
| After testing the motor system, what should be tested next? |
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Definition
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Term
| What components of the sensory system are tested? |
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Definition
- Light touch
- Pain sensation
- Vibratory sense
- proprioception
- tactile localization
- discrimination
- stereognosis
- graphesthesia
- point localization |
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Term
| What is a normal distance for two point localization on the fingertip, palms, and back? |
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Definition
1) 2-5mm
2) 10-12mm
3) 40-60mm |
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Term
| How is tactile localization tested in the neurological examination? |
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Definition
| - Pt closes eyes and examiner touches two locations at the same time. |
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Term
| How is graphesthesia tested? |
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Definition
| - Pt closes eyes and number is drawn on hand. |
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Term
| Which five reflexes should be tested in the neurological examination? |
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Definition
- Biceps
- Brachioradialis
- Triceps
- Patellar
- Achilles
- Babinski's Sign |
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Term
| What three inputs are required for maintaining balance and posture? |
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Definition
- positional sense input
- sensorimotor integration
- motor output |
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Term
| What does the finger-to-nose test, test for? |
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Definition
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Term
| What does heel-to-knee test for? |
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Definition
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Term
| What does rapid alternating movements test for? |
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Definition
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Term
| What does the Romberg Test test for? |
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Definition
| - sensory ataxia (loss of dorsal columns) |
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Term
| Suppose a patient sways and falls with the eyes open. What is this called? |
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Definition
- cerebellar ataxia
- NOT romberg |
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Term
| What does the pronator drift test for? |
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Definition
| - position sense, corticospinal lesions |
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Term
| How is the pronator drift tested? |
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Definition
- Pt sits with eyes closed and extends and completely supinates arms at shoulder
- if drift occurs, arm will drop and pronate indicating a contralateral lesion |
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