Download Neuro Check-off

NEUROLOGICAL EXAMINATION: STUDENT VALIDATION
** Branching Exam Procedure
COMPONENT ACTIVITIES
MENTAL STATUS EXAM (Client Sitting)
1. Orientation - time, place, person
2. Memory - recent, remote
3. Intellectual Performance
4. Judgment
HEAD and NECK Cranial Nerves (Assess and Name)
1. CN I (Olfactory)
2. CN II (Optic)
a. Visual Acuity
b. Visual Fields
c. Fundoscopy
3. CN III (Oculomotor)
CN IV (Trochlear)
CN VI (Abducens)
a. Pupils (PERRLA)
b. EOM’s
4. CN V (Trigeminal)
a. Motor - temporal muscles
Evaluate TM (temporomandibular joint - masseter
muscles
b. Sensory - (pain and light touch) –
-forehead
-cheeks
-jaws
c. **Corneal reflex
5. CN VII (Facial)
a. Inspect - nasolabial folds, abnormal movement
b. Raise eyebrows
c. Frown
d. Eye muscle strength
e. Smile
f. Puff out cheeks
6. CN VIII (Auditory)
a. Assess hearing
7. CN IX (Glossopharyngeal), CN X (Vagus)
a. Quality of speech
b. Soft palate/uvula rise
8. CN XII (Hypoglossal)
9. CN XI (Spinal Accessory)
a. Trapezius
b. Sternocleidomastoid
DONE
NOT
DONE
COMMENTS
CEREBELLAR FUNCTION
Upper Extremities
1. Finger to nose
2. ** Finger-to-thumb, rapidly
3. ** Rapid alternating movements
DEEP TENDON REFLEXES
1. Biceps
2. Triceps
3. Brachioradialis
4. Patellar (L2, L3, L4)
5. Ankle (S1, S2)
6. Plantar Response
7. ** Ankle clonus
8. Reinforcement - Upper/lower extremities
CEREBELLAR FUNCTION
Lower Extremities
1. ** Heel-to-shin
2. Romberg
SENSORY SYSTEM (Client lying on back)
1. Assess light touch
2. Assess pain
3. Vibratory sense
4. ** Joint position sense
5. ** Temperature
6. ** Discriminative sensations
a. ** Stereognosis
b. ** Graphesthesia
c. ** Two-point discrimination
d. ** Point localization
e. ** Extinction
SUPERFICIAL REFLEXES
1. ** Abdominal
SPECIAL MANEUVERS
1.
Brudzinski’s sign (flex neck)
2.
Kernig’s sign (hip/knee flex & straighten knee)
CLIENT WALKING
1.
Gait- observe for abnormalities
2.
Heel walk
3.
Toe walk
4.
**Heel-to-toe walk, forward and backward