General Neurologic Exam

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created 7 years ago by Nicole_Madden
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1

Cranial Nerve 1

Olfactory:

Test: Smell with coffee or mint, test one nostril at a time.

2

Cranial Nerve 2

Optic:

Test: Fundoscopy, with opthalmascope, check optic disk (color/size/alterations), vessels, and retinal abnormalities.
Snelling eye chart.

3

Cranial Nerve 3

Oculomotor:

Test: Examiner uses H pattern to note eye movement

4

Cranial Nerve 4

Trochlear:

Test: Muscle test, superior oblique (down & out)

5

Cranial Nerve 5

Trigeminal:

Sensory test: Facial sensation

Motor test: Muscles of mastication grit teeth.

Additional test: corneal reflex (quick blink)

6

Cranial Nerve 6

Abducens:

Test: Lateral gaze, pupillary reflex, light shone in one eye, and both constrict.

7

Cranial Nerve 7

Facial:

Motor test: Facial expression.

Sensory test: Taste of anterior 2/3 of tongue (not usually performed)

8

Cranial nerve 8

Vestibulocochlear:

Sensory test: Rhines test, tuning fork on mastoid process. Weber's test, tuning fork is placed at vertex of skull.

9

Cranial Nerve 9

Glossopharyngeal:

Motor test: Patient says ah while breathing out (palatal reflex with palate elevation) Gag reflex with tongue depressor.

Sensory test: Taste to posterior 1/3 of tongue (Not performed)

10

Cranial Nerve 10

Vagus:

Motor test: Palatal reflex (uvula positioning)

Sensory test: Not performed

11

Cranial Nerve 11

Accessory:

Motor test: SCM/Trapezius muscle strength, patient shrugs shoulders examiner applies resistance.

12

Cranial Nerve 12

Hypoglossal:

Motor test: Tongue position, patient moves tongue in midline; side to side; upward and downward. patient presses tongue against cheek examiner pushes against to dislodge.

13

C5

Myotome: Deltoid strength.

Reflex: Biceps tendon.

Dermatome: Sensation on lateral side of upper arm.

14

C6

Myotome: wrist extension strength.

Reflex: Brachio-radialis tendon.

Dermatome: Sensation on lateral side of forearm.

15

C7

Myotome: Wrist flexion strength.

Reflex: Triceps tendon.

Dermatome: sensation on the 3rd digit.

16

C8

Myotome: Finger flexion strength.

Reflex: None.

Dermatome: Sensation on the medial side of the forearm.

17

T1

Myotome: finger ad/abduction.

Reflex: None.

Dermatome: Sensation on the medial side of the arm.

18

L4

Myotome: Tibialis anterior strength.

Reflex: Patellar tendon ( activates the quadriceps).

Dermatome: Medial side of the foot.

19

L5

Myotome: Extensor digitorum longus strength.

Reflex: None.

Dermatome: Sensation on the top of the foot.

20

S1

Myotome: Fibularis group strength.

Reflex: Achilles tendon.

Dermatome: Sensation on the lateral side of the foot.