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17 Cards in this Set
- Front
- Back
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When does the MSE exam start? What is the acronym for the exam?
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-right when you walk int othe room
-F R O M J A E |
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Define each of the 8 MSE factors?
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-function: observing pts behavior and activity
-reasoning: abstract vs. concrete -orientation: self, location and time -memory: immediate intermediate and long term -Judgement -Attention: serial 3's or 7's (if poor education as them to spell WORLD backawards) -Emotions: approptiateness (crying, laughing at wrong time, indirect eye contact) |
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How would you test CN 1?
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-olfactory: dont use intense smell, and make sure you do BOTH nostris
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How would you test CN 2?
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-optic: fundus scopic, pupillary light reflex, isual acuity
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How would you test CN 3, 4 and 6?
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-oculomotor, trochlear and abducens: do the H test (also see if they have double vision or if they see a blurred finger)
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How would you test CN 5?
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-trigeminal (test each of the 3 divisions): facial sensation, muscles of mastication and tongue sensation
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How would you test CN 8?
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-facial: facial motor, taste (ant. 2/3)..also make sure patient can CLOSE eye
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How would you test CN 7?
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-vetibulochochlear: hearing, weber and rinne (for conductive or sensory hearing loss. For weber, strike fork and put in middle of head, if vibration lateralizes to side of pathology is it conductive, if sensory it will go away form pathology). For rinne you want air conduction longer that bone. A decrease in air conduction would lead to conduction loss. For sensory it would be if they cant hear it at all
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How would you test CN 9 and 10?
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-glossopharyngeal and vagus: taste post. 1/3, carotid baro and chemo receptors, gag reflex (test gag bilaterally)
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How would you test CN 11?
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-spinal accessory: SCM and trap (have them shrug sgoulders against resistance and turn hear to left and right
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How would you test CN 12?
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-hypoglossal: have them protrude tongue and resist tongue depressor
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How would you do a motor test?
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-look at muscle appearance, tone (spastic, rigid, asymmetrical), strength (scale is 0-5, 5 is full strength and 0 is flaccid)
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What would you test for in a sensory exam?
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-pain/temp
-two point discrimination -proprioception -sensory levels: nipple line (t4), xiphoid process (t7), umbilicus (t10), groin (t12) |
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What would you test for in cerebellar and coordination exam?
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-observe for tremor
-finger to nose and heel to shin (look for dysmetria (lack of coordination of movement) -RAM -gait -decomposition of movements |
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What are the muscle stretch reflex levels? What is the scale?
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-biceps (c5)
-brachioradialis (c6) -triceps (C7) -patellar (L4) -achilles (s1) - 0-4 (2 is normal. Hyperreflexia is assoc with UMN lesions, hypo is LMN). Also look for symmetry of reflexes |
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Whatdoes the babinski sign tell you?
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-if big toe goes up and others spread out it means you have UMN problems
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What are soft neurological signs?
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-pronator drift: stand with eyes closed and hold arms out, the opposite hand will drift in relation to lesion)
-frontal release signs: grasp, rooting, suck, snout, glabellar, plamomental) |
