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CLINICAL METHOD EXAM 2: NEURO & MUSCULOSKELETAL
CLINICAL METHOD EXAM 2: NEURO & MUSCULOSKELETAL
10 pairs of the CN come from where?
Brainstem
What is a dermatone?
Area of skin that provides sensory input to one pair of spinal nerve or to cranial nerve V (for the face).
Why is a dermatone useful?
For infusing local anesthetic to block pain.
Glasgow coma scale
1. Measures LOC
2. point scale: 3 (worst)- 15 (best)
Level of Consciousness (LOC)
5 levels
1. alert
2. lethargy
3. obtundation: pt is aroused with gentle shaking.
4. stupor: aroused with painful stimuli
5. coma: not arousable at all.
Orientation X3 means what?
1. person
2. place
3. time
Ideomotor apraxia
Inability to pantomime (acting out a story) tool use, i.e brushing one's hair when handed a brush.
Ideational apraxia
What would they do with a stamped envelop?
Stereognosis
Testing sensory pathways while eyes are closed.

Identify familiar objects in pt's hands.
Graphesthesia
"write" on pt's hands
Where to test deep tendon reflexes?
1. biceps tendon
2. brachioradialis
3. triceps tendons
4. patellar tendon
5. achilles
6. clonus (foot)