Neuro Exam

Front 1

The left side of the brain controls the right side of the body except for the

Back 1

cerebellum

Front 2

Lesion in dominant hemisphere

Back 2

aphasia alexia agraphia apraxia

Front 3

aphasia

Back 3

problems with speech

Front 4

alexia

Back 4

problems with reading

Front 5

agraphia

Back 5

problems with writing

Front 6

apraxia

Back 6

problems with planned actions

Front 7

Gerstmann's Syndrome

Back 7

lesion in dominant parietal lobe
problems with numbers, left from right, identifying a certain finger and problems writing

Front 8

Lesion in non-dominant hemisphere

Back 8

visiospatial (propagnosia)
Apraxia (construction and dressing)
Attention/Emotional disturbance = neglect, anosognosia, Dysprosody

Front 9

visual acuity

Back 9

cn 2

Front 10

visual fields

Back 10

cn 2

Front 11

discs

Back 11

cn 2

Front 12

pupils

Back 12

cn 2, 3

Front 13

extraocular movements

Back 13

3, 4, 6

Front 14

Face

Back 14

5,7

Front 15

hearing

Back 15

8

Front 16

Palate

Back 16

cn 10

Front 17

tongue

Back 17

cn 12

Front 18

CN 3 out is level of

Back 18

midbrain

Front 19

cn 12 out is level of

Back 19

medulla

Front 20

Hollenhorst plaque

Back 20

cholesterol deposit from carotids in eye

Front 21

bitemporal hemianopsia

Back 21

chiasmal lesion

Front 22

paras run with

Back 22

cn 3

Front 23

Horners syndrome

Back 23

sympas out
ptosis anhydrosis small pupil (myosis)

Front 24

CN 3 palsy symptoms

Back 24

affected side pupil larger than other, affected eye can't look medially at all

Front 25

CN 3 palsy w/o aniscoria

Back 25

due to blood vessel in center of vessel. common in diabetics

Front 26

tells where the bad eye is

Back 26

ptosis

Front 27

CN 4 palsy

Back 27

double vision

Front 28

cn 6 palsy

Back 28

affected eye won't go laterally

Front 29

MLF lesion

Back 29

eye won't move medially but can move medially in convergence (differentiates from cn 3 palsy)

Front 30

cn 5 enters the

Back 30

pons

Front 31

4 nuclei of cn 5

Back 31

main sensory
main motor
mesencephalic
spinal nucleus of 5 (pain into cervical cord)

Front 32

jaw jerk tests

Back 32

mesencephalic nucleus of 5

Front 33

bell's phoenomenon

Back 33

reflex that causes upward eye rotation to protect cornea when your eyes are closed tightly

Front 34

most common cause of facial diplegia

Back 34

m gravis

Front 35

Bell's palsy

Back 35

paralysis of cn 7
Get full paralysis on one side

Front 36

stroke spares the

Back 36

forehead (how to differentiate from stroke)

Front 37

cause and location of Bell's palsy

Back 37

virus, peripheral

Front 38

cn 10 innervated

Back 38

pharynx larynx palate

Front 39

Problems from a cn 10 palsy

Back 39

dysphagia, dysarthria (problems speaking)

Front 40

cn 11

Back 40

scm

Front 41

only nystagmus that is localizable

Back 41

vertical nystagmus to the cervical medullary jxn

Front 42

rigidity is a ____ problem

Back 42

basal ganglia

Front 43

fatiguable weakness is a sign of

Back 43

NMJ disease

Front 44

fasciculations

Back 44

motor neuron still connected, but sick so firing on own

Front 45

fibrillation

Back 45

muscle separated from the nerve (denervation) can't see with naked eye

Front 46

STT does

Back 46

pain and temp

Front 47

dorsal columns

Back 47

proprioreception and vibration

Front 48

spinocerebellar

Back 48

proprioreception also

Front 49

the vibration of the tuning fork tests

Back 49

dorsal column medial lemniscus pathway

Front 50

the pinprick tests tests

Back 50

dorsal column medial lemiscus pathway

Front 51

commonly pinched with a slipped disc

Back 51

L5, S1

Front 52

lateral leg is

Back 52

L5

Front 53

bottom of foot is

Back 53

S1

Front 54

bullseye over deltoid

Back 54

axillary nerve

Front 55

lesion of wrist drop

Back 55

radial nerve

Front 56

test 2 point discrimination by

Back 56

stereognosis (percieve coin) - lesion in cortical sensory areas
agraphesthesia (write # on palm) - says lesion is in cortex

Front 57

Achilles reflex tests

Back 57

S1

Front 58

Patellar reflex is

Back 58

L4

Front 59

Brachioradialis is

Back 59

C5

Front 60

Biceps is

Back 60

C6

Front 61

triceps reflex is

Back 61

c7

Front 62

more than 2 beats of clonus is a ___ lesion

Back 62

UMN

Front 63

spasticity occurs when you are recovering from a

Back 63

stroke

Front 64

cheyne stokes breathing

Back 64

diffuse disfunction

Front 65

tachypnea

Back 65

central pons or medulla

Front 66

vestibular nuclei are intact then the ___ is functioning

Back 66

medulla

Front 67

lateral gaze centers intact

Back 67

cn 6 and pons ok

Front 68

vertical gaze centers

Back 68

cn 3 and midbrain intact

Front 69

MLF lesion testing eyes result

Back 69

messed up eye can only deviate to midline b/c it can't go medially

Front 70

grimace tests

Back 70

7

Front 71

oculocephalic reflex checks cn

Back 71

8

Front 72

decorticate is

Back 72

flexor above red nucleus dysfxn on contra CST

Front 73

decerebrate is

Back 73

extensor below red nucleus - dysfxn of contra CST

Front 74

Brain death tests

Back 74

Angio
EEG
blood flow
ultrasonography

Front 75

persistant veggie state for

Back 75

1+ months