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A detailed neurologic exam evaluation checklist (neuro osce) for students in patient centered medicine ii, semester iii. The checklist covers various aspects of the neurological examination, including assessing cranial nerves, motor and sensory functions, reflexes, and coordination. Students are required to evaluate different parts of the body and document their findings using specific markings. The document also includes instructions for evaluating various muscle strengths and reflexes.
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Neurologic Exam Evaluation Checklist (NEURO OSCE)
Student’s Name: ______________________________
Date: _____Monday September 11 ______Friday September 15
Evaluator’s Name: _______________________________________________
Mark A if the step was done correctly Mark B if the step was done but if the technique was unsatisfactory Mark C if the step was omitted
PLEASE NOTE: FOR ITEMS MARKED “B,” THE EVALUATOR NEEDS TO BE SPECIFIC AS TO WHY THE STEP WAS UNSATISFACTORY. PLEASE WRITE DIRECTLY ON THIS SHEET.
_____ 1. WASH HANDS
CRANIAL NERVES:
_____ 2. ASSESS VISUAL FIELDS The student can check one eye at a time, or have pt with both eyes open.
_____ 3. DO THE FUNDUS EXAM (CN2 Student inspects both eyes with the ophthalmoscope.) _____left eye _____right eye
_____ 4. ASSESS PUPIL RESPONSE TO LIGHT (CN2, 3) ___ Right eye ___Left eye (The examiner should check for the direct and consensual response to light in each pupil)
_____ 5. CHECK FOR ALL 6 CARDINAL POSITIONS OF GAZE (CN 3, 4, 6) -Examiner makes a large “H” while pt moves their eyes
_____ 6. ASSESS THE 3 SENSORY DIVISIONS OF CN 5 (light touch on pt’s face) -SIX AREAS MUST BE ASSESSED – _____both sides of the forehead (ophthalmic division of CN5) _____both sides superficial to maxillary sinuses = cheeks (maxillary division) _____both sides superficial to the mandibles = jaw (mandibular division of CN5)
_____ 7. ASSESS CN 7 Examiner asked pt to raise both eyebrows or frown or wrinkle my forehead. (CN7)
_____ 8. ASSESS CN 7 Examiner asked pt to “show my teeth” or “smile and show your teeth” (CN7)
_____ 10. ASSESS SOFT PALATE MOVEMENT (CN10, questionably CN9) -Examiner asks pt to “say ah.”
_____ 11. ASSESS PTS ABILITY TO COUGH (CN10, Vagus nerve, innervates the vocal cords)
_____ 12. ASSESS TRAPEZIUS MUSCLE STRENGTH (CN11, Spinal Accessory Nerve).
- Examiner places his/her hands on pt’s trapezii muscles and then asks pt to shrug)
_____ 13. ASSESS STERNOCLEIDOMASTOID MUSCLE STRENGTH (CN11) Examiner asks pt to turn the head to each side against resistance from the examiner’s hand.
_____ 14. ASSESS HYPOGLOSSAL NERVE (CN12)
- Examiner asked pt to protrude their tongue
MOTOR SYSTEM:
_____ 15. ASSESS MUSCLE TONE IN THE UPPER LIMBS ___RUE ___LUE
_____ 16. ASSESS MUSCLE STRENGTH OF THE UPPER EXTREMITIES
upper extremities
___ shoulder-abduction (start with hands at pt’s side, then ask pt to abduct arms to 90 degrees) ___ elbow flexion ___ elbow extension ___ wrist flexion ___ wrist extension ___ hand grip
(Patient may be supine or seated from here on.)
_____ 17. ASSESS LIMB TONE IN THE LOWER LIMBS (RESISTANCE TO PASSIVE STRETCH) ___RLE ___LLE
_____ 28. ASSESS VIBRATION SENSE IN ALL FOUR EXTREMITIES (posterior columns)
_____finger-to-nose-to-finger _____fine finger movements _____heel-to-knee-to-shin
(Patient is standing)