Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NeuroExamEvalChecklist: A Comprehensive Neurological Assessment for Students, Summaries of Medicine

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.

What you will learn

  • How should the examiner assess the muscle tone in the upper limbs according to the Neurologic Exam Evaluation Checklist?
  • What are the three different maneuvers for assessing coordination in the Neurologic Exam Evaluation Checklist?
  • What are the steps involved in assessing the visual fields in the Neurologic Exam Evaluation Checklist?

Typology: Summaries

2021/2022

Uploaded on 09/27/2022

anwesha
anwesha 🇺🇸

4.9

(12)

238 documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
Patient Centered Medicine II Semester III
F:\2006-07\FORMS\NeuroExamEvalChecklist for graders-9-06.doc - 1 - Revised: 07/11/06
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)
pf3
pf4

Partial preview of the text

Download NeuroExamEvalChecklist: A Comprehensive Neurological Assessment for Students and more Summaries Medicine in PDF only on Docsity!

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)

_____ 9. ASSESS THE AUDITORY DIVISION OF CN 8

_____ 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)

COORDINATION

_____ 29. ASSESS COORDINATION WITH 3 DIFFERENT MANUEVERS

_____finger-to-nose-to-finger _____fine finger movements _____heel-to-knee-to-shin

(Patient is standing)

GAIT/STATION

_____ 30. ROMBERG TEST

_____ 31. ASSESS GAIT

_____NORMAL GAIT

_____TANDEM GAIT

_____ 32. WASH HANDS