Overview

Cranial Nerve I--Olfactory Cranial Nerve II—Optic O Cranial Nerves II and III—Optic and Oculomotor

Cranial Nerves III, IV, and VI—Oculomotor, Trochlear, Abducens Cranial Nerve V—Trigeminal, Motor, Sensory Cranial Nerve VII—Facial Cranial Nerve VIII--Acoustic

Cranial Nerves IX and X—Glossopharyngeal and Vagus Cranial Nerve XI—Spinal Accessory Cranial Nerve XII—Hypoglossal The Motor System

Body Position Involuntary Movements Muscle Bulk Muscle Tone Muscle Strength Coordination

Rapid Alternating Movements Arms Legs

Point-to-Point Movements Arms Legs

Gait Stance

The Romberg Test Test for Pronator Drift

The Sensory System

Patterns of Testing

Vibration

Pain

Temperature Light Touch Position

Discriminative Sensations Deep Tendon Reflexes

The Biceps Reflex (C5, C6) The Triceps Reflex (C6, C7) The Supinator or Brachioradialis Reflex (C5, C6) The Abdominal Reflexes The Knee Reflex (L1, L3, L4) The Ankle Reflex (Primarily S1) The Plantar Response (L5, S1) ^S Clonus

O Special Techniques

^^ Mini-Mental State Examination (MMSE)

Asterixis

C Winging of the Scapula

O Meningeal Signs

Neck Mobility Brudzinski's Sign ^ Kernig's Sign

Anal Reflex cu >

The Stuporous or Comatose Patient

Airway, Breathing, and Circulation Levels of Consciousness Neurologic Evaluation Respirations Pupils

Ocular Movement

Oculocephalic Reflex (Doll's-Eye Movements) Oculovestibular Reflex (With Caloric Stimulation) Posture and Muscle Tone Further Examination

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