NEUROQBANK

Announcements: Neuromuscular section updated with more questions.

  • Determine if patient is on sedating or neuromuscular blockade agents and whether they are intubated
  • Check vital signs, determine respiratory rate and pattern.
  • General physical exam (R/o head trauma, bruit, murmur, rales, ascites, edema)
  • Neurologic exam:

    -           MENTAL STATUS:

    • spontaneous eye opening
    • obeys verbal command
    • verbal effort
    • eye opening to sounds

    -           CRANIAL NERVES:

    • spontaneous eye movements (conjugate or orienting),
    • blink to visual threat
    • pupillary responses
    • corneal responses
    • oculocephalic reflex
    • cold calorics
    • facial grimace to noxious
    • facial symmetry
    • cough and gag reflexes

    -           MOTOR:

    • tone, arm / leg strength
    • seizures or myoclonus seen
    • Positive Motor: follows commands, localizes pain, flexor posturing
    • Negative Motor: extensor posturing, no response

    -           SENSORY:

    • eye opening to pain
    • localizes / withdraws from pain in extremities and whether this is symmetric

    -           REFLEXES:

    • deep tendon reflexes
    • presence of Babinski's or triple flexion response
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