II. Exam: Highest yield tests
-
Cranial Nerve tests
- Visual Field testing with double stimulation upper fields and lower fields
- Extraocular Movements
-
Motor Strength
- Upper extremity
- Grip strength
- Proximal strength
- Lower extremity
- Heel and toe walking
- Stand from chair without pushing off
- Upper extremity
- Balance and coordination
- Rhomberg
- Tandem walking
III. Exam: General
- Appearance: Well groomed or unkempt
- Eye contact: Good, fleeting, sporadic or avoidant
- Behavior: Cooperative, candid, withdrawn, guarded, hostile or irritable
IV. Exam: Eye
V. Exam: Face
- See Cranial Nerve Exam
- Palpebral fissures equal
- Facial symmetry
- Tongue midline with no fasciculations
- Jaw symmetric
VI. Exam: Oropharanx
- Gag Reflex
- Swallow reflex
- Regurgitation (nasal or liquid)
VII. Exam: Larynx and Language
- Voice quality
-
Speech Exam
- Dysarthria (explosive or nasal)
- Aphasia (Inability to communicate via speech, writing, reading)
VIII. Exam: Sensory
- Two Point Discrimination
- Sharp and dull discrimination
- Proprioception (finger up or down?)
- Stereography
IX. Exam: Motor Exam
- Motor Strength
- Tone (flaccid, rigid, or cogwheel)
- Atrophy
- Fasciculations
- Muscle tenderness
- Tremor
X. Exam: Reflexes
- Deep Tendon Reflexes
- Primitive Reflexes
- Babinski Reflex
- Grasp Reflex
- Suck Reflex
- Glabellar Reflex
- Hoffman Reflex
XI. Exam: Cerebellar
-
Finger-Nose-Finger
- Dysmetria
- Overshooting target
- Intention Tremor
- Alternating hand movements
- Heel-knee-shin
- Romberg Test
-
Gait
- Walking on base of foot
- Tandem walking
- Overall coordination
- Vestibular Exam
