Exam (elaborations)
Neuro Test 1 Unit 2 (USAHS) – Questions & Answers
Neuro Test 1 Unit 2 (USAHS) – Questions & Answers
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Neuro Test 1 Unit 2 (USAHS) – Questions & AnswersChief Complaint (CC)? ✔️Ans - concise statement of age, sex, and
presenting problem.
History of Present Illness (HPI)? ✔️Ans - expands on chief complaint,
provides complete history of current problem. (includes risks factors and
causes of illness, symptoms, and prior care)
Past Medical History (PMH)? ✔️Ans - Prior medical and surgical
problems that don't directly relate to HPI.
Review of Systems (ROS)? ✔️Ans - Head to toe review of all medical
systems.
Family History (FH)? ✔️Ans - Asks about any conditions that
immediate family members may have.
Social and Environment History (SocHx/EnvHx)? ✔️Ans - Occupations,
home situations, family situations, travel history, and habits.
Physical exam? ✔️Ans - 1st part of exam where clinician touches
patient, general appearance, vital signs, head, ears, eyes, nose, throat, neck,
back, spine, lymph nodes, breast, lungs, heart, abdomen, extremities,
pulses, neurologic, rectal
Laboratory Data? ✔️Ans - Diagnostic test, bloodwork, urine analysis,
radiological test
Assessment and Plan ✔️Ans - Summarize main clinical features and
diagnosis
Localization? ✔️Ans - Based on neuroanatomical clues gained from
H&P.
Component of Neurological exam? ✔️Ans - - Evaluating patient as
whole
, Neurolgica disease can be cleaned from all portions of what exam?
✔️Ans - General, when observing patient's general apperance.
How can you test alertness/attention in a neurologic exam? ✔️Ans -
See if patient can remain focused on a simple task such as spelling a short
word forward and backward.
How can you test orientation in a neurologic exam? ✔️Ans - Ask for
patient's full name, date, and note each response.
How can you test recent memory in a neurologic exam? ✔️Ans - Ask pt.
to recall 3x a brief story after delay of 3-5 mins.
How can you test remote memory in a neurologic exam? ✔️Ans - Ask
pt. about historical or verifiable personal events.
How can you test spontaneous speech in a neurologic exam? ✔️Ans -
Note fluency, phrase length, rate, abundance, modulation, paraphrasic
errors, neologisms, and errors in grammar.
How can you test comprehension in a neurologic exam? ✔️Ans - Test
understanding of questions and commands, comprehension of grammatical
structure.
How can you test naming in a neurologic exam? ✔️Ans - Ask pt. to
name some easy and some difficult objects.
How can you test repetition in a neurologic exam? ✔️Ans - Can pt.
repeat single words and sentences (no ifs, ands, or buts)
How can you test reading in a neurologic exam? ✔️Ans - Ask pt. to read
words, a passage, or front of newspaper aloud.
How can you test writing in a neurologic exam? ✔️Ans - Ask pt. to write
their name and write a sentence.
How can you test apraxia in a neurologic exam? ✔️Ans - Asking pt. to
do complex tasks, using commands (pretend to comb your hair)
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