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OSCE Neurologic Test

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Christopher Wu

This document outlines the steps for performing a neurological exam of the upper limbs and cranial nerves. It involves assessing muscle strength, reflexes, sensation, and cranial nerve function through various tests like having the patient move their limbs against resistance, testing reflexes, assessing sensation over dermatomes, and having the patient perform actions that isolate specific cranial nerves like raising their eyebrows or sticking out their tongue. The goal is to screen for abnormalities involving the nerves, muscles, and reflexes.

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OSCE Neurologic Test

Uploaded by

Christopher Wu
75 views4 pages
This document outlines the steps for performing a neurological exam of the upper limbs and cranial nerves. It involves assessing muscle strength, reflexes, sensation, and cranial nerve function through various tests like having the patient move their limbs against resistance, testing reflexes, assessing sensation over dermatomes, and having the patient perform actions that isolate specific cranial nerves like raising their eyebrows or sticking out their tongue. The goal is to screen for abnormalities involving the nerves, muscles, and reflexes.

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This document outlines the steps for performing a neurological exam of the upper limbs and cranial nerves. It involves assessing muscle strength, reflexes, sensation, and cranial nerve function through various tests like having the patient move their limbs against resistance, testing reflexes, assessing sensation over dermatomes, and having the patient perform actions that isolate specific cranial nerves like raising their eyebrows or sticking out their tongue. The goal is to screen for abnormalities involving the nerves, muscles, and reflexes.

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
75 views4 pages

OSCE Neurologic Test

Uploaded by

Christopher Wu
This document outlines the steps for performing a neurological exam of the upper limbs and cranial nerves. It involves assessing muscle strength, reflexes, sensation, and cranial nerve function through various tests like having the patient move their limbs against resistance, testing reflexes, assessing sensation over dermatomes, and having the patient perform actions that isolate specific cranial nerves like raising their eyebrows or sticking out their tongue. The goal is to screen for abnormalities involving the nerves, muscles, and reflexes.

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OSCE

Neurological Test
Upper Limb
 SWIFT
o Scars
o Wasting of muscle
o Involuntary movements
o Fasciculation’s
o Tremors
 Stick arms in front pronated and supinated
o See if there is any drift
 Muscle power test
o Arms at shoulder
o Shoulder Abduction (C5)
 Push down on muscle
o Shoulder adduction (C6, C7)
 Push up on arm
o Elbow Flexion (C5, C6)
 Pull muscle away
o Elbow Extension (C7)
 Push muscle towards body
o Wrist extension (C6)
 Wrist tilt up


o Wrist flexion (C6, C7)
 Wrist tilt down
o Finger extension (C7)
 Hand straight out in front
 Prevent hand by pushing finger down

o Finger Abduction (T1)
 First dorsal interosseous


 Abductor digit minimi


o Thumb abductor (C8, T1)
 Turn hand around, thumb up

 Reflexes
o Bicep reflex (C5, C6)
o Triceps reflex (C6, C7)
o Supinator reflex (C5, C6)

Assess each dermatome

Nose to finger test


 Fast
Back and forth hand

Cranial Nerve
 CN I (Olfactory)
o Change in smell
 CN II (Optic)
o Inspect pupil size and alignment
o Hand in between head and shine light
o Light swing test
o Visual Inattention
 Patient stares at you and point to the finger that is moving (high and low)
o Visual Fields
 CN III, CN IV, CN VI
o Tell patient to cover one eye
 Hand move in a H motion
 CN V
o Feel patient
 V1 (ophthalmic branch)
 Above eyebrows
 V2 (maxillary branch)
 Cheeks
 V3 (mandibular branch)
 Chin
 Access muscle wasting (“im going to feel some muscles around your face”)
o Clench jaw and feel eye level, cheeks
o Open month and don’t let me close it
 CN VII (Facial)
o Raise eyebrow
o Close eyes as hard and don’t let me open them
o Puff cheeks and don’t let me push them it
o Purse lips
o Show teeth
o Change in taste?
o Change in hearing? Louder or softer than usual
 CN VIII (Vestibulocochlear)
o Snap from close to far
o Tuning fork
o Close you eyes and march
 CN IX (Glossopharyngeal) CN X (Vagus)
o Say ahhh
o Move tongue side to side
 CN XI (Accessory)
o Shrug shoulders with arms on his shoulders
o Turn head against my hand
 CN XII (Hypoglossal)
o Push tongue against fingers on side of mouth

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