PSYC-251 Lecture Notes - Lecture 4: Mnemonic, Glossopharyngeal Nerve, Quadriceps Femoris Muscle
Document Summary
The neurological exam is one of the most extensive because it goes top to bottom, up and down: mental status, cranial nerves, motor examination, deep tendon reflexes, sensory examination, cerebellar examination, gait assessment. The cranial nerves originate directly from the brain. Olfactory nerve impacted in many disorders but not often tested. Trochlear nerve eye movement, extraocular movement, eyes move together. Abducens nerve eye movement, extraocular movement, eyes move together. Mnemonic: on old olympus, towering top a fin and german viewed some hops. These can be used to differentiate between where the damage is in, say, a stroke. Deep tendon reflexes: biceps, triceps, brachioradialis, quadriceps, achilles tendon, grading system, 0- no reaction, 1- hypoactive, 2- normal, 3- brisk, 4- pathologically brisk. What differentiates pathologically brisk and brisk is if generating a reflex on one side of the body generates them on the other side as well or in adjacent muscles.