Neurologic Examination Techniques

Dr. Nick Deapa, a veterinary neurologist, explains the steps of a comprehensive neurologic exam. The exam aims to locate the problem in the nervous system and assess symptom severity. It includes evaluating mentation, posture, cranial nerves, proprioception, spinal reflexes, and nociception. Each step is crucial for accurate diagnosis. The video emphasizes systematic examination and offers a free neuro exam form for consistency.

What is the primary goal of a neurologic examination?

• To diagnose the exact cause of symptoms

• To prescribe medication

• To perform surgery

• To determine the location and severity of the problem in the nervous system

What should be observed while gathering the patient's history?

• The patient's sleeping habits

• The patient's diet

• The patient's interaction with their environment

• The patient's favorite toys

What is the first step in evaluating cranial nerves?

• Checking for abnormal eye movements

• Testing the Menace response

• Evaluating the palpebral reflex

• Assessing facial symmetry

What does the palpebral reflex test involve?

• Tapping the knee

• Gently tapping around the eye

• Rotating the head

• Checking for pupil dilation

How is proprioception evaluated?

• Through blood tests

• By observing the patient's sleep

• Through proceptive positioning and hopping

• By measuring heart rate

Which reflex is most fundamental in spinal cord evaluation?

• The Menace response

• The withdrawal and patellar reflexes

• The palpebral reflex

• The cutaneous trunci reflex

What is the purpose of evaluating nociception?

• To evaluate the patient's vision

• To assess the patient's diet

• To check for voluntary motor function

• To determine the patient's age

What indicates the presence of deep pain in a limb?

• The limb is pulled up towards the body

• The patient vocalizes or looks back

• The patient remains silent

• The limb remains still

Why is it important to perform the neurologic exam systematically?

• To avoid using equipment

• To impress the patient

• To save time

• To ensure consistency and gather the most information

What should be done if a limb lacks voluntary motor function?

• Ignore the limb

• Perform an evaluation of nociception

• Administer medication

• Perform surgery immediately