SCOPE of Practice
Cone of light at 5 o'clock
What is a normal finding for otoscopy on the right?
Tibialis anterior +5/5
What is a normal finding for L4 myotome testing?
CN II sensory and CN III motor
What is being tested with the pupillary light reflex?
DOUBLE JEOPARDY: normal finding is direct and consensual constriction of pupils
Patient able to point to all areas tested
What is the normal finding for light touch?
DOUBLE JEOPARDY: testing the ASTT
Inspection, tug, press
What are the components of the outer ear exam?
2:1
What is the normal cup:disc ratio on ophthalmoscopy?
Normal sensation above and below lateral wrist
What is a normal finding for C6 dermatome? Also includes LABC and palmar digital cutaneous
No lateralization
What is a normal finding for Weber test?
Graphesthesia, stereognosis, Romberg
What are some procedures that test the posterior column?
Visible red glow
What is the normal finding for sinus transillumination?
No deviation or perforation
What is a normal finding on rhinoscopy?
+2/4 Achilles Reflex
What is a normal finding for S1 DTR?
Bilateral elevation of pillars
What is the normal finding for gag reflex?
DOUBLE JEOPARDY: testing CN IX sensory and CN X motor
Coordinated, rhythmic tapping
What is the normal finding when testing for dysdiadokokinsesia?
DOUBLE JEOPARDY: testing the cerebellum
No deviation
NOTE: this is PART OF ORAL INSPECTION
Stand oblique to patient; use same eye; zoom to find posterior structures
What is correct performance for ophthalmoscopy?
Deep fibular and superior gluteal nerves
What peripheral nerves are being tested with L5 myotome?
Facial expression and corneal reflex
What are the procedures used to test CN VII motor pathways?
DOUBLE JEOPARDY: corneal reflex tests sensory of CN V
Cerebellum, L4 nerve root
What is heel walk testing?
Clench, resist, deviate
What are the components of CN V motor testing?
No foreign objects; clear; smooth contour
What are normal findings on otoscope?
C7 myotome, radial nerve, and median nerve (some ulnar, too)
What nerve root and peripheral nerves are being tested with elbow extension, wrist flexion, and finger extension?
Both upper traps and SCM +5/5
What is the normal finding for CN XI testing?
No response or flexion of the toes
What is a normal finding for Babinski test?
Cardinal fields of gaze, accommodation, convergence
What are the components of CN III motor exam?