NEUROLOGIC EXAM CHECKLIST fes 1. Mental Status (Screening) Orientation Registration/recall Serial 7's or WORLD backward Repeat "No ifs, ands, or buts 3-step command Drawing clock II. Cranial Nerves Visual acuity (each aye separately) ) Visual fields (each eye separately Pupillary reaction to light Extraocular movements Optic discs Temp and light touch in 3 areas of face Eyebrow raising, eye closing, smile (show teeth) Hearing to finger rub Palate elevation Trapezius and SCM strength Tongue inspection, strength I. Motar Pronator drift Upper extremity strength Tone Proximal (deltoid musicle) Distal (hand grip) Lower extremity strength Proximal (ilopsoas muscle) Distal (loot dorsiflexion and plantar-lexion) IV. Sensory Tone Upper extremity pinprick or temp Compare sides Nhún't least Compare distal to proximal on same side extremity-vibration (DIP joint of both index fingers) Upper Upper extremity-proprioception (index finger on both hands) Lower extremity-Dinprick or tamp Compare side Compare distal to proximal on same side Lower extremity-vibration (distal interphalangeal joint of great toes) Lower extremity - proprioception (great toe on both feet) Romberg (proprioception-may be combined with gait tests) V. Reflexes Biceps Bruchioradiallis Triceps Patellar Achilles Plantar response (report as extensor or flexor) VI. Coordination and Gait Rapid alternating movements (RAM) Coordination in limbs Finger-to-nose (FTN) Heal-to-shin (HTS) Casual guit Tandem walking Heel and toe walking