PD - SP 2

Question 1

neck exam order (of ENT)

Answer 1

• inspection (symmetry, trachea, jugular, thyroid)
• ROM
• auscultation (carotid bruits)
• palpation (cartilages, thyroid, SCM, lymph nodes)

Question 2

oropharynx exam order (ENT)

Answer 2

• lips
• buccal mucosa
• gingivae
• teeth
• tongue
• cranial nerve XII
• floor of mouth
• hard/soft palates
• salivary glands
• posterior pharynx
• phonation

Question 3

nose/sinus exam order (ENT)

Answer 3

• external inspection
• nasal obstruction test
• internal inspection
• palpation (sinuses)

Question 4

ear examination order (ENT)

Answer 4

• external inspection/palpation (pinna, tragus, mastoid process)
• auditory acuity (finger rub)
• Rinne/Weber test
• Otoscope examination
• BALANCE TEST

Question 5

eye exam order

Answer 5

• visual acuity
• pupillary response (direct, consensual, swinging flashlight)
• inspect lids
• inpect conjunctivae and sclerae
• ocular movements
• confrontational visual fields
• red reflex
• retinal examination

Question 6

neurologic examination order

Answer 6

• mental status (orient to person, place, date, event)
• cranial nerve exam
• motor function
• sensory function
• reflexes
• coordination testing
• gait

Question 7

cranial nerve exam

Answer 7

• olfactory (hand sanitizer)
• optic (visual acuity)
• extraocular muscles (III, IV, VI)
• trigeminal sensation, mastication strength
• bare teeth, raise brows, puff cheeks against resistance
• hearing/equilibrium
• say ahhhhhh
• gag reflex
• phonation
• stick out tongue
• raise shoulders/turn head against resistance

Question 8

motor function part of neuro exam

Answer 8

strength

• 2 proximal muscles
• 2 distal muscles

Question 9

sensory function of neuro exam

Answer 9

• sharp vs dull (4 limbs)
• proprioception (big toes)
• vibration (ankles/wrists)
• light touch of dermatomes
• pain
• vibration
• proprioception
• tactile localization
• 2 point discrimination
• stereognosis
• graphesthesia
• point localization

Question 10

reflexes for neuro exam

Answer 10

• biceps C5
• brachioradialis C6
• triceps C7
• patellar L2-L4
• achilles S1-S2

Question 11

coordination testing for neuro exam

Answer 11

• finger to nose
• heel to knee
• RAM
• Romberg
• pronator drift
• gait (normal, tandem, toes, heels)