Section: Module 3: Lesson 5: The Neurological Exam | Anatomy and Physiology | NextGenU.org

  • Student Learning Outcomes:
    Upon completion of this lesson, you will be able to:
    • Describe the major sections of the neurological exam.
    • Outline the benefits of rapidly assessing neurological function.
    • Relate anatomical structures of the nervous system to specific functions.
    • Diagram the connections of the nervous system to the musculature and integument involved in primary sensorimotor responses.
    • Compare and contrast the somatic and visceral reflexes with respect to how they are assessed through the neurological exam.
    Approximate time required for the readings for this lesson (at 144 words/minute): 8 hours and 2 minutes.

    Click here to start this lesson

    • Required Learning Resources and Activities

    • Read the entire page. (7 minutes)

      Rice University - 2022

    • Read the entire page. (23 minutes)

      Rice University - 2022

    • Read the entire page. (48 minutes)

      Rice University - 2022

    • Read the entire page. (56 minutes)

      Rice University - 2022

    • Read the entire page. (35 minutes)

      Rice University - 2022

    • Read the entire page. (27 minutes)

      Rice University - 2022

    • General Instructions

      In the following activity, you will exemplify the complete neurological examination of a patient with certain characteristics. Take into account the areas to be evaluated so that you can create accurate instructions or questions for the person being evaluated.

      Step 1 - Review

      Ann is a 25-year-old woman who enters the office for a routine check-up. She was diagnosed with Wernicke's Aphasia, whose etiology was glioblastoma multiforme. A couple of years ago, after identifying the intra-axial tumor lesion in the left temporoinsular region using structural magnetic resonance imaging, the patient underwent a biopsy and tumor resection. 

      Structural magnetic resonance imaging study. A) T1 sequence with gasoline in coronal section showing intra-axial tumor lesion affecting the left temporoinsular region. B) Simple T1 sequence in sagittal section showing a tumor lesion in the left superior temporal gyrus with peritumoral hypointense images suggestive of edema affecting the left angular and supramarginal gyrus, as well as the temporal pole. C) and D) T2 sequence in axial slices showing a tumor lesion affecting the anterior temporal lobe and left insula, in addition to significant cortical and subcortical perilesional edema towards the posterosuperior region of the left temporal and parietal lobe.

      Step 2 - Respond

      Fulfill the following sections; ask questions or instructions with which you would evaluate the patient and in which you would find alterations.

      A. The Mental Status Exam
      B. The Cranial Nerve Exam
      C. The Sensory and Motor Exams
      D. The Coordination and Gait Exams

      Step 3: Share 

      To share your work, click the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

      Step 4: Interact 

      To complete the activity, you need to post a reply. Click “Reply” on the main discussion, and then click “Post to forum.”

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”