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- Nov 21, 2008
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Hello people I am taking step 2 cs in 4 weeks and I have read kaplan complex cases and the FA. Right now I am practising the physical exam with my brother who has nothing to do with the medical field. I have a routine worked out for the neurological exam and mental status that takes 2 minutes at least and 3 minutes at most. Can anyone correct any errors or give me some suggestions. Also can anyone clearly tell me in what situations are you expected to do mental status only or neurological only as opposed to both, and in what situations do you do both.
First off I would like to ask you some questions:
What is your full name?Where are we now?What day is today?
Please subtract 7 from 100 and continue to subtract until I ask you to stop. Can you identify two objects (pen and my tie). Repeat church, table, television, please try and remember these words as I will ask them again.
Secondly:
Can you please walk to the other end of the room and back? When patient comes back, please close your eyes(Romberg). Please touch your nose with your right index finger, and now with your left index finger. Can you please sit on the examination bench.
Third:Cranial nerves
2: use ophthalmoscope to asses pupil reactivity.
3,4 and 6: classic h pattern with finger.
5: please bite down hard and i feel the muscles of the jaw, i use a cotton ball to test the three branches of the 5th cranial nerves.
7: please smile, please close your eyes really tight, please lift your eyebrows.
8: snap finger by each ear and ask if he can hear.
10: please open wide and say ahhhh
11: please shrug your shoulders
12: please stick your tongue out and wiggle it.
Visual field: i use my finger and test nasal and temporal one eye at a time.
reflexes: i just do brachial and patellar and maybe babisnki
muscle strength: please extend your arms with palms facing up, then i place my hands on his arms and say do a biceps curl then i hold his wrists and say push out. then i test each leg please kick out and pull in while my hand is around his ankle.
sensation: i use the q tip for hard and soft, i test the finger tips, the fore arm, the shins and the dorsum of the feet.
Any input will be greatly appreciated.
First off I would like to ask you some questions:
What is your full name?Where are we now?What day is today?
Please subtract 7 from 100 and continue to subtract until I ask you to stop. Can you identify two objects (pen and my tie). Repeat church, table, television, please try and remember these words as I will ask them again.
Secondly:
Can you please walk to the other end of the room and back? When patient comes back, please close your eyes(Romberg). Please touch your nose with your right index finger, and now with your left index finger. Can you please sit on the examination bench.
Third:Cranial nerves
2: use ophthalmoscope to asses pupil reactivity.
3,4 and 6: classic h pattern with finger.
5: please bite down hard and i feel the muscles of the jaw, i use a cotton ball to test the three branches of the 5th cranial nerves.
7: please smile, please close your eyes really tight, please lift your eyebrows.
8: snap finger by each ear and ask if he can hear.
10: please open wide and say ahhhh
11: please shrug your shoulders
12: please stick your tongue out and wiggle it.
Visual field: i use my finger and test nasal and temporal one eye at a time.
reflexes: i just do brachial and patellar and maybe babisnki
muscle strength: please extend your arms with palms facing up, then i place my hands on his arms and say do a biceps curl then i hold his wrists and say push out. then i test each leg please kick out and pull in while my hand is around his ankle.
sensation: i use the q tip for hard and soft, i test the finger tips, the fore arm, the shins and the dorsum of the feet.
Any input will be greatly appreciated.
