NEUROLOGICAL ASSESSMENT- EXAM QUESTIONS FULLY SOLVED LATEST 2025-2026 (GRADED A+)
Neurological exam includes: - Answers mental status, cranial nerve, sensory, motor and reflexes
three major functioning units - Answers spinal cord( lowest functional level, controls automatic motor
responses), brain stem ( controls bp, respiration), corticol ( cognition)
Central Nervous System - Answers receives it blood supply from 2 internal arteries and 2 vertebral
arteries that join together form the basilar artery (** blood supply 15-25% of total cardiac output that
goes into the brain) ** three major units: cerebrum, cerebellum, brainstem
Cerebrum - Answers frontal lobe: personality, judgment, abstract thinking, social behavior
parietal lobe: sensation and aware of bodys shape
temporal: hearing
occipital: vision
cerebellum - Answers helps with movement and motor process, works with vestibular system (cranial
nerve 8)- produce steady and precise movements
brain stem - Answers breathing, heart rate, blood pressure, swallowing and coughing
diencephalon - Answers hypothalamus: maintain body temp, emotions, hunger, thirst, circadian rhythm
thalamus- sensory processes( pain, temperature control)
Severe brain stem injury : decerebrate posture: - Answers flexed out
severe brain stem injury: decorticate posture - Answers flexed inward toward core: WORSE
CNS: spinal cord and tracts - Answers 40-50 cm length, 2 tracts descending and ascending tract, common
pathway
Descending tract - Answers carries MOTOR impulse from the brain ( meter motor*)
ascending - Answers carries SENSORY data to the brain (ahhhh, touch stove)
ANS- sympathetic system - Answers fight or flight ( responds to stressor)
ANS- parasympathetic - Answers rest or digest ( balancing and conservation)
Dermatones - Answers 2 point discrimination- (bigger ones on back, can't feel two points as you get
closer)
CN 1 - Answers olfactory nerve: smell
- make sure no inflammation
, CN2 - Answers optic nerve
- snellen chart
- fundascopy
- confrontation test
CN 3, 4, 6` - Answers ocular motor never ( movement of eye)
- look for nystagus ( jerking of movement
- drooping of eyelip
- lazy eye
- D (distance, dilate)
- C ( constrict, converge)
CN 5 - Answers Trigeminal ( motor- puff out cheeks, sensory- cotton wisp, mandibular- clench teeth
together)
CN 7 - Answers facial nerve
- raise eyebrowns and frown
- show their teeth
- whistle
CN 8 - Answers Ear
- rhomberg test ( swaying)
- whisper test
-clock test
- WEBER- tuning fork
-rinne test ( on mastoid and then in front of ear)
CN 9 - Answers glossaphargeal- tongue
- gag reflex before they eat
CN 10 - Answers vagus nerve (9+10 done together)
** rectal temp
Neurological exam includes: - Answers mental status, cranial nerve, sensory, motor and reflexes
three major functioning units - Answers spinal cord( lowest functional level, controls automatic motor
responses), brain stem ( controls bp, respiration), corticol ( cognition)
Central Nervous System - Answers receives it blood supply from 2 internal arteries and 2 vertebral
arteries that join together form the basilar artery (** blood supply 15-25% of total cardiac output that
goes into the brain) ** three major units: cerebrum, cerebellum, brainstem
Cerebrum - Answers frontal lobe: personality, judgment, abstract thinking, social behavior
parietal lobe: sensation and aware of bodys shape
temporal: hearing
occipital: vision
cerebellum - Answers helps with movement and motor process, works with vestibular system (cranial
nerve 8)- produce steady and precise movements
brain stem - Answers breathing, heart rate, blood pressure, swallowing and coughing
diencephalon - Answers hypothalamus: maintain body temp, emotions, hunger, thirst, circadian rhythm
thalamus- sensory processes( pain, temperature control)
Severe brain stem injury : decerebrate posture: - Answers flexed out
severe brain stem injury: decorticate posture - Answers flexed inward toward core: WORSE
CNS: spinal cord and tracts - Answers 40-50 cm length, 2 tracts descending and ascending tract, common
pathway
Descending tract - Answers carries MOTOR impulse from the brain ( meter motor*)
ascending - Answers carries SENSORY data to the brain (ahhhh, touch stove)
ANS- sympathetic system - Answers fight or flight ( responds to stressor)
ANS- parasympathetic - Answers rest or digest ( balancing and conservation)
Dermatones - Answers 2 point discrimination- (bigger ones on back, can't feel two points as you get
closer)
CN 1 - Answers olfactory nerve: smell
- make sure no inflammation
, CN2 - Answers optic nerve
- snellen chart
- fundascopy
- confrontation test
CN 3, 4, 6` - Answers ocular motor never ( movement of eye)
- look for nystagus ( jerking of movement
- drooping of eyelip
- lazy eye
- D (distance, dilate)
- C ( constrict, converge)
CN 5 - Answers Trigeminal ( motor- puff out cheeks, sensory- cotton wisp, mandibular- clench teeth
together)
CN 7 - Answers facial nerve
- raise eyebrowns and frown
- show their teeth
- whistle
CN 8 - Answers Ear
- rhomberg test ( swaying)
- whisper test
-clock test
- WEBER- tuning fork
-rinne test ( on mastoid and then in front of ear)
CN 9 - Answers glossaphargeal- tongue
- gag reflex before they eat
CN 10 - Answers vagus nerve (9+10 done together)
** rectal temp
