Silliman University Medical School
Dumaguete City
Patient-Doctor II
Neurologic Objective Structured Clinical Evaluation
Name of Student: _____________________________ Total Score: _________
Not done Inadequate Adequate
0 2 4
I. MENTAL STATUS EXAMINATION
a. Performs the MMSE by Folstein
II. CRANIAL NERVES
a. performs sniffing test
b. assess visual acuity/fields
c. do fundus examination
d. assess pupil response to light
e. check for all 6 cardinal positions
of gaze
f. assess the 3 sensory divisions of
CN V
g. assess motor function of CN V
(palpate temporal and masseter
muscles, ask patient to clench
teeth)
1. test for corneal reflex
h. assess CN VII (ask patient to raise
both eyebrows, frown, wrinkle
forehead, smile, or “show teeth”
i. assess auditory division of CN VIII
1. test for hearing (whisper to
patient with one ear of the
patient covered)
2. test for lateralization
3. perform Weber and Rinee
Tests
j. assess soft palate movement
1. ask patient to say “ah”
2. test for gag reflex
k. assess patient’s ability to cough
(CN X)
l. assess trapezius muscle strength
m. assess sternocleidomastoid muscle
strength
n. ask patient to protrude tongue and
to move it from side to side
III. MOTOR SYSTEM
a. assess muscle tone in the upper limbs
b. assess muscle tone in the lower limbs
c. assess muscle strength in the upper
extremities
1. shoulder abduction
2. elbow flexion
3. elbow extension
4. wrist flexion
5. wrist extension
6. hand grip
7. finger abduction
d. assess muscle strength in the lower
extremities
1. hip flexion
2. knee flexion
3. knee extension
4. ankle dorsiflexion
5. ankle plantar flexion
IV. REFLEXES
a. biceps reflex
b. triceps reflex
c. brachioradialis reflex
d. knee reflex
e. ankle reflex
f. plantar response
V. SENSORY SYSTEM
a. assess light touch in all four
extremities
b. assess pain in all four extremities
c. assess position sense in all four
extremities
d. assess vibration sense in all four
extremities
VI. COORDINATION
a. finger to nose to finger maneuver
b. fine finger movements
c. heel to knee to shin maneuver
d. do Romberg Test
e. assess gait
f. assess tandem gait
Examiner: _________________________________
