[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317206-105":59,"doc-detail-317206-en":129},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":122,"head_meta":124,"extra_data":126,"updated_unix":128},105,"en","final-osce-checklist-neurological-examination","Final OSCE Checklist - Neurological Examination","","Final OSCE checklist for conducting a neurological examination, structured from initial patient interaction and setup to focused assessment tasks. Covers start-up steps such as requesting a chaperone, ensuring privacy, hand hygiene, and equipment readiness, then guides evaluation of general appearance, vital signs, stance and gait, and speech and language. Includes specific screening maneuvers for apraxia, Romberg, tone/clonus, power, pronator drift, and reflex symmetry with expected normal findings for each section.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/final-osce-checklist-neurological-examination/317206/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/final-osce-checklist-neurological-examination/317206.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-20",true,{"@type":101,"interactionType":102,"userInteractionCount":4},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What are the recommended start-up steps before starting the neurological exam?","Question",{"text":111,"@type":112},"Request a chaperone, introduce yourself, ask permission/ensure privacy, explain the exam and check equipment, warm and sanitize hands, confirm the room conditions, choose appropriate positioning, and expose the required areas.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"How do you assess stance and gait in this checklist?",{"text":116,"@type":112},"Inspect shoes, perform balance tasks such as narrow-base standing with eyes open then closed and the push/pull test, do a timed get-up-and-go test, and assess for foot drop using gait cues. Then evaluate normal walking, turning, stride length, arm swing, and specific gait variants (tip-toes, heels, heel-to-toe).",{"name":118,"@type":109,"acceptedAnswer":119},"What motor system components are included, and what are the normal expectations?",{"text":120,"@type":112},"The checklist covers inspection, tone + clonus, power, pronator drift, and reflexes. Normal expectations include no asymmetry or deformity, normal tone with no hypertonia or clonus, power 5/5 in four limbs, no pronator drift, and symmetric reflex responses.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},317206,1789929790,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":138,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":128,"read_time":36},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","| | \u003Cbr>Final OSCE Checklist\u003Cbr>Neurological Examination\u003Cbr>\u003Cbr>Done By:\u003Cbr>Omar Ibrahim Ahmad Yousef Zaid Abu Hassan\u003Cbr>Reviewed By:\u003Cbr>Almothana Khalil\u003Cbr>|\n| --- | --- |\n\n\n| COLOR CODE |  |\n| --- | --- |\n| Black: Comments\u003Cbr>Green: What you ask the patient to do | Gray: Clarification and Notes\u003Cbr>Blue: Examination Steps |\n| Start-Up:\u003Cbr>1. Request a chaperone.\u003Cbr>2. Introduce yourself.\u003Cbr>3. Ask for  Permission / Ensure  Privacy.\u003Cbr>4. Explain the examination / Check your Equipment.\u003Cbr>5. Warm and sanitize your hands.\u003Cbr>6. Check the Interior (warm, quiet, well-lit room) .\u003Cbr>7. Position: Several positions depending on the particular exam.\u003Cbr>8. Exposure: Expose the parts required for each exam.\u003Cbr>General Look (Foot of the Bed) :\u003Cbr>• Conscious, Alert, Orientated to person/place/time.\u003Cbr>• Assess using the Glasgow Coma Scale (GCS)– Normal is 15/15 .\u003Cbr>• No connections to medical equipment (catheters, IV lines, monitors) .\u003Cbr>• No respiratory distress.\u003Cbr>• Normal facial expression and general demeanor.\u003Cbr>• No abnormal/involuntary movements.\u003Cbr>Vital Signs:\u003Cbr>• BP, HR, RR, O₂ saturation, Temp. , BMI.\u003Cbr>Stance and Gait:\u003Cbr>• Look at shoes for abnormal wearing pattern.\u003Cbr>• Ask the patient to stand on a narrow base with eyes open, then closed (feet together) ; perform the push/pull test with safety precautions.\u003Cbr>• Perform a timed get-up-and-go test (\u003C12 sec normally) .\u003Cbr>• Listen for the slapping sound of a foot drop gait. |  |\n\n• Ask the patient to walk normally, turn around, and walk back. Assess stride length, arm swing, symmetry, balance, and turning.  \n• Ask the patient to walk first on tip of toes (S1 / plantarflexion) .  \n• Ask the patient to walk on their heels (L4-L5 / dorsiflexion) .  \n• Ask the patient to walk heel to toe in a straight line (tandem gait) .  \n➤ Normal stance and gait. No truncal ataxia . Normal heel, toe, and tandem walking.➤ Negative Romberg test (no sensory ataxia) , and no cerebellar ataxia .  \nSpeech and Language:  \n• Listen to the patient's spontaneous speech, noting volume, rhythm, clarity, fluency, and content (appropriateness) .  \n• Ask the patient to make sounds and repeat specific phrases:  \n. \"حرف الباء، مثال: بطة بيضاء \" Labial sounds: o  \n. \"حرف اللام، ، مثال: لعبة لارا \" Lingual sounds: o  \no Tongue twister: \" خيط حرير على حيط خليل\" .  \n• Ask the patient to count steadily to 30 to assess fatigue (Progressive weakness or nasal quality is suggestive of myasthenia gravis) .  \n• Ask the patient to cough and then ask them to say 'Ah'. Observe the soft palate rising bilaterally.  \n• Ask the patient to name a common object.  \n• Ask the patient to repeat a simple sentence (e.g. , المملكة الأردنية الهاشمية) .  \n• Give a simple three-stage command (e.g. , \"Take this paper, fold it in half, and place it on the table\") .  \n• Ask the patient to read a passage from a newspaper.  \n• Ask the patient to write a sentence; examine his handwriting.  \n➤ Speech is normal in volume, rhythm, articulation, and fluency, with appropriate content. There is no dysarthria, dysphonia, or fatigability. Labial and lingual sounds are intact. Cough is strong, and the palate elevates symmetrically on phonation. Naming, repetition, comprehension, reading and writing are intact.  \nApraxia  \n• Ask the patient to perform or imitate a familiar learned purposeful movement:  \no \"Show me how you brush your teeth.\"  \no \"Show me how you drink a cup of tea.\"  \n• Check for difficulty doing complex tasks like wearing clothes or drawing squares.  \n➤ No Apraxia .  \nMotor System Examination  \n1. Inspection  \n• Inspect for asymmetry, deformity, abnormal movement (fasciculation, tremors, and myoclonic jerks), and muscle wasting or hypertrophy.  \n• Palpate for bulk, hypertrophy, wasting, tenderness, and masses.  \n➤ No asymmetry, deformity, abnormal movements, or muscle wasting/hypertrophy.  \n2. Tone + Clonus  \n• Ask the patient togo floppy/relax and lay in a supine position . Warm your hands.  \n• Passively move the joints through a ","cbCaimdBwx5NlBh7","https://ap.wps.com/l/cbCaimdBwx5NlBh7","pdf",332692,16,"English","# Start-Up\n# General Look (Foot of the Bed)\n# Vital Signs\n# Stance and Gait\n# Speech and Language\n# Apraxia\n# Motor System Examination\n## Inspection\n## Tone + Clonus\n## Power\n## Pronator Drift\n## Reflexes","[{\"question\":\"What are the recommended start-up steps before starting the neurological exam?\",\"answer\":\"Request a chaperone, introduce yourself, ask permission/ensure privacy, explain the exam and check equipment, warm and sanitize hands, confirm the room conditions, choose appropriate positioning, and expose the required areas.\"},{\"question\":\"How do you assess stance and gait in this checklist?\",\"answer\":\"Inspect shoes, perform balance tasks such as narrow-base standing with eyes open then closed and the push/pull test, do a timed get-up-and-go test, and assess for foot drop using gait cues. Then evaluate normal walking, turning, stride length, arm swing, and specific gait variants (tip-toes, heels, heel-to-toe).\"},{\"question\":\"What motor system components are included, and what are the normal expectations?\",\"answer\":\"The checklist covers inspection, tone + clonus, power, pronator drift, and reflexes. Normal expectations include no asymmetry or deformity, normal tone with no hypertonia or clonus, power 5/5 in four limbs, no pronator drift, and symmetric reflex responses.\"}]","Final OSCE Checklist - Neurological Examination | PDF"]