Browse all practice questions for the Neurological Screening Practice Test. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

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  • Which finding is most characteristic of a trochlear (CN IV) palsy?
  • Which test is used to assess parietal lobe function by recognizing writing on the palm?
  • How would you screen developmental milestones in a pediatric neurological screen?
  • Which nerve provides motor innervation to Extensor digitorum longus?
  • Which nerve supplies motor innervation to Extensor hallucis longus?
  • Which nerve motor innervation to quadriceps femoris?
  • Which pattern localizes to brainstem?
  • Which area is innervated sensorially by the ulnar nerve?
  • The axillary nerve roots are which levels?
  • What sensory distribution pattern is typical of many peripheral neuropathies?
  • Which forearm muscle is innervated by the median nerve and acts as a wrist flexor?
  • The ulnar nerve motor innervation includes which of the following?
  • Which muscles are innervated by the tibial nerve?
  • The intermediate cutaneous (femoral) nerve sensory innervation is which area?
  • How do you perform the pronator drift test and what does a positive result indicate?
  • Which area corresponds to the L4 dermatome?
  • Which of the following is a central sign of dizziness?
  • Which feature suggests subcortical pattern (basal ganglia or thalamus)?
  • The L3 dermatome maps to which body region?
  • The C3 myotome action tests which movement?
  • Which dermatome corresponds to sensation in the ulnar forearm?
  • Which compartment of the upper limb is primarily innervated by the radial nerve (motor)?
  • Which muscles constitute the ulnar nerve's wrist/hand innervation?
  • In an acute setting, how can you differentiate a migraine with aura from a stroke?
  • Which sign is commonly tested to raise suspicion for meningitis?
  • Which movement is tested by the L3 myotome?
  • Elbow flexion and wrist extension are tested by which myotome?
  • How do MoCA and MMSE differ, and what are common cutoff scores used in screening?
  • Which nerve supplies motor innervation to the deltoid and teres minor?
  • Which combination of dermatomes would include both the pinky and the ulnar forearm?
  • Which nerve supplies motor innervation to Tibialis anterior?
  • How is normal pressure hydrocephalus confirmed?
  • Which area is characteristic of the L5 dermatome?
  • Which reflex is tested at the L4-L5 level?
  • Which findings are assessed when screening cranial nerves IX and X, and which finding would indicate impairment?
  • Which of the following is a central sign of dizziness?
  • Which area corresponds to the L1 dermatome?
  • Which finding best localizes to the cerebral cortex?
  • Deep peroneal nerve sensory innervation:
  • What are the nerve roots that give rise to the ulnar nerve?
  • Common fibular nerve roots?
  • What does a relative afferent pupillary defect indicate?
  • Which feature most strongly suggests subcortical involvement (basal ganglia or thalamus)?
  • Which muscle is innervated by the radial nerve in the posterior arm/forearm?
  • Which nerve supplies motor innervation to the anterior compartment muscle that dorsiflexes the foot?
  • Which finding would indicate a sixth nerve (CN VI) palsy?
  • Which cortical sensory modalities are tested to assess parietal lobe function?
  • The sensory innervation to the anterior middle thigh is by which nerve?
  • Which reflex is tested at the L3-L4 level?
  • Which movement is associated with the S1 myotome action?
  • Which dermatome corresponds to sensation in the middle finger?
  • Which myotome action corresponds to C1-C2?
  • Common fibular nerve branches?
  • Posterior lateral leg and lateral heel sensory innervation is provided by which nerve?
  • What would a normal heel-to-toe tandem gait indicate about balance and proprioception?
  • Femoral nerve motor innervation:
  • Which nerve supplies lumbricals III and IV?
  • What is the typical lower-extremity dermatome range?
  • The L4 myotome action primarily tests which movement?
  • Thumb extension is tested by which myotome?
  • Triceps brachii reflex corresponds to which spinal level?
  • Which sign most directly indicates an upper motor neuron pathway disruption?
  • Which movement is tested by the L4 myotome?
  • The obturator nerve motor innervation includes which muscles?
  • Which nerve provides motor innervation to the thenar muscles?
  • In a Romberg test, a positive result helps localize impairment to which system?
  • The L1-L2 myotome action primarily tests which movement?
  • Which nerve provides motor innervation to Tibialis anterior?
  • Which statement best differentiates cortical sensory loss from peripheral sensory loss?
  • Which statement accurately describes the difference between primary sensory loss and cortical sensory loss?
  • Which dermatome corresponds to sensation on the lateral neck?
  • Which dermatome corresponds to sensation in the biceps area?
  • Which finding best distinguishes peripheral neuropathy from dorsal column disease when assessing proprioception and vibration?
  • Which pattern best localizes a lesion to the brainstem?
  • Musculocutaneous nerve roots are:
  • Which finding most directly indicates a cranial nerve III palsy?
  • Which nerve provides motor innervation to Extensor hallucis longus?
  • Which dermatome corresponds to sensation in the pinky (little finger)?
  • How do you screen autonomic function in a basic neurological assessment, including orthostatic changes?
  • In Weber’s test, lateralization to the affected ear indicates which type of hearing loss?
  • Which nerve provides motor innervation to Extensor digitorum longus?
  • What is the typical plantar reflex in a healthy adult when the sole is stimulated?
  • Which muscles are innervated by the median nerve for pronation?
  • Which of the following is a common examination finding in increased intracranial pressure?
  • What does tongue deviation on protrusion indicate?
  • Which method is used to assess two-point discrimination, and what does abnormal performance suggest?
  • Which muscle is innervated by the musculocutaneous nerve (motor innervation)?
  • Which of the following best lists the principal motor signs of Parkinson disease on exam?
  • T1 myotome action tests which movement?
  • Which nerve has root contributions from C6 to T1?
  • What are the components and score range of the Glasgow Coma Scale?
  • Obturator nerve roots are what?
  • Sensory innervation to the lateral knee is provided by which nerve?
  • Which dermatome corresponds to sensation at the back of the neck?
  • Which of the following is a hallmark upper motor neuron sign?
  • What is the defined dermatomal range for the entire upper extremity?
  • Which triad components comprise normal pressure hydrocephalus?
  • Which of the following is a red flag in headache history warranting urgent evaluation?
  • Superficial fibular nerve motor innervation?
  • How is the finger-to-nose test performed and what does dysmetria during this test indicate?
  • The axillary nerve provides sensory innervation to which area?
  • Which pattern localizes to cortex?
  • On the Medical Research Council scale for muscle strength, what is the lowest grade that represents no contraction?
  • Disorientation to time with intact person and place suggests which of the following?
  • How would you screen for aphasia, and how can you differentiate Broca’s from Wernicke’s aphasia on bedside testing?
  • Which statement is true about MoCA and MMSE in cognitive screening?
  • Impairment in stereognosis and graphesthesia most strongly indicates pathology in which brain region?
  • Which movement is associated with the S2 myotome action?
  • Which nerve innervates the flexor digitorum superficialis in the forearm?
  • Which pattern localizes to brainstem?
  • What are the key components of the FAST stroke screening tool, and what action is indicated if positive?
  • What is the Babinski sign and what does its presence indicate in adults?
  • Which finding strongly indicates cortical localization?
  • Which nerve provides motor innervation to the muscle that extends the toes on the dorsum of the foot?
  • Which statement about the axillary nerve is true?
  • Which feature is typical of a spinal cord lesion?
  • Which of the following is an LMN sign?
  • In a quick neurological screen for peripheral neuropathies, which test is commonly performed?
  • Lateral plantar nerve sensory innervation to which area?
  • Which nerve provides motor innervation to Fibularis tertius?
  • Which nerve provides motor innervation to the muscle that extends the big toe?
  • Which components are part of a bedside mental status examination?
  • Which dermatome corresponds to sensation over the acromion (shoulder tip)?
  • C7 deep tendon reflexes test which muscle?
  • Which dermatome corresponds to the shoulder region near the acromion?
  • Sural nerve sensory innervation:
  • The tibial nerve provides sensory innervation to which area?
  • Which nerve provides motor innervation to Extensor digitorum longus?
  • Which set of intrinsic hand muscles is innervated by the ulnar nerve at the wrist?
  • Lhermitte’s sign is classically associated with which condition?
  • Which muscle is innervated by the radial nerve in the forearm?
  • During a standard neurological screen, which reflexes are typically tested?
  • The motor innervation to Fibularis tertius is provided by which nerve?
  • Radial nerve sensory innervation covers which region?
  • The superficial peroneal nerve sensory innervation region is:
  • Which statement best describes focal onset seizures?
  • Which nerve provides motor innervation to the muscle that dorsiflexes the foot and inverts it, located in the anterior compartment?
  • Lateral plantar nerve sensory innervation:
  • Which two muscles are innervated by the axillary nerve?
  • Which nerve motor innervation includes obturator externus?
  • What does the Medical Research Council scale for muscle strength measure and how is weakness defined?
  • Which region is innervated by the medial cutaneous (femoral) nerve?
  • What is the Romberg test and how would a positive result contribute to localization?
  • Which tremor pattern is most characteristic of cerebellar disease or MS?
  • Which statement best differentiates a lower motor neuron facial palsy from an upper motor neuron palsy?
  • Finger abduction is tested by which myotome?
  • Pain and temperature sensations are mediated by which pathway?
  • Tibial nerve sensory innervation:
  • Which dermatome is commonly tested for sensation in the biceps region?
  • Obturator nerve sensory innervation is to which region?
  • The sensory distribution of the axillary nerve is best described as which region?
  • Sensory innervation of the median nerve includes which area?
  • Which nerve provides motor innervation to Extensor hallucis longus?
  • Which pattern best localizes lesion to brainstem?
  • C6 myotome action includes which movements?
  • How is the pupillary light reflex tested?
  • A positive Romberg test most specifically indicates impairment of which pathway?
  • Which nerve supplies the thenar eminence?
  • Wernicke’s aphasia is best described by which bedside finding?
  • Abnormal catch-up saccades on the head impulse test indicate what?
  • Which findings suggest a trigeminal nerve (CN V) lesion during facial sensation testing?
  • Which nerve innervates pronator teres?
  • Which sign indicates cortical involvement in sensory testing?
  • Which dermatome is associated with sensation in the little finger region?
  • Which statement best describes the standard deep tendon reflexes tested during a neurological screen and the significance of an upgoing plantar reflex?
  • What is Hoffmann’s sign and what does a positive result suggest?
  • Which area is characteristic of the S1 dermatome?
  • Tibial nerve motor innervation?
  • Which nerve roots contribute to the radial nerve?
  • The common fibular nerve branches into superficial and deep fibular nerves?
  • Which muscles comprise the motor innervation of the axillary nerve?
  • What gait patterns are typical of extrapyramidal disease and cerebellar disease?
  • Medial plantar nerve sensory innervation:
  • Which area corresponds to the L5 dermatome?
  • How can spasticity be differentiated from rigidity during passive movement testing?
  • The musculocutaneous nerve provides sensory innervation to which area?
  • Which nerve innervates the intrinsic foot muscles?
  • Which description correctly defines orthostatic hypotension in a basic neurological assessment?
  • Which action primarily tests cranial nerve XI function?
  • Which of the following is a component commonly included in a rapid cognitive screen?
  • Which dermatome corresponds to sensation in the thumb?
  • What is the full upper-extremity dermatomal range?
  • Which pattern localizes a lesion to the spinal cord?
  • C5-C6 deep tendon reflexes test which muscles?
  • Which sign is typical of cortical localization in motor control?
  • Which description best characterizes cortical sensory loss?
  • Which reflexes are tested at the S1-S2 level?
  • Describe the heel-to-shin test and its significance if dysmetria is observed.
  • Which area corresponds to the L3 dermatome?
  • Which pattern indicates subcortical involvement rather than cortical?
  • Tibial nerve roots?
  • The median nerve has roots from which levels?
  • Scapular elevation is associated with which myotome?
  • The L3 myotome action primarily tests which movement?
  • C5 myotome action tests which movement?
  • Sciatic nerve motor innervation includes which muscles?
  • Which signs would raise suspicion for meningitis in a neurological examination?
  • Which pattern is most characteristic of cortical involvement?
  • Which domains are assessed by a rapid cognitive screen such as MoCA or MMSE?
  • The median nerve provides motor innervation to which of the following?
  • C7 myotome action includes which movements?
  • Which pattern is typical for peripheral neuropathies?
  • Which movement corresponds to the L5 myotome action?
  • What is the significance of a brisk jaw reflex in the neurological exam?
  • Which nerve provides sensory innervation to the skin of the medial hand and the medial side of digit 4 and all of digit 5?
  • Which nerve innervates the flexor carpi ulnaris?
  • Which area corresponds to the L2 dermatome?
  • Which muscles are innervated by the radial nerve in the arm?
  • Sciatic nerve roots are?
  • C8 myotome action tests which movement?
  • C4 myotome action tests which movement?
  • Which muscles are innervated by the ulnar nerve in the forearm?
  • Which reflexes are tested at the L5-S1 level?
  • Which dermatome covers sensation at the top of the head during screening?
  • Which area corresponds to the S1 dermatome?
  • Right homonymous hemianopia most consistent with a lesion in which location?
  • How do you distinguish a resting tremor from an intention tremor, and which conditions are associated with each?
  • Which of the following hand muscles are innervated by the median nerve?
  • Damage to the axillary nerve would most directly impair which movement?
  • Which description best fits cerebellar ataxia?
  • What is the clock-drawing test used for in cognitive screening, and what would a poor performance indicate?
  • Which nerve provides motor innervation to Fibularis tertius?
  • Unilateral anosmia typically indicates a lesion in which area?
  • The hamstring portion of adductor magnus is innervated by which nerve?
  • What are the nerve roots for the femoral nerve?
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