semmelweis university 2 0 1 2 / 2 0 1 3

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SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE
Final examination
One can register for the exam only through the Neptun-system.
The final examination consists of:
1. practical part: neurological examination skills, decision making, tested at the bedside;
2. theoretical part: 3 theoretical questions.
Examinations start at 10 a.m. Students must present their index book, assessment form, case
report and in case of retake the permission from the Office of Dean.
On event of failing the earliest possible retake is 10 days later.
Official textbooks:
1. Arányi Zs., Kamondi A., Kovács T., Szirmai I.: Investigation of neurological patients
2. Adams: Principles of Neurology. McGraw-Hill
3. Lindsay,Bone,Callender:Neurology and Neurosurgery Illustrated. Churchill Livingstone
Other suggested books:
1. Marsden, Fowler: Clinical Neurology. Raven Press
2. Duus: Topical Diagnosis in Neurology. Thieme Medical Publishers
3. Gilroy: Basic Neurology. Pergamon Press
4. Weiner- Lewitt: Neurology of House Officer. Williams and Wilkins
5. Bannister: Brain an Bannister’s Clinical Neurology. Oxford University Press
6. Mumenthaler: Neurology. Georg Thieme Verlag.
6 th year Medical Student Clinical Neurology Learning Objectives
Neurologic History and Examination
1. Perform a competent history, noting the following factors:
A. Establish the onset, progression and character of the disorder identifying all related symptoms.
B. Perform a standard neurologic review of symptoms with regard to personality, memory, headaches, pain,
seizures, impairments of consciousness, vision, hearing, language function, swallowing, coordination, gait,
weakness, sensory alterations, sphincter disturbance, and involuntary movements.
2. Perform a neurologic examination
A. Perform a screening mental status examination to include:
level of consciousness assessment, and aphasia assessment.
B. Examine for meningismus, straight leg raising maneuver.
C. Cranial nerve examination
D. Motor examination including: tone, strength and bulk, pronator drift, abnormal movements.
E. Perform a reflex examination (muscle stretch reflexes, superficial reflexes, pathologic reflexes)
F. Coordination examination including finger-to-nose- test, heel-to-shin test, rapid alternating movements.
G. Gait examination: stance and Romberg test, gait, tandem gait, ability to rise from sitting, toe walking and
heel walking.
H. Perform sensory examination including primary modalities(pain, temperature, position, vibration)and
secondary/cortical modalities (stereognosis, graphesthesia, double simultaneous stimulation).
I. Acquire the following skills:
A. Anatomic and physiologic basis of the neurologic examination.
B. Competent history, physical and neurologic examination.
C. Localize the lesion using the clinical database.
D. Develop a differential diagnosis of the clinical problem.
E. Assess the acuteness of neurological diseases, recognize neurological emergencies.
F. Formulate a plan of investigation and management.
II. Describe the indications, techniques, results, contraindications and risks of the followings: