The Neurocognitive Exam

Level of Consciousness

Alert, drowsy, asleep, obtunded, fluctuant

Level of Sedation

Aggressive, alert, drowsy, sedated, unrousable

Orientation

To time / place / person

Distractability

Serial 7s, WORLD backward, months backward

Digit Span

Repeat 3 numbers, 4 numbers, 5 numbers etc.

Speech

Expressive / receptive / articulation

Written & verbal comprehension, word repetition, object naming

Reading

Reading words or sentences out loud

Writing

Write a sentence containing a subject and verb

Retrograde Memory

Ability to recall recent and remote memories

Name, breakfast, medications, wedding day

Anterograde Memory

Ability to form new memories

Repeat back colour, animal, object 5 min later

Praxis

Copy an action with their hands; fist-palm-edge

Constructional Ability

Copy overlapping pentagons, wire cube, clock face

Visual Neglect

Inattention to one side, incomplete clock face

Conceptualisation

Ability to distill general ideas from information

What is the similarity between bananas & oranges?

Category Fluency

Words beginning with A, animals

Inhibitory Control

Tap when I tap once, do not tap when I tap twice