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Which components are included in a basic neurological examination for suspected stroke?

Blood pressure and heart rate

Only gait

Mental status, facial symmetry, limb strength and tone, sensation, coordination, gait, reflexes, cranial nerves

The main idea is that a basic neurological exam for suspected stroke should quickly assess a broad range of brain and nerve functions to detect focal deficits. The best answer includes mental status to judge consciousness and cognition, facial symmetry to identify facial nerve or motor pathway problems, limb strength and tone to find weakness or spasticity, sensation to detect sensory loss, coordination to test cerebellar function, gait to observe walking and balance, reflexes to assess the integrity of reflex pathways, and cranial nerves to screen multiple brainstem and cranial nerve functions. Together, these domains cover the key areas a stroke patient may show—cognitive changes, facial weakness, limb weakness, sensory changes, coordination problems, abnormal gait, reflex abnormalities, and cranial nerve signs—allowing rapid localization and decision-making. While vital signs like blood pressure and heart rate are important for overall assessment, they do not constitute the neurological exam itself, and pediatric reflexes aren’t relevant in an adult stroke assessment.

Pediatric reflexes

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