Table 1:

Suggested screening VNE

Mental status	Orientation: State date. Language and recent memory: Ask a question about recent events (e.g., pandemic). Assess fluency of speech and any obvious receptive or expressive aphasia or confusion. Attention: Count backward from 100 by 7’s.
Cranial nerves	Pupils: Observe for symmetry then reaction to light by having the patient cover and uncover each eye independently. Eye movements: Look in the nine cardinal positions of gaze with brief pause at each position. Saccades: Alternate gaze between upper right and left corner of screen, and then just above and below the screen. Facial strength: Lift eyebrows, squeeze eyes shut, show teeth, and purse their lips, observing for any asymmetry. Speech: Comment on dysarthria or dysphonia. Neck flexion: Turn head right and left and then shrug shoulders. Tongue: Observe the tongue at rest for bulk and fasciculations, then stick out tongue and move side to side.
Motor exam	Assess muscle bulk in upper and lower limbs Observe for abnormal movements in the limbs Assess for pronator drift and forearm rolling As a basic assessment of symmetric antigravity power, have the patient move through a full range of motion in both upper and lower limbs Perform 10 body-weight squats and unilateral heel raises (can be performed with gait assessment)
Sensory	Specific regions to test depend on reason for referral and sensory complaints (e.g., assessing a specific peripheral nerve distribution). As a general screen: Ask the patient to compare light touch (or cold using ice) on the index fingers of both hands and the top of the big toes.
Coordination	Rapid-alternating, finger-to-nose (or finger-to-object), and heel-to-shin movements Bradykinesia testing with finger tapping and opening/closing fist
Gait	Observe stance and ability to stand with feet together Observe gait, and ability to walk in tandem