You are currently viewing Physical & Neurologic Examination In Dementia Mnemonic

Here is a quick mnemonic “RESPONSIBLE FOR to remember about Physical & Neurologic Examination In Dementia

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Physical & Neurologic Examination In Dementia : How To Remember Easily ?

  • R – Rigidity and gaze palsy may suggest FTD or DLB.
  • E – Examination of motor systems in AD is typically spared until late.
  • S – Signs of lower brainstem problems may precede parkinsonism or dementia in DLB.
  • P – Progressive supranuclear palsy (PSP) is associated with falls, rigidity, dysphagia, and gaze deficits.
  • O – Ongoing limbic, temporal, or frontal seizures may manifest as fluctuating confusion with repetitive movements.
  • N – Neurologic deficits like hemiparesis indicate vascular dementia or brain tumor.
  • S – Sensorineural hearing loss in a young patient with short stature or myopathy may indicate a mitochondrial disorder.
  • I – Impairment of hearing or vision in the elderly may lead to confusion and disorientation mistaken for dementia.
  • B – Bradykinesia, cogwheel rigidity, and resting tremor may be present in DLB.
  • L – Lower brainstem symptoms such as RBD, gastrointestinal issues, or autonomic problems can precede parkinsonism or dementia in DLB.
  • E – Executive dysfunction, aphasia, or behavioral disorders may be seen in corticobasal syndrome (CBS).
  • F – Focal neurologic deficits may suggest vascular dementia or brain tumor.
  • O – Other causes of peripheral neuropathy include vitamin deficiencies, heavy metal intoxication, thyroid dysfunction, Lyme disease, or vasculitis.
  • R – Repetitive stereotyped movements associated with fluctuating confusion may indicate ongoing seizures.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department