Which of the following is NOT a top-level part of the neurological assessment?

The evaluation of reflex responses is not considered a top-level part of the neurological assessment. In a neurological assessment, the primary focus is on more direct indicators of neurological function, which include checking the pupils for reactivity and size, assessing motor functions such as strength and movement, and evaluating sensation in the skin and muscles. These three areas provide crucial information regarding the integrity of the central and peripheral nervous systems.

Reflex responses, while they can certainly provide additional information about neurological function, are typically seen as a more specific or secondary assessment aspect. They may be evaluated within a comprehensive neurological exam but do not constitute the core components that lead to an initial evaluation of a patient’s neurological status at a top level. Thus, the emphasis in the primary assessment remains on pupils, motor function, and sensation as fundamental components of the initial neurological evaluation.