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9 Cards in this Set

  • Front
  • Back
Olfactory
(not tested routinely unless report of deficit)

assess patentcy by closing one nostril at a time and sniffing

asymmetry is important abnormal
Cranial Nerve I
Optic

visual acuity test

use opthalmoscpoe to examine the ocular fundus to determine color, size, and shape of optic disc
Crania Nerve II
Oculomotor
Trochlear
Abducens

pupils for size, regularity, equality, direct/consensual light reactions & accomodation

cardinal positions of gaze

nystagmus - oscillation of eyes back & forth
Cranial Nerves III, IV, VI
Trigeminal

motor function - palpate temporal and masseter muscles as person clenches teeth, s/b equal

try to separate jaws by pusing on chin, should not be able to

test light touch with a cotton wisp, ask person to say when they feel it

corneal reflex - only with abnormal facial mvmt.
lightly touch cornea with cotton wisp, s/b bilateral blinking
Cranial Nerve V
Facial
corneal reflex - only with abnormal facial mvmt.
lightly touch cornea with cotton wisp, s/b bilateral blinking

motor function - mobility/facial symmetry - "smile, frown, close eyes tight (while you try to open them), lift eyebrows, show teeth, puff cheeks (try to push air out - should escape equally)

sensory function - test only when suspect facial nerve injury - sense of taste - solution of salt, sugar, lemon
Cranial Nerve VII
Acoustic (Vestibulocochlear)

hearing acuity by:

hear normal conversation?
whispered voice test?
Weber & Rinne tuning fork tests
Cranial Nerve VIII
Glossopharyngeal and Vagus Nerve

Motor Function - depress tongue with tongue blade and note pharyngeal movement as person says "ahh" - uvula, tonsil movement - symmetrical?

gag reflex

does voice sound smooth?
Cranial Nerves IX and X
Spinal Accessory Nerve

sternomastoid & trapezius muscles

rotate head against resistance applied to side of chin
shrug shoulders against resistance

look for symmetrical strength
Cranial Nerve XI
Hypoglossal Nerve

inspect the tongue - s/b no wasting or tremors

forward thrust s/b midline

say "light, tight, dynamite" - look for clear distinct speech
Cranial Nerve XII