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15 Cards in this Set

  • Front
  • Back
CN 1

olfactory


test coffee or soap in a cup


close eyes and smell one nostril @ a time

CN II

-optic nerve


-visual field testing: look @ examiner's nose, use fingers on either side have pt say how many you're holding up, or see which sd is moving)

CN II and III

-optic and occulomotor


-pupil light reflex


-swinging flashlight


-accomodation

CN III, IV, VI
vertical and horizontal smooth pursuits
CN V

-trigeminal nerve


-Facial sensation


-corneal reflex


-masseter palpation


-jaw jerk reflex

CN VII

-facial nerve


-facial mms (smile, show teeth, pop cheeks, close eyes)


-taste (salt/sugar w/ cotton swab)


-hearing (colse eyes, Rinne and Weber test


-positional vertigo (lay pt down from sitting with head turned to one sd)

CN IX, X
-open mouth and say Aah (look for symmetrical palate elevation
CN V, VII, IX, X, XII
say PAPAPAPA, TATATATA, GAGAGAGA
CN XI
MMT sternoclidomastois/trapezius

CN XII
-tongue protrusion
Sensory Exam (8)

1. pin prick (sharp/dull)


2. temperature


3. vibration (tuning fork on back of big toe/toes)


4. joint position (pt closes eyes, move their finger slightly up or down or L or R)


5. 2 p-d


6. graphesthesia (write # on palm of hand)


7. Stergnosis (place object in hand)


8. Tactile extinciton (close eyes touch face/hands L/R)

Coordination (6)

1. Rapid alternating movements (thigh slaps)


2. Precision finger tap


3. Finger-nose-finger


4. Heel-shin


5. Overshoot


6. Rhomberg test (eyes closed, perturbations from sides)

Vestibular Test

Fakuda's step test: rule out unilateral vestibulopathy


-arms out and march for 50 steps


-more than 30 degrees rotation is BAD

Motor Exam (6)

1. atrophy/fasciculation (present or not?)


2. muscle tone (bilaterally test biceps, triceps, pronators, supinators)


3. drift (hands up close eyes, shake head saying no)


4. rapid hand movements (tap fingers on table as fast as you can R and then L - or screw in "lightbulb" R and then L - or hand on thigh tap)


5. rapid foot tapping (tap toes as fast as possible, R and then L)


6. muscle strength testing (compare bilaterally)

Gait (3)

-Ordinary Gait (walk towards me, turn around, walk towards wall 2x)


-Tandem Gait (take heel and touch to toe and walk toward me then go backwards)


-forced gait (outside of feet, toes, heels, hop on R/L)