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7 Cards in this Set

  • Front
  • Back
Cranial Nerve # (...) has both motor and sensory components in three regions, the ophthalmic, maxillary, and mandibular branches.

Sensory Function:

-Use sharp implement, i.e., broken handle of cotton tip applicator
-Have patient close their eyes
-Touch sharp implement to Rt. & Lt. ...; Ophthalmic branch
-Touch sharp implement to Rt. & Lt. ...; Maxillary branch
-Touch sharp implement to Rt. & Lt. ... areas; Mandibular Branch
-Use wisp of cotton from the same cotton applicator for light touch to the lateral (sclera) portion of eye. CN # innervates the surface of the eye, while Cranial Nerve # innervates the closure of the eye reflex
5
Trigeminal
forehead
cheek
jaw
5
7
Cranial Nerve V (trigeminal) cont’d

Motor Function

-Place hands over ... regions lateral to the forehead and ask patient to close their jaw, Temporalis muscles (Ophthalmic motor)

-Place hands in front of the ... and again, ask patient to close jaw, then move side-to-side, Masseter Muscles (Maxillary motor)
temporal
TM joint
Upper motor neuron (UMN) or Central Nervous system (CNS):

-These are the nerves that comprise the motor pathway that begins in the ... and continue down the ...
-It should be remembered that the this pathway crosses over at the level of the ...
-UMN are neurons that have their cell bodies located in the ... or ...
brain
spinal cord
brain stem
brain
spinal cord
Sensory nerve testing:

... – These afferent nerves detect pain, temperature and crude touch. These nerves enter the spinal cord and then cross the cord in one or two vertebral levels of their entry point terminating in the cerebral hemisphere on the opposite side

... – These nerve detect position (proprioception), vibratory sensation and light touch. These nerve enter the spinal cord and stay on the same side of entry and cross to the opposite side at the level of the brain stem
Spinothalamic Nerves

Dorsal Column Nerves
Motor testing:

... – this is a subjective and dependent on age level of activity.

... Inspections - Looking for muscle group symmetry, palpation for underlying muscle mass. Look for evidence of muscle wasting and asymmetry

Observe for ... – Involuntary cyclic motion. Seen in various neuro-muscular disease often seen in hand and head and neck
Gross Appearance

Muscle Group

Tremors
Muscle stretch/Deep tendon reflex testing (DTR's):

patellar tendon (..., ... - ... nerve)

can test while sitting or supine
L3, L4 - Femoral nerve
Muscle stretch/Deep tendon reflex testing (DTR's):

Biceps (..., ... - ... nerve)

can test with their arm resting in lap or having it held by the examiner
C5, C6 - musculocutaneous nerve