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34 Cards in this Set
- Front
- Back
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Testing the Optic Nerve (CNII) |
Visual Acuity Visual fields Fundoscopic Exam |
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Testing the Oculomotor Nerve (CN III) |
Pupillary Light Response Accomodation Convergence EOM's Observe for ptosis |
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Testing the Trochlear Nerve (CN IV) |
Looking at downward, inward movement of the eye
Tested with III and VI |
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Testing the Abducens Nerve (CN VI) |
Lateral deviation of the eye
Tested with III and VI |
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Testing the Trigeminal Nerve (CN V) (Motor) |
Palpate temporal and masseter muscle while patient clenches teeth |
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Testing the Trigeminal Nerve (CN V) (Sensory) |
Test light touch and sharp and dull in each branch
Check corneal reflex |
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Testing the Facial Nerve (CN VII) (Motor) |
Raise eyebrows Frown Close eyes tightly while you try to open them Show teeth Smile Puff out cheeks |
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Testing the Acoustic Nerve (CN VIII) |
Gross hearing Weber Rinne |
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Testing the Glossopharyngeal Nerve (CN IX) |
Check swallowing Look for symmetrical movements of soft palate |
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Testing the Vagus Nerve (CN X) |
Tested with CN IX
Note quality of patient's voice |
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Testing the Spinal Accessory Nerve (CN XI) |
Turn head to each side Shrug shoulders
Then do both against resistance |
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Testing the Hypoglossal nerve (CN XII) |
Inspect tongue Move tongue from side to side Push tongue against inside of each cheek as you palpate for external strength |
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Ankle Reflex |
S1 |
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Knee Reflex |
L2, L3, L4 |
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Supinator Reflex |
C5, C6
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Biceps Reflex |
C5, C6 |
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Triceps Reflex |
C6 and C7 |
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Superficial Upper Abdominal Reflex |
T8, T9 and T10 |
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Superficial Lower Abdominal Reflex |
T10, T11, T12 |
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Cremasteric Reflex |
T12, L1, L2 |
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Plantar Reflex |
L5 and S1 |
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Hemisensory Loss |
Suggests lesion in opposite cerebral hemisphere |
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Symmetric Distal Sensory Loss |
Suggests Polyneuropathy |
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Cause of Vibration Sense Loss |
Diabetes Alcoholism Tertiary syphilis Vit B12 deficiency |
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Cause of position sense loss |
Multiple Sclerosis Vit B12 deficiency tabes dorsalis -- from untreated syphilis |
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Desciminative Sensations |
Point Localization Extinction 2-point discrimination Graphesthesia Sterognosis |
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Hyperreflexia |
CNS lesions along the descending corticospinal tract
Look for weakness, spasticity or positive babinski sign |
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Hyporeflexia |
Disease of the spinal nerve roots, spinal nerves, plexuses, or pheripheral nerves
Look for weakness, atrophy, fasciculations |
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Lesions of Cerebral Hemisphere |
Deficits in intellect, memory or higher brain function |
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Lesions of brainstem or bilateral cerebral damage |
Deficits in conciousness |
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LMN lesion at the spinal cord, spinal root, plexus or peripheral nerve level |
paralysis with loss of DTRs |
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UMN lesion at cerebral hemisphere, brain stem or spinal cord |
Paralysis with accentuated DTRs (spasticity) |
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Unilateral lesion of the spinal cord ipsilateral to the loss of touch and position |
Unilateral loss of touch and position sensation and contralateral loss of temperature and pain sensation |
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LMN Lesion; w/o fasciculation, |
Muscle atrophy with fasiculation |
