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59 Cards in this Set
- Front
- Back
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Appears normal or slight impairment. |
Functional |
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Moderate impairment that effects degree of active motion. |
Weak Functional |
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Severe impairment |
Nonfunctional |
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Absent |
Absent |
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What are 12 Facial Nerves? Which are just Sensory? Which are just motor? |
1,2,8 3,4,6,11,12 |
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A possible abnormal finding with olfactory nerve? |
-Anosmia (usually seen with frontal lobe lesion). |
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How far should snellen chart be from individual while testing optic nerve? |
-20 feet. with glasses. ** one eye at a time. |
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Oculomotor nerve does what? What muscle does it innervate? |
Pupilloconstrictor. Levator palpebrae superioris. |
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Holds against light resistance; all of iris visible. |
F Holds. |
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Takes no resistance; can open eye, but only part of iris is visible. |
-Weak Functional |
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Unable to open the eye; iris is almost completely covered. |
-Non-functional. |
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Paralysis of volitional lid elevation; drooping of upper eyelid. Which nerve? Eye abducted and turned down? Pupil? |
-Ptosis -CN 3. (Oculomotor) -Dipoplia -Dilated and fixed to light. |
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What happens to lens and eye movement if CN 3 is effected? |
-Loss of lens thickening. -Eye can not look upward, downward, or inward. |
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What muscle does trochlear nerve innervate? What is its action? A lesion will cause what? |
-Superior Oblique -Depression of the eyeball. -Limited depression when eye is adducted. |
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Abducens Nerve innervates what? Whats its action? Paralysis will cause? |
-Lateral Rectus -Abduction of eyeball. -Eyeball is turned medially and cannot be abducted. |
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Test we can do to test CN 3, 4, and 6? |
Tracking. *First with one then with both eyes. |
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Immediate tracking, full range, smooth. |
Functional |
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Not possible to distinguish adequately - need detailed testing by ophthalmologist. |
-WF and NF (Tracking) |
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Which muscles do trigeminal nerve innervate? |
-Muscles of mastication. |
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When do we avoid manual muscle testing of CN 5? |
Tender TMJ and Crepitus. |
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Manual Muscle Testing CN 5 (Jaw). Jaw opening? |
Lateral pettygoid and supra hyoid muscles. |
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Jaw closure |
Masseter, temporalis, medial pterygoid. |
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Lateral jaw deviation |
lateral pterygoid and medial pterygoid. |
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Jaw protrusion |
Lateral pterygoid and medial pterygoid. |
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Two sensory tests for Trigeminal nerve (5). |
-Corneal Reflex (cotton ball on eye). -Jaw Reflex (finger on chin, tap finger, slight closing). |
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Peripheral vs. Central Lesions of Facial Nerve (7). -peripheral -Central |
- Flacid paralysis of same side. -Paresis of contralateral lower face ONLY. |
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muscle testing of face: Closes eyes tight, resist. Frown, resist. Raise eyebrows, resist Wrinkles bridge of nose, resist. Closes lips, resist Compresses cheeks, resist. |
-Orbicularis Oculi -Corrugator Supercilii -Frontalis -Procerus -Orbicularis -Buccinator |
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Sensory function for CN 7? |
-Sugar and salt on anterior portion of tongue. |
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How do we test Vestibular function for CN 8? |
-Test balance - Romberg Test. - eye-head coordination. (eyes with head rotation) |
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Testing cochlear function of CN 8? |
-Close patients eyes and make noises in each ear. -Weber Test (fork on top of head). -Rinne Test (fork on mastoid bone, then ear canal). |
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Sensory testing CN (9)? With Vagus? |
Post 1/3rd tongue and mid ear (not usually tested). -Gag Reflex. |
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Loss of symmetrical movement in what can be heard when patient says "ah" |
-Vocal Chords and Soft Palate. |
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Testing motor for Vagus nerve (10)? |
-Examine difficulty in swallowing. - hyoid bone moves up. |
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When testing motor of Vagus. Listen for quality of voice. Hoarseness denotes? Nasal quality denotes? |
-Vocal Cord Weakness. -Palatal Weakness. |
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Which muscle strength test should we do for Spinal Accessory? |
Upper trap and Sternocleidomastoid muscles. |
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Hypoglossus (CN 12) does motor for all muscles of the tongue except? |
Palatoglussus. |
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How to test hypoglossal nerve motor function? |
Resistance with tongue blade. Protrusion, lateral movement, posterior elevation "humps mid tongue". Channeling and Curling. |
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CN 1-7 exit _____ the cervical vertebra with the corresponding number. CN 8 exits _____ the 7th cervical vertebra. |
-Above -Below |
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Reflexes at the cervical level? |
-Biceps - C5 -Brachioradialis - C6 -Triceps - C7. |
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Brachioradialis innervated by which nerve? Where do we tap? |
-Radial -Distal end of radius. |
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Sensory Distribution at cervical level. Lateral Arm |
-C5 and Axillary nerve. |
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Lateral forearm, thumb, index, and half of middle finger. |
C6 - Musculocutaneous. |
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Middle Finger |
C7 - Median nerve |
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Ring and little finger |
-C8 and Ulnar Nerve |
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Median Arm |
T1 - Medial Brachial Cutaneous nerve. |
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Cervical motor Function C1-C2 C3 C4 C5 C6 C7 C8 T1 |
-Neck Flexion -Neck lateral Flexion -Shoulder Elevation -Shoulder Abduction -Elbow flex/wrist Flex -Elbow ext/ wrist ext. -Thumb Ext/Finger Flex. -Finger ABDuction. |
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Lumbar Level Reflex Testing. |
Patellar Reflex. |
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Patellar Reflex tests which nerves? |
L2,3,4, but PRIMARILY 4. |
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Lumbar level motor function: L1-L2 L3 L4 L5 |
-Hip Flexion
-Knee Extension -Ankle Dorsiflexion -Great Toe Extension |
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Lumbar level sensory testing Crosses anterior portion of the middle thigh. |
-L2. |
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Sensory: Spans the anterior thigh above the knee joint. |
-L3. |
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Sensory: Crosses the knee and medial Leg |
-L4. |
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Sensory: Covers lateral leg and dorsum of foot. |
-L5. |
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Sacral Level Reflex Testing: |
Achilles Tendon Reflex (S1). (put achilles in slight stretch by dorsiflexion of foot then tap with hammer). |
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Sacral level motor function. S1 S2 |
-Ankle Eversion, Plantar flexion, and hip extension. -Knee flexion |
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Sensory testing at sacral level. -Lateral aspect of foot. |
-S1. |
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-Sensory Posterior thigh |
S2 |
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Sensory: Popliteal Fossa |
S2 |
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Deep Tendon Reflex grading. 0 1 2 3 4 |
-No reflex response -Minimal reflex respones -Moderat Reflex Response -Brisk, strong reflex response -Clonus. |
