Chapter 16 Health Assessment

Front 1

Cranial Nerve 1

Back 1

Olfactory: smell reception and interpretation

Front 2

Cranial Nerve 2

Back 2

Optic: visual acuity and visual fields

Front 3

Cranial Nerve 3

Back 3

Oculomotor: raise eyelids, most extraocular movements, pupillary constriction, change lens shape

Front 4

Cranial Nerve 4

Back 4

Trochlear: downward and inward eye movement

Front 5

Cranial Nerve 5

Back 5

Trigeminal: jaw opening and clenching, chewing and mastication

Front 6

Cranial Nerve 6

Back 6

Abducens: lateral eye movement

Front 7

Cranial Nerve 7

Back 7

Facial: movement of facial expression muscles (except jaw), taste (anterior two thirds of tongue)

Front 8

Cranial Nerve 8

Back 8

Acoustic: hearing and equilibrium

Front 9

Cranial Nerve 9

Back 9

Glossopharyngeal: voluntary muscles for swallowing, taste (posterior one third of tongue)

Front 10

Cranial Nerve 10

Back 10

Vagus: voluntary muscles of speech and swallowing

Front 11

Cranial Nerve 11

Back 11

Spinal accessory: turn head, shrug shoulders

Front 12

Cranial Nerve 12

Back 12

tongue movement for speech and swallowing

Front 13

Vertigo

Back 13

patient feels as if room is spinning

Front 14

Dizziness

Back 14

patient feels as if they are spinning

Front 15

Dysphagia

Back 15

Difficulty swallowing

Front 16

Dysphasia/Aphasia

Back 16

impairment of speech/absence of speech

Front 17

Test eyes for visual acuity

Back 17

test optic nerve (CN 2) for visual acuity using Snellen's chart

Front 18

Test eyes for peripheral vision

Back 18

The presence of peripheral vision indicates function of the optic nerve (CN 2)

Front 19

Observe eyes for extraocular movement

Back 19

the oculomotor (CN 3), trochlear (CN 4), and abducens (CN 6) nerves are tested together because they control muscles that provide eye movement.

Front 20

Observe eyes for pupillary size, shape, equality, constriction and accommodation

Back 20

Pupils should appear equal, round, and reactive to light and accommodation (PERRLA)

Front 21

Evaluate face for movement and sensation

Back 21

evaluate the trigeminal nerve (CN 5) for facial movement and sensation.

Front 22

Test hears for hearing

Back 22

evaluate the acoustic nerve (CN 8) for hearing. Assessment of sensorineural hearing loss using the Rinne and Weber's test

Front 23

Test the tongue for movement, symmetry, and strength

Back 23

evaluate the hypoglossal nerve (CN 12) by observing movement and symmetry of the tongue.

Front 24

Muscles the spinal accessory nerve (CN 11) effects

Back 24

sternocleidomastoid and trapezius

Front 25

Why do we test cerebellar function

Back 25

for balance and coordination. Perform Romberg test. Have patient stand up and close eyes. If they take a step that is a positive Romberg test. Negative Romberg test is normal.

Front 26

intention tremor

Back 26

an involuntary muscle contraction during a purposeful movement of an extremity is not moving