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9 Cards in this Set
- Front
- Back
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Olfactory
(not tested routinely unless report of deficit) assess patentcy by closing one nostril at a time and sniffing asymmetry is important abnormal |
Cranial Nerve I
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Optic
visual acuity test use opthalmoscpoe to examine the ocular fundus to determine color, size, and shape of optic disc |
Crania Nerve II
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Oculomotor
Trochlear Abducens pupils for size, regularity, equality, direct/consensual light reactions & accomodation cardinal positions of gaze nystagmus - oscillation of eyes back & forth |
Cranial Nerves III, IV, VI
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Trigeminal
motor function - palpate temporal and masseter muscles as person clenches teeth, s/b equal try to separate jaws by pusing on chin, should not be able to test light touch with a cotton wisp, ask person to say when they feel it corneal reflex - only with abnormal facial mvmt. lightly touch cornea with cotton wisp, s/b bilateral blinking |
Cranial Nerve V
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Facial
corneal reflex - only with abnormal facial mvmt. lightly touch cornea with cotton wisp, s/b bilateral blinking motor function - mobility/facial symmetry - "smile, frown, close eyes tight (while you try to open them), lift eyebrows, show teeth, puff cheeks (try to push air out - should escape equally) sensory function - test only when suspect facial nerve injury - sense of taste - solution of salt, sugar, lemon |
Cranial Nerve VII
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Acoustic (Vestibulocochlear)
hearing acuity by: hear normal conversation? whispered voice test? Weber & Rinne tuning fork tests |
Cranial Nerve VIII
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Glossopharyngeal and Vagus Nerve
Motor Function - depress tongue with tongue blade and note pharyngeal movement as person says "ahh" - uvula, tonsil movement - symmetrical? gag reflex does voice sound smooth? |
Cranial Nerves IX and X
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Spinal Accessory Nerve
sternomastoid & trapezius muscles rotate head against resistance applied to side of chin shrug shoulders against resistance look for symmetrical strength |
Cranial Nerve XI
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Hypoglossal Nerve
inspect the tongue - s/b no wasting or tremors forward thrust s/b midline say "light, tight, dynamite" - look for clear distinct speech |
Cranial Nerve XII
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