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12 Cards in this Set
- Front
- Back
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After greeting the patient, washing your hands,explaining the procedure and obtaining permission, what’s the first cranial nerveyou test and how? |
CN I: Olfactory Ask if patient has noticed anyloss of smell |
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After Olfactory Nerve (CNI) whatnerve do you test and how? |
CN II: Optic Visual acuity: Snellen Chart. Ifdeficits; Pinhole test > Light test Visual field: Wiggle finger inquadrants of visual field Blind spot: Disappearing pen Examination of the fundus: Opthalmoscope |
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After Optic Nerve (CNII), what nerves do you test andhow? |
CN III: Oculomotor, CN IV: Trochlea Pupil test (CNII and CN III): Direct response,Consensual response, Afferent pupillary defect. Eye movements (CNIII, IV & VI): H-Test,Nystagmus test |
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AfterOculomotor, Trochlea, and Abducens, which nerve do you test and how? |
CN V: Trigeminal Broken up into sensory and motor |
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What are the sensory tests for Facial Nerve CN V? |
Corneal reflex (CN V and CN VII) Facial sensation |
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What are the motor tests for Facial Nerve CN V? |
Muscles of mastication: Get pt. to clench teeth.Palpate muscles. Jaw jerk |
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After testing Trigeminal Nerve (CN V), what comes next andhow do you test? |
CN VII: Facial Inspect for facial asymmetry (drooping mouth,nasolabial fold) Test muscle power: Raise eyebrows, puff cheeks,shut eyes tightly, grin. Check for Bell’s phenomenon Offer to check for taste on anterior 2/3rds oftongue |
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After testing Facial Nerve (CN VII), what comes next andhow do you test? |
CN VIII: Vestibulocochlear Whispered voice test Rinne’s test (Tuning fork on mastoid process) Webber’s test (Tuning fork on forehead centre) |
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After testing Vestibulocochlear CN VIII, which nervescome next and how? |
CN IX: Glossopharyngeal and CN X: Vagus Inspect palate with torch / say aah:Displacement or asymmetry of uvula Gag reflex: Touch back of phalamax with spatula Assess voice for hoarseness |
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After testing CN IX and CN X, what do you testnext? |
CN XII: Hypoglossal (because mouth still) Inspect tongue at rest: Looking for wasting andfasciculations Stick out tongue: Looking for deviation. Push tongue against cheek, each side. |
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After CN XII, what do you test next? |
CN XI: Spinal Accessory Shoulder shrug Head turn against resistance |
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Exam is finished. |
Bye. |
