Cranial Nerve Exam

Question 1

CN 2, 3, 4, & 6: (i.e. Eye Stuff)

Answer 1

1. Visual Acuity (OD, OS, OU), 2. Pupil Reaction (direct / consensual), 3. Accommodation, 3. Convergence, 4. Extraoccular Movements, 5. Fundoscopy

Question 2

CN 5:

Answer 2

1. SENSORY: sharp/soft/dull on Opthalmic, Maxillary, Mandibular. 2. MUSCULAR: Masseter, Temporalis, Pterygoidius.

Question 3

CN 7:

Answer 3

Elevate eyebrows, close eyes tightly (to resistance), puff out cheeks (resist pressure), smile and show teeth

Question 4

CN 8:

Answer 4

Whisper test

Question 5

CN 9 & 10:

Answer 5

Say “Ah,” swallow, gag reflex

Question 6

CN 12:

Answer 6

Extend tongue in midline & test lateral strength of tongue by pressing on cheek bilat

Question 7

CN 11:

Answer 7

Place hand on cheek & turn head to resistance (SCM), Shrug shoulders against resistance (Trapezius)

Question 8

All Together Now:

Answer 8

Visual Acuity, Pupils, Accommodation, Convergence, Extraoccular, Fundoscopy, Soft/Sharp/Dull on Trigeminal, Flex temporalis/masseter/ptergoydius, Raise eyebrows, Close eyes to resistance, Puff cheeks to resistance, Smile and show teeth, Whisper Test, Swallow, Stick out tongue and say “ah,” Gag reflex, Tongue to each cheek w/resistance, SCM/Trapezius