Cranial Nerves Flashcards
face is drooping on left, unable to taste sweet, difficulty smelling
- -facial and olfactory—
- raise eyebrows
- close eyes tightly
- puff cheeks
- smile
- frown
- show teeth
- ask about taste of sweet/salty/sour anterior tongue
- check nose obstruction
- occlude each nostril, check smells
double vision when looking to left, larger pupil on right, right eye ptosis
- –oculomotor and trochlear—
- direct light
- indirect light
- accomodation
- check for ptosis
- extraocular movts
difficulty turning head to left. right shoulder feels weak, difficulty blowing bubbles, bites tongue
- –spinal accessory & hypoglossal-
- inspect, palpate, test traps
- inspect, palpate, test SCM
- inspect tongue for fasiculations, deviations, atrophy
- tongue in cheek test
difficulty swallowing and change in ability to taste beer, and coffee. at times heart is racing
- -glossopharyngeal & vagus—-
- hoarseness
- uvula reflex
- gag reflex
- swallow while palpate
- carotid sinus reflex
- ask about change in taste of posterior tongue
dizziness and loss of balance when looking left. difficulty hearing with left ear
- –Vestibulocochlear—-
- finger rub
- whisper test
- weber test
- rinne
- fuduka step test
- hallpike dix
- barany whirling chair
- vestibulocochlear reflex
sharp stabbing pain on right side of face, feels weakness on right when chewing
- –trigeminal—
- muscles of mastication
- corneal reflex
- oculocardiac reflex
- sharp vs dull
- light touch
- touch inside mouth
eye pain in bright light, periphreal vision decreased
- -optic—
- inspect external eye
- fundus of eye with opth
- visual acuity
- confrontation
- direct light
- indirect light
- accomodation
weber test verbals
normal is sound equal in ears
conductive deafness: sound lateralizes in bad ear
sensoineural deafness: sound lateralizes in good ear
rinne test verbals
normal is air conduction is twice that of bone conduction
conduction deafness is when air conduction is equal to or less than bone
sensorineural deafness is both air and bone are radically decreased
hallpike dix test verbals
nystagmus after movt indicates benign positional vertigo
fukuda step verbals
turning to one side indicates side of vestibular lesion
whirling chair test verbals
nystagmus will be in direction of spin is normal
vestibulocochlear reflex verbals
inability to maintain fixation or nystagmus indicates vestibular lesion
