Cranial Nerves Examination Flashcards

1
Q

Order of Nerves

A
Olfactory
Optic
Occulomotor
Trochlear
Trigeminal
Abducens
Facial
Vestibulochlear
Glossopharyngeal
Vagus
Accessory
Hypoglossal
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2
Q

How to test Olfactory Nerve

A

Changes in smell

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3
Q

How to test optic nerve

A

Visual Acuity: Snellen Chart -read down

Pupillary response: symmetry, move light in from side

Visual Fields: cover one eye and look at nose. Bring finger in from side and let me know when see it.

Visual inattention: look at my face, point to hand that has finger moving. Test in upper and lower fields.

Accommodation: focus on finger and keep focusing as move closer

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4
Q

How to test oculomotor nerve

A

Inspect eyes
Look for Ptosis (drooping)
Make a H and follow it

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5
Q

How to test trochlear nerve

A

Covered in oculomotor

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6
Q

Where does Trochlear nerve innervate

A

Superior oblique of

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7
Q

Where does oculomotor nerve innervate

A

Superior ,medial and inferior rectus, inferior oblique. Constrictor Pupillae and Ciliary Muscle

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8
Q

How to test Trigeminal nerve

A

Cotton wool on Forehead v1, maxillary cheek v2 and jaw v3 then neurotic

Motor V3 palpate bulk of master and clench teeth then open

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9
Q

How to test abducens

A

covered in oculomotor

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10
Q

What does abducens innervate

A

lateral rectus

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11
Q

What does facial nerve innervate

A

Muscles of facial expression

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12
Q

How to test facial nerve

A
Inspection
Wrinkle forehead
Screw up eyes
Smile/show teeth
Puff out cheeks
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13
Q

How to test vestibulochlear nerve

A

Whisper Test

Rinnie’s and Webers

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14
Q

How to do whisper test

A

rub opposite tragus

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15
Q

How to do Rinne’s test

A

External Auditory Meatus then Mastoid process

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16
Q

How to do webers test

A

front of forehead

17
Q

How to know if conductive deafness

A

sound heard loudest in that ear

18
Q

How to know if sensorineural deafness

A

sound referred to unaffected ear

19
Q

How to test for glossopharyngeal and vagus nerves

A

Open mouth
Cough
Gag Reflex

20
Q

How to test for accessory nerve

A

Trapezius push up against

Sternocleidomastoid: turn head and push against my fist

21
Q

How to test for hypoglossal nerve

A

Inspect tongue

Tongue into each cheek