EENT

Question 1

CN I

Answer 1

Olfactory

Question 2

CN I test

Answer 2

Acuity: ability to identify scent 100% of the time

Question 3

CN II

Answer 3

Optic

Question 4

CN II tests

Answer 4

Snellen: distance vision test
Rosenbaum: near/far
Ishihara: color test
Kinetic confrontation: peripheral vision: wiggle test

Question 5

CN III

Answer 5

Oculomotor

Question 6

CN III tests

Answer 6

EOM: 6 cardinal fields of gaze (follow finger w/ eye only)

P: Pupils
E: Equal
R: Round
R: React to
L: Light
direct: brisk response bilaterally
consensual: brisk response bilaterally
A: Accommodation: brisk response bilaterally when gaze shifts from far to near (could be slow or absent)
**Direct: look for pupil constriction in the pupil you’re shining light into
**Consensual: look for pupil constriction in the pupil opposite the one you’re shining light into (hold card in-btn eyes)
Accommodation: have client focus on object in distance (pupils dilate); quickly move object close (pupils constrict)

Question 7

CN IV

Answer 7

Trochlear

Question 8

CN IV test

Answer 8

EOM: 6 cardinal fields of gaze (follow finger w/ eye only)

Question 9

CN V

Answer 9

Trigeminal

Question 10

CN V test

Answer 10

Corneal reflex: only at end stage of life to see if there is a reflex in eye

Question 11

CN VI

Answer 11

Abducens

Question 12

CN VI

Answer 12

EOM: 6 cardinal fields of gaze (follow finger w/ eye only)

Question 13

CN VIII

Answer 13

Vestibulocochlear

Question 14

CN VIII tests

Answer 14

Whisper test: cover opposite ear, whisper 3 double-digit #’s, pt repeats
Rinne: AC:BC
Weber: tuning fork in middle of forehead: pt hears in both ears

Question 15

CN IX

Answer 15

Glossopharyngeal

Question 16

CN IX test

Answer 16

swallow and say “ahh”

Question 17

CN X

Answer 17

Vagus

Question 18

CN X test

Answer 18

swallow and say “ahh”

Question 19

CN XII

Answer 19

hypoglossal

Question 20

CN XII tests

Answer 20

mvt and strength: in and out, side to side

phonation: light, tight, dynamite