Exam 1 tests Flashcards
Cranial Nerve I exams
External observation
Test each side with a different scent
Internal exam
Cranial Nerve II exams
External observation Visual acuity exam (Snellen chart) Confrontation/peripheral vision Pupillary light reflex Internal eye exam
Cranial Nerves III, IV, VI exams
External observation Corneal light reflex Pupillary light reflex 6 cardinal fields of gaze Accommodation
Cranial Nerve V exams
Muscle strength test (temporalis, masseter, pterygoids)
Corneal blink reflex
Sensory exam of face (light/sharp)
Jaw jerk reflex
Cranial nerve VII exams
Muscle exam (smile, look up, frown) Check taste (anterior 2/3 of tongue)
Cranial nerve VIII exams
External observation Weber test Rinne test Internal exam Active rotation (check for dizziness) Caloric irrigation Swivel chair test
Cranial nerve IX, X exams
Check soft palate elevation (Ahhhhhhh)
Gag reflex (post. 1/3 of tongue)
Check phonation ("kuh la mi")
Check taste (post. 1/3 of tongue)Cranial nerve XI exams
Shoulder elevation
Muscle strength of SCM and trapezius
Cranial nerve XII exams
Stick out tongue
Tongue in cheek
Romberg’s test
Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology
Proprioception and cerebellar exam
Hopping on one foot
Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology
Proprioception and cerebellar exam
Squatting on one foot
Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology
Proprioception and cerebellar exam
Finger to nose
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Proprioception and cerebellar exam
Finger to finger
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Proprioception and cerebellar exam
Finger to nose to finger
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
(eyes open only!)
Proprioception and cerebellar exam
Heel to shin
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Proprioception and cerebellar exam
Diadochokinesia
Rapid alternating movements
abnormal = dysdiadochokinesia
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Proprioception and cerebellar exam
Holmes rebound phenomenon
Dr. holds fist against resistance
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Proprioception and cerebellar exam
Tandem gait
Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
Joint position
Eyes closed Dr. moves digit up/down
test for posterior column disease
Abadie’s sign
pinching achilles tendon
Pitre’s sign
pinching of the testicles
Biernacki’s sign
pinching or striking the ulnar nerve
Stereognosis
multimodal/combined sensation exam
pt. identifies common object
Barognosis
multimodal/combined sensation exam
pt. assess relative weight of 2 objects
Topognosis
multimodal/combined sensation exam
pt. points to where you touch them
Graphognosis
multimodal/combined sensation exam
pt. identifies letter/number traced on hand
2 point discrimination
multimodal/combined sensation exam
somatognosis
ability for the patient to identify body parts as their own
nosognosis
ability for pt. to know that they’re ill
