Exam 1 tests

Question 1

Cranial Nerve I exams

Answer 1

External observation
Test each side with a different scent
Internal exam

Question 2

Cranial Nerve II exams

Answer 2

External observation
Visual acuity exam (Snellen chart)
Confrontation/peripheral vision
Pupillary light reflex
Internal eye exam

Question 3

Cranial Nerves III, IV, VI exams

Answer 3

External observation
Corneal light reflex
Pupillary light reflex
6 cardinal fields of gaze
Accommodation

Question 4

Cranial Nerve V exams

Answer 4

Muscle strength test (temporalis, masseter, pterygoids)
Corneal blink reflex
Sensory exam of face (light/sharp)
Jaw jerk reflex

Question 5

Cranial nerve VII exams

Answer 5

Muscle exam (smile, look up, frown)
Check taste (anterior 2/3 of tongue)

Question 6

Cranial nerve VIII exams

Answer 6

External observation
Weber test
Rinne test
Internal exam
Active rotation (check for dizziness) 
Caloric irrigation
Swivel chair test

Question 7

Cranial nerve IX, X exams

Answer 7

Check soft palate elevation (Ahhhhhhh)
Gag reflex (post. 1/3 of tongue)
Check phonation ("kuh la mi")
Check taste (post. 1/3 of tongue)

Question 8

Cranial nerve XI exams

Answer 8

Shoulder elevation

Muscle strength of SCM and trapezius

Question 9

Cranial nerve XII exams

Answer 9

Stick out tongue

Tongue in cheek

Question 10

Romberg’s test

Answer 10

Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology

Proprioception and cerebellar exam

Question 11

Hopping on one foot

Answer 11

Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology

Proprioception and cerebellar exam

Question 12

Squatting on one foot

Answer 12

Eyes open fall = cerebellar and/or vestibular deficit
Eyes closed fall = dorsal column pathology

Proprioception and cerebellar exam

Question 13

Finger to nose

Answer 13

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance

Proprioception and cerebellar exam

Question 14

Finger to finger

Answer 14

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance

Proprioception and cerebellar exam

Question 15

Finger to nose to finger

Answer 15

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance
(eyes open only!)

Proprioception and cerebellar exam

Question 16

Heel to shin

Answer 16

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance

Proprioception and cerebellar exam

Question 17

Diadochokinesia

Answer 17

Rapid alternating movements
abnormal = dysdiadochokinesia

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance

Proprioception and cerebellar exam

Question 18

Holmes rebound phenomenon

Answer 18

Dr. holds fist against resistance

Dyssnergia - uncoordinated movement
Dysmetria - inaccuracy in measuring distance

Proprioception and cerebellar exam

Question 19

Tandem gait

Answer 19

Dyssnergia - uncoordinated movement

Dysmetria - inaccuracy in measuring distance

Question 20

Joint position

Answer 20

Eyes closed Dr. moves digit up/down

test for posterior column disease

Question 21

Abadie’s sign

Answer 21

pinching achilles tendon

Question 22

Pitre’s sign

Answer 22

pinching of the testicles

Question 23

Biernacki’s sign

Answer 23

pinching or striking the ulnar nerve

Question 24

Stereognosis

Answer 24

multimodal/combined sensation exam

pt. identifies common object

Question 25

Barognosis

Answer 25

multimodal/combined sensation exam

pt. assess relative weight of 2 objects

Question 26

Topognosis

Answer 26

multimodal/combined sensation exam

pt. points to where you touch them

Question 27

Graphognosis

Answer 27

multimodal/combined sensation exam

pt. identifies letter/number traced on hand

Question 28

2 point discrimination

Answer 28

multimodal/combined sensation exam

Question 29

somatognosis

Answer 29

ability for the patient to identify body parts as their own

Question 30

nosognosis

Answer 30

ability for pt. to know that they’re ill