Exam 3 Flashcards
What is it called when a patient can close their eyes and identify an object in their hand?
Stereognosis
Name and fx of cranial nerve 1
Olfactory: smell
Name and fx of cranial nerve 2
Optic: Vision
Name and fx of cranial nerve 3
Oculomotor: eye movement up, down, lateral, opening of eyelid, and pupil constriction
Name and fx of cranial nerve 4
Trochlear: Medial and downward medial eye movement
Name and fx of cranial nerve 5
Trigeminal: Touch, temperature, and pain sensations from upper and lower face, chewing
Name and fx of cranial nerve 6
Abducens: Lateral eye movements
Name and fx of cranial nerve 7
Facial: Taste, facial expressions
Name and fx of cranial nerve 8
Vestibulocochlear (acoustic): Hearing and balance
Name and fx of cranial nerve 9
Glossopharyngeal: taste, touch, pressure, pain, and temperature; sensations from tongue and outer ear; regulation of BP and respirations; salivation, swallow, and gag
Name and fx of cranial nerve 10
Vagus: taste; sensations of hunger, fullness, and gastrointestinal discomfort; bronchoconstriction; gastrointestinal secretion, and motility
Name and fx of cranial nerve 11
Accessory: swallow; head, neck, and shoulder movements
Name and fx of cranial nerve 12
Hypoglossal: tongue movement with speech; food manipulation and swallowing
How to test cranial nerve 1
smell aromatic items
How to test cranial nerve 2
snellen chart or read from a book; assess peripheral vision
How to test cranial nerve 3
use light to check constriction of pupils; assess ptosis; draw “H”
How to test cranial nerve 4
Done with the “H”, have patient follow finger down patients nose
How to test cranial nerve 5
assess sensations on forehead, cheeks, and jawline. clench teeth and move jaw from side to side.
How to test cranial nerve 6
tested with nerves 3 & 4; lateral eye movement
How to test cranial nerve 7
smile, frown, puff cheeks, raise eyebrows, and close eyes tightly (not letting examiner open them)
How to test cranial nerve 8
rub fingers next to ears or whisper and have them repeat it; assess balance and nystagmus
How to test cranial nerve 9
check gag reflex and swallow ability
How to test cranial nerve 10
gag reflex and swallow and quality of voice
How to test cranial nerve 11
shrug shoulder with resistance and turning head side-to-side with resistance
How to test cranial nerve 12
stick out tongue and move it side-to-side
What is an EEG and why does a patient get one?
electroencephalogram: detects electrical activity in the brain. Diagnoses seizure disorders and can identify sleep disorders, and changes in behavior. Can be used to evaluate brain activity after HI or before a heart/liver transplant
Why is a lumbar puncture done and what can it diagnose?
- collects CSF for lab analysis, measure pressure of CSF, to inject spinal anesthetics/dye/chemo.
- can diagnose: meningitis, encephalitis, syphilis, bleeding, cancer, MS, Guillain-Barre syndrome
