Exam 3

Question 1

What is it called when a patient can close their eyes and identify an object in their hand?

Answer 1

Stereognosis

Question 2

Name and fx of cranial nerve 1

Answer 2

Olfactory: smell

Question 3

Name and fx of cranial nerve 2

Answer 3

Optic: Vision

Question 4

Name and fx of cranial nerve 3

Answer 4

Oculomotor: eye movement up, down, lateral, opening of eyelid, and pupil constriction

Question 5

Name and fx of cranial nerve 4

Answer 5

Trochlear: Medial and downward medial eye movement

Question 6

Name and fx of cranial nerve 5

Answer 6

Trigeminal: Touch, temperature, and pain sensations from upper and lower face, chewing

Question 7

Name and fx of cranial nerve 6

Answer 7

Abducens: Lateral eye movements

Question 8

Name and fx of cranial nerve 7

Answer 8

Facial: Taste, facial expressions

Question 9

Name and fx of cranial nerve 8

Answer 9

Vestibulocochlear (acoustic): Hearing and balance

Question 10

Name and fx of cranial nerve 9

Answer 10

Glossopharyngeal: taste, touch, pressure, pain, and temperature; sensations from tongue and outer ear; regulation of BP and respirations; salivation, swallow, and gag

Question 11

Name and fx of cranial nerve 10

Answer 11

Vagus: taste; sensations of hunger, fullness, and gastrointestinal discomfort; bronchoconstriction; gastrointestinal secretion, and motility

Question 12

Name and fx of cranial nerve 11

Answer 12

Accessory: swallow; head, neck, and shoulder movements

Question 13

Name and fx of cranial nerve 12

Answer 13

Hypoglossal: tongue movement with speech; food manipulation and swallowing

Question 14

How to test cranial nerve 1

Answer 14

smell aromatic items

Question 15

How to test cranial nerve 2

Answer 15

snellen chart or read from a book; assess peripheral vision

Question 16

How to test cranial nerve 3

Answer 16

use light to check constriction of pupils; assess ptosis; draw “H”

Question 17

How to test cranial nerve 4

Answer 17

Done with the “H”, have patient follow finger down patients nose

Question 18

How to test cranial nerve 5

Answer 18

assess sensations on forehead, cheeks, and jawline. clench teeth and move jaw from side to side.

Question 19

How to test cranial nerve 6

Answer 19

tested with nerves 3 & 4; lateral eye movement

Question 20

How to test cranial nerve 7

Answer 20

smile, frown, puff cheeks, raise eyebrows, and close eyes tightly (not letting examiner open them)

Question 21

How to test cranial nerve 8

Answer 21

rub fingers next to ears or whisper and have them repeat it; assess balance and nystagmus

Question 22

How to test cranial nerve 9

Answer 22

check gag reflex and swallow ability

Question 23

How to test cranial nerve 10

Answer 23

gag reflex and swallow and quality of voice

Question 24

How to test cranial nerve 11

Answer 24

shrug shoulder with resistance and turning head side-to-side with resistance

Question 25

How to test cranial nerve 12

Answer 25

stick out tongue and move it side-to-side

Question 26

What is an EEG and why does a patient get one?

Answer 26

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

Question 27

Why is a lumbar puncture done and what can it diagnose?

Answer 27

• 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