Head and Face

Question 1

Inspect head position

Answer 1

Upright
Mid-line
Still

Question 2

Facial Features

Answer 2

(mouth, eyes, nose according to race and sex, age and body build) slight asymmetry

Question 3

Skull

Answer 3

medium size, round, symmetric

Question 4

Scalp

Answer 4

(palpate in gentle rotary motion from front to back) symmetric and smooth with bones indistinguishable. No indentations or depressions.

Question 5

Hair

Answer 5

Smooth, full, symmetrically distributed

Question 6

Frontal and maxillary sinuses

Answer 6

non tender on palpation

Question 7

Temporomandibular joint

Answer 7

(open and close, while palpating) No crepitus, popping, pain or tenderness with pressure.

Question 8

Trigeminal motor (CNV)

Answer 8

(palpate masseter and temporal muscles while clenching jaw) symmetric tone, no deviation of jaw or muscle atrophy

Question 9

Trigeminal sensory (CNV)

Answer 9

(superficial pain and touch sensation on forehead, cheek and chin) symmetric discrimination of sensation in each location to all stimuli.

Question 10

Facial nerve (CNVII)

Answer 10

(smile, frown, wrinkle forehead, puff cheeks, raise eyebrows) facial symmetry, no tics, or unusual facial movement.

Question 11

Finger to nose test

Answer 11

(with closed eyes) movements are rapid, smooth and accurate