Lab

Question 1

Ptosis (toe sis)

Answer 1

Drooping of the face (stroke patients)

Question 2

Assess for Head tremors

Answer 2

Any shakes in head or face, (Parkinson’s, stroke)

Question 3

Assess for Extremities tremors

Answer 3

Any shaking of the hands bilaterally.

Question 4

Sense sensation

Answer 4

Face-4
Upper extremity-4
Lower extremity-4

Question 5

Stereognosis

Answer 5

Tactile discrimination
Eyes closed, place object it their hand and identify

Question 6

Kinesthesia

Answer 6

Point finger up and down

Question 7

Graphesthesia

Answer 7

Eyes closed, draw number and letter on both hands

Question 8

Olfactory

Answer 8

Occluded one nose at a time and ask patient to sniff

Close eyes and identify the smell

Question 9

Optic (C2)

Answer 9

Confrontation: When they see fingers wiggle, (Cover one eye at a time)
Snellen chart-20 ft away (one eye at a time)

Question 10

Perrla (C2,3)

Answer 10

State: equal, round
Reactive to light
Direct
Consensual-hand on nose light in one eye, observe other eye (constrict-Brisk)
Pupil size

Question 11

Ocular motors (CN3, trochlear C4, abducens C6

Answer 11

Check H eye movement

Question 12

Trigeminal (C5)

Answer 12

Palpate temporal masseter muscles
Clench teeth
Separate by pushing down on chin
Sharp or dull (cotton ball vs sharp end)

Question 13

Facial (C7)

Answer 13

Frown
Closes eyes tightly (attempt to opening them)
Lift eyebrows
Show teeth
Puff cheeks
Tense neck muscles (bilaterally)

Question 14

Acoustic (C8)

Answer 14

Whisper 3 words 2ft behind with one ear occluded

Question 15

Glossopharyngeal (gloss o far rineal)
(C9) Vagus (C10)

Answer 15

Don’t do. But would press tongue with blade and have them say ahhh and check for:
Uvula-palate rise in midline
Poster pharyngeal wall-gag relex
Sound of voice- not strained

Question 16

Spinal accessory (C11)

Answer 16

Symmetry of sternomastoid and trapezius muscles
Rotate head against force
Shrug shoulders

Question 17

Hypoglossal (C12)

Answer 17

Inspect tongue- no tremors, midline
Say light, tight, dynamite

Question 18

Plantar reflex

Answer 18

“Positive Babinski”

Question 19

Perform DTR

Answer 19

4-point scale

Patella-knee with flat hammer head

Question 20

Romberg test

Answer 20

Feet together, hands at side, close eyes for 20 seconds
Check for imbalance, swaying

Question 21

Rapid movement

Answer 21

Quickly slap and flip hands on thighs
Finger on nose and touch nurses finger

Question 22

Pronator drift test

Answer 22

Feet together, arms out. Close eyes for 20 seconds
Push down on arm and see response

Question 23

Gait- get up and walk

Question 24

Health history

Question 25

Mental status

Answer 25

Place, time, situation