Neurologic Assessment

Question 1

I

Olfactory

Answer 1

Sense of smell

Often affected by rhinitis

Anosmia (loss of sense of smell) early sign of Parkinson’s (can they smell coffee)

Question 2

II

2 optic

Answer 2

Visual

Some strokes may affect vision

Snellen chart

Question 3

III oculomotor 3

IV trochlear 4

VI abducens 6

Answer 3

Help move eyes so assessed together

Can eyes follow pen

Question 4

V trigrminal 5

Answer 4

Sensory perception of face, sinuses and teeth
Involved in muscle that control mastication(chewing)

Can they feel cotton swab on face with eyes closed on both sides
Can they clench their teeth

Question 5

VII facial 7

Answer 5

Control facial muscles of expression
Sensory expression of tongue

Can they smile symmetrical or raise eyebrows

Stroke may effect this

Question 6

VIII vestibulocochlear 8

Answer 6

Aids in equilibrium and hearing

Does patient have vertigo, unsteady gait or any auditory dysfunction

Stroke affect this

Question 7

IX glossopharyngeal 9

Answer 7

Aids in taste sensation and movement of pharyngeal muscles

Test gag reflex

Have patients say “ahh”

Question 8

X vagus 10

Answer 8

Senses much of the viscera from thorax to abdomen

Question 9

XI accessory 11

Answer 9

Involved with movement or the sternocleidomastoid and trapezius muscles

Ask pt to shrug shoulders- should be straight and symmetrical

Question 10

XII hypoglossal 12

Answer 10

Motor function of tongue

Ask pt to protrude tongue which should be midline; ask to swish side to side