Neurological Assessment Flashcards
What is Cranial Nerve I?
- Olfactory nerve - Smell
- Sensory nerve
What is Cranial Nerve II?
- Optic nerve - sight
- Read something
- Sensory nerve
What is Cranial Nerve III?
- Oculomotor nerve - eye movement
- Motor nerve
Cranial Nerve IV?
- Trochlear nerve - eye movement
- Motor nerve
What is Cranial Nerve V?
- Trigeminal nerve - facial muscles
- Sensation
- Motor: clench jaw
Sensory and Motor
What is Cranial Nerve VI?
- Abudences nerve - eye movement
- Eye movement
- Motor nerve
How do you assess CN III, IV and VI?
Extra - ocular movements
- Draw the letter H for them to follow
- Pen to nose
- Pupil reaction
- Nystagmus - uncontrolled eye lids
- Dropping eye lids
What is Cranial Nerve VII?
- Facial nerve
Is the face symmetrical?
Lift eyebrows
Close eye tightly - then lift eye lids whilst they keep them closed
Show upper and lower teeth
Puff out cheeks
Sensory and Motor
What is Cranial Nerve VIII?
Vestibulochochlear nerve - hearing
Rub fingers and thumb next to each ear
Sensory nerve
What is Cranial Nerve IX?
Glossopharyngeal nerve - voice
Changes in voice?
Able to swallow?
Absent gag reflex?
Hoarseness?
Sensory and motor
What is Cranial Nerve X?
Vagus nerve
Get patient to say ‘ahhh’
Uvula elevation and symmetry
Sensory and Motor
What is Cranial Nerve XI?
Accessory Nerve - trapezium and the sternocleidomastoid muscles
Shoulders symmetrical - front and back?
Shrug test - with and without resistance
Turn face against resistance
Motor nerve
What is Cranial Nerve XII?
Hypoglossal nerve - tongue movement
Central?
Move side to side?
Cheek test
Motor nerve
What do you test for to see if the Cerebellum is affected?
Balance - Rhombergs test
Finger to nose test
Assessing for dysdiadochokinesia (floppy hands)
Gait - pattern of walking
What is AVVV?
Ataxia - sudden onset change in coordination/movements
Visual - sudden onset visual disturbances
Vertigo
Vomiting
