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Question 1

who needs cranial nerve exam

Answer 1

fill in

Question 2

red flag for cranial nerve

Answer 2

stuff

Question 3

what can contribute to HA

Answer 3

find

Question 4

CN abnormalities bc why

Answer 4

lesions to nerve, lesion in the nucleus, gen. prblem with nerve or muscle, or in the comm pathways to and from the cortex, dienceph, cerebellium, or other parts of the brain.

Question 5

multiple CN may be abnorm

Answer 5

cerebellopontine angle maybe, so a lesion where the cranial nerves run together
when they are affected by disorder (mya gravis)
following mutliple lesions ( MS, CVD)

Question 6

cn 5 7 8 is

Answer 6

cerebellopontine angle

Question 7

cn 3 4 6 is

Answer 7

cavernous sinus lesion

Question 8

CN 9 10 11 is

Answer 8

jug foramen syndrome

Question 9

Combined bilateral CN 10, 11, 12

Answer 9

if LMN: bulbar palsy

if UMN: pseudobulbar palsy

Question 10

what is MC cause of intrinsic brain stem lesion in younger patients?
older?

Answer 10

multiple sclerosis

vascular disease

Question 11

make time for cranial nerve nuclei

Answer 11

pg 30 & 31 :)

Question 12

how to test CN I

Answer 12

1. obs ext nose
2. obs int nasal passage
3. check sense of smell—2 scents

Question 13

test CN II

Answer 13

1. obs eyes ( limbus to lid, limbus to canthi)
2. acuity
3. test gross visual field
4. pupil ight relex
5. opthalmoscope exam

Question 14

test CN III, IV, VI

Answer 14

1. observe eyes
2. corneal light reflex
3. pupil light reflex (CN II and III)
4. 6 cardinals fields of gaze

Question 15

test CN V

Answer 15

1. corneal blink reflex
2. light touch sensation on face
3. sharp sense on face
4. inspect musc of mastication for tone and strength
5. jaw jerk reflex
6. gen sense of ant. 2/3 of tongue

Question 16

test CN VII

Answer 16

1. check musculature of face ( smile, look up)

2. check taste (ant. 2/3 of the tongue)

Question 17

test CN VIII

Answer 17

1. onserv ext ears
2. observ int ears
3. Rinne test
4. Weber test
5. Finger rustle
6. Schwabach test
7. watch tick test

Question 18

test CN IX & X

Answer 18

1. Have patient say “ahhhh” —-elevate
2. gag relex ( post 1/3 of tongue)
3. check phonation (K-L-M test, pronounce sounds “kuh”, “la”, “mi”

Question 19

test CN XI

Answer 19

1. shoulder elevation

2. Muscle strength SCM and Trap

Question 20

test CN XII

Answer 20

1. stick out tongue (fasciculation, atrophy, deviation)

2. tongue in cheek test