Patient Assesment Study Guide Exam 2 Part 2

Question 1

Landmarks for elbow joint

Answer 1

Medial and lateral epicondyles of humerus
Olecranon process of the ulna

Question 2

Cranial nerve 1 test

Answer 2

Smell and patency
*one at a time with eyes closed

Question 3

Cranial nerve 2 test

Answer 3

-Snellen chart vision test
-test peripheral vision
Normal finding: 20/20

Question 4

Cranial nerve 3

Answer 4

Can move eyes all directions except directly sideways out, and towards the nose
-superior rectus
-inferior oblique
-medial rectus
-inferior rectus
Normal finding: eyes parallel without nystagmus

Question 5

Cranial nerve 4

Answer 5

Check the superior oblique, l

Normal finding is eyes parallel without nystagmus

Question 6

Cranial nerve 5

Answer 6

Sensory: test test tactile and pain sensation in all three branches: ophthalmic, maxillary, and mandibular.
Sharp and dull sensation with closed.
Motor: palpate masseter and temporal muscles as client bites down, palpate jaw resistance.
Corneal reflex not routinely tested
Normal finding: sensory perception aprop for all three branches bilaterally. Equal, strong contraction of masseter and temporal muscles bilaterally

Question 7

Cranial nerve 6

Answer 7

Check lateral rectus muscle

<— (O) . (O) —>
N= eyes parallel with no nystagmus

Question 8

Cranial nerve 7

Answer 8

Sensory: apply sugar or salt to ant 2/3 of tongue. Observe for taste
Motor: facial movements: wrinkle forehead, raise eyebrows, smile, puff cheecks, show teeth, whistle
Observe for symmetry, and note if there is tremor

Question 9

Cranial nerve 8

Answer 9

Hearing test same as heent

Question 10

Cranial nerve 9

Answer 10

Swallow, gag reflex
N= uvula rises symmetrically, midline, gag reflex intact

Question 11

What is the name of Cranial nerve 10

Answer 11

The vagus nerve
Watch uvula as patient says “ahhhhh”
N=??

Question 12

Cranial nerve 11

Answer 12

Sternocleidomastoid: turn head side to side against resistance
Trapezius: shrug shoulders against resistance

Question 13

Cranial nerve 12

Answer 13

Tongue movement: observe for deviation, extension
Have client touch their tongue to their nose
Speech: Observe speech

Question 14

What are the six muscles that control the eye?

Answer 14

Starting from 10oClock on right eye
Inferior oblique
Superior rectus
Lateral rectus
Inferior rectus
Superior oblique
Medial rectus

Question 15

Pneumonic to remember cranial nerves and eye connection

Answer 15

LR6SO4

Question 16

Where is the most common site of oral cancer?

Answer 16

Tongue

Question 17

3 salivary glands

Answer 17

Parotid, submandibular, sublingual