BENJAMIN CAVILL I-HUMAN TEST PAPER STUDY GUIDE
QUESTIONS AND ANSWERS GRADED A+
✔✔aspects of the eyebrows, orbital areas, and eyelids to comment on - ✔✔-distribution
of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
-discharge/tearing
✔✔aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - ✔✔-
color
-edema
✔✔aspects of the lacrimal glands/sac to comment on - ✔✔-edema
-tenderness
✔✔CN II, III (optic, oculomotor) test - ✔✔-instructs patient to focus on a far fixed point,
then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
✔✔aspects to comment on after CN II, III test - ✔✔-corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
✔✔CN III, IV, VI (oculomotor, trochlear, abducens) test - ✔✔-have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
✔✔aspects to comment on when testing CN III, IV, and VI - ✔✔-conjugate or
convergent gaze
-nystagmus, plane of movement
✔✔aspects to comment on during ophthalmoscopic exam - ✔✔-red reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
-macular characteristics
✔✔aspects to comment on regarding the pinna, tragus, and mastoid area of the ear -
✔✔-position
-deformities / lesions
-tenderness
, -swelling
✔✔aspects to comment on during inspection of the auditory canal with otoscope - ✔✔-
patentcy
-cerumen
-erythema
-discharge
✔✔aspects to comment on during inspection of the tympanic membranes with otoscope
- ✔✔-tympanic membrane color
-transparency
-contour
-light reflex
-perforations
✔✔CN VIII (acoustic/vestibulocochlear) test / Whisper Test - ✔✔-instruct patient to
occlude one ear
-stand behind patient and whisper a 2-syllable word
-have patient repeat whispered word
✔✔aspects of the Whisper Test to comment on - ✔✔-interpretation
-significance
✔✔aspects to comment on regarding the external nose - ✔✔-shape
-nare patency
✔✔aspects to comment on regarding the nasal mucosa and nasal septum - ✔✔-color
-discharge
-swelling of turbinates
-perforation of septum
✔✔aspects to comment on regarding the lips, gingivae, teeth, tongue, and buccal
mucosa - ✔✔-color
-condition of teeth
-presence of dentures/piercings
-ulcerations or lesions
✔✔CN XII (hypoglossal) test - ✔✔-have patient stick out tongue
-have patient move tongue toward nose and chin
✔✔aspects of the CN XII test to comment on - ✔✔-symmetry / position of the tongue
-tremors
-ability to move
✔✔CN X (vagus) test - ✔✔have patient say "ahh"
QUESTIONS AND ANSWERS GRADED A+
✔✔aspects of the eyebrows, orbital areas, and eyelids to comment on - ✔✔-distribution
of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
-discharge/tearing
✔✔aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - ✔✔-
color
-edema
✔✔aspects of the lacrimal glands/sac to comment on - ✔✔-edema
-tenderness
✔✔CN II, III (optic, oculomotor) test - ✔✔-instructs patient to focus on a far fixed point,
then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
✔✔aspects to comment on after CN II, III test - ✔✔-corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
✔✔CN III, IV, VI (oculomotor, trochlear, abducens) test - ✔✔-have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
✔✔aspects to comment on when testing CN III, IV, and VI - ✔✔-conjugate or
convergent gaze
-nystagmus, plane of movement
✔✔aspects to comment on during ophthalmoscopic exam - ✔✔-red reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
-macular characteristics
✔✔aspects to comment on regarding the pinna, tragus, and mastoid area of the ear -
✔✔-position
-deformities / lesions
-tenderness
, -swelling
✔✔aspects to comment on during inspection of the auditory canal with otoscope - ✔✔-
patentcy
-cerumen
-erythema
-discharge
✔✔aspects to comment on during inspection of the tympanic membranes with otoscope
- ✔✔-tympanic membrane color
-transparency
-contour
-light reflex
-perforations
✔✔CN VIII (acoustic/vestibulocochlear) test / Whisper Test - ✔✔-instruct patient to
occlude one ear
-stand behind patient and whisper a 2-syllable word
-have patient repeat whispered word
✔✔aspects of the Whisper Test to comment on - ✔✔-interpretation
-significance
✔✔aspects to comment on regarding the external nose - ✔✔-shape
-nare patency
✔✔aspects to comment on regarding the nasal mucosa and nasal septum - ✔✔-color
-discharge
-swelling of turbinates
-perforation of septum
✔✔aspects to comment on regarding the lips, gingivae, teeth, tongue, and buccal
mucosa - ✔✔-color
-condition of teeth
-presence of dentures/piercings
-ulcerations or lesions
✔✔CN XII (hypoglossal) test - ✔✔-have patient stick out tongue
-have patient move tongue toward nose and chin
✔✔aspects of the CN XII test to comment on - ✔✔-symmetry / position of the tongue
-tremors
-ability to move
✔✔CN X (vagus) test - ✔✔have patient say "ahh"
