NURS 532 Exam 2 Questions With Complete Solutions
CN 7
facial B - facial expressions, taste
CN 8
vestibulo coclear S - hearing
Weber - atop head
Normal weber
hears in both ears
Weber Conductive hearing loss
hears it better in bad ear
Weber Sensorineural hearing loss
hears in good ear
Normal rhinne
air to bone = 2:1
Rhinne Conductive hearing loss
better via bone 1:2
Sensorineural hearing loss
better via air 2:1
CN 9
glossopharyngeal B - taste, gag reflex, say AH, palate movement
,CN 10
vagus B - gag reflex, say AH, palate movement
CN 11
accessory M - shoulders shrug against resistance
CN 12
hypoglossal M - swallowing, speech, tongue movements
Anosmia
unable to smell
Horner's sign
damage to sympathetic nerves on face → decrease pupil size,
drooping eyelid
Nystagmus
jerkiness of eye
Trigeminal neuralgia
severe facial pain
Bell's palsy
droopy eyelid, lower motor neuron lesion → paralysis of entire
half of face
Stroke
paralysis of bottom half of face, forhead wrinkles intact, upper
motor neuron lesion
Torticollis
, neck frozen to one side, short sternocleidomastoid muscle
Fasciculations
quivering
Neck weakness
deviates to weak side
Gait
watch for arm swing (could mean parkinsons if decreased arm
swing)
Tandem walking
heel to toe walking
Romberg test
loss of balance with eyes closed
Rapid alternating movements
slap hands, finger to nose, etc dysdiadochokinesia is inability to
do rapid alternating movement
Walking
on heels, walk on toes
Knee to shin
if asymmetrical - ipsilateral cerebellar lesion
Resting tremor
parkinsons
Tremor with activity
CN 7
facial B - facial expressions, taste
CN 8
vestibulo coclear S - hearing
Weber - atop head
Normal weber
hears in both ears
Weber Conductive hearing loss
hears it better in bad ear
Weber Sensorineural hearing loss
hears in good ear
Normal rhinne
air to bone = 2:1
Rhinne Conductive hearing loss
better via bone 1:2
Sensorineural hearing loss
better via air 2:1
CN 9
glossopharyngeal B - taste, gag reflex, say AH, palate movement
,CN 10
vagus B - gag reflex, say AH, palate movement
CN 11
accessory M - shoulders shrug against resistance
CN 12
hypoglossal M - swallowing, speech, tongue movements
Anosmia
unable to smell
Horner's sign
damage to sympathetic nerves on face → decrease pupil size,
drooping eyelid
Nystagmus
jerkiness of eye
Trigeminal neuralgia
severe facial pain
Bell's palsy
droopy eyelid, lower motor neuron lesion → paralysis of entire
half of face
Stroke
paralysis of bottom half of face, forhead wrinkles intact, upper
motor neuron lesion
Torticollis
, neck frozen to one side, short sternocleidomastoid muscle
Fasciculations
quivering
Neck weakness
deviates to weak side
Gait
watch for arm swing (could mean parkinsons if decreased arm
swing)
Tandem walking
heel to toe walking
Romberg test
loss of balance with eyes closed
Rapid alternating movements
slap hands, finger to nose, etc dysdiadochokinesia is inability to
do rapid alternating movement
Walking
on heels, walk on toes
Knee to shin
if asymmetrical - ipsilateral cerebellar lesion
Resting tremor
parkinsons
Tremor with activity
