QUESTIONS AND ANSWERS ALREADY PASSED
◉ Cranial Nerve II: Optic Test.
Answer: test visual acuity and visual field with confrontation
◉ Confrontation Test.
Answer: gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the
persons covered one
-hold finger as target midline between you and patient, slowly
advance to periphery
-as person to say "now" as target is first seen
◉ Confrontation Test: normal.
Answer: 50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
◉ Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test.
,Answer: PERRLA
6 cardinal positions of gaze
◉ PERRLA.
Answer: pupils equal, round, reactive to light (direct and
consensual) and accommodation
◉ 6 cardinal positions of gaze.
Answer: right & up
right
right & down
left & up
left
left & down
◉ nystagmus.
Answer: back-and-forth oscillation of the eyes
◉ nystagmus: amplitude.
Answer: fine, medium or coarse movement
◉ nystagmus: frequency.
,Answer: constant or fades after few beats
◉ nystagmus: plane of movement.
Answer: horizontal, vertical, rotary or combo
◉ Cranial Nerve V: Trigeminal Test.
Answer: Motor: asking the client to clench her teeth while you
palpate the masseter (muscle of mastication)
Sensory- test light touch by having a client closer their eyes while
you toucher her face gently with a wisp of cotton, patient identifies
location
◉ What does the corneal reflex test?.
Answer: CN V sensory, CN VII motor
◉ Corneal reflex test.
Answer: -remove contacts, bring cotton wisp from side, lightly touch
cornea
NORMALLY: patient blinks bilaterally
◉ Cranial Nerve VII: Facial Test.
Answer: Motor: have client smile, frown, puff out her cheeks, raise
her eyebrows, close her eyes tightly
, Sensory: anterior 2/3 taste (sugar, salt, lemon juice)
◉ Cranial Nerve VIII: Vestibulocochlear Test.
Answer: Whispered voice test
◉ Cranial Nerve IX & X: Glossopharyngeal and Vagus Test.
Answer: Motor: open mouth say "ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
Sensory: CN IX does posterior 1/3 taste
◉ Cranial Nerve XI: Accessory Test.
Answer: shrug shoulders
◉ Cranial Nerve XII: Hypoglossal Test.
Answer: say "light, tight, dynamite"
◉ screening neuro exam.
Answer: perform on well persons who have no significant subjective
findings
◉ complete neuro exam.
Answer: perform on person with neuro concerns