Questions & Rationales
Cranial Nerve I: Olfactory Test - ---✔✔✔ANSWER----test sense of smell
with familiar odor
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)