Cranial Nerves
Using the confrontation test and Snellen Chart for assessment
What is assessment of Optic Nerve II?
Oriented to Person, Place, Time, Situation
What is Consciousness and Orientation?
Heel to Toe Walk away from you and back towards you
What is the Tandem Walk?
Patient able to follow my pen in all 6 directions
What is assessment of Extraocular Muscle Function (EOM)?
I can smell vanilla in both nares- two assessments
What is assessment of patency & Cranial Nerve I- Olfactory?
Puff out your cheeks, smile, lift your eyebrows
What is assessment of Cranial Nerve VII- facial?
I am so hungry I could eat a horse
What is abstract thinking?
Stand with feet together and arms at side, close your eyes and stand still while I count to 20.
What is the Romberg Test?
At least 3 locations per side, utilizing patients finger
What is the Finger to Nose Test?
Spontaneous eye opening, responds to verbal commands, and moves extremeties without difficulty
What is assessment of Glasgow Coma Scale (GCS)?
Clench teeth, sharp vs. dull sensation on forehead, cheek, jaw
Dog, carrot, arm, person
What is new learning/4 word test?
Applying mild force as patient pushes legs, or arms against you hands
What is assessment of resistance?
Patient states food isn't tasting right since having a stroke.
What is possible abnormal finidng of Cranial Nerve VII & IX- Facial & Glossopharyngeal?
I can feel a pop/click when patient opens jaw and it causes him pain
What is an abnormal finding of TMJ?
Say ahhh, elicit gag reflex
What is Cranial Nerve X-Vagus?
I had scrambled eggs and bacon for breakfast this morning
What is assessment of recent memory?
+4 Very brisk, +2 Average, 0 No response
What is grading of deep tendon reflexes?
Please cover one eye and I will cover my opposite eye. Please let me know when you see my fingers come into your visual fields
Confrontation Test
All 3 of these can be assessed with the EOM & PERRLA
What is cranial nerves III,IV, VI?
Able to stick out tongue and move side to side
What is assessment of Cranial Nerve XII-Hypoglossal Nerve?
I would call the President to find my keys if I lost them, he rules the country so he know where they are.
What is assessment of judgement?
Three different ROM to do with hip
What is Abduction, Adduction, Flexion, Extension, Internal and External Rotation?
Sharp/Dull touches equally on both sides of body to test the Anterolateral (Spinothalamic) Tract
Assessment of cranial nerve that includes: Shrug your shoulders and turn head against passive resistance
What is assessment of Cranial Nerve XI- Spinal Accessory?