Assessment

Question 0

RAW

Answer 0

Reflective
Aphasia
Wernicke’s area damaged

Question 1

BAE

Answer 1

Broca’s area damaged
Aphasia type:
Expressive

Question 2

PERRLA

Answer 2

Pupils
Equal
Regular
React
Light
Accommodation

Question 3

CAST

Answer 3

Cortical
Away
Subcortical
Towards

(Gaze preference depending on stroke)!

Question 4

Cortical stroke affects:

Answer 4

Cerebral cortex

Question 5

Subcortical stroke affects:

Answer 5

Brain Stem
Thalamus
Cerebellum
Hypothalamus

Question 6

Babinski reflex

Answer 6

Thumb sucking? Grasping?

Question 7

Extremity Reflex/Sensation

Strength Assessment

Answer 7

Scale 0-5
0-Flaccid
1-Palpable/Visible Contraction
2-Moves with gravity eliminated
3-Moves against gravity
4-Moves against resistance 
5-Normal Power

Question 8

Mini Mental Exam

Answer 8

Neuro/Cognitive Function

Question 9

Oh, Oh, Oh, To Touch And Feel Very Good Velvet, Such Heaven

Answer 9

Olfactory 
Optic
Oculomotor
Trochlear
Trigeminal 
Abducens
Facial
Vestibulocochlear
Glossopharyngeal
Vagus
Spinal Accessory
Hypoglossal

Question 10

CN I: Olfactory

Answer 10

Sense of smell

Question 11

CN II: Optic

Answer 11

Vision

To test:
Confrontation of visual fields
Vision close and far away

Question 12

CN III: Oculomotor

Answer 12

Pupillary reflex
Extrinsic eye muscle movement
(3 to the nose)

Cardinal field of gaze
Star

PERRLA
Corneal reflex (blink) cotton

Question 13

CN IV: Trochlear

Answer 13

Eye Muscle Movement
4 to the floor

Cardinal field of gaze
Star

Question 14

CN V: Trigeminal

Answer 14

Motor: Clenching Teeth, mandible movement

Sensory:
Mandibular Branch: sensory impulses from tongue, lower teeth, skin of chin, and lower lip

Maxillary Branch: sensory impulses from lower lid, nasal cavity, upper teeth, upper lip, palate

Ophthalmic Branch: sensory impulses from scalp, upper lid, nose, cornea, and lacrimal gland

Question 15

CN VI: Abducens

Answer 15

Extrinsic muscle movement of eye
(6 to the sticks)

Cardinal field of gaze
Star

Question 16

CN VII: Facial

Answer 16

Taste (anterior 2/3 of tongue)
Facial movements such as smiling, closing of eyes, frowning, puff cheeks, raise eyebrows
Production of tears and salivary stimulation

Question 17

CN VIII: Vestibulocochlear

Answer 17

Vestibular Branch: sense of balance
Cochlear branch: sense of hearing

Whisper test

Question 18

CN IX: Glossopharyngeal

Answer 18

Produces the gag and swallowing reflexes
Taste: posterior 1/3 of tongue

Swallow ahhh with tongue depressor

Question 19

CN X: Vagus

Answer 19

Innervates muscles of throat and mouth for swallowing and talking. Other branches responsible for pressoreceptors and chemoreceptor activity

Tongue depressor

Question 20

CN XI: Spinal Accessory

Answer 20

Movement of the trapezius and sternocleidomastoid muscles. Some movement of larynx, pharynx, and soft palate.

Turn head and shrug shoulders against resistance

Question 21

CN XII: Hypoglossal

Answer 21

Movement of tongue for swallowing
Movement of food during chewing and speech

Stick out tongue side to side

Question 22

Ear inspection

Answer 22

Palpate tragus
Palpate mastoid process
Pull pinna to straighten canal

Question 23

Rinne Test

Answer 23

Bone conduction
Air conduction
In ear with tuning fork

Question 24

Weber Test

Answer 24

Tuning fork on head

Question 25

Glasgow Coma Scale

Answer 25

Eye opening response
1-4
Motor response to pain 
1-6
Verbal response
1-5

E-endotracheal tube in place
T- tracheostomy tube in place