Cranial Nerve Osce Flashcards Preview

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Flashcards in Cranial Nerve Osce Deck (10):
1

General inspection

Muscle wasting
Facial asymmetry
Loss of expression
Fasiculation
Discomfort

2

Cranial nerve I

Olfactory

Change in smell?

3

Cranial nerve II

Optic

Visual Acuity (Snellen)
Visual Fields (finger wiggle)
Fundoscopy (optic nerveroot consider)
Pupillary response (direct&consensual)
Pupillary response (accommodation/convergence)

4

Cranial nerves III, IV & VI

Occularmotor, trochlear and abducens

Inspect resting gaze position
?ptosis
Test eye movements- finger H
- ask double vision
- look nystagmus

5

Cranial nerve V

Trigeminal

Light touch - opthalmic, maxillary and mandibules (sharp as well, ?hot/cold)

Corneal reflex (if indicated) cotton wool in eye

Motor - palpate temple and jaw whilst jaw clenched

Resist Pt moving jaw side to side (pterygoid muscle)

6

VII

Facial nerve

?asymmetry

Raise eyebrows (+resistance)

Screw eyes and resist opening

Toothy smile

Blow cheeks and resist

Whistle smile text

Taste sense

7

VIII

Vestibulocochlear

Whisper hearing test

Otoscopy consider

Rhines test: tuning fork by ear and on mastoid process - ear louder

Weber’s test: tuning fork on top of head - shouldn’t be louder on one side

8

IX and X

Glossopharyngeal and Vagus

Cough (bovine if damaged)

Say ah - soft palate and uvula move equally

Red lorry yellow lorry - lingual tongue

Baby hippopotamus- lips

Gag reflex (if indicated) stérile stick each side

9

XI

Accessory

Shrug shoulders resistance

Turn head resistance

10

XII

Hypoglossal

Fasicualtion in mouth

Stick tongue out - deviation

Move tongue side to side

Tongue in cheek resist