Exam 3- sensory and CN part 2 Flashcards Preview

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Flashcards in Exam 3- sensory and CN part 2 Deck (65):
1

what tests for abnormal reflexes?

~Jaw
~Snout
~Glabellar
~Hoffman’s

2

Jaw reflex- tests which CN

Cranial nerve V

3

Jaw reflex- is preformed how?

~Depression of jaw slightly with finger
~percuss finger to open jaw further

4

Jaw reflex- what is the positive response?

jaw closes

5

Snout reflex- tests which CN

CN VII

6

Snout reflex- is preformed how?

Percussion of upper lip at midline in philtrum region

7

Snout reflex- what is the positive response?

puckering or pursing of lips

8

Glabellar reflex- tests which CN

CN II

9

Glabellar reflex- is preformed how?

Percussion of glabella of eye

10

Glabellar reflex- what is the positive response?

blinking when tapped- positive if still blinking when tapped 5+ times and not adapting to the tap.

11

Hoffman’s reflex- tests which CN

CN VI- VIII (cervical nerves)

12

Hoffman’s reflex- is preformed how?

Flick distal phalanx of long finger: wrist in neutral and metacarpal jt in slight extension

13

Hoffman's reflex- what is the positive response?

when thumb and index finger move toward opposition

14

CN I is

Olfactory

15

CN I- motor/ sensory/ auto?

sensory

16

CN I- how to test?

test one nostril at a time with a nonnoxious smell

17

CN I- any other info

Good to know if someone can smell- fire, chemicals

18

CN II- name

Optic

19

CN II- motor/ sensory/ auto?

sensory

20

CN II- how to test?

~the Snellen chart
~test peripheral vision
~corneal light reflexion test

21

CN II-the Snellen chart

~the eye exam to test how well you can read far away
~20/20 vision
~See if they can read

22

CN II- Test peripheral vision

test to see if you can see the normal visual field (average- 90 to the side, 60 up, 70 down)

23

CN II- Cornel light reflexion test

~see if there is a shape difference of the eye
~shine a light in the eye and you can see the reflection of light in the pupil

24

CN III- name

Oculomotor

25

CN III- motor/ sensory/ auto?

Motor, autonomic

26

CN III- how to test?

~Pupillary light reflex
~Convergence/ divergence testing

27

CN III- Pupillary light reflex

direct/indirect when blocking the other eye, the direct stimulation will have more constriction than the other one

28

CN III- Convergence/ divergence testing

looking far, near, you will dilate/ constrict

29

CN III- other info

~don’t have to know which movements go with which CN for eyes
~Ptosis- can’t open the eye lids

30

CN IV- name

Trochlear

31

CN IV- motor/ sensory/ auto?

motor

32

CN IV- how to test

Test eye movements

33

CN V- name

Trigeminal

34

CN V- motor/ sensory/ auto?

Motor, sensory

35

CN V- how to test

~Test the Masseter
~Corneal Reflex

36

CN V- Test the Masseter

Have them bite, gave them move side to side with jaw

37

CN V- Corneal Reflex

Take cotton and touch eye, they should blink

38

CN V- other info

Facial fractures, etc can get it injured- can get injured easily

39

CN VI- name

Abducens

40

CN VI- motor/ sensory/ auto?

Motor

41

CN VI- how to test

Eye movement

42

CN VII- name

Facial

43

CN VII- motor/ sensory/ auto?

Motor, sensory, autonomic

44

CN VII- how to test

~Test motor
~Test sensory

45

CN VII- Test motor

by smile, raise eyebrows, close eyes

46

CN VII- test sensory

by having them taste (have to have them test bilaterally)

47

CN VIII- name

Vestibulocochlear

48

CN VIII- motor/ sensory/ auto?

sensory

49

CN VIII- how to test

~Test hearing
~Test vestibular

50

CN VIII- hearing test

~rubbing fingers together next to their ears
~Weber tuning fork (sound that is louder has an air conduction problem)
~Rinne tuning fork (leave until it stops on the bone then put it next to the ear and they should be able to hear though the air)

51

CN VIII- vestibular testing

balance

52

CN IX- name

Glossopharyngeal

53

CN IX- motor/ sensory/ auto?

Sensory, motor, autonomic

54

CN IX- how to test

Do they have a Gag reflex

55

CN X- name

Vagus

56

CN X- motor/ sensory/ auto?

Motor, sensory, autonomic

57

CN X- how to test

Does the pt have a swallowing issue?

58

CN X- S/s of problems:

drooling, trouble eating, problems drinking water; can lead to cough/ chocking

59

CN XI- name

Spinal accessory

60

CN XI- motor/ sensory/ auto?

motor

61

CN XI- how to test

Test by if the pt can Shrug shoulders, turn head

62

CN XI- other info

One of the few CNs that a PT can damage

63

CN XII- name

Hypoglossal

64

CN XII- motor/ sensory/ auto?

motor

65

CN XII- how to test

~Stick out your tongue; stick tongue to check
~Tongue will deviate to the affected side of the lesion