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Nerve I
Olefactory (sensory)
- Not routinely checked.
- Assess Patency First
- ID odors bilaterally
- Older Adults have a decreased sense.
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Nerve II
Optic Nerve (Sensory)
- Visual Acuity
- Confrontation
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Nerve III
Oculomotor (Mixed)
- EOM Movement
- Pupil Constriction
(3,4,6 apart of PERRLA, EOM and Pupil Size)
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Nerve IV
Trochlear (Motor)
- Accomidation
- Downward Movement
(3,4,6 apart of PERRLA, EOM and Pupil Size)
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Nerve VI
Abducens (Motor)
Lateral Movement
(3,4,6 apart of PERRLA, EOM and Pupil Size)
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Nerve V
Trigeminal (Mixed)
- Mastication
- Facial Sensory
-
Nerve VII
Facial (Mixed)
Motor: Smile, life eyebrows, show teeth
-
Nerve VIII
Acoustic or Vestibulocochlear Nerve (Sensory)
Whisper Test/ Hearing
-
Nerve IX
Glossopharyngeal (Mixed)
Apart of phonation and swallowing
(9,10: Depress tongue, say "aah," voice sounds smooth and not strained, gag reflex)
-
Nerve X
Vagus Nerve (Mixed)
Apart of Talking and Swallowing
(9,10: Depress tongue, say "aah," voice sounds smooth and not strained, gag reflex)
-
Nerve XI
Spinal/ Accessory Nerve (Motor)
- Head movement
- Shoulder Shrug
-
Nerve XII
Hypoglossal (Motor)
- Stick out Tongue
- "Light, Tight, Dynamite"
-
Cerebellar Function
Tests Balance, Coordination
Gait test, Romberg Test, Tandem Walking, Knee Bend, Rapid Alternative Movements
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Posterior Column Tests
- Vibration: Tuning Fork
- Position: Kinesthesia
- Stereognosis: Keys
- Graphesthesia: Trace # on palm
- Two point discrimination: Paper Clip
- Extinction: Both Sides
- Point Location
-
Reflexes
Main: Patellar (Knee), Plantar (foot)
Can check: Bicepts, Triceps, Brachaiordialis, Achilles, Abdominal, Cremaster.
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