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Tests For Cranial Nerves

The document summarizes tests for the 12 cranial nerves including olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acoustic, glossopharyngeal, vagus, spinal accessory, and hypoglossal nerves. It also lists tests for motor function, balance, coordination, and sensory function including light touch, dull/sharp discrimination, tactile discrimination, and graphesthesia.

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Nirali Parmar
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86 views

Tests For Cranial Nerves

The document summarizes tests for the 12 cranial nerves including olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, acoustic, glossopharyngeal, vagus, spinal accessory, and hypoglossal nerves. It also lists tests for motor function, balance, coordination, and sensory function including light touch, dull/sharp discrimination, tactile discrimination, and graphesthesia.

Uploaded by

Nirali Parmar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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HEAS 1000 Neurological Assessment Resource.

Cranial Nerves

CRANIAL NERVE TESTS


1 CN I OLFACTORY Differentiation of smells x 2 (eyes closed)
2 CN II OPTIC Peripheral vision: Confrontation Test (2’ away and eye level
and cover opposite eye)
Visual Acuity: Snellen Chart (20’ away) and Near Vision (14”
away)
3 CN III OCCULOMOTOR Pupil constriction: Direct and Indirect: use a penlight to
shine in pupil, look for constriction of both pupils
Accommodation: have client focus on an object in the
distance (pupils dilate) then focus on a near object (pupils
constrict)
Downward, upward eye movement: Cardinal Fields (draw an
air Star or H) no head movement only eyes.
4 CN IV TROCHLEAR Movement of eyes toward the nose. (Convergence):
(CN 3, 4 & 6 go Cardinal Fields (draw an air Star or H) no head movement
together) only eyes.
5 CN V TRIGEMINAL Jaw movement: Clench jaw and palpate for contraction
Sensation on the face and neck (cotton ball)
6 CN VI ABDUCENS Lateral movement of the eyes: Cardinal Fields (draw an air
(CN 3, 4 & 6 go star or H)
together)
7 CN VII FACIAL Make faces: Smile, frown, purse lips, raise eyebrows
8 CN VIII ACOUSTIC/ Sense of hearing: Whisper test (2 feet away) and Romberg (20
VESTIBULOCOCHLEAR sec eyes closed)
9 CN IX GLOSSPHARYNGEAL Pharyngeal (tongue) movement, client says “ah” and ask to
(CN 9 & 10 go together) do a dry swallow
10 CN X VAGUS Swallowing and speaking: Say “ah” & uvula is midline and
(CN 9 & 10 go together) moving freely
11 CN XI SPINAL ACCESSORY Movement of the shoulder muscles: Shoulder shrug, turn
head to each side against resistance
12 CN XII HYPOGLOSSAL Movement of tongue, strength of tongue: stick tongue out
against resistance

Revised October 17, 2019


HEAS 1000 Neurological Assessment Resource.

Motor and Cerebellar


Balance • Gait: note posture, symmetry, rhythm
• Romberg test
• Tandem walking (heel/toe)

Coordination • Finger-to-nose test (eyes open/eyes closed); repeat three times


• Heel-to-shin test (supine or standing)
• Rapid movement of arms (pronation/supination in rapid succession sitting)
Sensory • Light touch sensation: Use cotton ball and, with partner’s eyes closed, ask
partner to identify where he/she feels the sensation (arms/legs/face)
• Dull sharp discrimination (arms/legs)

Tactile • Stereogenosis: Eyes closed. Place object in partner’s hand and ask him/her to
Discrimination identify it (both hands)

Graphesthesia • Ask partner to close eyes. Write a letter or number on your partner’s hand and
ask him/her to identify it (eg. 2, 3, 5, 8, 9…)
Jarvis, Carolyn, (2019) Physical Examination & Health Assessment (3rd ed). p. 701-708. Toronto, ON: Elsevier Canada.

Revised October 17, 2019

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