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    Tests For Cranial Nerves

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    Nirali Parmar
    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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    Tests For Cranial Nerves

    Uploaded by

    Nirali Parmar
    52 views2 pages
    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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    Tests for Cranial Nerves

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    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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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views2 pages

    Tests For Cranial Nerves

    Uploaded by

    Nirali Parmar
    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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    © All Rights Reserved
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    of 2

    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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