A&P Practical (Exam 3)

DHSHP A&P Practical for Exam 3, Rotation 2, CO' 2026

CN I

olfactory

CN II

Optic: Cardinal fields and general visual acuity

CN III

Oculomotor: Cadinal Fields, Covergence, and pupillary restriction

CN IV

Trochlear: Cardinal Fields

CN VI

Abducens: Cardinal Fields

CN VII

Facial: Closing eyes and Smiling

CN IX

glossopharyngeal: speaking/coughing

CN X

vagus: speaking/coughing

CN XII

Hypoglossal: sticking out toungue

CN V

Trigemminal: light touch on face, jaw movement and strength

CN XI

Accessory: sternocleidomastoid (SCM) and trapezius strength

CN VIII

Vestibulocochlear: hearing

Sensorineural hearing loss

damage to the chicken and/or the vistibulocochlear nerve… specific to the inner workings…

when performing ear tests this ear is quieter than the other when tuning fork on top of head and both levels take less time rather than only the 2x not reaching 2x for one side.

Conductive hearing loss

damage/blockage of the external or middle ear

When performing ear tests if it is louder in the affected ear it is likely a conductive hearing loss. If when the tuning fork is by the ear rather than right behind/contact and takes less than 2x compared to the other side it likely is a conductive hearing loss.

Strength Level 0/5

Strength Level: No contraction

Strength Level 1/5

Strength Level: muscle flicker but no movement

Strength Level 2/5

Strength Level: movement possible, but not against gravity (test the joint in its horizontal plane)

Strength Level 3/5

Strength Level: Movement possible against gravity, but not against resistance by the examiner

Strength Level 4/5

Strength Level: movement possible against some resistance by the examiner (this category can be further subdivided into + / - / )

Strength Level 5/5

Strength Level: normal strength

Reflex grading: 0

Reflex grading: no response

Reflex grading: 1+

Reflex grading: sluggish or diminished

Reflex grading: 2+

Reflex grading: Active or expected response (textbook normal)

Reflex grading: 3+

Reflex grading: more brisk than expected

Reflex grading: 4+

Reflex grading: Brisk and hyperactive with clonus

Clonus

Name of condition when the patient’s muscles keep responding to the stimulus even after the stimulus is removed.

Motor Strength Test: C5

Motor Strength Test: Shoulder Abduction

Motor Strength Test: Method for C5

Motor Strength Test: patient’s shoulders at 90 degrees and press down while patient presses up

Motor Strength Test: C6

Motor Strength Test: Wrist extensors

Motor Strength Test: C6 method

Motor Strength Test: patient’s fist in boxing position, bracing hand around wrist and hand on wrist side and patient pushes against resistance/away from their body.

Motor Strength Test: C7

Motor Strength Test: Wrist flexors

Motor Strength Test: C7 Method

Motor Strength Test: patient’s fists in boxing position, apply resistance to inside and have patient bend wrists against resistance into/towards body

Motor Strength Test: C8

Motor Strength Test: Finger Flexors

Motor Strength Test: T1 Method

Motor Strength Test: Fingers spread out and interlace fingers with patient and have patient squeeze fingers together.

Motor Strength Test: T1

Motor Strength Test: Finger adductors

Motor Strength Test: C8 Method

Motor Strength Test: Patient in boxing position with fingers extended. Place one hand over palm and other providing resistance against fingers, have patient push fingers into hand (into body)

Motor Strength Test: L1 to L3

Motor Strength Test: Hip Flexors

Motor Strength Test: L1 to L3 Method

Motor Strength Test: Put a stuff arm over the patient’s knee and have the patient lift the knee towards the ceiling, doing one at a time.

Motor Strength Test: L4

Motor Strength Test: Ankle dorsiflexion

Motor Strength Test: L4 method

Motor Strength Test: bracing hand around ankle, testing hand top of foot (shoelaces), patient dorsiflexes against resistance.

Motor Strength Test: L5

Motor Strength Test: Toe extensors

Motor Strength Test: L5 Method

Motor Strength Test: bracing hand over top of foot (shoelaces), testing hand over toes, patient lifts toes against resistance.

Motor Strength Test: S1

Motor Strength Test: ankle planter flexion

Motor Strength Test: S1 Method

Motor Strength Test: bracing hand at ankle, testing hand under foot, patient plantar flexes against resistance.

Reflex Test: C5, C6

Reflex Test: Biceps

Reflex Test: C5, C6 (#2)

Reflex Test: Brachioradial

Reflex Test: C7, C8

Reflex Test: Triceps

Reflex Test: L2, L3, L4

Reflex Test: Patellar

Reflex Test: S1, S2

Reflex Test: Achilles