CE: Neuro

Tests for CN 2 (Optic)

Snellen Chart 20 inches away

Tests for CN 3 (Oculomotor),4 (Trochlear), 5 (Trigeminal)

First Palpebral folds then PERLA and finally EOM

PERLA

Pupils Equal To Light and Accommodation

EOM

Extra Occular Movements

Tests for CN 6 (Abducens) (Jaw and upper face)

Palpate the Temporal then TMJ then Masseter muscles and finally Light touch sensation

What is the TMJ

Temporal Mandible Joint

Tests for CN 7 (Facial Nerve)

Check the nasolabial folds for drooping. Then ask the patient to smile, frown, puff out their cheeks, raise their eyebrows, and close their eyes tight

Tests for CN 8 (Acoustic) (speech)

Whisper test on both ears

Tests for CN 9 and 10 (Glossopharyngeal and Vagus nerves)

patient says “ah” observe the uvula and soft palate rise, and check their swallowing and gag reflex.

Tests for CN 12 (Hypoglossal nerve)

Tongue out, move side to side

Tests for CN 11 (Spinal Accessory)

Shrug and turn head against resistance

Cerebellar does what

Balance

Cerebellar Test 1

First Finger from nose to hand

RAM stands for

Rapid arm movements

Cerebellar Test 2

RAM movements and Heel up shin

Cerebellar Test 3

Pronator drift from supine

Sensory Motor test 1

Light touch round body

Sensory Motor 2

Extremity strength Sqeeze hands and push and pull, then repeat for legs and finally preform plantar flexion

Walk test 1

Observe Normal gait

Walk test 2

Heel to toe walk

Standing Cerebellum

Romberg (eyes closed balance)

referring to a stroke what is FAST

Face, Arm-Movement, Speech, Time

Mental status/Orientation

Person, place, Time, Purpose

DO YOU GOT THIS EXAM

Yes I do

Order for this exam

Orientation, Cranial nerves, Cerebellar, Sensory motor, standing tests