Cranial Nerve Assessment Quiz
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Questions and Answers

What is the primary function of the Olfactory nerve (CN I)?

  • Balance
  • Vision
  • Taste
  • Smell (correct)

Which cranial nerve is responsible for contralateral pupil constriction?

  • Facial (CN VII)
  • Optic (CN II) (correct)
  • Abducens (CN VI)
  • Oculomotor (CN III)

How is sensation tested from the face for the Trigeminal nerve (CN V)?

  • Using a tuning fork on the forehead
  • Through taste on the tongue
  • With a cold test on the cheeks
  • By light touch at frontal, cheek, and jaw areas (correct)

What movement does the Trochlear nerve (CN IV) primarily control?

<p>Downward and inward eye movement (D)</p> Signup and view all the answers

What is the typical method for testing balance associated with the Vestibulocochlear nerve (CN VIII)?

<p>Romberg balance test with eyes closed (B)</p> Signup and view all the answers

What is the appropriate test to assess the muscles of mastication for the Trigeminal nerve (CN V)?

<p>Palpating the temporal muscle while clenching the jaw (C)</p> Signup and view all the answers

Which method is used to test the facial nerve's (CN VII) sensory function?

<p>Taste with various flavors on the anterior tongue (D)</p> Signup and view all the answers

Which cranial nerve is responsible for elevating the eyelid?

<p>Oculomotor (CN III) (A)</p> Signup and view all the answers

What is indicated when sound is heard best in the affected ear during a Weber test?

<p>Conductive hearing loss (A)</p> Signup and view all the answers

What finding indicates normal hearing during a Rinne test?

<p>Air conduction better than bone conduction (D)</p> Signup and view all the answers

What does the inability to hear the tuning fork on the mastoid process suggest?

<p>Sensorineural hearing loss (B)</p> Signup and view all the answers

In which condition will air conduction be poorer than bone conduction?

<p>Conductive hearing loss (D)</p> Signup and view all the answers

During a Weber test, what does hearing the vibration equally in both ears indicate?

<p>Normal hearing (B)</p> Signup and view all the answers

What is the correct procedure for the Rinne test after placing the tuning fork on the mastoid process?

<p>Move the tuning fork adjacent to the outer ear (A)</p> Signup and view all the answers

What role do CN IX (Glossopharyngeal) and CN X (Vagus) play in hearing assessments?

<p>Involved in sensory evaluation of taste in the tongue (B)</p> Signup and view all the answers

Which condition causes sound to be heard better in the unaffected ear during a Weber test?

<p>Sensorineural hearing loss (D)</p> Signup and view all the answers

Flashcards

Sensorineural Hearing Loss

Problem in the inner ear or auditory nerve damage.

Conductive Hearing Loss

Sound not reaching the inner ear due to obstruction (e.g., earwax) or trauma.

Weber Test

Test to determine between sensorineural and conductive hearing loss.

Normal Weber Test

Equal sound heard in both ears when conducted through head.

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Conductive Loss (Weber)

Sound heard better in the affected ear during Weber Test.

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Sensorineural Loss (Weber)

Sound heard better in the normal ear during Weber Test.

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Rinne Test

Tests air conduction (outside ear) vs bone conduction (on mastoid process).

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Normal Rinne Test

Air conduction is better than bone conduction. Sound heard longer through air.

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Olfactory Nerve (CN I) Assessment

"Assess smell by using different smells (e.g., coffee grounds) with patient's eyes closed, testing one nostril at a time."

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Optic Nerve (CN II) Assessment

Assess vision acuity with a Snellen chart or by holding up your fingers, and check for pupillary constriction.

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Oculomotor Nerve (CN III) Assessment

Assess eyelid elevation by asking the patient to raise their eyebrows/open eyes, and test all eye movements excluding lateral and diagonal movements using a 'H' pattern.

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Trochlear Nerve (CN IV) Assessment

Assess eye movement down and in using 'H' pattern finger tracking.

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Trigeminal Nerve (CN V) Sensory Assessment

Assess facial sensation by testing light touch on forehead, cheeks, and jaw using different branches.

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Trigeminal Nerve (CN V) Motor Assessment

Assess chewing muscles by having the patient clench their jaw, resisting when you try to open the mouth or move their jaw.

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Facial Nerve (CN VII) Sensory Assessment

Assess taste on the anterior two-thirds of the tongue by placing a sweet substance on the tongue and having the patient identify it (with eyes closed).

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Vestibulocochlear Nerve (CN VIII) Assessment

Assess balance with Romberg test (standing unsupported/eyes closed), and hearing with finger rubbing/hearing tests.

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Study Notes

Cranial Nerve Assessment

  • CN I (Olfactory): Sensory nerve, tests smell. Patient's eyes closed, test one nostril at a time with different scents (e.g., coffee grounds).
  • CN II (Optic): Sensory nerve, tests vision. Assess visual acuity with a Snellen chart, assess pupil constriction with a pen light.
  • CN III (Oculomotor): Motor nerve, controls eye movement. Tests eye elevation, and tracking movements (e.g., H pattern). Assess pupillary constriction.
  • CN IV (Trochlear): Motor nerve that controls eye movement. Assess eye movement during tracking. Specifically, down and in movement.
  • CN V (Trigeminal): Mixed nerve (sensory and motor). Sensory: Tests facial sensation (light touch) on forehead, cheeks, and jaw. Motor: Tests jaw clenching and resistance to opening the mouth.
  • CN VI (Abducens): Motor nerve, tests eye movement. Assess lateral eye movement (tracking).
  • CN VII (Facial): Mixed nerve (sensory and motor). Sensory: Tests taste on the anterior two-thirds of the tongue (sweet, sour, salty). Motor: Evaluates facial muscle movement (smile, frown, puff out cheeks).
  • CN VIII (Vestibulocochlear): Sensory nerve, tests hearing and balance. Tests balance with the Romberg test (eyes closed) and hearing with a tuning fork (Weber & Rinne tests to differentiate conductive and sensorineural).
  • CN IX (Glossopharyngeal): Mixed nerve (sensory and motor). Sensory: Assess taste on the posterior one-third of the tongue (bitter and sour).
  • CN X (Vagus): Mixed nerve (sensory and motor). Sensory: Taste on the posterior one-third of the tongue. Motor: assess difficulty swallowing and gag reflex by testing gag reflex.
  • CN XI (Spinal Accessory): Motor nerve. Assess strength of the sternocleidomastoid and trapezius muscles (shoulder shrug).
  • CN XII (Hypoglossal): Motor nerve. Assess tongue movement (protrusion, side-to-side movement) for any deviation or atrophy.

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Cranial Nerve Lab Worksheet PDF

Description

Test your knowledge of cranial nerve assessments with this quiz. Discover how to evaluate each cranial nerve's function, including sensory and motor tests. Perfect for students in health sciences or medical fields.

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