Cranial Nerves and Ear Examination Quiz
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Questions and Answers

Which cranial nerve is primarily responsible for the movement of the eyes upward, medially, and downward?

  • III Oculomotor (correct)
  • IV Trochlear
  • II Optic
  • VI Abducens

What is the primary function of the VII Facial nerve?

  • Taste for the anterior 2/3 of the tongue and facial expressions (correct)
  • Defecation and slowed heart rate
  • Hearing and Equilibrium
  • Vision

Which cranial nerve is associated with the sensation of touch in the forehead and cheek, as well as the ability to clench teeth?

  • V Trigeminal (correct)
  • XII Hypoglossal
  • IX Glossopharyngeal
  • X Vagus

Which cranial nerve is involved with hearing and balance?

<p>VIII Acoustic (D)</p> Signup and view all the answers

What is the function of the IX Glossopharyngeal nerve?

<p>Taste for the posterior 1/3 of the tongue (C)</p> Signup and view all the answers

Which cranial nerve is primarily responsible for lateral vision?

<p>CN VI (Abducens) (A)</p> Signup and view all the answers

During an eye examination, which movement is tested by the superior oblique muscle?

<p>Superior and medial movement of the eye (D)</p> Signup and view all the answers

Which of the following is NOT assessed when inspecting the external ear and canal?

<p>Symmetry of the ears (A)</p> Signup and view all the answers

What does a positive whisper test indicate during an ear examination?

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

Which cranial nerve is responsible for the response of the pupil to light during the eye examination?

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

What is the primary function of the 2nd Left Intercostal Space during auscultation?

<p>Pulmonary valve sound (C)</p> Signup and view all the answers

Which auscultation site is associated with 'Erbs point'?

<p>3rd Left Intercostal Space, Left Sternal Border (B)</p> Signup and view all the answers

Which mnemonic helps remember the order of heart sounds during auscultation?

<p>All Pics Eat Too Much (A)</p> Signup and view all the answers

At which intercostal space would you find the Tricuspid valve sound?

<p>3rd Left Intercostal Space (A)</p> Signup and view all the answers

What is the correct auscultation site for the Aortic valve sound?

<p>2nd Right Intercostal Space (C)</p> Signup and view all the answers

Which cranial nerve primarily tests for facial expressions like smiling and frowning?

<p>Facial (C)</p> Signup and view all the answers

What assessment technique is utilized to evaluate the function of the Vagus nerve?

<p>Checking the gag reflex (C)</p> Signup and view all the answers

Which cranial nerve is tested for the ability to move the tongue and articulate sounds like D, L, N, and I?

<p>Hypoglossal (C)</p> Signup and view all the answers

Which cranial nerve is responsible for controlling lateral eye movement?

<p>Abducens (A)</p> Signup and view all the answers

Testing the sensation of the face requires assessment of which cranial nerve?

<p>Trigeminal (D)</p> Signup and view all the answers

What function is primarily assessed by the Acoustic nerve?

<p>Hearing and balance (C)</p> Signup and view all the answers

Which cranial nerve controls the muscles of the sternocleidomastoid and is assessed by shoulder shrugging?

<p>Spinal Accessory (A)</p> Signup and view all the answers

Which test is used to assess both the function of the Oculomotor nerve and accommodation of the pupils?

<p>Observation of pupillary response (B)</p> Signup and view all the answers

What should be assessed during the palpation of the respiratory system?

<p>Palpation of carotid pulse (A)</p> Signup and view all the answers

During auscultation, what is being checked for in the trachea?

<p>Harshness of sounds during expiration (B)</p> Signup and view all the answers

Which condition can cause deviations in the mass of the chest and possibly lead to further complications?

<p>Enlarged goiter (D)</p> Signup and view all the answers

What finding indicates a normal respiratory examination?

<p>Clear blowing sounds that are louder during inspiration (B)</p> Signup and view all the answers

Which of the following is a likely cause of adventitious lung sounds such as crackles or wheezing?

<p>Restriction lung disease (C)</p> Signup and view all the answers

Which of these findings is typical for a patient with pneumothorax?

<p>Decreased breath sounds on the affected side (A)</p> Signup and view all the answers

What condition would likely result in bleeding gums?

<p>Gingivitis and infection process (A)</p> Signup and view all the answers

Which cranial nerve is assessed when testing the courage and swallowing reflex?

<p>CN 10 Vagus (A), CN 9 Glossopharyngeal (B)</p> Signup and view all the answers

What assessment is performed to observe the movement of the chest during respiration?

<p>Chest excursion observation (A)</p> Signup and view all the answers

What is indicated by a smooth, symmetrical neck with no distension?

<p>Normal structural integrity (D)</p> Signup and view all the answers

Which spinal abnormality is characterized by excessive outward curvature and is relevant in a respiratory examination?

<p>Kyphosis (D)</p> Signup and view all the answers

What observation would suggest a normal auscultation of the lung fields?

<p>Vesicular sounds (D)</p> Signup and view all the answers

What could indicate a trachea that is not midline during examination?

<p>Thyroid enlargement (B)</p> Signup and view all the answers

What finding would suggest a restrictive lung disease during physical examination?

<p>Severe kyphosis (D)</p> Signup and view all the answers

When palpating the carotid pulse, what is the expected finding?

<p>Even pulses bilaterally (B)</p> Signup and view all the answers

What does a normal range of motion at the spine during thorax inspection suggest?

<p>Adequate spinal health (C)</p> Signup and view all the answers

What is the primary method to assess the function of the CN II - Optic Nerve?

<p>Have the client read from a Snellen chart (C)</p> Signup and view all the answers

Which of the following cranial nerves is primarily involved in assessing sensation and motor function of the face?

<p>CN V - Trigeminal (C)</p> Signup and view all the answers

What does the test for PERRLA assess?

<p>Pupil reaction to light and accommodation (C)</p> Signup and view all the answers

Which cranial nerve should be tested by rubbing fingers together in one ear while whispering in the opposite ear?

<p>CN VIII - Acoustic (A)</p> Signup and view all the answers

To test the strength of the sternocleidomastoid muscles, which cranial nerve should be assessed?

<p>CN XI - Spinal Accessory (A)</p> Signup and view all the answers

What is one way to assess the function of CN IX - Glossopharyngeal?

<p>Test the gag reflex with a tongue blade (B)</p> Signup and view all the answers

Which cranial nerve function is assessed by observing the patient’s tongue for symmetry and strength?

<p>CN XII - Hypoglossal (A)</p> Signup and view all the answers

The ability of the patient to feel light touch on their face is primarily assessed through which cranial nerve?

<p>CN V - Trigeminal (C)</p> Signup and view all the answers

Flashcards

Olfactory Nerve Function

Tests sense of smell. Ask about any smelling difficulties.

Oculomotor Nerve Function

Tests eye movement and pupil response. Checks eyelid elevation and 6 cardinal gaze fields.

Trigeminal Motor Function

Tests chewing muscles.

Facial Nerve Function

Tests facial expressions; taste, saliva.

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Acoustic Nerve Function

Tests hearing and balance (equilibrium).

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Glossopharyngeal Nerve Function

Tests gag reflex, swallowing, and part of taste.

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Spinal Accessory Nerve Function

Controls shoulder and neck muscles (movement).

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Hypoglossal Nerve Function

Tests tongue movement.

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CN I: Olfactory Nerve

Responsible for the sense of smell. This nerve is tested by having the patient smell a familiar aromatic substance.

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CN II: Optic Nerve

Responsible for vision. This nerve is tested by assessing visual acuity using a Snellen chart or a written text.

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CN III, IV, VI: Oculomotor, Trochlear, Abducent Nerves

These nerves control eye movement and pupil response. They are tested by having the patient follow your finger through the six cardinal positions of gaze. The test checks for PERRLA (Pupils Equal Round Reactive to Light Accommodation).

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CN V: Trigeminal Nerve

This nerve controls sensation in the face and mastication (chewing). It is tested by assessing light touch and pain sensation on the face using a cotton swab and a safety pin. Motor function is assessed by palpating the temporal and masseter muscles during jaw clenching.

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CN VII: Facial Nerve

This nerve controls facial expressions. It is tested by observing the patient's face for symmetry at rest and while making various expressions.

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CN VIII: Acoustic Nerve

This nerve controls hearing and balance. It is tested by rubbing fingers together near one ear while whispering in the opposite ear.

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CN IX: Glossopharyngeal Nerve

This nerve controls swallowing and taste. It is inspected or palpated during the swallow.

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CN X: Vagus Nerve

This nerve controls various functions, including heart rate, digestion, and voice. It is tested by assessing the gag reflex and observing the patient's speech.

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What is a Cranial Nerve?

A nerve that originates directly from the brain, responsible for sensory and motor functions in the head and neck.

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Name the cranial nerve for smell.

The olfactory nerve (CN I) is responsible for our sense of smell.

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What nerve controls our eye movement?

The Oculomotor (CN III) is responsible for eye movement, Trochlear (CN IV) for downward inward eye movement, and Abducens (CN VI) for side-to-side movement.

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Name the nerve responsible for hearing and balance.

The Acoustic nerve (CN VIII) is responsible for hearing and balance.

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What nerve controls tongue movement?

The hypoglossal nerve (CN XII) controls the tongue's movement.

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What is auscultation?

Listening to sounds within the body, usually with a stethoscope, to assess various organ functions.

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Areas of auscultation

Specific areas of the chest wall where you listen for heart sounds to assess valve function.

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Where is the aortic valve sound heard?

The aortic valve sound is heard best at the 2nd right intercostal space.

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What is Erbs point?

A point on the left chest wall where you can hear a combination of heart valve sounds.

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What is the mnemonic for remembering the auscultation sites?

The mnemonic "All Pics Eat Too Much" helps remember the order: Aortic, Pulmonic, Erbs point, Tricuspid, Mitral.

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What are normal respiratory sounds?

Clear blowing sounds that are louder during inspiration, indicating healthy airflow.

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What does chest excursion mean?

The outward movement of the chest during inhalation and inward movement during exhalation.

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What are vesicular sounds?

Normal breath sounds heard over most of the lung fields, soft and breezy.

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What is a pneumothorax?

Air trapped in the space between the lung and chest wall, causing lung collapse.

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What is kyphosis?

Abnormal outward curvature of the spine, creating a hunchback appearance.

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What is scoliosis?

Abnormal side-to-side curvature of the spine.

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What are adventitious sounds?

Abnormal breath sounds heard in the lungs, such as crackles, rhonchi, and wheezing.

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What are some causes of restriction lung disease?

Conditions like TB, smoking history, and inflammation.

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Pupillary light reflex

The constriction of the pupil in response to light. It tests the function of the oculomotor nerve (CN III).

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Six Cardinal Fields of Gaze

A test of the extraocular muscles, assessing their coordination and full range of eye movement. It involves following a target with the eyes in six directions.

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Whisper Test

A test of hearing acuity, conducted by whispering a word into the patient's ear from a distance.

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CN I Olfactory

The nerve responsible for the sense of smell, tested by asking the patient to identify familiar scents.

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Sclera

The white outer layer of the eye, normally white or grey.

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Pink, moist, smooth lips

A healthy appearance of the lips, indicating good hydration and blood circulation.

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Oral mucosa: Pink, moist, smooth

A description of a healthy mouth lining, free from any signs of irritation, infection, or inflammation.

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No caries or inflammation

Indicates the absence of cavities or gum disease.

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What does "No distension" mean in a JVD test?

The jugular vein is not bulging, indicating normal blood pressure and heart function.

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Auscultation: Midline- sounds harsh on expiration.

The sound of air moving through the trachea (windpipe) is normal, indicating clear breathing.

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What indicates a healthy chest excursion?

The chest expands and contracts normally with each breath, showing good lung function.

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