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Exam 5- ch 30

Terms in this set (110)

"On old Olympus' towering tops, a Finn and German viewed some hops."

12 Cranial Nerves
Olfactory-Sensory; smell
identify different nonirritating aromas such as coffee and vanilla

Optic- Sensory; visual acuity
Use Snellen chart or ask patient to read printed material while wearing glasses.

Oculomotor-Motor; eye movements, pupil control, opening the eye
Assess six directions of gaze.
Measure pupillary reaction to light reflex and accommodation

Trochlear-Motor; (specifically) downward/inward eye movements
Assess six directions of gaze.

Trigeminal -Sensory & Motor; sensory to face skin; motor to jaw
Lightly touch cornea with wisp of cotton. Assess corneal reflex. Measure sensation of light pain and touch across skin of face.
Palpate temples as patient clenches teeth

Abducens-Motor; (specifically) lateral eye movements
Assess six directions of gaze.

Facial-Sensory & Motor; sense of Taste (FRONT OF TONGUE); motor to facial expression
Have patient identify salty or sweet taste on front of tongue.
As patient smiles, frowns, puffs out cheeks, and raises and lowers eyebrows, look for asymmetry.

Auditory- Sensory; hearing
Assess ability to hear spoken word.

Sensory & Motor; sense of Taste (BACK OF TONGUE); motor to swallow
Ask patient to identify sour or sweet taste on back of tongue.
Use tongue blade to elicit gag reflex.

Vagus- Sensory & Motor; sensation of pharynx; motor of vocal cords; Parasympathetic innervation to glands of mucous membranes of the pharynx, larynx, organs in the neck, thorax (heart and lungs), and abdomen
Ask patient to say "ah." Observe movement of palate and pharynx.
Assess speech for hoarseness.
Assess heart rate, presence of peristalsis.

Spinal accessory- Motor; movement of head and shoulders
Ask patient to shrug shoulders and turn head against passive resistance

Hypoglossal—Motor; position of tongue
Ask patient to stick out tongue to midline and move it from side to side.