NAME/NUMBER I.

OLFACTORY

FUNCTION Sensory - Sense of smell Sensory - Sense of vision Motor - %u&il constriction+ raising of e!eli"s

TEST Have client smell a nonirritating substance such as coffee or tobacco ith e!es close" Snellen e!e chart for far vision Rea" ne s&a&er for near vision O&hthalmosco&ic e'am Test for si' car"inal fiel"s of ga,e Observe for s!mmetr! an" e!e o&ening Shine &enlight into e!e as client stares straight ahea" As- client to atch !our finger as !ou move it to ar" his.her face Test for si' car"inal fiel"s of ga,e Test ith &in an" is& of cotton over all three branches #forehea"+ chee-+ 5a on both si"es of face$ Test for si' car"inal fiel"s of ga,e Observe for facial s!mmetr! after as-ing client to fro n+ smile+ raise e!ebro s+ close e!eli"s against resistance+ histle+ blo %lace s eet+ sour+ bitter + an" salt! substances on tongue Test ith atch tic-ing into ear+ rubbing fingers together+ Rinne Test+ ;eber Test( balance6 Romberg8s Test %lace s eet+ sour+ bitter+ an" salt! substances on tongue 2ote abilit! to s allo an" manage secretions Stimulate &har!ngeal all to elicit gag refle' Stimulate &har!ngeal all to elicit gag refle' Ins&ect soft &alate 4 instruct to sa! >ah? Observe uvula for mi"line Rate @ualit! of voice Ins&ect an" &al&ate sternoclei"omastoi" an" tra&e,ius muscles for si,e+ contour+ tone As- client to move hea" si"e to si"e against resistance an" shrug shoul"ers against resistance Ins&ect tongue in mouth As- client to stic- out tongue an" move it @uic-l! si"e to si"e Observe mi"line+ s!mmetr!+ an" rh!thmic movement of tongue

ABNORMAL FINDINGS Anosmia #absence of smell$ %a&ille"ema( blurre" vision( scotoma( blin"ness Anisocuria( &in&oint &u&ils( fi'e"+"ilate" &u&ils

II. O%TIC III. OC)LO*OTOR

I/. TROCHL0AR /. TRI30*I2AL

Motor - 1o n ar" an" in ar" movement of e!es Motor 4 5a movement Sensory 4 sensation on the face an" necMotor - Lateral movement of the e!es Motor 4 facial muscle movement Sensory 4 taste on the anterior t o- thir"s of the tongue #s eet an" salt!$ Sensory - Sense of hearing an" balance Motor 4 &har!ngeal movement an" s allo ing Sensory 4 taste on &osterior onethir" of tongue #sour an" bitter$ Sensory and Motor - S allo ing an" s&ea-ing Motor 4 fle'ion an" rotation of hea"( shrugging of shoul"ers Motor 4 tongue movements

2!stagmus Trigeminal 2euralgia #Tic "ouloureu'$ 1OC6 Carbama,e&ine #Tegretol$ 1i&lo&ia( &tosis of the e!eli" 7ell8s &als!( ageusia #loss of sense of taste$ on the anterior 9.: of the tongue con"uctive < sensorineural hearing loss tinnitus( vertigo Loss of gag refle'+ "rooling of saliva+ "!s&hagia+ "!s&honia+ &osterior thir" ageusia Loss of gag refle'+ "rooling of saliva+ "!s&hagia+ "!sarthria+ bra"!car"ia+ increase" HCl secretion Inabilit! to rotate the hea" an" move the shoul"ers %rotrusion of the tongue+ "eviation of the tongue to one si"e of the mouth

/I. A71)C02S /II. FACIAL

/III./0STI7)LOCOCHL0AR I=. 3LOSSO%HARY230AL

=. /A3)S

=I. S%I2AL ACC0SSORY

=II. HY%O3LOSSAL

CRANIAL NERVE ASSESSMENT b! Aun"ell A. Castar"o+ )SR2