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  • OSCE - Cranial Nerve Examination

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    This document outlines the steps for examining the 12 cranial nerves. It describes tests to assess the olfactory, optic, oculomotor, trigeminal, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, and hypoglossal nerves. Tests include checking for sensory changes, muscle strength, reflexes, and abnormalities that could indicate damage to the specific nerves.

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    Simplified notes on cranial nerve examination. Sufficient for pre-clinical medical student.

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    This document outlines the steps for examining the 12 cranial nerves. It describes tests to assess the olfactory, optic, oculomotor, trigeminal, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, and hypoglossal nerves. Tests include checking for sensory changes, muscle strength, reflexes, and abnormalities that could indicate damage to the specific nerves.

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    © All Rights Reserved
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    31 views2 pages

    OSCE - Cranial Nerve Examination

    Uploaded by

    A.C.
    This document outlines the steps for examining the 12 cranial nerves. It describes tests to assess the olfactory, optic, oculomotor, trigeminal, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, and hypoglossal nerves. Tests include checking for sensory changes, muscle strength, reflexes, and abnormalities that could indicate damage to the specific nerves.

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    © All Rights Reserved
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    of 2

    Cranial nerves examination

    Inspection
    ⁃ scar: craniotomy, tracheostomy neurofibroma
    ⁃ Facial asymmetry
    ⁃ Ptosis, proptosis, eye deviation
    ⁃ Consciousness
    Olfactory
    ⁃ ask whether got problem with smelling
    ⁃ Dont use pungent smell objects like lemon etc
    Optic
    ⁃ Pupillary light reflex (direct, consensual)
    ⁃ Relative afferent pupillary defect (RAPD)
    ⁃ Visual acuity - Snellen chart
    ⁃ Colour
    ⁃ Visual field - finger move inwards like snowflake shape
    Oculomotor, trochlear, abducens*
    ⁃ H test
    Trigeminal
    ⁃ Corneal reflex (cotton wool)
    ⁃ Face both sides (superior, midface, inferior): cotton & pin prick (try on
    sternum first)
    ⁃ Feel masseter while clenching teeth (ketap gigi)
    ⁃ Open mouth and dont let me close it (push chin upwards) - pterygoid
    ⁃ Jaw jerk
    Facial* (bell’s palsy)
    ⁃ Ask sensory (tongue ant. 2/3 & ear)
    ⁃ Asymmetry
    ⁃ Lift eyebrow
    ⁃ Close eye dont let me open it
    ⁃ Smile (show teeth)
    ⁃ Blow (muncungkan mulut)

    Vestibulocochlear
    ⁃ whisper
    ⁃ Weber (forehead)
    ⁃ Rinne (mastoid and air)
    Conductive deafness: bone louder than air
    Neural deafness: both reduced

    Glossopharyngeal, vagus
    ⁃ Say “aaaa” until can see uvula
    ⁃ Look for deviated uvula (deviate towards normal side)
    ⁃ Cough, hoarse voice
    ⁃ Swallow
    ⁃ Gag reflex
    Accessory
    ⁃ lift up shoulder and resist
    ⁃ Turn head to the side, resist when push chin
    Hypoglossal
    ⁃ tongue muscle wasting, fasciculation, deviation (to affected side)
    ⁃ Press tongue against face

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