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Cranial Nerve Assessment

Here is an activity to help you remember the best ways to assess the cranial nerves

AB
OlfactoryAssess by: asking pt to identify a smell such as cinnamon, vanilla or peppermint,
Optic NerveAssess by testing visual acuity (Snellen eye chart),
Oculomotor NerveAssess by: PERRLA, cardinal points of gaze,
TrochlearAssess by: PERRLA, cardinal points of gaze,
TrigeminalAssess by: checking blink reflex, assess sharp vs dull sensation on forehead, cheek and jaw,
AbducensAssess by: PERRLA, cardinal points of gaze,
FacialAssess by: frown, smile, puff out cheeks,
VestibulocochlearAssess by: performing Rinne and Weber tests (tuning fork),
GlossopharyngealAssess by: ask pt to say “ah” and observe that the palate rises symmetrically; check gag reflex,
VagusAssess by: check gag reflex. No other specific tests,
AccessoryAssess by: ask pt to shrug their shoulders and turn head from side to side, against resistance,
HypoglossalAssess by: asking pt to stick out their tongue (is it in the midline as it should be?),


allison nicol

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