questions and answers
Define somnolence - CORRECT ANSWERS-conscious, extreme drowsiness but will respond to
normal stimuli
Coma - CORRECT ANSWERS-unconscious, cannot be aroused and does not response to stimuli
Stupor - CORRECT ANSWERS-unconscious, can be aroused by extreme &/or repeated stimuli
Olfactory - CORRECT ANSWERS-I, sensory, smell, test each nostril for smell reception with various agents
+ interpretation
Optic - CORRECT ANSWERS-II, sensory, vision, test vision for acuity and visual fields
Oculomotor - CORRECT ANSWERS-III, motor, pupil constriction + raises eyelids, test pupillary rxn to light
and ability to open and close eyelids
Trochlear - CORRECT ANSWERS-IV, motor/proprioceptor, downward + inward eye movement, test for
downward + inward movement of the eye
Trigeminal - CORRECT ANSWERS-V, Motor: jaw movements, chewing + mastication, ask patient to open
and clench jaws while you palpate jaw muscles
-Sensory: sensations on face + neck, test face and neck for pain sensations, light touch, and temperature
Abducens - CORRECT ANSWERS-VI, motor, lateral eye movements, test ocular movement in all
directions
Facial - CORRECT ANSWERS-VII, -Motor: muscles of the face, ask patient to raise eyebrows, smile, show
teeth, and puff out cheeks
, -Sensory: sense of taste on the anterior 2/3 of tongue, test for taste sensation with various agents
Acoustic - CORRECT ANSWERS-VIII, sensory, hearing, test hearing ability
Glossopharyngeal - CORRECT ANSWERS-IX, -Motor: pharyngeal movement + swallowing, ask patient to
say "ah" and have patient yawn to observe upward movement of soft palate, elicit gag response, note
ability to swallow ---Sensory: sense of taste on posterior 1/3 of tongue, test for taste with various agents
Sensory Deficit - CORRECT ANSWERS-impaired or absent functioning of one or more senses. IE: impaired
sight or hearing, altered taste, numbness, paralysis
Sensory Overload - CORRECT ANSWERS-condition resulting from excessive sensory input to which the
brain is unable to meaningfully response. Person feels out of control. IE: constant presence of pain or
discomfort from dressings, IV lines + unfamiliar environment
Sensory Deprivation - CORRECT ANSWERS-condition resulting from decreased sensory input or input
that is monotonous, unpatterned, or meaningless. RAS is no longer able to project a normal level of
activation to the brain. IE: bed rest, isolation, small living area, impaired vision or hearing due to
bandage or case, Spinal cord injuries or brain damage, confused or disoriented
What should a normal tympanic membrane looks like? - CORRECT ANSWERS-pale, grey, ovoid, semi-
transparent. separates the external ear from the middle ear - normally it is intact and closes the
entrance to the middle ear completely. If it is ruptured or opened by surgical intervention, the middle
ear and the inner ear have direct passage to the external ear.
How do you test for convergence? - CORRECT ANSWERS-*hold finger about 6-8" from the bridge of the
patient's noise. Move finger towards patient's nose to assess convergence. Eyes should converge(cross
eyed appearance).
How do you test for visual accommodation? - CORRECT ANSWERS-hold forefinger, pencil or straight
object about 4-6" from the bridge of the patient's nose. Ask patient to look at the object, then a distant