NUR 505 CORE MAIN QUESTIONS AND ANSWERS
SURE A+
✔✔Cranial nerve I - ✔✔Olfactory (Sensory)
Tests sense of smell
abnormal: olfactory tear, age, allergies, inflammation
✔✔Cranial nerve II - ✔✔Optic (Sensory)
Visual acuity
Visual fields by confrontation
abnormal: biplopia, blurry vision, 20/200 legally blind
✔✔Cranial nerve III - ✔✔Oculomotor (motor)
PERRLA
Cover uncover test
abnormal: nystagmus, strabismus
✔✔Cranial nerve IV - ✔✔Trochlear (motor)
Extra ocular eye movement
abnormal: nystagmus, strabismus
✔✔Cranial nerve V - ✔✔Trigeminal (sensory and motor)
Clench teeth, symmetrical jaw
Superficial pain and touch
abnormal:
✔✔Cranial Nerve VI - ✔✔Abducens (motor)
Lateral eye movement
abnormal: nystagmus, strabismus
✔✔Cranial Nerve VII - ✔✔Facial (motor and sensory)
Facial movements
Taste on anterior 2/3 tongue
, abnormal: ticks, asymmetry, drooping, aphasia
✔✔Cranial never VIII - ✔✔Acoustic (sensory)
Whisper test
Rinne test
Webber test
abnormal: hearing loss
✔✔Cranial nerve IX - ✔✔Glossopharyngeal (sensory and motor)
Gag reflex
taste posterior 1/3
Speech
Swallowing
abnormal: CN lesion, aphasia, stroke
✔✔Cranial nerve X - ✔✔Vagus (sensory and motor)
Swallowing
Gag reflex
abnormal: drooping of arch
✔✔Cranial nerve XI - ✔✔Spinal Accessory (motor)
Size shape symmetry of trapezius and sternocleidomastoid
abnormal: age, CN lesion
✔✔Cranial nerve XII - ✔✔Hypoglossal (motor)
Symmetrical tongue movement
abnormal: asymmetry, atrophy
✔✔plantar reflex - ✔✔superficial
stroke lateral edge of heel to ball, then around to form upside down J
L2, L3, L4
✔✔abdominal reflex - ✔✔superficial
stroke each quadrant of the abdomen away from umbilicus, you should the the
umbilicus move
upper: T8, T9, T10
lower: T10, T11, T12
✔✔cremasteric reflex - ✔✔superficial
stroke males inner thigh, the scrotum should move upward
T12, L1, L2
✔✔biceps reflex - ✔✔deep
arm at 45 degree angle, strike the tendon
c5, c6
SURE A+
✔✔Cranial nerve I - ✔✔Olfactory (Sensory)
Tests sense of smell
abnormal: olfactory tear, age, allergies, inflammation
✔✔Cranial nerve II - ✔✔Optic (Sensory)
Visual acuity
Visual fields by confrontation
abnormal: biplopia, blurry vision, 20/200 legally blind
✔✔Cranial nerve III - ✔✔Oculomotor (motor)
PERRLA
Cover uncover test
abnormal: nystagmus, strabismus
✔✔Cranial nerve IV - ✔✔Trochlear (motor)
Extra ocular eye movement
abnormal: nystagmus, strabismus
✔✔Cranial nerve V - ✔✔Trigeminal (sensory and motor)
Clench teeth, symmetrical jaw
Superficial pain and touch
abnormal:
✔✔Cranial Nerve VI - ✔✔Abducens (motor)
Lateral eye movement
abnormal: nystagmus, strabismus
✔✔Cranial Nerve VII - ✔✔Facial (motor and sensory)
Facial movements
Taste on anterior 2/3 tongue
, abnormal: ticks, asymmetry, drooping, aphasia
✔✔Cranial never VIII - ✔✔Acoustic (sensory)
Whisper test
Rinne test
Webber test
abnormal: hearing loss
✔✔Cranial nerve IX - ✔✔Glossopharyngeal (sensory and motor)
Gag reflex
taste posterior 1/3
Speech
Swallowing
abnormal: CN lesion, aphasia, stroke
✔✔Cranial nerve X - ✔✔Vagus (sensory and motor)
Swallowing
Gag reflex
abnormal: drooping of arch
✔✔Cranial nerve XI - ✔✔Spinal Accessory (motor)
Size shape symmetry of trapezius and sternocleidomastoid
abnormal: age, CN lesion
✔✔Cranial nerve XII - ✔✔Hypoglossal (motor)
Symmetrical tongue movement
abnormal: asymmetry, atrophy
✔✔plantar reflex - ✔✔superficial
stroke lateral edge of heel to ball, then around to form upside down J
L2, L3, L4
✔✔abdominal reflex - ✔✔superficial
stroke each quadrant of the abdomen away from umbilicus, you should the the
umbilicus move
upper: T8, T9, T10
lower: T10, T11, T12
✔✔cremasteric reflex - ✔✔superficial
stroke males inner thigh, the scrotum should move upward
T12, L1, L2
✔✔biceps reflex - ✔✔deep
arm at 45 degree angle, strike the tendon
c5, c6