Comprehensive Head to Toe
PROCTORED EXAM 2023 WITH NGN A+
VERIFIED QUESTIONS AND ANSWERS
aspects of appearance and behavior to comment on - ANSWER>>-dress, posture,
grooming, hygiene
-stature, build
-nutritional state
-degree of cooperativeness
-state of distress
-affect
-eye contact
-motor activity
aspects of mood to comment on - ANSWER>>congruence with situation and aspect
aspects of the skull, scalp, and hair to comment on - ANSWER>>-contour
-lesions
-hair
-tenderness
,CN VII (Facial) test - ANSWER>>instruct patient to:
-frown
-elevate forehead/raise eyebrows
-clench and show teeth
-smile
-puff and blow out cheeks
-close eyes firmly (try to open against resistance)
CN V (trigeminal) test - motor - ANSWER>>-place hands on patient's cheek's and temples
-instructs patient to contract and relax masseter muscles by clenching teeth
-tests strength by pushing down on the mandible against resistance
CN V (trigeminal) test - sensory - ANSWER>>-instructs patient to close eyes and say "now"
when feeling cotton touch their face
-use a light wisp of cotton over 3 nerve distributions bilaterally
aspects of the eyebrows, orbital areas, and eyelids to comment on - ANSWER>>-
distribution of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
, -discharge/tearing
aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - ANSWER>>-
color
-edema
aspects of the lacrimal glands/sac to comment on - ANSWER>>-edema
-tenderness
CN II, III (optic, oculomotor) test - ANSWER>>-instructs patient to focus on a far fixed point,
then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
aspects to comment on after CN II, III test - ANSWER>>-corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
CN III, IV, VI (oculomotor, trochlear, abducens) test - ANSWER>>-have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
aspects to comment on when testing CN III, IV, and VI - ANSWER>>-conjugate or
convergent gaze
PROCTORED EXAM 2023 WITH NGN A+
VERIFIED QUESTIONS AND ANSWERS
aspects of appearance and behavior to comment on - ANSWER>>-dress, posture,
grooming, hygiene
-stature, build
-nutritional state
-degree of cooperativeness
-state of distress
-affect
-eye contact
-motor activity
aspects of mood to comment on - ANSWER>>congruence with situation and aspect
aspects of the skull, scalp, and hair to comment on - ANSWER>>-contour
-lesions
-hair
-tenderness
,CN VII (Facial) test - ANSWER>>instruct patient to:
-frown
-elevate forehead/raise eyebrows
-clench and show teeth
-smile
-puff and blow out cheeks
-close eyes firmly (try to open against resistance)
CN V (trigeminal) test - motor - ANSWER>>-place hands on patient's cheek's and temples
-instructs patient to contract and relax masseter muscles by clenching teeth
-tests strength by pushing down on the mandible against resistance
CN V (trigeminal) test - sensory - ANSWER>>-instructs patient to close eyes and say "now"
when feeling cotton touch their face
-use a light wisp of cotton over 3 nerve distributions bilaterally
aspects of the eyebrows, orbital areas, and eyelids to comment on - ANSWER>>-
distribution of eyebrows
-orbital edema, sagging tissue, lesions, nodules
-ptosis
-completeness of lid closure
-erythema
, -discharge/tearing
aspects of the bulbar and palpebral conjunctivae and sclerae to comment on - ANSWER>>-
color
-edema
aspects of the lacrimal glands/sac to comment on - ANSWER>>-edema
-tenderness
CN II, III (optic, oculomotor) test - ANSWER>>-instructs patient to focus on a far fixed point,
then on a near fixed point; observes pupillary response
-inspects B/L eyes with pen light; observes pupillary response
-performs swinging light test; observes pupillary response
aspects to comment on after CN II, III test - ANSWER>>-corneal clarity
-pupillary size and shape
-pupillary reflex, direct, consensual, and afferent accommodation
CN III, IV, VI (oculomotor, trochlear, abducens) test - ANSWER>>-have patient follow pen
with eyes without moving their head
-six cardinal fields of gaze
aspects to comment on when testing CN III, IV, and VI - ANSWER>>-conjugate or
convergent gaze
