IHUMAN CASE STUDY CERTIFICATION
PAPER 2026 FULL SOLUTION GRADED A+
● 1: Physical Exam: #2. Answer: General appearance, skin, hands,
fingernails, toenails, color and pigmentation, temperature, moisture,
texture and turgor are deliberately examined.
● 1: Physical Exam: #3. Answer: Upper and lower extremities are
deliberately palpated bilaterally using the dorsum of the hand.
● 2: Head and Face: #1. Answer: Entire head, scalp and hair inspected.
Hair should be separated in at least three areas to assess scalp.
Entire head is deliberately palpated.
● 2: Head and Face: #2. Answer: Palpate temporal arteries bilaterally
● 2: Head and Face: #3. Answer: Maxillary and frontal sinuses are
palpated (2pts)
● 2: Head and Face: #4. Answer: Cranial nerve V (CN V) Palpate
temporal and masseter muscles while patient clenches teeth.
,● 2: Head and Face: #5. Answer: Palpate temporomandibular joint
while patient opens/closes mouth
● 2: Head and Face: #6. Answer: CN V Observe and palpate
temporomandibular joint while patient
1) opening and closing jaw widely
2) moving side to side
3) sticking jaw out all maneuversWith and
Without against resistance of examiner's hand (3pts)
● 2: Head and Face: #7. Answer: CN V Test for light touch on face with
wisp of cotton, comparing sides. Eyes should be closed. May do during
neuro part of exam.
● 2: Head and Face: #8. Answer: Cranial Nerve VII (CN VII) Observe
presence and symmetry of patient's facial muscle movements (7pts)
☐Close Eyes
☐Open Eyes Against Resistance
☐Frown
☐Lift Eye Brows
☐Puff Out Cheeks
☐Show Teeth
, ☐Smile
● 3: Eyes: #1. Answer: Visual Fields - Peripheral vision (CN II)
(nasal/temporal/superior/inferior)
● 3: Eyes: #2. Answer: External Structures of the Right and Left Eye
are inspected and verbalized (6pts)
☐Eyebrows
☐Lashes & Lids
☐Lacrimal Gland
☐Conjunctiva
☐Sclera
☐Cornea
● 3: Eyes: #3. Answer: Anterior Chamber of the Eye Assessed from the
side using pen light (note corneal clarity/shape) ☐Right ☐Left
● 3: Eyes: #4. Answer: Corneal Light Reflex - Hirschberg Test - (CN
III, IV, VI) (does light shine equally)
● 3: Eyes: #5. Answer: Pupillary reflexes (CN III, IV, VI) direct/
consensual/accommodation (testing is performed 3x)
PAPER 2026 FULL SOLUTION GRADED A+
● 1: Physical Exam: #2. Answer: General appearance, skin, hands,
fingernails, toenails, color and pigmentation, temperature, moisture,
texture and turgor are deliberately examined.
● 1: Physical Exam: #3. Answer: Upper and lower extremities are
deliberately palpated bilaterally using the dorsum of the hand.
● 2: Head and Face: #1. Answer: Entire head, scalp and hair inspected.
Hair should be separated in at least three areas to assess scalp.
Entire head is deliberately palpated.
● 2: Head and Face: #2. Answer: Palpate temporal arteries bilaterally
● 2: Head and Face: #3. Answer: Maxillary and frontal sinuses are
palpated (2pts)
● 2: Head and Face: #4. Answer: Cranial nerve V (CN V) Palpate
temporal and masseter muscles while patient clenches teeth.
,● 2: Head and Face: #5. Answer: Palpate temporomandibular joint
while patient opens/closes mouth
● 2: Head and Face: #6. Answer: CN V Observe and palpate
temporomandibular joint while patient
1) opening and closing jaw widely
2) moving side to side
3) sticking jaw out all maneuversWith and
Without against resistance of examiner's hand (3pts)
● 2: Head and Face: #7. Answer: CN V Test for light touch on face with
wisp of cotton, comparing sides. Eyes should be closed. May do during
neuro part of exam.
● 2: Head and Face: #8. Answer: Cranial Nerve VII (CN VII) Observe
presence and symmetry of patient's facial muscle movements (7pts)
☐Close Eyes
☐Open Eyes Against Resistance
☐Frown
☐Lift Eye Brows
☐Puff Out Cheeks
☐Show Teeth
, ☐Smile
● 3: Eyes: #1. Answer: Visual Fields - Peripheral vision (CN II)
(nasal/temporal/superior/inferior)
● 3: Eyes: #2. Answer: External Structures of the Right and Left Eye
are inspected and verbalized (6pts)
☐Eyebrows
☐Lashes & Lids
☐Lacrimal Gland
☐Conjunctiva
☐Sclera
☐Cornea
● 3: Eyes: #3. Answer: Anterior Chamber of the Eye Assessed from the
side using pen light (note corneal clarity/shape) ☐Right ☐Left
● 3: Eyes: #4. Answer: Corneal Light Reflex - Hirschberg Test - (CN
III, IV, VI) (does light shine equally)
● 3: Eyes: #5. Answer: Pupillary reflexes (CN III, IV, VI) direct/
consensual/accommodation (testing is performed 3x)
