COMPREHENSIVE I-HUMAN UPDATED
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
● 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
-nystagmus, plane of movement
● aspects to comment on during ophthalmoscopic exam. Answer: -red
reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
SCRIPT 2026 PRACTICE SOLUTIONS
GRADED A+
● 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
-nystagmus, plane of movement
● aspects to comment on during ophthalmoscopic exam. Answer: -red
reflex
-retinal color and lesions
-characteristics of blood vessels
-disc and physiologic cup characteristics
