Cardinal gazes Correct Answer-test CN 3, 4 and 6
PERRLA Correct Answer-pupils equal, round, reactive to light and
accommodation - cranial nerve 2
Glasgow Coma Scale Correct Answer-eyes, verbal response, motor
response
Max- 15 pts, below 8= coma
nystagmus Correct Answer-Involuntary rapid eye movements
oscillatory shaking and jerking
questions to ask about nystagmus Correct Answer-both eyes? slow?
constant or intermittent, plane of movement?
What causes nystagmus? Correct Answer-neuro issues
fatigue
CNS disorder
toxicity
alocohol
deep tendon reflexes Correct Answer-tested with a reflex hammer that is
used to strike a tendon
, rated from 4 (hyperactive) to 0 (Absent)
stretch/deep tendon: pateller
superficial cutaneous: burn reflec
visceral: pupil
variations in vision Correct Answer-diabetes, trauma, poor vision
variations in hearingq Correct Answer-otitis media (ear infections),
foreign body
variation in smell Correct Answer-brain injury, parkinsons, alzheimers,
tumor, neck radiation
variations in taste Correct Answer-chemical exposure, head or neck
injury
variations in touch Correct Answer-raynauds syndrome, spinal cord
injury, peripheral neuropathy
consequence of sensory impairment Correct Answer-communication
difficulty, food poisoning, high risk for burn, injury, damage,
depression, anxiety developmental delays, isolation, frustration
assessments for vision Correct Answer-visual acuity
PERRLA