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Boards 3 CN & Reflex
Cranial Nerves and reflexes
Question | Answer |
---|---|
Cranial nerve I and function | Olfactory, Sensory, sense of smell |
Anosmia | Sense of smell is lost |
Parosmia | Distorted sense of smell |
Cranial nerve II and function | Optic, sensory, visual acuity - snellen eye chart, peripheral vision, light reflex, consensual reflex, accommodation reflex |
Light reflex | CN II and III |
Consensual Reflex | CN III |
Accommodation reflex | CN II and III |
Cranial Nerve III and function | oculomotor, motor |
Cranial Nerve IV and function | Trochlear, motor |
Cranial Nerve VI and function | Abducens, Motor |
Cranial Nerve V and function | Trigeminal, Motor and Sensory. Motor: jaw jerk reflex, Sensory: corneal reflex, touch forehead |
Cranial Nerve VII and function | Facial, Motor and Sensory, facial expressions and taste to anterior 2/3 of the tongue (sweet, sour, salty) |
Cranial Nerve VIII and function | Vestibulo-Cochlear, Sensory Balance & Sensory Hearing |
Cranial Nerve IX and function | Glossopharyngeal, Sensory, Motor, Taste to the posterior 1/3 of the tongue (bitter) |
Cranial Nerve X and function | Vagus, Sensory, Motor, Gag reflex, muscles for larynx, carotid reflex (IX and X) |
Cranial Nerve XI and function | Spinal Accessory, Motor, Test scm and trapezius |
Cranial Nerve XII and funtion | Hypoglossal, Motor, Tests muscles of the tongue. Tested by asking the patient to stick out their tongue. Look for atrophy, deviation, and fasciculations |
Jaw jerk reflex tests which nerve or root? | CN V Trigeminal |
Biceps reflex tests which nerve or root? | C-5 level musculocutaneous nerve |
Brachioradialis reflex tests which nerve or root? | C-6 Level Radial nerve |
Triceps reflex tests which nerve or root? | C-7 Level Radial nerve |
Pectoralis reflex tests which nerve or root? | C-5 through T1 anterior throacic nerve |
Patellar reflex tests which nerve or root? | L2 through L4 Femoral Nerve |
Posterior Tibial reflex tests which nerve or root? | L5 |
Medial Hamstring reflex tests which nerve or root? | L5 |
Achilles reflex tests which nerve or root? | S-1 Level Tibial Nerve |
Wexler Scale 0 | absent even with reinforment |
Wexler Scale 1 | hypoactive or normal response with reinforcement |
Wexler Scale 2 | Normal |
Wexler Scale 3 | hyperactive |
Wexler Scale 4 | hyperactive with transient clonus |
Wexler Scale 5 | hyperactive with sustained clonus |
Westphal's sign | absense of any DTR, especially patellar; LMNL |
Jendrassik's maneuver | brings out reflex by cortical distraction |
Corneal reflex afferent nerve or root | CN V |
Corneal reflex efferent nerve or root | CN VII |
Pharyngeal Reflex afferent nerve or root | CN IX |
Pharyngeal Refex efferent nerve or root | CN X |
Abdominal reflex nerve or root | Upper T7 to T9, Lower T10 to T12 |
Cremasteric reflex afferent nerve or root | femoral N. |
Cremasteric reflex efferent nerve or root | Genitofemoral nerve, L1, L2 |
Geigel's reflex nerve or root | same as cremasteric |
Plantar reflex nerve or root | Tibial N. L4 to S2 |
Ciliospinal Reflex nerve or root | Cervical Sympathetics |
Oculocardiac Reflex afferent nerve or root | CN V |
Oculocardiac Reflex efferent nerve or root | CN X |
Carotid Sinus Reflex afferent Nerve or root | CN IX |
Carotid Sinus Reflex efferent Nerve or root | CN X |
Stroke up on lateral aspect of foot across ball of foot to great toe | Babinski -dorsiflexion of great toe withsplaying of other toes |
Stroke lateral malleolus to small toe | Chaddock - babinski response |
Stroke down tibial crest to ankle | Oppenheim - babinski response |
Squeeze the calf | Gordon's calf- babinski response |
Squeeze the achilles tendon | Schaefer - babinski response |
Tap the ball of the foot | Rossolimo - plantar flexion of great toe with curling of other toes |
Examiner presses the 4th toe downward and releases it with a snap | Gonda - Dorsiflexion of the big toe |
Examiner extends middle phalanx of patient and flicks distal phalanx down | Hoffman - Flexion and adduction of the thumb and flexion of the fingers |
Examiner sharply taps tips of the middle three fingers | Tromner - Flexion of all the fingers including the thumb |
Examiner strokes the pisiform of the patient | Gordon's finger -flexion of wrist and fingers or thumb and index finger |
Exminer strokes the distal ulnar side of the forearm nera the wrist | Chaddock's wrist - flexion of wrist and extension and fanning of the fingers |
Patient's hands placed together, palms up. Doctor hands jar patient's hands from below up. | Babinski pronation - affected hand falls in pronation. Good hand remains horizontal |
Examiner taps bewtween eyebrows with index finger | Glabella - Tonic spasm of orbicularis muscle with closing of the eyes |
Sharp tapping of the nose or middle of the upper lip | Snout - exaggerated reflex contraction of the lips |
UMNL | Lesion of the brain and spinal cord not including the anterior horn cell |
Lesion of the anterior horn cell out to the myoneural junction | LMNL |
UMNL paralysis | spastic |
UMNL DTR | hyperactive |
UMNL Pathological reflexes | Present |
UMNL Clonus | Present |
UMNL Tone | Hypertonic |
UMNL Reaction of Degeneration | Absent |
UMNL Atrophy | Absent |
UMNL Fasciculation | Absent |
UMNL Superficial Reflexes | Absent |
LMNL Paralysis | Flaccid |
LMNL DTR | Hypoactive/absent |
LMNL Pathological Reflexes | Absent |
LMNL Clonus | Absent |
LMNL Tone | Hypotonic |
LMNL Reaction of Degeneration | Present |
LMNL Atrophy | Present |
LMNL Fasciculation | Present |
LMNL Superficial Reflexes | Absent |