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Concussion Testing

Cranial NerveFunctionNerve TypeClinical Assessment
III Oculomotor Pupillary reaction Motor Shine light in each eye to assess reaction: upward, downward, and medial gaze
IV Trochlear Eye movement Motor Have eye follow finger downward and laterally without moving head
V Trigeminal Mastication and facial sensation Both Identify location of touch about face, hold mouth open against resistance, clench teeth
VI Abducens Lateral eye movement motor have patient move eyes from side to side; lateral gaze
VII Facial facial expressions and taste both smile, wrinkle forehead, wink, puff cheeks, close eyes tight, identify tastes with anterior tongue
VIII Vestibulocochlear Equilibrium and hearing sensory identify sounds, balance assessment
IX Glossopharyngeal voice and swallow both say "ah", swallow, test gag reflex
X vagus voice and gag reflex both hoarse voice, test gag reflex
XI Accessory Neck strength: sternocleidomastoid and trapezius motor resist head rotation and should shrug
XII Hypoglossal tongue movement motor stick out tongue, resist with tongue depressor
I Olfactory Smell Sensory Provie distinct smelling objects
II Optic Visual acuity sensory read small print
Created by: vech13