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NPTE

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Tinnitus is a symptom with which vestibular disorder?   Peripheral vertigo  
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Menieres would be an example of central or peripheral vertigo?   Peripheral  
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Central or peripheral vertigo presents with autonomic symptoms?   Peripheral - pallor, sweating, n/v  
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diplopia and hemianopsia are symptoms associated with what type of vertigo?   central - along with other neurological symptoms (dysarthria, ataxia, weakness and numbness)  
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Migraine is an example of central or peripheral vertigo?   Central  
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Give 4 examples of pathologies associated with central vertigo   Migraines, MS, trauma/tumor, cerebellar degeneration  
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Give 4 examples of pathologies associated with peripheral vertigo   BBPV, Menieres, trauma/tumor, DM  
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Visual fixation inhibits nystagmus and verigo with what type of vestibular disorder?   Peripheral  
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Corneal Reflex   CN 5 (trigeminal) and 7 (facial) 5 = sensory, 7 = motor normal response: blink when cornea is touched with a cotton ball  
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Gag Reflex   CN 9 (glossopharyngeal) and 10 (vagus)  
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Uvula deviation   CN 9 (glossopharyngeal)  
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How do you test for facial cranial nerve?   anterior 2/3 taste, facial expression muscles  
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CN 9 testing   Glossopharyngeal - taste on posterior 1/3 of tongue, Uvula deviation and Gag reflex  
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CN 8 testing   Vestibulochoclear - Acoustic testing, Weber test with tuning fork  
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CN 10 testing   Vagus - Gag reflex. Parasympatheric motor fibers: HR, sweating, speech  
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CN 12   Hypoglosal - tongue protruision (deviates away from lesion)  
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CN 11   Spinal Accessory - UT MMT  
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CN 3   Oculomotor - all eye movements except ABD (CN6) and down and in (CN4). Pupil constriction, raise eye lid  
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Pupil Reflex   CN 2 and 3. Shine a light into one eye (block with your hand). Ipsilateral pupil should constrict followed by contralateral  
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What CN is affected if only the ipsilateral pupil constricts during pupillary reflex testing?   CN 3 - oculomotor  
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What CN is affected if neither pupil constricts during pupillary reflex testing?   CN 2 - optic  
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CN 4   Trochlear - down and in: superior oblique (LR6SO4)  
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CN 6   Abducens: eye ABD: lateral rectus (LR6SO4)  
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CN 2   optic - visual acuity (eye chart)  
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What is visual extinction and what CN is being tested?   CN 2 (optic), pt can only detect the finger when it is presented simultaneously with the other, they will not be able to detect it when it is presented alone.  
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CN 5   Trigeminal - Sensory of face and motor for temporalis and masseter  
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V1   opthalamic sensation  
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V2   Maxillary sensation  
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V3   Mandible sensation  
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