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Paramedic Level

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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Olfactory Nerve   Cranial Nerve I Type: Sensory Function: Sense of Smell   Test: Ask Pt. to close their eyes, then hold an alcohol swab up to nose and inquire about ability to smell.  
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Oculomotor Nerve   Cranial Nerve III Type: Motor Function: Eye movement, Pupil constriction   Test: Have Pt. follow finger in H pattern. Test pupil response w/ penlight. Diagnosis: Pinpoint pupils = opiate OD or trauma to pons; Dilated pupils = anxiey, seizure, or stimulant use; Sluggish or fixed pupils = brain injury or swelling.  
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Trochlear Nerve   Cranial Nerve IV Type: Motor Function: Downward gaze   Test: Have Pt. hold head still while following your finger in H pattern, then inwards to touch nose.  
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Trigeminal Nerve   Test: Have Pt. hold head still while following your finger in H pattern, then inwards to touch nose.   Test: Ask Pt. to open wide, then clench jaw while palpating lower jaw muscles. Touch each side of forehead, sheek and lower jaw to determine sensory ability.  
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Abducens Nerve   Cranial Nerve VI Type: Motor Function: Lateral Eye Movement   Test: Have Pt. hold head still while following your finger in H pattern, then inward to touch nose.  
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Facial Nerve   Cranial Nerve VII Type: Sensory and Motor Function: (S) Taste (M) Sectretion of saliva, facial expressions   Test: Assess facial movement during interrogation, ask Pt. to smile, raise eyebrows, blow up cheeks. Any assymmetrical movement is bad, usually indicative of a stroke at the middle cerebral artery. Click to flip  
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Acoustic (Vestibulocochlear)   Cranial Nerve VIII Type: Sensory Function: Senses of hearing and balance   Test: Stand behind Pt. then rub fingers together near each ear and inquire as to which side the sound is coming from.  
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Glossopharyngeal Nerve   Cranial Nerve IX Type: Sensory and Motor Function: (S) Taste sensation from posterior tongue and pharynx (M) Muscles of swallowing and gag reflex   Test: Ask Pt. to open mouth wide and say "Ah" while inspecting uvula. Pull to one side indicates possible stroke affecting CN9 on side opposite to uvula pull.  
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Vagus Nerve   Cranial Nerve X Type: Sensory and Motor Function: (S) Gag reflex and stretch receptors in gut (M) Decreases heart rate, increases peristalsis, contracts muscles for voice production.   Test: Test gag reflex by tickling back of throat, however not usually necessary and prone to create vomitus!  
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Spinal Accessory Nerve   Cranial Nerve XI Type: Motor Function: Shoulder movements, turning of head, and movements of viscera.   Test: Evaluate muscle strength against resistance in the trapezius and sternocleidomastoids via shrugging and looking left and right respectively.  
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Hypoglossal   Cranial Nerve XII Type: Motor Function: Tongue Movements   Test: Ask Pt. to protrude tongue then move it in all four cardinal directions. Note favoring of one side or absence of smooth, fluid motions.  
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Optic Nerve   Cranial Nerve II Type: Sensory Function: Sense of Sight   Test: Ask Pt. to cover one eye, then hold up a number of fingers and ask Pt. to announce number or fingers seen. Repeat for opposite eye.  
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Created by: cjchaillou
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