1Cranial Nerve I: Olfactory
sensory
not tested routinely
assess patency (occlude nostril, sniff)
normal: can identify odor on each side of nostril
2Cranial Nerve II: Optic
sensory
visual acuity
visual fields by confrontation
Ophthalmoscopic Exam
3Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens
all motor
pupil check
EOM (cardinal positions of gaze)
4Cranial Nerve V: Trigeminal
five fingers to the face
motor = clench teeth
sensory = light touch sensation
5Cranial Nerve VII: Facial
motor = wrinkle forehead, close eyes, smile, pucker lips, puff out cheeks
sensory = not tested routinely, test sense of taste
6Cranial Nerve VIII: Acoustic
sensory
whispered voice test
stand behind so can't read lips
7Cranial Nerve IX, X: Glossopharyngeal, Vagus
motor = note pharyngeal movement (say "ahh) and gag reflex
sensory = taste (not done)
8Cranial Nerve XI: Spinal Accessory
motor
rotate head forcible against resistance applied to side of chin
shrug shoulders against resistance
9Cranial Nerve XII: Hypoglossal
motor
inspect tongue, stick tongue out
normal: no wasting or tremors
ask person to say light, tight, dynamite
norma: clear and distinct