1Used to assess visual acuity in adults. Tests Optic Cranial nerve II
What is snellen chart?
2Card needed to test for near vision
Rosenbaum or Jaeger card
3Using your fingers to percuss the head at the junction of the frontal, temporal, and parietal bones will produce a cracked pot sound
What is Positive Macewen's sign which indicated hydrocephalus?
4Place the base of the vibrating tuning fork on the midline vertex of the head. Test each ear separately with the other ear occluded. This tests for which condition?
What is the Weber test, which assesses for conduction hearing loss?
5Place the base of the vibrating tuning fork against the mastoid bone. Note seconds until the sound is no longer heard & quickly move the fork 1-2 cm from the auditory canal. Test each ear.
This Rinne test. It tests for conduction hearing loss as well.
6Which eye does the provider utilize to assess the patient's right eye with the ophthalmoscope?
What is the right eye? Provides spatial comfort.
7Test for Giant cell arteritis
Auscultate the temporal artery for bruits
8Percussion on the masseter muscle may produce a hyperactive masseteric reflex which indicates hypocalcemia.
Positive Chvostek’s sign
9Test for refractive error and only used when the vision is not 20/20
What is Pinhole test
10Pale skin, conjunctiva, or mucosa with tachycardia and hypotension
Signs of anemia
11Enlarged lymph node draining lymphatic fluid from the left side of the neck into the jugular-subclavian venous junction indicated which condition?
What is gastric cancer?
12The patient is lethargic with the inability to speak, asymmetrical nasolabial folds, drooling, and slow pupil response. What diagnosis should be considered?
stroke
13Your patient has giant cell arteritis. What symptoms should you ask about that are often correlated with this diagnosis?
Headache, vision changes, fever, jaw pain, and fatigue
14Your patient has a butterfly rash on their face. What other symptoms should you ask about that may indicate lupus as a diagnosis?
joint pain, fever, and fatigue
15The patient is complaining of shortness of breath (SOB). What are some questions you should ask?
7 Variables about SOB, smoking history, allergies, respiratory diseases, exercise tolerance, cardiac function (illnesses), surgeries, and medications.
16IX. Glossopharyngeal nerve
Ability to taste and swallow.
17Cranial nerves for gag reflex
Cranial nerve IX (glossopharyngeal) and X (vagus) protect the airway from aspiration when intact.
18Cranial nerve VII Facial nerve irritability
CN VII irritability is positive Chvostek’s sign