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Cranial Nerve Examination OSCE

The document outlines the steps for examining a patient's cranial nerves. It involves assessing each of the 12 cranial nerves through visual inspection, sensory testing, and motor function tests. These include tests of smell, eye movements, facial expression, hearing, swallowing, shoulder movement, and tongue movement. At the end, the examiner summarizes their findings and suggests any needed additional tests.

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Abby Ooi
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199 views2 pages

Cranial Nerve Examination OSCE

The document outlines the steps for examining a patient's cranial nerves. It involves assessing each of the 12 cranial nerves through visual inspection, sensory testing, and motor function tests. These include tests of smell, eye movements, facial expression, hearing, swallowing, shoulder movement, and tongue movement. At the end, the examiner summarizes their findings and suggests any needed additional tests.

Uploaded by

Abby Ooi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cranial nerve examination

Instructions - “Examine the cranial nerves of this patient”

1 Washes hands

2 Introduces themselves & confirms patient details

3 Explains examination & gains consent

4 Exposes patient appropriately

5 Performs general inspection

6 Asks about changes in sense of smell (CN - I)

7 Size & position of pupils (CN - II)

8 Visual acuity (CN - II)

9 Direct & consensual pupillary reflexes (CN - II)

10 Swinging light test (CN - II)

11 Accommodation (CN - II)

12 Colour vision (CN - II)

13 Visual inattention (CN - II)

14 Visual fields (CN - II)

15 Fundoscopy (CN - II)

16 Ptosis (CN - III)

17 Eye movements (CN - III / IV / VI)

18 Cover test (CN - III / IV / VI)

19 Facial sensation (light touch & pinprick) (CN - V)

20 Masseter & temporalis bulk (CN - V)

21 Open mouth against resistance (CN - V)

22 Jaw jerk reflex (CN - V)

23 Corneal reflex (CN - V)

24 Assesses facial movements (CN - VII)

25 Inspects external auditory meatus (CN - VII)

26 Asks about changes in hearing (CN - VII)

27 Asks about changes in taste (CN - VII)

28 Gross hearing assessment (CN - VIII)

29 Rinne’s test (CN - VIII)


30 Weber’s test (CN - VIII)

31 Turning test (CN - VIII)

32 Inspects soft palate & uvula (CN - IX / X)

33 Gag reflex (CN - IX / X)

34 Assesses cough (CN - IX / X)

35 Assesses swallow (CN - IX / X)

36 Shoulder shrug against resistance (CN - XI)

37 Head turn against resistance (CN - XI)

38 Inspects tongue in the mouth at rest (CN -XII)

39 Inspects tongue whilst protruded (CN - XII)

40 Thanks patient

41 Washes hands

EXAMINER
“Summarise your findings and suggest further investigations”
42 Accurately summarises salient findings

43 Suggests appropriate further investigations

Read the full guide at Download our


GeekyMedics.com OSCE App

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