Neurologic Examination

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Cranial Nerve Examination

  • CN II (optic): visual fields; pupillary reaction and accommodation
  • CN III, IV, VI (Oculomotor, Trochlear, Abducens): extraocular movements; convergence
  • CN V (trigeminal): sensory (sharp) and motor (clenches teeth while examiner palpates masseter and temporalis)
  • CN VII (facial): smile, frown, puff cheeks, raise eyebrows, shut eyes while examiner attempts to pry them open
  • CN VIII (auditory): finger rubs
  • CN IX and X (glossopharyngeal, vagus): articulation; "ah" and note palate movement
  • CN XI (accessory): shoulder shrug and neck strength against resistance
  • CN XII (hypoglossal): stick out the tongue and move side to side

Special Considerations: CNVIII

  • Use tuning fork is decreased hearing (Weber test)

ONLINE PHYSICAL EXAM TEACHING ASSISTANT

The UF College of Medicine Harrell Center