I: Olfactory |
Smell |
Close eyes, ask to identify smells |
II: Optic |
Vision |
Visual acuity, visual fields, fundoscopy |
III: Oculomotor |
Pupil constriction, eye movement |
Pupil response, eye movement (up, down, medial) |
IV: Trochlear |
Eye movement (down and lateral) |
Eye movement (down and lateral) |
V: Trigeminal |
Sensory to face, muscles of mastication |
Light touch, pain, temperature sensation; palpate masseter and temporalis muscles |
VI: Abducens |
Eye movement (lateral) |
Eye movement (lateral) |
VII: Facial |
Facial expressions, taste (anterior 2/3 of tongue) |
Smile, puff out cheeks, raise eyebrows; test taste on front of tongue |
VIII: Vestibulocochlear |
Hearing, balance |
Rinne and Weber test (hearing); test for vertigo |
IX: Glossopharyngeal |
Taste (posterior 1/3 of tongue), gag reflex, swallowing |
Test taste on back of tongue, palpate throat for swallowing |
X: Vagus |
Gag reflex, vocal cords, parasympathetic control |
Gag reflex, say "ah" (look for uvula deviation) |
XI: Accessory |
Shoulder shrug, head rotation |
Shrug shoulders, turn head against resistance |
XII: Hypoglossal |
Tongue movement |
Stick out tongue, check for asymmetry or atrophy |