General Neurologic Exam
Cranial Nerve 1
Test: Smell with coffee or mint, test one nostril at a time.
Cranial Nerve 2
Test: Fundoscopy, with opthalmascope, check optic disk (color/size/alterations), vessels, and retinal abnormalities.
Snelling eye chart.
Cranial Nerve 3
Test: Examiner uses H pattern to note eye movement
Cranial Nerve 4
Test: Muscle test, superior oblique (down & out)
Cranial Nerve 5
Sensory test: Facial sensation
Motor test: Muscles of mastication grit teeth.
Additional test: corneal reflex (quick blink)
Cranial Nerve 6
Test: Lateral gaze, pupillary reflex, light shone in one eye, and both constrict.
Cranial Nerve 7
Motor test: Facial expression.
Sensory test: Taste of anterior 2/3 of tongue (not usually performed)
Cranial nerve 8
Sensory test: Rhines test, tuning fork on mastoid process. Weber's test, tuning fork is placed at vertex of skull.
Cranial Nerve 9
Motor test: Patient says ah while breathing out (palatal reflex with palate elevation) Gag reflex with tongue depressor.
Sensory test: Taste to posterior 1/3 of tongue (Not performed)
Cranial Nerve 10
Motor test: Palatal reflex (uvula positioning)
Sensory test: Not performed
Cranial Nerve 11
Motor test: SCM/Trapezius muscle strength, patient shrugs shoulders examiner applies resistance.
Cranial Nerve 12
Motor test: Tongue position, patient moves tongue in midline; side to side; upward and downward. patient presses tongue against cheek examiner pushes against to dislodge.
Myotome: Deltoid strength.
Reflex: Biceps tendon.
Dermatome: Sensation on lateral side of upper arm.
Myotome: wrist extension strength.
Reflex: Brachio-radialis tendon.
Dermatome: Sensation on lateral side of forearm.
Myotome: Wrist flexion strength.
Reflex: Triceps tendon.
Dermatome: sensation on the 3rd digit.
Myotome: Finger flexion strength.
Dermatome: Sensation on the medial side of the forearm.
Myotome: finger ad/abduction.
Dermatome: Sensation on the medial side of the arm.
Myotome: Tibialis anterior strength.
Reflex: Patellar tendon ( activates the quadriceps).
Dermatome: Medial side of the foot.
Myotome: Extensor digitorum longus strength.
Dermatome: Sensation on the top of the foot.
Myotome: Fibularis group strength.
Reflex: Achilles tendon.
Dermatome: Sensation on the lateral side of the foot.