VELEZ COLLEGE

Department of Physical Therapy

SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

COMPLETE NAME: POLVOROSA, Dale Rejohn P. Score: /55

(Family Name, First Name)
SECTION/SUBSECTION: BSPT 2B DATE: Feb. 2, 2021

Instructions: Fill in the blanks with the accurate information. The highlighted parts are already
done for you. Indicate your source material at the end of the document.

PURE SENSORY CRANIAL NERVES:

NAME OF THE FUNCTION TEST POSSIBLE

NERVE ABNORMAL
FINDINGS
(I) Olfactory Smelling Test sense of smell Anosmia (Inability to
on each side (close detect smells)
off the other nostril):
use common, non-
irritating odors
(II) Optic 1. Vision 2. 3.
Test visual acuity -Blindness, impaired
using a Snellen chart, vision: far (myopia)
test central and and near
peripheral vision (presbyopia)

Color
 Use Ishihara
plates to identify
patients who are
color blind.

Visual Field
 Ask the patient to
look directly at
examiner while
examiner wiggles
one of their
fingers in each of
the four
quadrants. Then,
ask the patient to
identify which
finger is moving.

(VIII) 4. Hearing and 5. Hearing: 6.

Vestibulocochlear - Balance -Stand to the side
 VELEZ COLLEGE
Department of Physical Therapy
SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

Acoustic or behind the -Tinnitus (ringing in

patient and the ears)
whisper to him.
Ask him to repeat - Sensorineural loss:
what you sound heard in good
whispered. ear

- Rinne’s Test: - Conductive loss:

Place sounding sound heard through
tuning fork on bone is longer or
patient’s mastoid equal than air
process and then,
next to the ear, ask - Sensorineural loss:
which is louder. sound heard longer
through air
- Weber’s Test:
Place sounding
tuning fork base
down in the center of
the patient’s forehead
and ask if it is louder
in either ear

PURE MOTOR CRANIAL NERVES:

NAME OF THE FUNCTION TEST POSSIBLE

NERVE ABNORMAL
FINDINGS
(III) Oculomotor Supplies the medial, 10. Pupillary 11.
superior, and inferior Assessment -Pupillary Dilation
rectus, and inferior Assess Pupillary size -Loss of pupillary
oblique: Turns the -In a normal room reactivity
eye up, down and in lighting, let the -Ptosis (drooping or
patient open up both falling of the upper
eyelids eyelid)
-Let the eyelids
stabilize for a few
seconds
-Determine size of
pupils in millimeters
by comparing to a
pupil size chart

Assess pupil quality

-While eyelids are
 VELEZ COLLEGE
Department of Physical Therapy
SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

open, examine the

symmetry and shape

Reactivity
-Begin with the
eyelids closed. The
assessment of
reactivity is a 4 - step
assessment using
the "swinging
flashlight" technique.
(IV) Trochlear Superior oblique: 12. To assess the 13.
Turns eye down trochlear nerve, -Eye cannot look
when adducted instruct the patient to down when adducted
follow your finger
while you move it
down toward his
nose.
(VI) Abducens Lateral Rectus: Turns 14. With your finger, 15.
eye out make a big X in the -Eye pulled inward,
air and then draw a eye cannot look out
horizontal line across
it.
(XI) Spinal Accessory 16. SCM: Tilts and 17. 18.
rotates head For Upper - Atrophy,
Trapezius: Ask the fasciculations,
Trapezius: Shoulder patient to shrug his weakness PNI:
elevation, adduction shoulders shoulder droops and
of scapula unable to shrug
For SCM: Turn ipsilateral shoulder
patient’s head - Unable to turn the
against my head to the
resistance contralateral side
(XII) Hypoglossal 19. Formulate 20. 21.
speech, moving - Examine protruded -Movement
tongue, swallowing tongue: rapid side-to- impairment: deviation
side movements to weak side
- Examine the
tongue’s resting - Atrophy or tongue
position fasciculations
- Listen to the
patient’s word - Dysartrhia (CN X or
articulations XII lesions)

MIXED CRANIAL NERVES (BOTH MOTOR AND SENSORY):

 VELEZ COLLEGE
Department of Physical Therapy
SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

NAME OF THE FUNCTION TEST POSSIBLE

NERVE ABNORMAL
FINDINGS
(V) Trigeminal Motor: Controls the 22. Ask patient to 23.
movement of eight clench teeth and -Hyperactive or
muscles, including palpate repeating reflex
the four muscles of (clonus) of jaw jerk
mastication
Sensory: Provide 24. Lightly touch the 25.
tactile,proprioceptive, face with a piece of -Ipsilateral pain
and nociceptive cotton followed by a -Raised threshold (to
afferents to the face blunt pin in three pain and temperature
and mouth places on each side on the opposite side
of face: around of the face
jawline, on cheek, on
forehead

Assess corneal reflex

by lightly touching
each cornea with
small piece of wisp
cotton.
(VII) Facial Motor: Innervate the 26. Ask patient to 27.
muscles of crease up forehead -Bell’s Palsy (Facial
expression, (raise eyebrows), Paralysis)
stapedius, close eyes and keep -Ipsilateral paralysis
stylohyoid , posterior closed against of facial muscles:
belly of digastric resistance, puff out unable to close eye,
cheeks and reveal mouth corner droops,
teeth difficulty with speech
articulation

Sensory: Taste from 28. Assess taste by 29.

anterior 2/3 of touching both sides Ageusia (lack of
tongue, floor of of patient’s tongue taste)
mouth and palate with piece of gum or Hypogeusia
peppermint (diminished taste
Stick. Ask if they can acuity)
taste it Dysgeusia
(unpleasant,
obnoxious, or
perverted taste)
(IX) Motor: Swallowing 30. Touching the 31.
Glossopharyngeal, back of the pharynx Difficulty swallowing
(X) Vagus with the tongue Absent gag reflex
depressor and
 VELEZ COLLEGE
Department of Physical Therapy
SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

watching the
elevation of the
palate
Sensory: Innervate 32. Tested by having 33. Hoarse voice
the posterior one the patient say "ah"
third of the tongue, or "kah".
provides taste in the
back and root of
tongue

So - Siegel, A., & Sapru, H. N. (2011). Essential neuroscience. Philadelphia: Wolters

urc Kluwer Health/Lippincott Williams & Wilkins.
es: - Snell, R. S. (2019). Clinical neuroanatomy (10th ed.). Philadelphia: Wolters
Kluwer Health/Lippincott Williams & Wilkins.
- Damodaran, O., Lee, G., Rizk, E., & Rodriguez, J. (2013 Dec 03). Clinical
Anatomy. Cranial nerve assessment: A concise guide to clinical examination.
Wiley Online Library. Retrieved from
https://onlinelibrary.wiley.com/doi/full/10.1002/ca.22336
- Newman, G. MD, PhD. (2020 May). How to Assess the Cranial Nerves. Merck
Manual Professional Version. Retrieved from
https://www.merckmanuals.com/professional/neurologic-disorders/neurologic-
examination/how-to-assess-the-cranial-nerves
- Fite, J.D. & Walker, H.K. (N.D.). Clinical Methods: The History, Physical, and
Laboratory Examinations. 3rd Edition. Chapter 60 Cranial Nerves III, IV, and VI:
The Oculomotor, Trochlear, and Abducens Nerves. Butterworths (1990).
Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK406/
- “Cranial Nerves - Physiopedia.” Physiopedia, https://www.physio-
pedia.com/Cranial_Nerves?fbclid=IwAR3EEk0kCrA3utGefI77anaRLUC-
SEAHDdqGXAFyxuRmULd6ojfHMDSjUwo. Accessed 3 Feb. 2021.
- Kaufman, E.J. & Naifeh, J. (2020 Oct 13). StatPearls. Color Vision. StatPearls
Publishing (2020 Jan). Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK470227/#:~:text=Improper%20Color
%20Vision%20Recognition%2FColor%20Blindness&text=Very%20few
%20individuals%20are%20truly,cones%2C%20leading%20to%20dichromic
%20vision
- Naqvi, I.A. & Seung, Y.K. (2020 Nov 19). StatPearls. Neuroanatomy, Cranial
Nerve 12 (Hypoglossal). StatPearls Publishing. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK532869/
- Walker, H.K. (N.D.). Clinical Methods: The History, Physical, and Laboratory
Examinations. 3rd Edition. Chapter 61 Cranial Nerve V: The Trigeminal Nerve.
Butterwirths (1990). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK384/
- (2020 Aug 14). 12.5L: Accessory Nerve (XI). Medicine LibreTexts.
https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Book
%3A_Anatomy_and_Physiology_(Boundless)/12%3A_Peripheral_Nervous_Syst
em/12.5%3A_Cranial_Nerves/12.5L%3A_Accessory_(XI)_Nerve
 VELEZ COLLEGE
Department of Physical Therapy
SY 2020 – 2021, 2nd Semester
ANA 3 KINESIOLOGY

Worksheet No. 1
Cranial Nerves

- Pazhaniappan, N. (2020 Aug 15). The Trigeminal Nerve (CN V). Teach Me
Anatomy. https://teachmeanatomy.info/head/cranial-nerves/trigeminal-nerve/

Scoring: 55/55
1 point for each correct input under Category “Function” and “Test”
2 points for each correct input under Category “Possible Abnormal Findings”
2 points for Sources cited in APA format

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