ATENEO SCHOOL OF MEDICINE AND PUBLIC HEALTH

NEURO EXAM OSCE CHECKLIST

Name of Student : ___________________________________

Date of Exam : ___________________________________
Preceptor : ___________________________________

TASK TWO:
Examination of Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, and Abducens Nerves

3 points 2 points 1 point No point

MINOR ERROR POOR OR
DONE
OR NEEDED INCORRECT NOT DONE
CORRECTLY
Did the student… PRODDING TECHNIQUE
1. Greet the patient, ask for the patient’s name, YES NO

and introduce himself/herself

2. Check olfaction
Ask the patient to close the eyes, use a non-noxious
stimulus, and check one nostril at a time
3. Inspect for symmetry of the eyes
Look for ptosis and en-/exophthalmos
4. Demonstrate how to check for visual acuity
Ask if the patient wears corrective lenses. Ask the patient to
cover one eye and hold the Jaegger/Snellen chart at
recommended distance.
5. Test peripheral fields by confrontation
Sit/stand at the same level, ask patient to close L eye while
examiner closes R eye, and vice versa.
6. Check for direct and consensual light reflex
Report baseline size of pupils. Look for miosis, mydriasis, or
anisocoria. Then, instruct patient to look at a distant point,
beam a flashlight slowly from the sides to illuminate each eye
separately, observe for pupil constriction.
7. Do the swinging flashlight test
Alternately swing the light from one eye to the other and hold
it on the new eye for 3- to 5-second intervals.
8. Check for ocular motility
Ask the patient to follow one’s finger through all fields of
gaze, one eye at a time AND both eyes at the same time.
For testing horizontal eye movements, hold the finger
vertically. For testing vertical movements, hold the finger
horizontally.
9. Check for convergence and accommodation
Ask the patient to stare at one’s finger as it is brought closer
at the midline. Eyes converge and pupils constrict.
10. Inspect the masseter and temporalis muscle
bulk
Inspect the temples and cheeks. Palpate the masseter
muscles when the patient bites.
11. Test for weakness of the lateral pterygoids
Ask the patient to forcefully open the jaw and move the jaw
from side to side. Attempt to push the jaw back to the center
with the heel of the palm, perform on both sides.
12. Elicit the corneal reflex
Use a free piece of cotton rolled to a fine point. Instruct the
patient to look to one side and a little up. Bring the cotton
directly in from the side to avoid entering field of vision.
Perform on one eye only, at most two attempts.

REB LCCv02. Created May2020. Based on DeMyer’s The Neurologic Examination, 6th ed.
 13. Examine light touch over the face
Ask the patient to close the eyes. Compare the three
divisions of CN V, AND compare the left and right sides.
14. Thank the patient at the end of the examination YES NO

SUBTOTALS

TOTAL SCORE
The maximum score for this station is 38
To pass, a student has to get a total score ≥ 28 (75%)

Notes:
• Because of time constraints, the following are omitted:
o Asking the patient to read the letters on a Snellen/Jaegger chart to test for visual acuity
o Pain and temperature testing on the face
• Fundoscopy is omitted because objective assessment of the skill is difficult
• To minimize patient discomfort, the corneal reflex is tested on one eye only, and the student may only attempt
to perform the task twice, at most.

REB LCCv02. Created May2020. Based on DeMyer’s The Neurologic Examination, 6th ed.
ADDITIONAL MATERIAL FOR FACULTY

Finger Movement for Testing Extraocular Muscles

Where to Stimulate for the Corneal Reflex on the Left Eye

Distribution of the Branches of the Trigeminal Nerve

REB LCCv02. Created May2020. Based on DeMyer’s The Neurologic Examination, 6th ed.