Documente Academic
Documente Profesional
Documente Cultură
exam
By
H.Khorrami
Ph.D.
h1p://www.scribd.com/khorrami4
h1p://khorrami1962.spaces.live.com
khorrami4@yahoo.com
Instruments
• RecepFve
field(two
point
discriminaFon
test)
• VibraFon
test
Sensory
system
• Fine
touch
• Temperature
• Shape
• Deep
sense
• VibraFon
• Name
objects
Deep
sense
of
vibraFon
TacFle
sense
Olfactory
nerve
OpFc
nerve
Trochlear
nerve
Corneal
reflex
• DesensiFzaFon
Facial
nerve
Glossopharyngeal
nerve(IX)
Accessory
nerve(XI)
Accessory
nerve
Hypoglossal
nerve(XII)
Cranial Nerve
Number
Innervation(s)
Primary Function(s)
Test(s)
Olfactory
I
Sensory
Smell
Identify odors
Visual acuity, fields,
Optic
II
Sensory
Vision
color, nerve head
Upper lid elevation,
extraocular eye
Physiologic "H" and near
Oculomotor
III
Motor
movement, pupil
point response
constriction,
accommodation
Trochlear
IV
Motor
Superior oblique muscle
Physiologic "H"
Trigeminal
V
Motor
Muscles of mastication
Corneal reflex
Grade
Descrip5on
0
Absent
1+
or
+
HypoacFve
2+
or
++
"Normal"
3+
or
+++
HyperacFve
without
clonus
4+
or
++++
HyperacFve
with
clonus
Clasp-‐knife
reflex
Peripheral
myotaFc
reflexes
• Biceps
• Triceps
• Brachioradialis
• Tromner
• Mayer
• Adductor
• Quadriceps
• Achill(ankle
jerk)
Biceps
reflex
Triceps
reflex
Brachioradialis
reflex
Adductor
reflex
Knee
jerk
reflex
Achill
reflex
Reinforcement
• Jendrassick
maneuvers
–
CorFcospinal
tract
• Wartenberg
• Babinski’s
sign(1857-‐1932)
Plantar
reflex
• Oppenheim’s
sign
• Gordon’s
sign
Cerebellar
tests
(Archi-‐cerebellum )
(Neo-‐cerebellum
)
Cerebellar
tests
• Finger
to
nose
• Rapid
alternaFng
finger
movements
• Rapid
alternaFng
hand
movements
• Romberg
test
• Heel
to
shin
tesFng
• Rebound
phenomenon
Cerebellar
tests
Finger
to
nose
Romberg
Posture
Gait – Ataxia
Tremor
a b c
Cerebellar
Ataxia