Mental Status: Alert and orientated to person, places, and time. Patient identifies
Cranial Nerves: All 12 Cranial Nerves
Olfactory-Smell
Optic-Test by confrontation (peripheral vision intact)
Occulomotor, Trochlear, and Abducens- Six cardinal positions of gaze and H-Test
Trigeminal- Light touch on face
Facial- Muscle activity when smiling, frowning, puffing cheeks, tightly closing eyes.
Vestibulocochlear- Whisper test
Glossopharyngeal- Uvula raises upon phonation.
Vagus and Spinal Accessory- Muscle strength (Trapezius and Sternocleidomastiod)
Hypoglossal- Tongue midline when protruding, impaired cranial nerve will result in abnormal tongue placement.
Motor System: Gait and balance
Sensory System: Light touch in upper and lower extremities
Reflexes: Hyporeflex and Hyperreflex grade for Knee Reflex. Reflex signals are not processed in the brain, messages are sent to the spinal cord only.