{"id":775,"date":"2020-05-01T11:26:41","date_gmt":"2020-05-01T11:26:41","guid":{"rendered":"http:\/\/app.rguc.co.uk\/?p=775"},"modified":"2024-11-18T08:02:40","modified_gmt":"2024-11-18T08:02:40","slug":"cranial-nerve-examination","status":"publish","type":"post","link":"https:\/\/vapp.rguc.co.uk\/?p=775","title":{"rendered":"Cranial Nerve Examination"},"content":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing an examination of the cranial nerves. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This episode provides a detailed step-by-step guide to performing an examination of the cranial nerves. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-775","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435749491\/8a0bc7655c","question1":"A patient completes the pronator drift test and it is positive. You observe their left arm pronate. This is indicative of:","answers1":"A contralateral upper motor neurone pyramidal tract lesion | An ipsilateral upper motor neurone pyramidal tract lesion | An ipsilateral cerebellar lesion | A contralateral cerebellar lesion","correctAnswer1":"0","correctAnswerText1":"A cerebellar lesion may be seen as the lifting of the arm on the same side as the lesion.","question2":"Hypotonia is associated with upper motor neurone lesions.","answers2":"True | False","correctAnswer2":"1","correctAnswerText2":"It is associated with lower motor neurone lesions, pure cerebellar disorders and spinal shock.","question3":"On examination, a patient has three beats of clonus which then discontinues. This is indicative of an upper motor neurone lesion.","answers3":"True | False","correctAnswerText3":"Clonus is pathological if it is sustained and is often accompanied by hypertonia. Pathological clonus is associated with upper motor neurone lesions and is more than five beats.","correctAnswer3":"1","question4":"On power assessment, a patient is able to lift their leg against gravity but not against resistance. What grade of power have they demonstrated?","answers4":"4 | 3 | 2 | 1","correctAnswer4":"1","correctAnswerText4":"","question5":"On power assessment, a patient is asked to raise their arm and you observe brief muscle contraction at their elbow only. The arm does not move apart from this flicker. What grade of power have they demonstrated?","answers5":"3 | 2 | 1 | 0","correctAnswer5":"2","correctAnswerText5":"","question6":"The patella reflex tests which nerve roots?","answers6":"L1 - L2 | L3 - L4 | L5 | S1","correctAnswer6":"","correctAnswerText6":"","question7":"The ankle jerk tests which nerve roots?","answers7":"L1 - L2 | L3 - L4 | L5 | S1","correctAnswer7":"3","correctAnswerText7":"","question8":"When testing vibration sense a 256Hz tuning fork should be selected.","answers8":"True | False","correctAnswer8":"1","correctAnswerText8":"A 128Hz tuning fork is used to assess vibration sense. \r\nA 256 \/ 512Hz fork is appropriate to assess hearing.","question9":"Which dermatome lies at the level of the umbilicus?","answers9":"T12 | T11 | T10 | T9","correctAnswer9":"2","correctAnswerText9":"","question10":"Light touch travels in the spinothalamic tract.","answers10":"True | False","correctAnswer10":"1","correctAnswerText10":"Light touch along with proprioception, vibration and two-point discrimination travel in the dorsal column pathways.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"head","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/775"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=775"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/775\/revisions"}],"predecessor-version":[{"id":777,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/775\/revisions\/777"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=775"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=775"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=775"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}