Cranial Nerves 9-12 Exam

Introduces self	0	1
Confirms name & age of patient	0	1
Explains & gains consent	0	1
Washes hands	0	1
Exposes patient from waist up	0	1
Asks if patient is in pain	0	1
General inspection for walking aids, deformities, asymmetries	0	1
Checks for uvula deviation	0	1
Asks patient to cough	0	1
Asks patient if they can swallow and tests this with water	0	1
Comments on speech	0	1
Offers to test general sensation of tongue and taste of posterior tongue	0	1
Inspects tongue and comments on deviation, fasciculations, wasting	0	1
Asks patient to protrude tongue and move it from side to side	0	1
Tests strength of tongue	0	1
Inspects SCM and trapezius for wasting, fasciculations, palpates muscle bulk	0	1
Tests strength of SCM	0	1
Tests strength of trapezius	0	1
Explains how to elicit gag reflex	0	1
Thanks patient and offers help to redress	0	1
Washes hands	0	1
Requests full neurological exam	0	1
Summarises appropriately with only key findings	0	1
Offers appropriate differential diagnoses	0	1
Patient global score	0	1	2

Potential differentials

• Abnormalities are uncommon

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