NSE 13A/B Study Guide - Final Guide: Facial Symmetry, Corneal Reflex, Temporomandibular Joint
6 Sep 2018
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Wear a helmet if in contact sports or riding a bike. Deformities (lumps and depressions) and tenderness (ask) Facial expression, symmetry, abnormalities, swelling, involuntary movements. Clench teeth and try to open jaw (muscles of mastication & masseter strength) Sensory function do not test corneal reflex. Cotton wisp on forehead, cheeks and chin (patient"s eyes are closed, touch cotton ball and they say when they feel) Smile, frown, close eyes lightly, open eyes against resistance, show teeth, puff cheeks. Head erect, midline, still, and accessory muscles. Test cranial nerve xi - spinal accessory nerve. Shoulder shrug and turn head to side. Note swelling or enlargement of salivary and lymph glands. Use 2-3 fingers, circular motion, feel delicately. Often can"t find unless not feeling well. Lymph nodes (1) method of palpation (2) normal nodes. Moveable, soft, discrete and nontender (3) if palpable, you should note .
