Physiology clinical practicals

1. IDENTIFICATION DATA
- NAME:
- AGE:
- GENDER:
- OCCUPATION
GENERAL PHYSICAL EXAMINATION
- PALLOR
- CYANOSIS
- ICTERUS
- LYMPHADENOPATHY
- OEDEMA
- CLUBBING

2. THE OLFACTORY NERVE (I)
Olfactory substance Right nostril Left nostril

3. THE OPTIC NERVE (II)
1. Field of vision: Confrontation method
Right eye Left eye
NASAL (600)
TEMPORAL (1000)
UPPER / SUPERIOR (600)
LOWER / INFERIOR (750)

4. THE OPTIC NERVE (II)
2. Acuity of vision
a. Far vision:
b. Near vision:
3. Colour vision:
Right eye
Without correction
Left eye
With correction

5. OCULOMOTOR (III), TROCHLEAR (IV), ABDUCENT (VI) NERVES
1. Ptosis:
2. Nystagmus:
3. Squint:
4. Ocular movements:
Right eye Left eye
Abduction
Adduction
Elevation
Depression
Internal rotation
External rotation

6. OCULOMOTOR (III), TROCHLEAR (IV), ABDUCENT (VI) NERVES
5. Examination of pupil
i. Size of the pupil:
ii. Shape of the pupil:
iii. Visual reflexes:
a. Pupillary light reflex –
i. Direct
ii. Indirect / consensual
b. Accommodation reflex:
Right eye Left eye

7. Trigeminal (V) Nerve
1. SENSORY COMPONENT
a. Pain
b. Temperature
c. Touch
d. Pressure
2. MOTOR COMPONENT
a. Position of Jaw:
b. Tone of muscles of mastication:
i. Masseter
ii. Temporalis
3. REFLEXES
CONJUNCTIVAL REFLEX:
JAW JERK:
Right side Left side
Right side Left side

8. FACIAL NERVE (VII)
MOTOR COMPONENT:
1. Past Medical History (PMH) of Hyperacusis
2. Symmetry of the face
3. Expression of the face
4. Furrows over forehead upon frowning
5. Eyebrows position
6. Width of palpebral fissure
7. Nasolabial folds & movement with deep breathing
8. Angle of mouth

9. FACIAL NERVE (VII)
9. Orbicularis oculi
10. Smile
11. Whistle
12. Inflation test
13. Clenching of the teeth
SENSORY COMPONENT
14. Taste sensation on anterior 2/3rd of the tongue
Right side Left side
Sour
Sweet
Salt
bitter

10. VESTIBULOCOCHLEAR / AUDITORY (VIII) NERVE
1. VESTIBULAR COMPONENT
a. Past Medical History (PMH) of Vertigo or Nystagmus:
b. Romberg’s sign:

11. VESTIBULOCOCHLEAR / AUDITORY (VIII) NERVE
1. COCHLEAR COMPONENT
a. Watch test:
b. Tuning fork tests:
Right ear Left eat
Rinne’s test
Weber’s test
Schwabach’s test

12. THE GLOSSOPHARYNGEAL NERVE (IX) NERVE
1. Taste sensation in posterior 1/3rd portion of the tongue
Right side Left side
Sour
Sweet
Salt
bitter

13. THE VAGUS (X) NERVE
1. Past Medical History (PMH) of regurgitation of fluids
2. Nasal twang
3. Symmetry of arch of the palate
4. Swallowing reflex

14. THE SPINAL ACCESSORY (XI) NERVE
Right side Left side
Trapezius muscle
Sterno (cleido) mastoid muscle

15. THE HYPOGLOSSAL (XII) NERVE
Tongue:
a. Atrophy
b. Fasciculations / Tremor
c. Position of median raphe
d. Movement