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Cranial Nerve Examination Checklist

 

Cranial Nerve Examination Checklist

Candidate’s name:                                                    Examiner’s name:                                                  Date:

 

Fully examined Partly examined Not examined
Intro (WIIPPPPE, hand shake)
General Inspection
Cranial nerve I
Cranial nerve II
Cranial nerve III, IV, VI
Cranial nerve V
Cranial nerve VII
Cranial nerve VIII
Cranial nerves IX, X
Cranial nerve XI
Cranial nerve XII
Closure
To complete

 

Aspects performed well by candidate:

 

 

 

Aspects for improvement:

 

 

 

Overall performance: