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Which of the following is an example of primary prevention?
A. Screening for hypertension B. Immunization against measles C. Physiotherapy after stroke D. Chemotherapy for cancer
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*_World Tuberculosis Day_*
* Theme- *"Yes! We can end TB: Led by countries, powered by people."*
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🧠 HIGH-YIELD TOPIC: CRANIAL NERVES (12 PAIRS) 🧠
Highly important for NORCET 2026, AIIMS & NIMHANS. Questions usually focus on the function, name, and clinical assessment of these nerves.
📌 THE 12 CRANIAL NERVES (NAME & FUNCTION)
1️⃣ I - Olfactory: Smell (Sensory).
2️⃣ II - Optic: Vision (Sensory).
3️⃣ III - Oculomotor: Eye movement, Pupil constriction (Motor).
4️⃣ IV - Trochlear: Downward/Inward eye movement (Motor).
5️⃣ V - Trigeminal: Facial sensation, Chewing (Both).
6️⃣ VI - Abducens: Lateral eye movement (Motor).
7️⃣ VII - Facial: Facial expressions, Taste on anterior 2/3 of tongue (Both).
8️⃣ VIII - Vestibulocochlear: Hearing and Balance (Sensory).
9️⃣ IX - Glossopharyngeal: Taste on posterior 1/3, Swallowing (Both).
🔟 X - Vagus: Digestion, Heart rate, Gag reflex (Both).
1️⃣1️⃣ XI - Accessory: Shoulder shrugging, Head turning (Motor).
1️⃣2️⃣ XII - Hypoglossal: Tongue movement (Motor).
📌 **CLINICAL ASSESSMENT (EXAM FAVORITES)
🔹 Trigeminal Nerve (CN V): Tested by asking the patient to clench teeth or by touching the cornea with a cotton wisp (Corneal reflex).
🔹 Facial Nerve (CN VII): Tested by asking the patient to smile, frown, or puff cheeks.
📍 Bell’s Palsy: Injury to CN VII.
🔹 Vagus Nerve (CN X): Tested by asking the patient to say "Ahhh"—the uvula should stay midline.
🔹 Accessory Nerve (CN XI): Tested by shrugging shoulders against resistance.
📌 SPECIFIC DISORDERS
🔴 Trigeminal Neuralgia: Severe stabbing facial pain (CN V).
🔴 Anosmia: Loss of smell (CN I).
🔴 Ptosis: Drooping of the eyelid (CN III).
🔴 Vertigo/Tinnitus: Ear issues related to CN VIII.
📌 NURSING PRIORITIES
1️⃣ Aspiration Risk: If CN IX (Glossopharyngeal) or CN X (Vagus) are damaged, the patient has a high risk of choking. Check Gag Reflex before feeding!
2️⃣ Safety: For CN II (Optic) damage, provide a clutter-free environment.
3️⃣ Eye Care: For CN VII (Facial/Bell's Palsy), the eye may not close; provide eye patches or artificial tears.
📌 EXAM QUICK POINTS
✔️ Largest Cranial Nerve → Trigeminal (CN V).
✔️ Longest Cranial Nerve → Vagus (CN X).
✔️ Purely Sensory Nerves → I, II, VIII.
✔️ Nerve for Hearing → Vestibulocochlear (CN VIII).
✔️ Bell’s Palsy Nerve → Facial (CN VII).
✔️ Gag Reflex Nerves → IX and X.
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