Which finding is normal when assessing the spinal accessory nerve?
a. ability to turn the head side to side and shrug shoulders against resistance
b. ability to rapidly alternate touching finger to nose and moving finger from nose to examiner's finger in a coordinated manner
c. ability to flex arms against resistance
d. ability to elevate arms against resistance
A
The patient should be able to turn the head against resistance with a smooth, strong, and symmetrical motion. The patient should also demonstrate the ability to shrug the shoulders against resistance with strong, symmetrical movement of the trapezius muscles. Assessment of the spinal accessory nerve does not involve the arms or assessment of coordination.
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