What test is never performed on a child who is awake?
a. Doll's head maneuver
b. Oculovestibular response
c. Assessment of pyramidal tract lesions
d. Funduscopic examination for papilledema
ANS: B
The oculovestibular response (caloric test) involves the instillation of ice water into the ear of a comatose child. The caloric test is painful and is never performed on an awake child or one who has a ruptured tympanic membrane. The doll's head maneuver, assessment of pyramidal tract lesions, and funduscopic examination for papilledema are not considered painful and can be performed on awake children.
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