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NPTE Clinical Files | Physical Therapy

Cranial Nerve Examination Part 2

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 18 February 2026

⏱️ 11 minutes

🧾️ Download transcript

Summary

Belsnickel is a 63-year-old male who presents with right-sided facial paralysis, inability to abduct the right eye, and an absent corneal blink reflex on the right. Sensation to the face is intact. These findings are MOST consistent with a lesion affecting which of the following cranial nerves?

A) Cranial nerve V, VI

B) Cranial nerve VI

C) Cranial nerve VI, VII

D) Cranial nerve II, VI

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Transcript

Click on a timestamp to play from that location

0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:08.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:15.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I

0:22.5

have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.7

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.3

actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.2

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.4

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:50.8

you love, you're in the right place.

0:53.0

Enjoy the show.

0:56.4

For this week's clinical file, we have Belchnickle, and Belchnickle is a 63-year-old male who presents with right-sided

1:02.1

facial paralysis, inability to abeduct the right eye, and an absent corneal blink reflex on the

1:08.8

right. Sensation to the face is intact. These findings are most consistent

1:13.7

with a lesion affecting which of the following cranial nerve. So we have A, cranial nerve 5 and 6. B, cranial nerve

1:22.3

6. C, cranial nerve 6 and 7. and D is cranial nerve 2 and 6.

1:30.3

All right, let's go to the top of this question.

1:32.7

This is a juicy one.

1:34.3

I've been asked about doing more cranial nerves, so here you go.

1:39.1

And I put a little spice on this one.

1:41.9

This is a type of question that throws a lot of people off on the NPTE when

1:45.3

they're giving a lot of exam findings and you got to be able to dissect what the heck is going on.

1:50.4

And plus I gave one of my favorite episodes of The Office where Dwight dresses up as Belchnickle

...

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