Which finding indicates that eye movements are intact during a neurologic exam?

Which finding indicates that eye movements are intact during a neurologic exam?

• A. CN
• B. EOMI
• C. Babinski
• D. Gait

Answer: (B)

Eye movements are controlled by the extraocular muscles, which are innervated by cranial nerves III, IV, and VI. When eye movements are described as intact, it means the patient can move their eyes in all directions (the six cardinal fields of gaze) without restriction, diplopia, or involuntary movements. This finding, labeled EOMI, indicates these nerves and their eye muscles are functioning properly during the exam. Other options don’t fit because they don’t specifically assess eye movement: a general reference to cranial nerves is too broad, the Babinski sign checks the corticospinal tract via the plantar reflex, and gait evaluates how a person walks rather than eye movements.

Eye movements are controlled by the extraocular muscles, which are innervated by cranial nerves III, IV, and VI. When eye movements are described as intact, it means the patient can move their eyes in all directions (the six cardinal fields of gaze) without restriction, diplopia, or involuntary movements. This finding, labeled EOMI, indicates these nerves and their eye muscles are functioning properly during the exam.

Other options don’t fit because they don’t specifically assess eye movement: a general reference to cranial nerves is too broad, the Babinski sign checks the corticospinal tract via the plantar reflex, and gait evaluates how a person walks rather than eye movements.