NERVE- 2: A Three Dimensional Patient Simulation of Oculomotor Nerve Palsy

Publication ID Published Volume
8383 December 6, 2010 6


This module portrays a simulated patient who presents to a clinic or Emergency Room with a complaint of double vision. The purpose of this simulation is to promote effective history taking and evaluation in order to identify a potentially life threatening cranial nerve disorder. A significant limitation of live standardized patient interaction is the difficulty in reproducing clinical findings in various conditions. Therefore, medical students are often taught diagnostic skills for evaluation of cranial nerve injuries in a low fidelity manner, mainly where the injury is described, and the student is able to visualize still images of the anticipated clinical findings. The current simulation incorporates not only an accurate depiction of the clinical findings, but an opportunity to dialogue with the patient to ascertain important history information. By integrating the ability to perform a history and evaluate a realistic representation of the clinical examination findings, we anticipate a significant enhancement in medical student learning of various pathologies.

Gesundheit N, Brutlag P, Youngblood P, Gunning WT, Zary N, Fors U.The use of virtual patients to assess the clinical skills and reasoning of medical students: initial insights on student acceptance. Med Teach. 2009 Aug;31(8):739-42- Study concludes that virtual patients appear to be particularly well suited for learning and assessment purposes.


Peden M, Chuah J, Kotranza A, Johnsen K, Lok B, Cendan J. NERVE- 2: a three dimensional patient simulation of oculomotor nerve palsy. MedEdPORTAL Publications. 2010;6:8383.

Educational Objectives

  1. To be able to obtain an effective, focused patient history and review of systems related to the presenting complaint.
  2. To be able to perform a focused/relevant cranial nerve exam.
  3. To be able to recognize presence of cranial nerve pathology.
  4. To be able to learn clinical exam findings of on oculomotor nerve palsy, identify potential causes, and formulate appropriate plan of management.


  • Cranial Nerve, Pupil, History, Ocular Motility, Vision, Diplopia, Palsy, Cranial Nerves, Oculomotor Nerve

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ISSN 2374-8265