BMB 1 - Cranial Nerve Nuclei & Tracts; Cranial Nerve Clinical Examination Flashcards

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1
Q

Identify the respective organs in which each of the following cranial nuclei can be found:

III

IV

A

Midbrain

Midbrain

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2
Q

Identify the respective organs in which each of the following cranial nuclei can be found:

V

VI

A

Pons

Pons

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3
Q

Identify the respective organs in which each of the following cranial nuclei can be found:

VII

VIII

A

Pons

Medulla

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4
Q

Identify the respective organs in which each of the following cranial nuclei can be found:

IX

X

XII

A

Medulla

Medulla

Medulla

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5
Q

Which (if any) cranial nerve nuclei are found in the superior colliculus of the midbrain?

A

(1) Edinger-westphal
(2) Oculomotor

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6
Q

Which (if any) cranial nerve nuclei are found in the inferior colliculus of the midbrain?

A

Trochlear

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7
Q

____________ _______ refers to the ability to simultaneously move both eyes to point in the same direction.

A

Conjugate gaze refers to the ability to simultaneously move both eyes to point in the same direction.

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8
Q

Which cranial nerves are connected via the medial longitutinal fasciculus?

A

III, IV, andVI

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9
Q

The _______ _______ consolidates sensory information about taste from VII, IX, and X.

A

The solitary nucleus consolidates sensory information about taste from VII, IX, and X.

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10
Q

The solitary nucleus consolidates sensory information about what sense?

A

Taste

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11
Q

The oculomotor nucleus is found in the _______ colliculus.

The Edinger-Westphal nucleus is found in the _______ colliculus.

The trochlear nucleus is found in the _______ colliculus.

A

The oculomotor nucleus is found in the superior colliculus.

The Edinger-Westphal nucleus is found in the superior colliculus.

The trochlear nucleus is found in the inferior colliculus.

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12
Q

The nuclei associated with cranial nerve V are all at least partially located within which single organ?

A

The pons

(the mesencephalic nucleus extends up into the midbrain;

the spinal nucleus extends down into the medulla))

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13
Q

Name the four cranial nuclei associated with cranial nerve V (from rostral to caudal).

A

(1) Mesencephalic
(2) Motor
(3) Main sensory
(4) Spinal

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14
Q

Which cranial nucleus is responsible for mastication?

A

Motor nucleus

(CN V)

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15
Q

Which cranial nucleus receives information about discriminative sensation and light touch of the face?

A

Main sensory nucleus

(CN V)

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16
Q

Which cranial nucleus receives information about pain and temperature from the ipsilateral face?

A

Spinal nucleus

(CN V)

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17
Q

The spinal nucleus receives information from which cranial nerves?

A

V, VII, IX, and X

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18
Q

Cranial nerves VII, IX, and X bring sensory information to the spinal nucleus regarding what structure(s)?

A

The ear

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19
Q

Identify the function of the following cranial nuclei:

Abducens nuclei

Facial nuclei

A

Lateral rectus innervation

Facial musculature innervation

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20
Q

Which two cranial nuclei are found at the pontomedullary junction?

A

Cochlear and vestibular

(both CN VIII)

21
Q

If a patient has ipsilateral facial nerve palsy and abducens palsy, there is likely a lesion in what organ?

A

The pons

likely a small lesion of the facial colliculus (where the abducens nucleus is covered by facial nerve fibers)

22
Q

Name three cranial nerve nuclei found in the medulla oblongata.

A

Nucleus ambiguus (CN IX and X)

Inferior salivatory nucleus (IX)

Dorsal motor nucleus (CN X)

23
Q

Which cranial nucleus receives input from cranial nerves IX and X and is involved in coordinating deglutition?

A

Nucleus ambiguus

24
Q

Which cranial nerve nucleus is in charge of parasympathetic innervation of the heart, lungs, and GI tract?

A

The dorsal motor nucleus (CN X)

25
Q

The superior salivary nucleus (CN ___) is found in the _____.

A

The superior salivary nucleus (CN VII) is found in the pons.

26
Q

The inferior salivary nucleus (CN ___) is found in the _____.

A

The inferior salivary nucleus (CN IX) is found in the medulla.

27
Q

What is the role of the superior salivary nucleus (CN VII)?

A

Preganglionic parasympathetic innervation for salivary and lacrimal glands

28
Q

What is the role of the inferior salivary nucleus (CN IX)?

A

Innervation of the parotid salivary gland and preganglionic parasympathetic innervation of otic ganglion

29
Q

List the general functions of the following nuclei in their connection with CN V:

Principal sensory nucleus

Spinal nucleus

Motor nucleus

A

Principal sensory nucleus - discriminatory sensation of the face

Spinal nucleus - pain and temperature in the ipsilateral face

Motor nucleus - mastication

30
Q

List four nuclei associated with CN VII.

Mnemonic: SSSSF

A

Spinal nucleus

Solitary nucleus

Superior salivary nucleus

Facial nucleus

31
Q

Sensory information of the pinna is routed to the ______ nucleus (CN ____).

A

Sensory information of the pinna is routed to the spinal nucleus (CN VII).

32
Q

The CN IX portion of the nucleus ambiguus controls which muscle(s)?

The CN X portion of the nucleus ambiguus controls which muscle(s)?

A

Stylopharyngeus

Pharynx and larynx

33
Q

Which cranial nerves carry information to the spinal nucleus of V regarding crude touch, pain and temperature for the face and ear?

A

V (face), VII (pinna), IX (ear), and X (ear)

34
Q

Which cranial nerve nucleus is associated with posture, balance, and conjugate eye movements?

A

Vestibular nucleus (CN VIII)

35
Q

CN III carries parasympathetic innervation of which two muscles?

A

(1) Sphincter pupillae
(2) Ciliary body

36
Q

CN XII receives its input from which cranial nucleus in order to control the musculature of the tongue?

A

The hypoglossal nucleus

37
Q

Complete decussation only occurs in which cranial nerve(s)?

A

CN IV only

(partial in II, VII, and XII)

38
Q

How do you assess CN I function?

A

Smell test

(one nostril at a time)

39
Q

How do you assess CN II function?

(4)

A

1. Visual field test (finger to 3 test)

2. Visual acuity test (20/20)

3. Red desaturation test (for optic neuritis)

4. Autonomic test (pupillary light reflex)

40
Q

What test can be used for assessing CN III, IV, and VI?

A

Extraocular motor (EOM) test

(H-test)

41
Q

How do you assess CN V function?

(3)

A

1. Facial sensation test

2. Mastication symmetry

3. Jaw jerk reflex

42
Q

How do you assess CN VII function?

(3)

A

1. Closing eyes and mouth tight

2. Salivation/lacrimation

3. Anterior tongue taste test

43
Q

What portion of the face is innervated bilaterally by the cortex?

A

The upper face

44
Q

How do you assess CN VIII function?

(2)

A

1. Hearing tests (Rhinne and Weber)

2. Cold water in-ear test

45
Q

How do you assess CN IX function?

(2)

A

1. Gag reflex

2. Posterior tongue taste test

46
Q

How do you assess CN X function?

(2)

A

1. Uvula deviation test

2. Hoarseness/gag reflex

47
Q

If CN X is lesioned, what is the likely ANS result?

A

Loss of parasympathetics

48
Q

How do you assess CN XI function?

A

Deficits in SCM and trapezius

49
Q

How do you assess CN XII function?

A

Tongue deviates towards lesioned side