Cervical and Cranial Nerves Flashcards

0
Q

inferior root of ansa ccervicalis

A

C2-C3

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1
Q

Superior root of ansa cervicalis

A

C1-C2

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2
Q

Ansa cervicalis

A

loop of nerve fibers from anterior rami of C1-3
fibers of ansa cervicalis travel with XII nerve for a short distance, but are not a functional component of hypoglossal n

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3
Q

Ansa cervicalis has an important relationship with what structure

A

hypoglossal nerve XII

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4
Q

Can use _____Root of ansa cervicalis to find _______

A

superior

hypoglossal n

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5
Q

Other than CN XII, ansa cervicalis has a close relationship with what

A

internal jugular vein

found on anterior surface or embeded in the fascia of the carotid sheath

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6
Q

Phrenic N

A

anterior to anterior scalene
C3, C4, C5
in the interscalene triangle

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7
Q

SCM and trapezius are innervated by

A

spinal accessory nerve XI
trap C3-4
SCM C2-3

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8
Q

GSA fibers innervate structures of what embryologic origin?

A

ectoderm (skin)

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9
Q

GVA fibers innervate structures of what embryologic origin

A

endodermal
gut
(post 1/3 of tongue to mid-portion of the transverse colon

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10
Q

GSE fibers innervate structures of what embryological origin

A
myotomic origin
(in head and neck= extraocular muscles and intrinsic muscles of the tongue)
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11
Q

GVE fibers innervate

A

smooth muscle and gland

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12
Q

GSA fibers convey

A
pain
temperature
tactile 
pressure 
proprioception
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13
Q

GSA primarily conveyed by what nerve

A

trigeminal

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14
Q

GVA fibers convey

A
visceral pain (stretch, ischemia)
reflexus
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15
Q

sharp, highly localized sensations, think…

A

GSA

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16
Q

dull, aching, burning, poorly localized sensations think…

A

GVA

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17
Q

GVE fibers are associated with the _______ fibers coursing in which CN’s?

A

parasympathetic

III, VII, IX, X

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18
Q

GVE are components of the ______

A

ANS
autonomic, not sensory
may be parasympathetic or sympathetic

19
Q

ALL GSA fibers

A

trigeminal

20
Q

Sensory nucleus for all sensations from the face

A

trigeminal sensory complex

trigeminal sensory nuclei

21
Q

All GVA and SVA (taste)

A

solitary nucleus (NTS)

22
Q

sensory nucleus for general sensations from the posterior 1?3 of the tongue to the midportion of the transverse colon

A

Solitary nucleus or Nucleus tractus solitarius

23
Q

Clinically if we are concerned with the GVE parasympathetic column, what are we concerned with?

A

pupils
lacrimal gland
submandibular and sublingual glands
parotid gland

24
What nucleus and ganglion are concerned with GVE parasympathetic innervation to ciliary mm of the eye and sphincter pupillae
Edinger-Westphal nucleus, | Ciliary ganglion
25
What nucleus and ganglion (2) are concerned with sending parasympathetic fibers to the lacrimal gland and submandibular and sublingual glands?
``` Superior salivatory nucleus sphenopalatine ganglion (lacrimal) submandibular ganglion (submandibular and sublingual glands) ```
26
What nucleus and ganglion are concerned with sending parasympathetics to the partotid gland
Inferior salivatory nucleus and otic ganglion
27
What nucleus and ganglia are concerned with sending parasympathetics to the larynx, pharynx, thorax, and abdomen?
Dorsal Motor nucleus (X) sending fibers to scattered ganglia (go on to inn various glands and smooth muscles in these regions)
28
Vagus nerve sends parasympathetics
from neck to thorax (heart and lungs) to abdomen vagus has a huge territory innervates ENDODERM
29
what are the functional components associated with each of the branchial arches that we care about
one nerve one blood vessel these functional components are related to embryology, they are a genetic connection. Once these associations are made, they are not broken
30
Endoderm =
post 1/3 of tong to about 1 inch above the anus. | all the lining stuff
31
ectoderm =
skin
32
myotomic =
GSE
33
What is the nerve associated with branchial arch 1 | what are its sensory and motor components
Trigeminal cheif sensory nerve of the face mm of mastication (these muscles then are not myotomic, they are branchiomeric)
34
branchiomeric =
SVE
35
myotomic muscles vs branchiomeric muscles in the head
``` myotomic= tongue and extraocular muscles (GSE) branchiomeric= muscles of mastication (?) and muscles of facial expression? muscles of laynx and pharynx (?) ```
36
What nerve is associated with branchial arch 2
facial nerve | innervates muscles of facial expression
37
What nerve is associated with branchial arch 4?
vagus nerve, innervates muscles of the laynx and pharynx
38
what cranial nerves pass through the jugular foramen
IX, X, XI
39
Hypoglossal N. innervates lesion looks like
All muscles of the tongue, except palatoglossal | lesions result in deviation of the protruded tongue TOWARDS AFFECTED SIDE
40
nucleus ambiguous concerned with muscles of
the larynx and pharynx
41
Glossopharyngeal nerve innervation lesions look like
SENSORY, sensory part of gag reflex. sensory to post 1/3 of tongue and pharynx too loss of gag reflex slight dysphagia loss of sensation in pharynx and posterior 1/3 of tongue
42
difficulty swallowing is a big deal because
can lead to aspiration pneumonia
43
Vagus nerve - important branches
pharyngeal superior laryngeal (internal and external) recurrent laryngeal
44
Vagus Nerve innervates lesion looks like
lots of stuff from head to thorax to abdomen lesions of pharyngeal, and laryngeals dysphonia, dysphagia, dyspnea, loss of gag or laryngeal cough reflex motor part of gag reflex