Cranial Nerve V Flashcards

1
Q

CNV axon fiber types

A
  1. general sensory afferent

2. Special visceral efferent

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2
Q

general sensory afferent CNS origin and termination

A

spinal and main sensory nuclei and mesencephalic nucleus (proprioception of jaw)

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3
Q

general sensory afferent PNS origin or termination

A

skin and deep tissues of head, dura

muscle spindles and other mechanoreceptors

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4
Q

special visceral efferent CNS origin or termination

A

trigeminal motor nucleus (innervates all pharyngeal arch muscles)

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5
Q

special visceral efferent PNS origin or termination

A

MOM and the tensor twins

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6
Q

function of the trigeminal nerve

A

transmits tactile, proprioceptive, pain and temperature from head to cortex (also cerebral and reticular formation)

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7
Q

three divisions of the trigimal nerve

A
  1. Ophthalmic division- upper face (sensory only)
  2. Maxillary division- middle face (sensory only)
  3. mandibular division- lower face (sensory and motor)
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8
Q

what division of the trigeminal nerve is sensory and motor

A

(Viii) mandibular division

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9
Q

what trigeminal nucleus in the midbrain

A

trigeminal mesencephalic nucleus

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10
Q

what trigeminal nucleus is in the pons

A

tirgminal main sensory nucleus

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11
Q

what trigeminal nucleus is in the medulla

A

trigeminal spinal nucleus

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12
Q

the trigeminal pathway is close to the _____ in the pons

A

descending corticospinal fibers

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13
Q

where does the trigeminal motor nucleus terminate

A

in muscles of mastication

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14
Q

lesions of the trigmeinal motor nucleus cause

A

jaw closure weakness , opened jaw will deviate toward the weak side

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15
Q

trigeminal motor nucleus location

A

pons

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16
Q

supratrigeminal nucleus location

A

right above the trigeminal motor nucleus in the pons. very tightly connected to the trigeminal motor nucleus and can’t see distinctly. part of reticular formation

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17
Q

function of supratrigeminal nucleus

A

pattern generator for masticatory rhythm

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18
Q

jaw jerk reflex innervated by?

A

CN V motor nucleus

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19
Q

the CNV mesencephalic nucleus is

A

sensory afferent

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20
Q

the mesencephalic nucleus senses

A

proprioception; spindles in muscles of mastication, mechanoreceptors in gums, teeth and hard palate

21
Q

CN V mesencephalic nucleus function

A

proprioception; regulate chewing motion; controls distance between mandible and maxilla

22
Q

what are the mesencephalic nucleus receptors

A

neuromuscular spindles of mastication muscles, pressure/tensionreceptors in periodontal ligaments

23
Q

the mesencephalic nucleus cell bodies are

A

unipolar cell bodies

24
Q

where does the mesencephalic nucleus project to

A

trigeminal motor nucleus, supratrige minal nucleus

25
the CNV main sensory nucleus function
vibration, proprioception, and discriminative touch for face and mouth and meninges
26
CNV main sensory nucleus cell bodies are located in the
trigeminal ganglion
27
one of the ascending pathways of the CNV main principal sensory nucleus join the _____ on its way to the _____
medial lemniscus pathway , VPM
28
the other ascending pathway of the CNV main sensory nucleus is ____ and part of the _______ inside of the mouth to the VPM
uncrossed, dorsal trigeminal tract
29
spinal trigmenal nucleus is
sensory affferent
30
spinal trigeminal nuclues functions
pain, crude touch and temp to the face, oral cavity teeth, meninges (why headache can seem like toothache)
31
spinal trigeminal nucelus has similarity to
lissauer's tract and posterior horn
32
the afferent first order neurons of spinal trigeminal tract synapses in
the caudal nucleus
33
second order neurons of spinal trigmenal tract
send axons across midline, ascend and join spinothamaic tract
34
spinal trigminal tract terminates in
VPM
35
trigeminal spinal nucleus has ____ projections to VPM of thalamus
contralateral
36
the main.principle trigmeinal sensory nucleus has ____ projections to the VPM
bilateral; and stays ipsilateral
37
_____ branches of the ________ neurons innervate master muscle spindles
peripheral, mesencephalic
38
major connections of trigmeinal nerve
1. peripheral branches 2. tactile afferents 3. motor neuron fibers 4. pain-temp afferent
39
3 nuclei of the spinal trigeminal nucleus
pars oralis, pars interpolaris, pars caudalis
40
onion peel representation - rostral (oral) to caudal (peripheral face)
pars caudalis
41
primary pain fibers of CNV located in the
pars caudal
42
substantia gelatoniosa (lamina II) contains
excitatory and inhibitory interneurons
43
the substantial gelatinous receives fibers from
the raphe spinal tract serotonin)
44
pars caudal receives afferents from CN
VII IX and X
45
where are the three somatopotopic arrangements of pain and temperature afferents in spinal trigmeinal nucleus in pars caudal located
1. mandibular division:dorsal 2. maxillary: middle 3. ophthalamic: ventral
46
fibers representing center of face are found
near the end of obex
47
fibers representing back of face end in
upper cervical cord
48
the more ___ the spinal trigeminal tract injury the larger the area around the mouth is spared of sensory loss
caudal