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
Q

the CNV main sensory nucleus function

A

vibration, proprioception, and discriminative touch for face and mouth and meninges

26
Q

CNV main sensory nucleus cell bodies are located in the

A

trigeminal ganglion

27
Q

one of the ascending pathways of the CNV main principal sensory nucleus join the _____ on its way to the
_____

A

medial lemniscus pathway , VPM

28
Q

the other ascending pathway of the CNV main sensory nucleus is ____ and part of the _______ inside of the mouth to the VPM

A

uncrossed, dorsal trigeminal tract

29
Q

spinal trigmenal nucleus is

A

sensory affferent

30
Q

spinal trigeminal nuclues functions

A

pain, crude touch and temp to the face, oral cavity teeth, meninges (why headache can seem like toothache)

31
Q

spinal trigeminal nucelus has similarity to

A

lissauer’s tract and posterior horn

32
Q

the afferent first order neurons of spinal trigeminal tract synapses in

A

the caudal nucleus

33
Q

second order neurons of spinal trigmenal tract

A

send axons across midline, ascend and join spinothamaic tract

34
Q

spinal trigminal tract terminates in

A

VPM

35
Q

trigeminal spinal nucleus has ____ projections to VPM of thalamus

A

contralateral

36
Q

the main.principle trigmeinal sensory nucleus has ____ projections to the VPM

A

bilateral; and stays ipsilateral

37
Q

_____ branches of the ________ neurons innervate master muscle spindles

A

peripheral, mesencephalic

38
Q

major connections of trigmeinal nerve

A
  1. peripheral branches
  2. tactile afferents
  3. motor neuron fibers
  4. pain-temp afferent
39
Q

3 nuclei of the spinal trigeminal nucleus

A

pars oralis, pars interpolaris, pars caudalis

40
Q

onion peel representation - rostral (oral) to caudal (peripheral face)

A

pars caudalis

41
Q

primary pain fibers of CNV located in the

A

pars caudal

42
Q

substantia gelatoniosa (lamina II) contains

A

excitatory and inhibitory interneurons

43
Q

the substantial gelatinous receives fibers from

A

the raphe spinal tract serotonin)

44
Q

pars caudal receives afferents from CN

A

VII IX and X

45
Q

where are the three somatopotopic arrangements of pain and temperature afferents in spinal trigmeinal nucleus in pars caudal located

A
  1. mandibular division:dorsal
  2. maxillary: middle
  3. ophthalamic: ventral
46
Q

fibers representing center of face are found

A

near the end of obex

47
Q

fibers representing back of face end in

A

upper cervical cord

48
Q

the more ___ the spinal trigeminal tract injury the larger the area around the mouth is spared of sensory loss

A

caudal