Cranial nerves Flashcards

1
Q

how do you say tunnel vision because of how it happens

A

bitemporal hemianopia

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2
Q

what is the outside view called

A

temporal view

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3
Q

what is the inside view called

A

nasal view

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4
Q

which 3 cranial nerves motor innervate the eyes

A

3, IV, VI
occulomotor, trochlear (hooks back on itself like a pulley) , abducent

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5
Q

what are the 6 eye muscles

A

4 x rectus
2 x oblique (sup and inf)

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6
Q

which muscles does occulomotor innervate

A

sim rectus, inf oblique

AND levator palpabrae superioris

simriol (OcculoMOSTor)

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7
Q

which nerve innervates lateral rectus

A

abducent (abducts eye)

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8
Q

therefore, which nerve innervates superior oblique (think what it does)

A

trochlear (goes back on itself)

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9
Q

how do you test motor eye nerves

A

H test. Always go sideways then up and down

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10
Q

which 2 muscles work togetehr to elevate eye

A

sup rectus and inf oblique

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11
Q

which 2 muscles work togetehr to depress eye

A

inf rectus and sup oblique

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12
Q

which muscles move the eyes right and left

A

med and lat rectus

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13
Q

if III palsy, what do you see

A

droopy eyelid, dilated pupil, down and out pupil

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14
Q

what is a ciliary body

A

changes shape of lense. contracted near vision, relaxed, distant vision

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15
Q

what parasympathetic innervation does III provide

A

constrictor pupillae, cilliary bodies

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16
Q

how do you find trochlear nerve

A

only one at the back of brainstem

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17
Q

what do no cranial nerves have

A

sympathetic fibres

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18
Q

symptom of IV palsy

A

diplopia looking downwards - trouble with stairs

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19
Q

which bit of trigeminal has motor fibres, what do they innervate

A

mandibular - muscles of masticatino

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20
Q

does trigeminal mostly do

A

sensory, face ->DCML

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21
Q

what is the venous drainage in the skull

A

sinuses not veins

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22
Q

what is weird about cavernous venous sinus

A

has ICA and III, IV and V1 and V2 in it

23
Q

where do the 3 eye motor nerves exit the skull

A

superior orbital fissure

24
Q

where does trigeminal nerve exit the skull

A

Superior orbital fissure
foramen rotundum
Foramen ovale

25
where does the facial nerve originate
pons
26
where does the facial nerve go
through internal acoustic meatus, temporal bone and then stylomastoid foramen
27
what does the facial nerve NOT innervate
anything in the ear
28
how can you tell the difference between Bell's palsy and stroke
stroke = frontalis still works. Can move forrehead
29
what is parasympathetic ftn of trigeminal
lacrimal
30
which nerve is Bell's palsy
facial
31
which motor ftn facial nerve
facial expression
32
which is the only nerve with 4 different fibres
glossopharyngeal
33
what random selection of things does glossoph do?
parasympathetic: parotid gland motor: stylopharyngeus general sensory: posterior 1/3 tongue, pharynx, carotid bodies/sinus special sensory: posterior 1/3 tongue
34
what is nerve VIII
vestibulocochlear
35
what does vestibulocochlear do
only special sensory
36
where is hearing input
cochlea
37
where is balance input
semi-circular acoustic canals
38
where does vestibulocochlear emerge
internal acoustic meatus
39
where do 9,10, 11 appear from skull
jugular foramne
40
where does tongue point in hypoglossal palsy
towards damaged side
41
where does uvula point in vagus palsy
away from lesion
42
what is motor innervation of vagus
larynx, upper oesophagus (swallowing), soft palate, pharynx
43
what is gen sensory vagus
larynx
44
what vital function do you lose with vagus lesion
swallowing
45
what is XI
spinal accessory
46
what does XI do?
only motor. trapezius and sternocleidomastoid
47
test for XI lesion
shrug shoulders against resistance
48
where is XI?
between traps and SCM
49
where does XI originate
5 cervical vertebrae
50
symptoms of Horner's syndrome
slight ptosis, anhydrosis, constricted pupil
51
what is Horner's syndrom
loss of sympathetic innervation to the head
52
where does symp head innervation come from
thoracic area, goes up into head wrapped around ICA
53
where are sympathetic nerves
T1-L2