Cranial nerves Flashcards

1
Q

Which 2 cranial nerves originate from the cerebrum

A

CN I - Olfactory nerve
CN II - Optic nerve

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2
Q

Which CN arises from the midbrain

A

Trochlear nerve - CN VI

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3
Q

Which CN has the longest intracranial course

A

Trochlear nerve - CN IV

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4
Q

Which CN arises from the midbrain pontine junction

A

Oculomotor nerve - CN III

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5
Q

Which CN arises from the pons

A

Trigeminal nerve - CN V

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6
Q

Which CN arises from the pontine medulla junction

A

Abducens, facial, and vestibulocochlear (CN VI-VIII)

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7
Q

Which CN arise from the medulla posterior to the olive

A

Glossopharyngeal, vagus and accessory nerve (CN IX-XI)

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8
Q

Which CN arise from the medulla anterior to the olive

A

Hypoglossal nerve (CN XII)

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9
Q

A lesion in the temporal lobe would give what visual field defect

A

Superior homonymous quadratonopia

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10
Q

A lesion in the parietal lobe would give what visual field defect

A

Inferior homonymous quadratonopia

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11
Q

A pituitary adenoma compressing the optic chiasm would give which visual field defect

A

Bitemporal hemianopia

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12
Q

What are the common causes of an oculomotor nerve palsy

A

Raised intracranial pressure (compresses the nerve against the temporal bone)
Posterior communicating artery aneurysm
Cavernous sinus infection or trauma

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13
Q

What modalities does the oculomotor nerve carry

A

Motor
Parasympathetic

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14
Q

The trigeminal nerve is associated with derivatives of which pharyngeal arch

A

1st

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15
Q

Inferior alveolar nerve block is utilised when undertaking what procedures

A

Dental procedures

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16
Q

Which CN travels in Dorellos canal

A

Abducens nerve (CN VI)

17
Q

The facial nerve is associated with derivatives of which pharyngeal arch

A

2nd

18
Q

What are the first 3 branches of the facial nerve

A

Greater petrosal nerve
Nerve to stapedius
Chorda tympani

19
Q

What are the terminal 5 branches of the facial nerve and where does it divide into them

A

Temporal, Zygomatic, Buccal, Marginal mandibular, cervical
Divides within the parotid gland

20
Q

Which nerve is at risk of damage in a basal skull fracture

A

Vestibulocochlear nerve (CN VIII)

21
Q

Which muscles of the pharynx does glossopharyngeal nerve innervate

A

Stylopharyngeus

22
Q

The vagus nerve is associated with derivatives of which pharyngeal arches

A

4th and 6th

23
Q

Which branches of the vagus nerve arise in the neck

A

Pharyngeal branches
Superior laryngeal nerve
Recurrent laryngeal nerve

24
Q

How does the path of the recurrent laryngeal nerve differ on the right and left

A

Right recurrent laryngeal nerve - hooks under the subclavian artery
Left recurrent laryngeal nerve - hooks under the arch of the aorta

25
Q

All of the muscles of the larynx are innervated by the vagus nerve except for which

A

Stylopharyngeus

Innervated by glossopharyngeal nerve

26
Q

A unilateral recurrent laryngeal nerve lesion will cause which clinical features

A

Dysphonia

27
Q

Bilateral recurrent laryngeal nerve lesion will cause which clinical features

A

Aphonia (loss of voice)
Stridor

28
Q

What are the 2 muscles innervated by the spinal accessory nerve

A

Trapezius
Sternocleidomastoid

29
Q

From which spinal segments does the accessory nerve arise from

A

C1-C5/C6

30
Q

Why is the accessory nerve vulnerable to damage

A

It is found quite superficial
Runs between the investing and prevertebral layers of fascia

31
Q

The long course of the abducens nerve makes it vulnerable to what

A

Raised ICP