cranial nerves Flashcards

1
Q

the cranial nerves come

A

directly from the brain or brain stem

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2
Q

how many cranial nerves

A

12

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3
Q

CN I

A

olfactory- sensory

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4
Q

CN II

A

optic- sensory

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5
Q

CN III

A

oculomotor
inv superior rectus, inferior rectus, medial rectus, inferior oblique, levator palpebral
parasympathetic- from edinger-westphal nucleus to sphincter pupillae, ciliary muscle

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6
Q

parasympathetic for CN III

A

from edinger-westphal nucleus to sphincter pupillae, ciliary muscle

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7
Q

CN IV

A

trochlear
innervates superior oblique muscle
look down/inward

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8
Q

CN VI

A

abducens
innervates lateral rectus muscle
move eyes side to side

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9
Q

CN V

A

trigeminal- motor/sensory
“dentist’s” nerve

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10
Q

branches of trigeminal

A

ophthalmic, maxillary, mandibular

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11
Q

CN VII

A

facial- motor/sensory
muscles of facial expressions
innervates posterior digastric
sensory external ear and taste anterior 2/3 of tongue

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12
Q

parasympathetic fibers of facial nerve to

A

lacrimal gland, submandibular, and sublingual gland

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13
Q

CN VIII

A

vestibulocochlear (auditory)- sensory
innervates inner ear
for hearing, equilibrium, balance

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14
Q

CN IX

A

glossopharyngeal- motor and sensory
parasympathetic innervation to parotid
innervates stylopharyngess muscle
active in gag reflex- elevates soft palate

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15
Q

what cranial nerve is active in gag reflex

A

glossopharyngeal (CN IX)
vagus (CN X)

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16
Q

CN X

A

vagus- motor, sensory
innervates muscles of pharynx and larynx, thoracic and abdominal viscera
involved in gag reflex and swallowing

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17
Q

CN XI

A

spinal accessory- motor
innervates muscles of pharynx (cranial part and travel with vagus), trapezius (upper), SCM
shrug shoulders, turn head side to side

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18
Q

what cranial nerve has unique origin from spinal cord

A

spinal accessory (CN XI)

19
Q

CN XII

A

hypoglossal- motor
innervate genioglossus, hyoglossus and styloglossus of tongue, plus intrinsic muscles of tongue
assess speech, stick tongue out, move side to side

20
Q

when does CN screening need to be done

A

when there is OFP that cannot be localized

21
Q

parts of ANS

A

parasympathetic, sympathetic, enteric considered 3rd part (regulates digestion)

22
Q

2 neuron systems of ANS

A

preganglionic (myelinated) and postganglionic (unmyelinated)

23
Q

neurotransmitters of ANS

A

norepinephrine (postsynaptic)
acetylcholine (presynaptic)

24
Q

sympathetic NS known as

A

fight or flight

25
parasympathetic NS known as
rest and digest
26
enteric system-major neurotransmission is
Ach, nitric oxide, serotonin
27
hypothalamus exerts control over
ANS and helps maintain homeostasis
28
base level of ANS
tone
29
is ANS always active
yes
30
sympathetic NS nerves originate in
spinal column between T1 and L2, preganglionic
31
sympathetic NS pass into
sympathetic chain on each side of spinal column
32
sympathetic NS nerves leave ganglia as
postganglionic or may travel up or down sympathetic chain
33
sympathetic NS nerve may pass back into
spinal nerves at all levels, mostly C fibers
34
what percent of skeletal nerves are sympathetic fibers
8%
35
sympathetically maintained OFP involves
sphenopalatine ganglion associated with injury to V2 of CN V, related to vascular heads and facial neuralgia involves stellate ganglion, most common post herpetic neuralgia
36
parasympathetic distribution
CN III Occulomotor CN VII Facial CN IX Glossopharyngeal CN X Vagus
37
parasympathetic- preganglionic fibers go to
the structures being targetted
38
parasympathetic- post ganglionic neurons are in
wall of targeted structure- 1mm to few cm long
39
what percent of all nerve fibers in CN X (vagus)
75%
40
parasympathetic CN- CN III Occulomotor
to pupillary sphincters and ciliary muscles of the eye
41
parasympathetic CN- CN VIII Facial
to lacrimal, nasal and submandibular glands
42
parasympathetic CN- CN IX Glossopharyngeal
to parotid gland
43
parasympathetic CN- CN X Vagus
to thoracic and abdominal regions