Cranial Nerves Flashcards

1
Q

Describe CN I (Olfactory Nerve)

A
  • Special Sensory
  • Only Sensory
  • Part of Telencephalon, NOT a true cranial nerve
  • True Olfactory fibers run from olfactory epithelium in nasal cavity thru cribiform plate and innervated the olfactory bulb
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe CN II (Optic Nerve)

A
  • Special Sensory
  • Only sensory
  • Part of diencephalon, NOT a true cranial nerve
  • Some fibers cross, others do not, at the optic chiasm
  • fibers then run in the optic track
  • Leaves the orbit via the optic canal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What nerves control Ocular muscles?

A

CN III, IV, VI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is CN III called and what does it do?

A
  • Oculomotor Nerve

- All ocular muscles except lateral rectus and superior oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is CN IV called and what muscle does it control?

A
  • Trochlear Nerve
  • Only the superior oblique
  • Only cranial nerve that emerges dorsally out of the brain stem
  • Only cranial nerve that crosses (Axons on left side arise from cell body on right side)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is CN VI called and what muscle does it control?

A
  • Abducens

- Only controls lateral rectus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name all the muscles innervated by Oculomotor Nerve

A
  • superior rectus
  • inferior rectus
  • Medial rectus
  • inferior oblique
  • Levator palpebrae superioris (upper eyelid)
  • Pupillary constrictors
    • pupillary sphincter
    • ciliary muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is CN V called

A

Trigeminal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the trigeminal nerve

A
  • Emerges in the middle of the pons
  • Trigeminal ganglion

3 Branches:

  • V1: ophthalmic
  • V2: maxillary
  • V3: mandibular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does trigeminal nerve innervate?

A
  • Muscles of mastication
  • Oral floor muscles
  • tensor tympani (middle ear)
  • tensor veil palatini (pharyngeal)
  • sensation of face, forehead, tongue
  • branches of other cranial nerves also join up with CN V
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List the general sensory functions for CN V

A
  1. Skin of the face
  2. Nasal mucosa
  3. Anterior 2/3 of the tongue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the general motor functions for CN V

A

Muscles of Mastication:

  1. Temporalis
  2. Masseter
  3. Medial pterygoid
  4. Lateral pterygoid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who are the visceral hitchhikers with CN V?

A
  1. Branches of CN VII used V2 and V3 nerves to get to the glands in the face
  2. CN IX uses V3/post. Auricular to get to parotid gland
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where does CN V1 emerge and what branches does it give off?

A
-Superior Orbital Fissure
Branches:
1. Frontal N.
2. Nasociliary N.
3. Lacrimal N. (Sensory only)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does CN V2 emerge and what does it branch into?

A

Foramen Rotundum

Branches:

  1. Posterior, Middle, Anterior Superior Alveolar Nerves
  2. Infraorbital nerve
  3. Zygomatic Nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does CN V3 emerge and what does it branch to?

A

Foramen Ovale

Branches:

  1. Auriculotemporal n.
  2. Buccal nerve
  3. Masseteric branch
  4. Deep Temporal branch
  5. Pterygoid branches
  6. Masseteric branches
  7. Inferior alveolar nerve
  8. Lingual nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the Lingual nerve

A
  • Runs medial to mandible
  • General Sensory
    • mucosa 2/3 tongue and floor of mouth
  • Chorda Tympani (branch of CN VII) Runs with it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where does Chorda Tympani run and what does it do?

A
  • Branch of CN VII
  • Runs with Lingual Nerve
  • Innervates glands (submandibular, sublingual, small ones)
  • Taste for anterior 2/3 of tongue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where would you find inferior alveolar and what does it do?

A
  • Branch of V3
  • runs within mandible, enters mandibular foramen

MOTOR:

  • mylohyoid
  • Anterior belly digastric

SENSORY:

  • Pulp of the teeth
  • Mental nerve (skin and lip)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does CV VI do?

A

Abduction of the eye that it innervates (right side, right eye–other eye is doing adduction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the different divisions to remember of CN VII (Facial Nerve)?

A
  1. Muscles of Facial Expression
  2. Greater Petrosal Nerve
  3. Chorda Tympani Nerve
  4. Nerve to Stapedius

**Major branch of CN VII comes out through parotid gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 5 branches of facial nerve pertaining to facial expression?

A
  1. Temporal
  2. Zygomatic
  3. Buccal
  4. Cervical
  5. Posterior Auricular
  6. Mandibular Branches (sit between Zygomatic and Cervical)
23
Q

What is the Greater Petrosal Nerve and what does it do?

A
  • Branch of CN VII
  • Innervates Lacrimal and Nasal Glands

**runs with CN V2

24
Q

Chorda Tympani Nerve. What is it and what does it do?

A
  • Branch of CN VII
  • Providing autonomics/Innervates submandibular, sublingual glands
  • Taste for anterior 2/3 of tongue

**runs with lingual nerve (branch of V3)

25
Q

What is the Nerve to Stapedius and what does it do?

A
  • Branch of CN VII
  • Innervates the Stapedius muscle (tiny muscle in middle ear)

**It has branches that innervate the Stylohyoid and posterior belly of Digastric

26
Q

T/F CN VII innervates all the glands in the face.

A

FALSE

It innervates all the glands except for the one it runs through: Parotid Gland

27
Q

What is CN VIII called and what does it do?

A

-Vestibulochochlear Nerve

  • Vestibular senses (proprioception/balance)
  • Sense of Hearing

-Special sensory nerve only but 2 different modalities

28
Q

What are the Motor Functions of CN IX (Glossopharyngeal)?

A
  • Pharyngeal Constrictors
  • Stylopharyngeus
  • Parotid Gland
29
Q

What are the Sensory functions of CN IX?

A
  • Posterior tongue (taste and touch)
  • Posterior oral pharynx
  • Mucosa-middle ear
  • Skin: external ear, canal
  • tympanic membrane
30
Q

What are special sensory functions of CN IX?

A
  • Taste: posterior 1/3 of tongue

- Chemo- /Baro- receptors in carotid sinus

31
Q

What are the sensory functions for Vagus nerve?

A
  • Viscera in abdomen and thorax
  • Laryngopharynx and larynx
  • Taste: epiglottis
  • ear and external acoustic meatus
  • posterior cranial fossa: dura
32
Q

What are the motor functions of the Vagus nerve ( CN X )?

A
  • Pharyngeal constrictors (with CN IX)

- Laryngeal Muscles

33
Q

What muscle does the Trochlear nerve control?

A

Superior oblique only

34
Q

Where does CN IV pass through?

A

Superior orbital fissure

35
Q

What are two unique traits of CN IV that make it different from every other cranial nerve?

A
  1. Contralateral symptoms in nuclear lesion, while still ipsilateral in nerve lesion
    • this is because the axons cross before going out
  2. Only CN to emerge from dorsal surface
36
Q

What is the muscle controlled by Abducens nerve?

A

Lateral rectus

37
Q

What are the points of attachment for the Temporalis?

A

Temporal line (inferior I think) on parietal bone

Coronoid process of mandible

38
Q

What are the attachment points of the masseter?

A

SUPERFICIAL PORTION OF MASSETER:
-maxillary process of the zygomatic bone and anterior 2/3 of inferior border of zygomatic arch

DEEP PORTION:
-deep and medial surface of zygomatic arch

Both portions go down to the angle and ramus of the mandible

39
Q

What are the attachment points for the lateral pterygoid?

A

Goes from Greater wing of sphenoid and pterygoid plate to the condyloid process of the mandible

40
Q

What are the attachment points for the medial pterygoid?

A

Origin:
Deep head:
-medial side of lateral pterygoid plate behind upper teeth
Superficial head:
-pyramidal process of palatine bone and maxillary tuberosity

Insertion:

Medial angle of the mandible

41
Q

What are the motor functions of the Glossopharyngeal nerve (CN IX)?

A
  • Pharyngeal constrictors
  • Stylopharyngeus
  • Parotid Gland
42
Q

What are the sensory functions of CN IX?

A
  • Posterior tongue
  • Posterior oral pharynx
  • Mucosa: middle ear
  • Skin: external ear, canal
  • Tympanic Membrane
43
Q

What are the special sensory functions of CN IX?

A
  • Taste: posterior 1/3 of the tongue

- Chemo and Baro receptors : carotid sinus, plexus

44
Q

What are the special senses of the Vagus nerve?

A
  • Pressure receptors: aortic arch

- Chemreceptors: aortic body

45
Q

What 2 muscles does the spinal accessory nerve innervate?

A
  1. SCM

2. Trapezius

46
Q

What motor deficits would be associated with CN XI impingement?

A

Anything that would be a function of SCM or Trapezius.

  • Lifting shoulder
  • Rotating head
47
Q

T/F Hypoglossal nerve (CN XII) has both motor and sensory function

A

FALSE–only Motor

48
Q

What muscles are controlled by CN XII?

A

Tongue muscles

49
Q

What Foramen does CN XII exit through?

A

Hypoglossal canal

50
Q

Which Cranial nerves are only sensory?

A
  • CN I
  • CN II
  • CN VIII
51
Q

Which Cranial Nerves are only motor?

A
  • CN III
  • CN IV
  • CN VI
  • CN XI
  • CN XII
52
Q

Which cranial nerves can serve both sensory and motor functions?

A
  • CN V
  • CN VII
  • CN IX
  • CN X
53
Q

T/F CN VIII is the most Lateral/dorsal nerve and is therefore sensory

A

True