Exam 2 Flashcards
Where are the cell bodies located for the nerve that feeds the post. 1/3 of tongue?
superior and inferior glossopharyngeal ganglia
Which cranial nerves are extensions of the forebrain?
CN 1 and 2
-Nuclei aka cell bodies are not located in brainstem, for CN 1- located in olfactory nasal mucosa also called olfactory epithelium
CN2- Ganglion cells are the Retina
Which layer of facia in the neck contains the parotid gland?
What else does this layer contain?
investing layer
- trapezious
- SCM
- submandibular gland
lacrimal gland is innervated by what nerve?
CN 7
close your eye make you cry, taste pie and innervates every gland in your face except the one it goes through
Where are the cell bodies in CN2?
Retina Ganglion cells— these come together and form optic nerve
pterygopalatine ganglia comes connects w/ what main nerve?
Maxillary nerve V2
What kind of coverings do CN’s have that differentiactes them from regular spinal nerves?
covered by tubular sheaths derieved by cranial meniges
You are walking in the jungle and you hear a lion roar. What two eye muscles are going to respond to this surprise and what are their innervations?
1) Levetator Palpebre- voluntary CN#3
2) Superior tarsal muscle- sympathetic response
Special Sensory: Hearing and Balance
CN 8
What is CN 10 parasympathetic contribution in the head?
NONE. NOTHING. NADAAAA
General Sensory of CN 7
cell bodies?
Skin of external acoustic meatus via posteiror auricular branch (NOTE: THIS IS 7’s ONLY GENERAL SENSORY BRANCH)
-geniculate ganglion
Pathway of CN 9 to Parotid gland
Medulla–> tympanic N–> Tympanic plexus –> Lesser petrosal N–> OTIC GANGLIA–> hitchhikes ride on auriculotemporal V3 –> parotid gland
Motor innervation to eye
CN 3: SR, IR, MR, IO
CN 4: SO
CN 6: LR
What 2 veins join with the EJV to flow into subclavian V or IJV?
Where do they do this?
Transverse cervical
suprascapular
-deep fascia (think!! this is also going to be where the inf. thyroid vein is coming in!)
Superior Alveolar nerves are innervated by?
Inferoior?
Sup- V2Maxillary
Inf- V3 Mandibular
What 2 veins form the external jugular?
Where do they join?
- retromandibular (around front of ear)
- posterior auricular (wraps around behind ear)
–>these connect at angle of mandible to form EJV
CN responsible for baroception and chemorection in the Carotid sinus and body?
CN 9 & 10
Branches of V3– Posterior Trunnk
Ganglion
Function?
Cranial Fossa?
Posterior–> SENSORY!!
- Meningeal branch–> Dura Mater
- Auriculotemporal (sens to that area)
- Lingual (pain, temp, touch to ant 2/3 tongue)
- Inferior Aleveolar Nerve (Sens to teeth)—> Mental N (sens to chin)
Function: Motor and Sensory
Fossa: Foramen Ovale
purpose of arachnoid granulations?
return circulating CSF to venous system
Innervation of genioglossus m
CN12– come on, you knew that!
General Sensory to mucosal membranes of pharynx, soft palate, posterior tongue
CN 9
describe the plica semilunaris
small fold of bulbar conjunctiva on the medial canthus of the eye.
the levator palpebrae is innervated by?
what kind of muscle is this? (smooth, voluntary, cardiac)
is a voluntary muscle innervated by CN3
Branches of Retromandibular division of Maxillary Art (in order w/ orientation)
S-DA: deep auricular S-AT: anterior tympanic P-IA: Inferior Alveolar S-MM: Middle Meningeal S-AM: Accessory Meningeal
Where does CN8 emerge from?
What fossa does it leave skull through?
junction of pons and medulla
Internal acoustic meatus
difference between the lacrimal papilla and punctum?
papilla = mound its sitting on punctum = opening to lacrimal canaliculi
Spinal roots of CN 11 enter cranium via which fossa?
Foreman Magnum
Name all 8 muscles that V3 innervates
First think Mastication:
- Lat and Med Ptyergoid
- massester
- temporalis
Now think Tensors
- tensor palatini
- tensor tympani
Now think suprahyoid
- ANTERIOR belly of digastric (remember CN7 does posterior belly through cervical branch)
- mylohyoid
Parasympathetic pathway and function to Iris/lens
muscles?
CN 3 brainstem–> ciliary ganglion zzz–> short cilliary nerves–> sphincter pupillae m. which makes pupils constrict & ciliary muscles m. (lens rounds to accommodate)
trail of tears pathway?
Lacrimal gland–> Lacrimal ducts–> Lacrimal punctum–> Lacrimal caniculi –> Lacrimal sac–> Nasolacrimal duct–> inferior meatus
CN 12 Motor Muscles
Motor innervation to intrinsic and extrinsic muscles of tongue
GoSH:
- genioglossus
- styloglossus
- hypoglossus
Motor Branches of 7?
“To Zanzibar By Motor Car”
Temporal, Zygomatic branches, Buccal, Mandibular, Cervical
Auriculotemporal nerves carries?
- cut sensory fibers from V3
- Post-ganglionic parasympathetic nerve fibers from otic ganglion and CN9
Slipinslide coming off of Euch. tube?
Levator Platatini
think euch. tube is coming in medially and you already know that levator is medial to ptygoid hamulus and tensor palatini is lateral to ptygoid hamulus
which layer of fascia contains sympathetic trunk?
What else does this layer contain?
carotid sheath
-CC/IC/EC
-IJV
-CN10
Carotid sinus
-sympathetic trunk
Innervation to stapedius and tensor tympani muscles in ear
stapedius is CN7
tensor tympani CN 5
What CN is resposible for posterior 1/3 of tounge? Where are its cell bodies?
CN9- glossopharyngeal
-inferior glossopharyngeal ganglion
Digastric Innervation
Anterior belly?
Posterior Belly?
Ant belly- CN 5
Post belly- CN 7
Movement of eye
Movement is Medial (Rectus Muscles)
Where are ciliary and sebaceous glands in eyelids?
base of eyelashes
otic ganglia-
pre-ganglionic parasympethic innervation via CN9 to parotid gland to inhibit secretions
innervation of platysma
Cervical branch of CN7
Innervation of TM?
External ear: C2/C3 Lesser Occiptal, Greater Auricular
CN7- Posterior auricular branch
V3- auriculotemporal branch
10- auricular branch
External TM- CN v3- Auriculotemporal branch
CN10- aurciular branch
Internal TM: CN9: tympanic branch
Pharyngeal plexus
CN 9, X, SCG, parasym via X
Largest sensory ganglia we have in our bodies?
Trigeminal Ganglion
Parasympathetic to Parotid?
CN9
Which CN is resposible for the ability to taste on the anterior 2/3 of the tongue?
How does it get there?
CN 7 Facial- fibers travel through internal acoustic meatus, then break off into the Greater Petrosal Nerve and the Chorda Tympani, CT Nerve joins Lingual Nerve (branch of V3) to give taste to anteior 2/3 of tonuge and soft palate.
CN 9 only muscle innervation
stylophargeus
sympathetic pathways and function to iris/lens
What muscles does this affect?
spinal nerves –> SCG zzz–> carotid plexus (internal carotid artery to ophthalmic artery) –> nasociliary N (V1)
biforcates -> ->
- > one branch: long ciliary N: dilator pupille m.
- > ciliary ganglion (DOES NOT ZZZ) -> short ciliary nerves to dilator pupillae m. (cause eyes to dilate)
Where do the fibers that travel to the ptygoidpalatine ganglia go?
preganglionic parasympathtic fibers synapse here, while postganglionic sympanetic fibers travel through here to maxillary division to the muscus membranes of face
chemoception means?
o2 and co2 regulation
Thyrohyoid muscle
- supra or infra hyoid?
- origin?
- innervation?
- where does it touch the hyoid?
-what does it do?
- infrahyoid
- oblique line of thyroid cartilage
- C1 via hypoglossal nerve #12 sheath (hitch a ride)
- inferior border of body and greater horn of hyoid bone
-depress hyoid and ELEVATES larynx and thyroid
4 parasympathetic ganglia in head?
COPS:
Cillary, otic, pterygopalatine, submandibular
What is the Geniculum and why do we care about it?
Location where CN 7 takes sharp 90* turn
Where are the tarsal glands located?
on tarsal plate
Type of nerve is Lacrimal nerve?
SENSORY but carries sym and parasym w/ it
A stye is an infection of what in the eye?
meibowman glands or follicle
Ciliary Ganglia gets input from?
- Sensory fibers- CN V1
- PREsynaptic parasympathetic fibers CN 3
- postsynaptic sympathetic fibers from internal carotid plexus
Baroception means?
blood pressure
Term used for the lateral and medial aspects of the eye?
lateral and medial canthus
Where does the prevertebral fascia extend to?
Contents?
-laterally to form axillary sheath which holds brachial plexus and axillary art
Role of Emissary veins?
connect superficial veins with dural venous sinus
Which part of the vestibule are the semicircular canals attached to?
Utricle
Only motor function of CN 9 goes to?
stylopharyngeus
which two structures of the eye are also skull features that are discernable on the face?
- glabella (think bunny lines derm)
- supracillary arch (the ridge that is above and lateral aspect to the eyebrow )
What kind of fibers are in the pterygoid canal?
Nerve of pterygoid canal– mixed nerve
preganglionic parasympathetics from CN7- greater petrosal nerve to pterygoidpalatine gang
postganglionic sympatethic fibers from SCG on deep petrosal nerve
Where is pretracheal fasia located? Where is it not located? Types?
infrahyoid neck and blends with pericardium
muscular (infrahyoid m.) and visceral (throid, parathryoid, larynx, trachea, eso
Horners Syndrome
Ptosis-eyelid drop
Myosis-constriction
Anhidrosis- no sweat
Enophthalmos- eye sinks in
Nerve that serves taste for root of tongue and epiglottis
X
Fibers that feed posterior 1/3 of tongue travel in what nerve? Where are these cell bodies located?
CN 9
cell bodies in inferior glossopharygneal ganglion
What two ligaments does Chorda Tympani run superior to before joining the lingual nerve?
sphenomandibular and stylomandibular ligaments
What is the tarsal plate?
where is it?
- cartilaginous plate w/i eyelid that contains tarsal glands (meibomian–aka lipid secreting glands that keep eye lubricated)
- along palpebrae fissure