Examination of CN1 Flashcards

1
Q

What 3 things are involved in examining CN 1?

A

1) Observation of external nose
2) Observation of Internal Nasal passageway.
3) Checking sense of smell

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2
Q

How to check sense of smell?

A

Occluded one nasal and ask patient to close eyes.
Use non-irritating smell that patient can identify.
Check other nostril using a second smell.

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3
Q

Anosmia in both nostrils - common causes?

A

Blocked nasal passages, common cold, trauma, relative loss with aging.

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4
Q

Is CN 1 a true nerve?

A

No, it is a fiber tract of the brain

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5
Q

CN 1 ‘s peripheral and intermediate connections consist of ________, __________, and _____ neurons.

A

Primary
Secondary
tertiary

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6
Q

These neurons are gathered into branches and pass through the cribriform plate to the olfactory bulb.

A

Primary neurons

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7
Q

Are primary neurons myelinated?

A

No, they are unmyelinated

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8
Q

About how many branches are primary neurons gathered into?

A

20

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9
Q

What make up secondary neurons?

A

Myelinated processes of bipolar neurons of the olfactory bulb.

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10
Q

Secondary neurons form what and terminate where?

A

Olfactory tract

Terminate in primary olfactory cortex

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11
Q

What makes up the primary olfactory cortex?

A

periamygdaloid area

prepiriform cortex

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12
Q

Tertiary neurons extend from what area?

A

Primary olfactory cortex

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13
Q

Tertiary neurons terminate where?

A

entorhinal cortex, lateral pre-optic area, amygdaloid body, and medial forebrain bundle.

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14
Q

Entorhinal cortex is which Broadmann area?

A

Area 28

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15
Q

Associations fibers to the tegmentum and pons pass directly as ____ order neurons from what?

A

3rd

Anterior perforating substance

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16
Q

Association fibers to the tegmentum and pons pass indirectly from _______ via the ______.

A

Hippocampus

fornix

17
Q

Olfactory projection tracts go through the ________ and ________ of the thalamus.

A

Mammillary bodies

Anterior nuclei

18
Q

Reflex connections thus established with the nuclei of the other CN’s and spinal nerves may be functionally significant in ________ and _________.

A

Swallowing

digestion