Formative Assessment 2 02.03.23 Flashcards

1
Q

How can we test cranial nerve II in an unconscious patient?

A

Observing pupillary constriction in response to light

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2
Q

If cranial nerve I is damaged, what side will anosmia be on?

A

The ipsilateral side
Anosmia - partial or full loss of smell

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3
Q

How is cranial nerve I commonly damaged?

A

Fractures to the anterior cranial fossa

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4
Q

Which sinus does the CN III, IV and VI travel through?

A

The cavernous sinus

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5
Q

Damage to the cranial nerve V causes a loss of which reflex?

A

Result in loss of the corneal (blink) reflex on the affected side

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6
Q

What runs in close course to Cranial nerve VII?

A

The muddle ear as it exits the skull via the internal auditory meatus

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7
Q

Where are the nucleus of Cranial Nerve VII?

A

In the tegmentum

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8
Q

What will happen when CN VIII is diseased?

A

Rapid eye movements; nystagmus

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9
Q

What will be able to be heard with a tuning fork when CN VIII is completely damaged?

A

With complete damage, when a tuning fork is placed in the middle of the forehead,
the sound is heard best on the opposite side as the damage

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10
Q

What fibres does Vagus nerve carry?

A

Parasympathetic to heart, lungs and bowel
Sensory and motor

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11
Q

What information does the spinothalamic tract convey and which side?

A

Conveys nociceptive information contralaterally up the spinal cord

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12
Q

Where is the spinothalamic tract found?

A

In the anterolateral white matter of the spinal cord

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13
Q

How can the stiffness of the three ossicles in the middle ear change?

A

By two muscles of the middle ear:
1. Tensor tympani
2. Stapedius

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14
Q

How does ice cold water affect the semi-circular canals?

A

Pouring ice cold water in the external auditory meatus can cause convection currents in the semi-circular canals and nystagmus

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15
Q

What is the function of the utricle and saccule?

A

They signal the position of the head at rest, when no movement (due to gravity)

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16
Q

What are mossy fibres of the cerebellum?

A
  • From pons and cerebral cortex via middle peduncle
  • All afferents are mossy fibres, except for those that arise from inferior olivary nuclei
  • Carry information from the pontocerebellar pathway and end in granule layer
17
Q

What are climbing fibres of the cerebellum?

A
  • Come from the olivocerebellar nuclei via the inferior peduncle (inferior olivary nucleus)
  • Function: learning new motor actions, motor programme
18
Q

What is the output of the cerebellar?

A

Purkinje cells and they are inhibitory (GABA) in nature

19
Q

What input do purkinje fibres receive?

A

Input from thousands of parallel fibres (glutamate: excitatory)

20
Q

What system does the cerebellum receive information from?

A

The vestibular system

21
Q

What is the effect of a cerebellar lesion?

A

Ipsilateral effects

22
Q

How do olfactory receptors connect to primary gustatory cortex?

A

They synapse with mitral cells in the olfactory bulb