Formative Review Flashcards

1
Q

Facial nerve route

A

Starts in pons, travels through internal acoustic meatus, geniculate ganglion, greater Petrosal nerve leaves

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2
Q

Patient can cry but not taste, where is facial nerve lesion

A

Middle ear- greater Petrosal nerve is in tact as parasympathetic function remains

just before it gives off chorda tympani and nerve to stapedius

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3
Q

Difficulty speaking and weak right arm, stroke is where

A

Left frontal lobe

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4
Q

Transient monocular blindness due to TIA blocking central retinal artery, where does this blood vessel arise

A

Opthalmic artery (which is branch of ICA)

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5
Q

Patient with lung cancer with sympathetic involvement facial inspection

A

Incomplete ptosis of right eyelid and constricted pupil

Unopposed parasympathetic innervation of sphincter pupillae

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6
Q

Otosclerosis right ear findings on examination

A

Webers: lateralised to right ear

Rinne’s: BC greater than AC

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7
Q

Branch of facial nerve responsible for taste

A

Chorda tympani

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8
Q

Any lump which moves when you stick out tongue in

A

Thyroglossal duct cyst

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9
Q

Order of treatment in epistaxis

A

Pinch, cautery, AP, PP

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10
Q

Most likely origin of infection in right eye

A

Ethmoidal sinus- medial wall of orbit is very thin

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11
Q

Squamous cell carcinoma on lower lip could spread to what lymph node

A

Submental

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12
Q

Pupillary light reflex

A

Light detected by photoreceptors in retina, optic nerve, pre rectal nucleus in midbrain, edinger wesphal nucleus in brainstem, parasympathetic fibres carried on oculomotor nerve, target tissue Is sphincter pupillae muscle

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13
Q

Optic nerve lesion is found

A

On same side as eye that does not react (already crossed at chiasm)

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14
Q

From which artery do the branches in the middle of the optic disc arise

A

Central retinal artery supplies retinal arteries, runs in the middle of optic nerve

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15
Q

Function of macula

A

Provides high acuity vision, point of retina for central vision

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16
Q
A

A = uvula
B = anterior pillar of palatoglossal fold/arch
C = Posterior pillar of palatopharyngeal fold/arch
D = palatine tonsil

17
Q

CN12 and CN9

A

CN 12 = hypoglossal
CN 9 = glossopharyngeal

18
Q

Gag reflex afferent input

A

Glossopharyngeal

19
Q

Why do you get nasal regurgitation of liquid with glossopharyngeal dysfunction

A

During swallowing, soft palate elevates to close off nasopharynx from oropharynx

Weakness of muscles on one side, elevation of soft palate is asymmetrical and Nasopharynx not completely closed off from oropharynx during swallow

Allowing fluid to regurgitate up in to the nose/nasopharynx/nasal cavity during swallowing