Jesse's Part ( Exam 1) pg. 32-44 Flashcards
what is an example of an irritating agent to smell that does not require olfaction for our bodies to sense it. and shouldn’t be used on a cranial nerve 1 exam?
ammonia
what order neurons of cranial nerve 1 are true olfactory nerves?
second order
a complete loss of smell
anosmia
perversion , hallucination, or diminution of smell is more likely associated with what type of lesion?
cortical
lesions of the gyrus of the anterior temporal lobe may cause hallucinations of smell associated with strong feelings of deja vu and are termed *** fits or seizures
Uncinate gyrus
a decreased sense of smell
hyposmia
an increased sense of smell
hyperosmia
a perversion of smell
parosmia
abnormally disagreeable smell
cacosmia
is cranial nerve 1 a true nerve
no it is a fiber tract of the brain
what order neuron of CNI
unmyelinated processes of the ciliated receptors in the upper part of the nasal mucosa gathered in about 20 branches which pass through the cribriform plate of the ethmoid bone to the olfactory bulb
primary neurons
what order neuron of cranial nerve I
myelinated processes of the bipolar cells of the bulb form the olfactory tract and terminate in the primary olfactory cortex( periamygdaloid area and prepiriform cortex)
Secondary neurons.. second order
what order neurons of cranial nerve 1
neurons extend from the primary olfactory cortex to the entorhinal cortex Area 28, lateral preoptic area, amygdaloid body, and medial forebrain bundle
tertiary neurons
is cranial nerve 2 a true nerve?
no it is a fiber tract of the brain just like CN I
what are the three central connections of the optic nerve?
- from the pretectal region the edinger-westphal via posterior commissure
- from the superior colliculi via the tectobulbar and tectospinal tracts to other cranial spinal nuclei
- from the occipital cortex to other cortical and subcortical areas
fibers from what region are responsible for the simple and consensual light reflexes
pretectal region
this lesion involves the optic nerve or tract the most common cause is multiple sclerosis
retrobulbar neuritis
this lesion of the visual apparatus includes various forms of retinitis ex. proteinuric, syphilitic, diabetic, hemorrhagic, and hereditgary,
optic or bulbar neuritis
this lesion of the CN2 is aka’ed choked disc
papilledema
this optic lesion is associated with decreased visial acuity and change in the color of the optic disc to light pink, white, or gray
optic atrophy
is caused by processes that involve the optic nerve and do not produce papilledema
primary optic atrophy
this type of optic atrophy is a sequel of papilledema
secondary optic atrophy
this maybe due to tabes dorsalis multiple sclerosis or herditiary and is an atrophy of the optic nerve
primary ( simple) optic atrophy
this syndrome of CN 2 may be caused by tumors at the base of the frontal lobe and is characterized by ipsilateral blindess and anosmia, ( with atrophy of the optic and olfactory nerves) and contralateral papilledema
foster Kennedy syndrome
this syndrome involving the optic apparatus is AKAed Tay-Sachs disease, cerebromascular degeneration with severe mental deficiency occuring in jewish families and is associated with blindess, optic atrophy, and a dark cherry red spot in place of the macula lutea
Amaurotic familial idiocy
syndrome involving the optic apparatus where the pupil reacts only to accommodation. I has neither a direct or indirect reaction to light. found to occur as a diabetic complication
argyll robertson pupil
Argyll robertson pupil was once thought to be pathognomonic of tabes dorsalis but now is known to be a complication of what
diabetes
a syndrome involving the optic apparatus characterized by a tonic pupillary reaction and the absence of one or more tendon reflexes. the pupil is said to be myotonic with a very slow almost imperceptible contraction to light and in near vision. a slower dilation upon removal of the stimuli.
Holmes-Adie syndrome
what test is done to confirm Holmes-Adie Syndrome
Adler-Scheie test
deviation of bilateral eye alignment is termed
heterotropia
outward/ lateral deviation of the patients eyes when looking straight ahead
exotropia
inward medial deviation of the eyes when looking straight ahead
esotropia
upward deviation of the eyes when looking straight ahead
hypertropia
downward deviation of a patients eyes when looking straight ahead
hypotropia
what section of the brain has a primary function to coordinate eye movements also known as yoked movements by interconnecting the nuclei of cranial nerves 3 4 and 6.
Medial longitudinal fasciculus MLF
a common disease to affect the MLF ( medial longitudinal Fasciculus) would be?
the patient will be unable to laterally gaz but convergence will be spared.
Multiple Sclerosis
what supranuclear pathway of the eye controls mostly saccadic ( rapid or darting ) eye movements?
frontal lobe
what supranuclear pathway of the eye controls mostly smooth or following eye movements
occipital lobe